improving safety in independent health · pdf fileimproving safety in independent health care...
TRANSCRIPT
Improving Safety in Independent
Health Care
Viv Heckford – Director of Clinical Services
July 1st 2015
Points to cover:
1. Improving accountability for patient safety in the
independent sector
2. What needs to change and why?
3. Closing the gaps in the regulatory system
4. Involving patients to improve patient safety
5. Developing a patient safety culture
6. Our approach: demonstrating and improving
patient safety
7. Improving the transparency and reliability of
data on patient safety
What is Patient Safety?
‘Patient safety is the prevention of avoidable errors
and adverse effects to patients associated with
health care.
Staff practise patient safety when they apply
safety science methods towards the goal of
developing reliable systems of care.
So patient safety is both a characteristic of a
healthcare system and a way of improving the
quality of care’.
Royal College of Nursing
Do Staff Understand Patient Safety?
‘You don’t need to work around a hospital for long
to realise that there are loads of opportunities for
things to go wrong…..and you only have to listen
to a story from a patient or actually be a patient to
understand that it doesn’t take much to make
things an awful lot better and safer….It’s not
difficult to engage people in wanting to make
things better.
Participant, Patient Safety First 2010
Have we progressed 2 years on?
Francis Report 2013
Berwick Report 2013
How do we manage it in the IS?
• Similar conflicts as the NHS but can be more
pronounced or wider
• Staff capacity is similar to that in the NHS but
fewer staff mean they are not exposed to the
same levels of experience and they are more
likely to be multi-skilled
• Do we all have a member of the Executive
Board with a defined responsibility for patient
safety?
• Is it in the strategy and on the Board agenda?
• Who is accountable?
Challenges
• Data posting, and interpretation
• Benchmarking across the industry
• Commissioner requirements
• Lack of understanding and knowledge about best
practice in patient safety
• Focus on problems rather than spreading best practice
• Reactive rather than proactive
• Unit size
• Understanding of the regulator
• Understanding of the patients
Ramsay Health Care
• 50 years in the private hospital industry
• Established in Sydney in 1964 by Mr Paul
Ramsay AO
• Ranked in the top 5 private hospital
operators in the world
• Annual revenues of over £4 billion
• Entered the UK market in November 2007
• 4th largest private operator in the UK
• 226 hospitals across the globe
• 25,000 beds & places
• Employs over 50,000 people
• Admits 2.5 million patients per
annum
Ramsay Health Care Profile
Ramsay Health Care UK Facilities
36 Sites including:
• 23 elective hospitals with overnight beds
• 6 ambulatory, day surgery units
• 1 PPU
• 3 neurological services centres
• 2 decontamination units
• 1 elderly care village
Patient Safety in Ramsay Health Care
• Decentralised operational management
• Global monitoring and review
• Lessons learned shared nationally and
internationally
• Proactive management of adverse events
using models including the human factors
model
Have We Improved?
• Serious adverse events and never events
are reducing
• Surgical site infections are reducing
• Compliance to risk management
programmes and strategies is improving
• We share more
• However there still is and always will be
more to do
Do We Innovate?
• We actively try to reduce risk
• We actively try to mitigate risk
• We share both nationally and
internationally
• Our aim is for the safe delivery of care and
quality outcomes.
