Our Sign up to Safety pledges

Sign up to Safety logo 2001. Put safety first

Commit to reduce avoidable harm in the NHS by half and make public our goals and plans developed locally. We will:

  • Provide leadership for quality and safety, our Trust leaders will be highly visible role models championing quality improvement, empowering staff to continuously improve their services
  • Continue to foster a safety culture that is open and fair across the whole organisation
  • Aim to be within the 10% of NHS organisations with the lowest risk adjusted mortality
  • Identify standards of care and safety measures which are monitored and understood from ward to board.
  • Continue to implement the sepsis six care bundle
  • Develop care bundles to ensure consistent care is delivered to patients with a high risk of death including those with acute kidney injury and following emergency laparotomy
  • Reduce the incidence of pressure ulcers and patient falls by implementing improvements in care identified through incident investigation

2. Continually learn

Make our organisation more resilient to risks, by acting on the feedback from patients and by constantly measuring and monitoring how safe our services are. We will:

  • Continually learn and share safety lessons from incidents, complaints and claims
  • Celebrate best practice and achievements of individuals and teams
  • Develop and improve the learning from the Mortality case note review process 
  • Develop the use of data for improvement, increasing the knowledge base of our staff about measurement of safety
  • Develop quality improvement plans to deliver safer care for patients
  • Develop an internal and external network to ensure learning from best practice is implemented across the trust
  • Actively seek the views of patients and relatives about areas of care that we can improve

3. Honesty

Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.

We will:

  • Implement the statutory Duty of Candour, supporting staff to build skills in being open with patients when things go wrong
  • Engage with service users, their carers and relatives and use their feedback to help us improve quality.
  • Continue holding 'spotlight' listening events and turning public feedback into service improvements.
  • Reviewing all 'VoiceBook' comments and using the Friends and Family test to inform us of what patients think about our services
  • Listen to staff and provide ways for staff to have their say, for example the Staff Friends and Family Test and the ' See Something, Say Something' campaign
  • Share progress of projects to improve patient safety with our patients, staff and Trust Board
  • Engage with the national safer staffing agenda, displaying staffing levels clearly on our wards and publishing on NHS Choices.

4. Collaborate

Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.

We will:

  • Actively participate in local and regional patient safety networks, including the NHS England Patient Safety Collaborative, as an opportunity to share best practice and to develop quality improvement expertise.
  • Work with local partner organisations to improve patient pathways across NHS organisations.
  • Continue to establish and progress the work of Trust quality improvement groups, developing expertise within these teams. Our key safety priorities as we 'Sign up to Safety' will be:
    • Sepsis 
    • Falls prevention
    • Rescue of deteriorating patients
    • Acute Kidney Injury
    • Pressure Ulcer prevention

5. Support

Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate the progress.

We will:

  • Ensure that support is available for staff who have been involved in incidents, complaints and claims, both individually and as teams
  • Provide staff with training in quality and safety methodology, and the tools to deliver improvements
  • Provide staff with practical quality improvement tools and guidance
  • Encourage ownership of safety and quality improvement by all staff , at all levels of the organisation
  • Continue to develop the Executive Patient Safety Visits, ensuring these visits meet the needs of the executive and frontline teams.
  • Develop clinical leadership and quality expertise within the Trust to champion quality and safety from ward to board.

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