We've come a long way since we began our improvement journey in
since the last update in April the improvements we're making are
really starting to take shape.
Staffing remains one of our biggest challenges. Over the last
few months we have made some progress with our recruitment drive.
Since last autumn, the number of nursing staff in the Emergency
Department (ED) has increased by 20 per cent.
Managing the high demand for our services will be a priority for
years to come and much of our improvement work aims to support our
team in the ED who all too often bear the brunt of the
Making decisions swiftly, working efficiently and being tightly
coordinated with our health and social care partners, all helps to
maintain a steady flow of patients through the hospital.
A critical part of this is ensuring patients experience a
smooth, timely and well planned discharge from hospital, so we free
up space for those who are most in need of our care.
The Care Quality Commission returned to the Trust in April as
part of an unannounced visit to view the progress we have made
since their inspection last autumn. The findings of this visit are
published in a new report which states that "The Emergency
Department had experienced an extremely challenging winter, with
unprecedented demand. In this context, the improvements achieved to
date were commendable".
This is something to be proud of and although it says there is
still much to do, our progress and continued efforts have not gone
Making sure we have the right number and mix of staff
across all services at all times
Maintaining a strong staffing level is an on-going challenge, as
while more staff join us, others retire or leave. We currently have
166 more nursing and midwifery staff on our wards than we did in
A high number of vacancies can make it difficult to maintain the
right skill mix on each of our wards and departments; which is why
we continue to use experienced temporary staff to ensure we have
safe staffing levels.
Since April we have:
Over the next couple of months we will be:
Making sure patients experience a smooth journey of care
through our services and beyond remains a challenge for the whole
local health and social care system
for all of our services is high all year and one of our biggest
challenges is discharging patients who no longer need care in a
large acute hospital, so we can make space for those who do. Around
one in three people attending the emergency department need to be
admitted onto a hospital ward, in addition to the many who are
admitted straight onto a ward via their GP.
Making sure we adapt our care to meet the individual
needs of patients
Making sure we are open, learn, share and
Over the next couple of months we will
The above information is available in a downloadable PDF
Our improvement journey - July 2016
Please contact us at firstname.lastname@example.org and we'll put it right.
© 2017 Great Western Hospitals NHS Foundation Trust