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September 8th 2017

Gavin Boyle

It’s been a special week here at Derby Teaching Hospitals with the launch of our Quality Strategy.  Blog readers will know that the ‘P’ in our PRIDE framework stands for ‘putting patients first’ and the Quality Strategy is the specific plan for how we intend to do just that.  It’s the steps we’ll take each year to achieve our ambition of delivering outstanding care for our patients. The Quality Strategy describes our plan to improve patient safety and experience, the effectiveness of our care and how well we’re organised to deliver it, while also making sure that when things do go wrong we learn and make changes to improve our care for the future.  Developing the Quality Strategy has been a huge piece of work led by our Chief Nurse and Medical Director, with the input of lots of colleagues around the Trust, and can be seen on our website.  All of us, whether working in a front-line clinical role or in a supporting function, such as myself, can make a contribution to improving the quality of our service. Every one of us has a part to play.

We had our Board of Directors meeting this week, which was attended by many of our governors and members of the public.  I really like the way that we start our Board by celebrating the achievements of some of our colleagues with the Pride of Derby Awards, while also hearing a patient’s story.  Somehow, thinking about both our people and our patients from the beginning of the Board sets the tone for the rest of the meeting.  This month’s Pride of Derby winners were an impressive bunch; 

•Haydn Devine who is a senior physiotherapist, was awarded Best Front Line Member of Staff for going the extra mile to support his team. 

•Liz Dreher, a senior nurse in general theatres, scooped the prize for the Best Behind the Scenes member of staff after scouring the country (and indeed the globe!) to find the right product so that a patient’s operation wasn’t cancelled.

•Sharon Smith, a nurse on Surgical Assessment Unit, was nominated by a medical student for helping them to develop their skills.

•The best team went to Puffin Ward, which received 137 nominations and had been particularly thanked by a family whose 14 year son had been cared for so well.

These are all great examples of colleagues who have gone above and beyond to deliver great care.  

A very brave lady, Lisa, came to tell us her story as a patient when she was admitted here, following surgery at another hospital, for treatment of a complication.  She made many positive comments about the care she’d received and particularly praised the role of the tissue viability team who made such a big difference to her care.  She had been nursed in a side room for infection control reasons and commented how this can feel quite isolating at times.  Her story reminds us to think about patients in side rooms and perhaps what more we can do to ensure that they don’t feel so alone.  She was really grateful for the kindness of housekeeping and cleaning staff whose conversations always cheered her up.

Our partnership work with Burton is moving on a pace.  We’re particularly focussing on identifying the specific clinical benefits of integrating services and how those benefits will be measured and demonstrated.  Clinical teams from both Trusts are working extremely well together to produce what’s called a Patient Benefit Case to be submitted to the Competition and Markets Authority as the next step in the process.  Helen Scott-South, the Chief Executive at Burton, and myself are working hard to make sure that all of our external partners are kept fully briefed about the work we’re doing as we move towards the formation of a single organisation next year.  We were in Stafford this week attending the Staffordshire Health and Wellbeing Board which comprises health and social care leaders from across Staffordshire whose job it is to make sure that health and care services work in an integrated way.  We had a good discussion about the proposals and our plans were well received.  There’s lots of work to do but I’m really pleased how teams from both Trusts are working so well together.  

Continuing the theme of partnerships, we also held our first Provider Alliance Group this week as part of the Derbyshire Sustainability and Transformation Partnership.  This is all about how services within this county can work together more closely.  The Provider Alliance Group brings together all the providers in Derbyshire – the two acute hospitals, the mental health and community trusts, local authority colleagues, local GPs and representatives of primary care.  It’s this group, under the auspices of the STP, that will develop the detail of how services will develop to provide more joined up care hopefully closer to patients homes.  

I finished the week with a series of face to face briefings for staff, both at RDH and also at London Road Community Hospital.  They’re always enjoyable sessions but I do particularly value my time at LRCH – it’s usually a much smaller group and we generally have a good chat about the issues of the day.  Today we talked about the future of community hospitals and particularly how London Road will increasingly develop as a hub for ‘place based’ care within the city of Derby itself.  We also reflected that if we’re successful in our partnership with Burton then the new organisation will have no fewer than three community hospitals, including Lichfield and Tamworth too.  This provides an enormous opportunity to really think through how we could accelerate the benefits of ‘place based’ care and deliver the aims of not only the Derbyshire STP but for Staffordshire too.  

Have a great weekend


Best wishes

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