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Hospital Emergency Department featured in national CQC best practice guide

6 December 2017

The Royal Bournemouth Hospital’s (RBH) Emergency Department is one of 17 across the country to be included in the Care Quality Commission’s (CQC) best practice guide for all NHS hospital trusts.

“Meeting the quality challenge; sharing best practice from clinical leaders in emergency departments”, provides examples of positive action trusts are taking to help manage capacity and demand.

It was developed following a workshop involving 36 senior clinicians and managers from trusts across the country which were identified by the CQC as having good practice in their emergency departments.

Some of the positive actions taken by RBH, which were cited in the report, include:

  • Team members made visits to several emergency departments rated as outstanding to review good ideas and modify these to work at RBH.
  • Introduction of a weekly, combined, online rota so staff can easily see who is on duty instead of having multiple rotas for junior doctors, consultants, advance nurse practitioners and minor injury nurses.
  • Electronic staff feedback forms, encompassing safety concerns, near misses, good ideas and positive event reporting as well as allowing staff to say #Thank you to any colleague.
  • Implementation of the ‘Happy App’ which measures the live ‘mood’ of the department, giving all staff a voice and allowing senior team members to be responsive to concerns, praise and good ideas.
  • The team host a ‘Staff Vision and Innovation Day’ where all members can discuss their ideas and innovations and priorities for the next year.
  • Project management software is used to keep doctors, nurses and managers up-to-date with risks, new policies, education and safety alerts in the department.
  • An electronic child safeguarding process, which identifies all children and ensures that a safeguarding assessment is completed, has been introduced.

RBH Emergency Medicine Consultant, Dr Aidan Siggers, said: “We’ve been visiting a number of different trusts around the country observing examples of outstanding practice and are incorporating a lot of the ideas they are using here. They’re really is some fantastic work being done in quite difficult circumstances.

“This is all about teamwork so we’ve been working closely with colleagues in the hospital here as well, looking at better ways of working to make our patient’s experience better.”

Professor Ted Baker, the CQC’s Chief Inspector of Hospitals, said: “Despite the challenges, our inspections have shown that many hospitals are providing good and outstanding urgent and emergency care and have demonstrated their ability to plan for and cope with increased attendances.”

The guide can be found on the CQC website.


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