1
166
DETAILED REVIEW OF 2008/09
MONITORING
PRIORITY AREA: Use of new ICR
Description of issue and rationale for
prioritising
Over the past 3 years our Trust has developed a
comprehensive and integrated care record (ICR)
for use by all professions across the Trust. The
record has been developed to ensure key
information requirements for good quality care
are systematically collected and recorded within
patient records and therefore enshrines the
principles and practice of the care programme
approach, NICE guidance and recommendations
from a number of serious case and external
reviews. The ICR was also geared to provide an
almost seamless transition to the requirements of
the new CPA which was implemented on
1 October 2009.
Aim/Goal
To ensure 80% compliance with ICR
documentation for all services in particular to
demonstrate:
·
Explicit user engagement in the care planning
process
·
Undertaking appropriate physical health checks
/liason with primary care
·
Ensuring a full health and social care
assessment undertaken.
Current Status
Improved compliance with the use of the ICR has
been demonstrated and good compliance
achieved for in-patient units. However, further
improvement plans are in place to improve
compliance in other areas
1009080
706050
40
30
20
100
21/07/2008 09/09/2008 29/10/2008 18/12/2008 06/02/2009 23/03/2009
100%90%80%
70%60%50%
40%
30%
20%
10%0% Qtr 1
64
Qtr 266.9
Qtr 371.1
Qtr 483
ICRAudit Results from August 2008 to March 2009 for NAIPS, Inpatients and CMHTs
HCAIAudit Compliance 2008/09(%)
%
fields
complete
CMHTs Inpatients NAIPs Linear (NAIPs) Linear (CMHTs) Linear (Inpatients)
PRIORITY AREA: Hygiene Code
Description of issue and rationale for
prioritising
The implementation of core standards of practice
for minimizing risks of infection is a national
initiative across the NHS.
Our Trust has used the NPSA HCAI audit tool to
self assess and review progress this year in
strengthening its arrangements for infection
Aim/Goal
To achieve 80% compliance with the audit tool by
March 2009.
Current Status
The compliance target was achieved for the year.