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Sign Up To Safety

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Sign up to Safety is designed to help realise the ambition of making the NHS the safest healthcare system in the world by creating a system devoted to continuous learning and improvement.  This ambition is bigger than any individual or organisation, and achieving it requires all NHS individuals and organisations to unite behind this common purpose.  
Sign up to Safety aims to deliver harm free care for every patient, every time, everywhere.  It champions openness and honesty, and supports everyone to improve the safety of patients.

Mid Cheshire Hospitals NHS Foundation Trust has officially signed up to the campaign and has committed to setting out actions which we will undertake in response to the following five pledges set by NHS England.


Sign Up To Safety Pledges

1) Put Safety First

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

We will...

  • ensure the Summary Hospital-Level Mortality Indicator (SHMI) will remain at or below 100 from April 2015

  • eliminate all avoidable hospital acquired pressure ulcers by March 2016

  • reduce inpatient fall incidents by 10% by January 2018

  • ensure the prompt recognition and treatment of Acute Kidney Injury (AKI), ensuring that 90% of patients are receiving appropriate care as per the AKI pathway by January 2018

  • ensure the prompt recognition and treatment of sepsis, ensuring that 90% of patients are receiving appropriate care as per the sepsis pathway by January 2018

  • have Zero tolerance of never events within the organisation


2) Continually Learn

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

We will...

  • determine the organisation's safety culture, identify areas for improvement and action accordingly to time and target, working in partnership with staff and stakeholders.

  • continue to develop information systems to support clinical dashboards, improving access to clinical outcome data and acting on these to improve.

  • use available data to create a dynamic risk profile which will provide an early warning system, reduce risks and support continual improvement.

  • review and improve action planning processes, accountabilities and responsibilities.  Prioritise action plans that are high impact and develop organisation systems for shared learning.  Ensure there is a link to learning from safety culture assessment.


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...

  • always tell our patients and their families / carers if there has been an error or omission resulting in harm.

  • publish patient safety information on our website.

  • continue to raise awareness of being open within our staff and ensure that this is included in all our patient safety training.


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...

  • continue to work with the Advancing Quality Alliance (AQuA) to develop a cohort of staff with quality improvement skills and share benchmarking information to improve quality and safety.

  • work with partners to share best practice and improve clinical pathways for patients.  These partners include NHS South Cheshire Clinical Commissioning Group, NHS Vale Royal Clinical Commissioning Group and University Hospitals of North Midlands NHS Trust.

  • share outcomes from national clinical audits and our participation in research programmes to ensure improvements are implemented across the organisation.

  • continue to work with AQuA in developing a cohort of patient safety champions within our organisation.


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...

  • continue the Trust programme of quality improvement training in collaboration with AQuA.

  • continue to develop our medical staff through the Clinical Leadership Programme.

  • further develop our programme of patient safety training, educating staff in human factors and why things go wrong.

  • continue to develop our newly-appointed Consultants through the Consultant Foundation Programme which includes education and support on safety, change and managing behaviours.

  • work together to respond to feedback from patients and carers and to learn from incidents that occur. We will then ensure we respond to such learning and embed this into practice.


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