Easy Read Information
This page has information about the quality of our work. It also has information about how long patients have to wait before being seen.
Along with other NHS Trusts, we have a range of different targets relating to infections, waiting times and other measures. You can read more about these here
Treating emergency patients
The national target for emergency department waiting times is for 95% of patients to be admitted, discharged or transferred as appropriate within four hours of their arrival at hospital. For 2015/16, 93.33%* of patients were admitted, discharged or transferred within four hours. Like other hospitals, we have seen an increase in emergency attendances and patients who need admitting to a hospital bed from the emergency department. Among these have been an increase in sicker patients who required more complex care and treatment. In addition we have seen a significant increase and consistently high numbers of patients in hospital beds who although medically fit and ready for discharge, have been unable to be discharged due to challenges in providing the appropriate support outside of hospital. This has a huge impact on the flow of patients through the hospital resulting in increased pressure on the emergency department.
* Includes type 1, 2 and 3 attendances.
We implemented a range of measures to help manage these pressures, including opening additional beds and working with partners in the community to improve access to healthcare in the community and directing patients to alternative options rather than attending our emergency department.
Meeting our infection control targets
There have been 29 cases of C.difficile against a target of 44, which is a significant improvement from last year, when we had 42 cases. There has also been significant improvement in the number of patients with MRSA blood stream infections. We had two this year, compared to seven and eight in the two previous years, however the target remains zero. Each case of C. diff or MRSA is subject to a root cause analysis investigation and lessons learned are cascaded across the organisation. Our focus on line care and aseptic non-touch technique remains constant along with the prompt recognition and management of patients with diarrhoea.
During the year, we have worked to minimise the number of cancelled operations on the day of surgery for non-clinical reasons, and to ensure that if an operation has to be cancelled, our patients are given a new date which is within 28 days from their original date. However, an increase in emergency admissions throughout the year means that we have cancelled more operations than we would like. This year we had to cancel 374 operations, which is 0.67% of our total operations carried out.
We narrowly missed the national standard of ensuring patients are treated within a maximum of 18 weeks from their referral. 91.19% of patients were waiting less than 18 weeks against a target of 92%. We have seen a substantial increase in our activity, particularly with urgent procedures and have experienced staff sickness within our surgical teams. We have also undertaken a transfer of regional upper GI surgery from other local trusts that has increased demands on services. Later in the year, national industrial action also impacted on our ability to ensure at least 92% of patients would receive their treatment within 18 weeks of referral. We are recruiting more surgeons and anaesthetists and are working with local partners to share capacity across the health economy.