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SHSCT PPI Action Plan Template 2016/2017 1 Action Plan to Enhance Personal and Public Involvement Within the Acute Directorate 2016-2017

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Page 1: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

1

Action Plan to Enhance Personal and Public Involvement

Within the Acute Directorate 2016-2017

Page 2: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

2

This PPI Action Plan outlines the key actions that will be taken to enhance Personal and Public Involvement during 2016/2017 and will feed into the overall Trust Corporate PPI Action Plan.

The key contacts in relation to this action plan are:

Director of Acute Services Ms Esther Gishkori Tel: Email: [email protected] Personal Assistant Emma Stinson Tel: Email: [email protected]

Assistant Director of Acute Services; Integrated Maternity & Women’s Health and Cancer & Clinical Services Heather Trouton Tel: Email: [email protected]

Assistant Director of Acute Services; Medicine and Unscheduled Care Division Anne McVey Tel: Email: [email protected]

Assistant Director of Acute Services; ATICS, Surgery and Elective Care Ronan Carroll Tel: Email: [email protected]

Assistant Director of Acute Services; Functional Support Services Anita Carroll Tel: Email: [email protected]

Assistant Director of Acute Services; Strategic Reform and Service Improvement Barry Conway Tel: Email: [email protected]

Director of Pharmacy and Acute Governance; Dr Tracey Boyce Tel: Email: [email protected]

Page 3: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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PPI Indicators

1 Information 1. Do you have information explaining who you are, what you do and how

you can be contacted?

2. Do you provide information on the standards service users and carers can expect from your service?

3. Do you provide information to help service users or carers to better

understand and manage their health and/or social care needs?

4. Do you signpost and/or provide information to service users / carers of other sources of support available locally?

5. Do people who use your service and their carers know how to make a complaint?

6. Do people who use your service and their carers know that they have a right to be involved in the planning, development and evaluation of the service you provide?

7. Do you provide a list of opportunities for involvement?

8. Do you maintain a database of interested people?

9. Do you provide feedback to those who have been involved?

10. Do you provide feedback on impact and learning?

2 Levels of involvement 1. Do you involve service users in the development of their care and/or

treatment plan and have mechanisms in place to monitor and evaluate how staff in your area of responsibility uphold the 5 Patient Client Experience standards :

i. Respect ii. Attitude iii. Behaviour iv. Communication v. Privacy and Dignity?

2 Do you involve service users and their carers/ family in the evaluation of the service you deliver?

3 Do you involve service users, carers and the public in the development of new services or in planning service improvements for the service you deliver?

4 Do you involve service users, carers and the public in the planning and development of services/projects that influence the way your Directorate carries out its business?

5 Do you involve service users, carers and the public in the planning and development of services/projects that influence the future direction of the Trust?

3 Training 1. What mechanisms do you have in place to assess the training and

development needs of your staff to enhance their skills in personal and public involvement?

2. What mechanisms do you have in place to assess the training and development needs of your service users, their carers and the public to enable them to participate in involvement activities?

3. What training and support do you provide for staff, service users and carers?

4. What opportunities can you identify for service users and carers to become involved in the training of your staff?

4 Monitoring and Evaluation 1. How do you measure/assess the impact and outcome of your

involvement activities?

2. What has been the impact of your PPI activities on services?

3. Has PPI improved the patient client experience/quality of care? If so, how?

4. What did those involved think about the process of involvement?

Page 4: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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1. Information Key Objective: Information that supports the engagement and involvement of service users, carers and the public is available in a variety of formats to meet identified need.

Key Deliverables

Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Information explaining who you are, what you do, how you can be contacted and the standards service users and carers can expect from your service is available

Wards and Units to develop Information boards

Provide information in different languages

Offer text reminder service

Review contact information and up-date as required

All teams to ensure contact info available on Trust website & DoS

All wards and units to display ‘Our Commitment to You’

All HOS

March 2017

Checklist exercise confirms all Wards and Units have service leaflets available. All Clinical Guidelines available on intranet.

Information Boards complete in all wards and units includes standards that can be expected

Information on conditions/issues relating to the service provided is available for SU’s, Carers and Public

Ensure information is available and up-to-date

Evaluation of Coping with Bereavement booklet under PCE

Develop an information leaflet for patients admitted into medical wards under PCE

ADs, HOS, Mangers March 2017

Checklist exercise confirms all Wards and Units have information on conditions or issues relating to the service/s provided available

Information explaining how Service Users, Carers and the Public can make a complaint or comment on the service provided is available

All Wards and Units to keep under review

Communication in Cancer Services Awareness initiative to inform staff of cancer support services and how to signpost patients to these under PCE

ADs, HOS, Managers March 2017

Checklist exercise confirms all Wards and Units provide information on making complaint or comment on the service provided. All staff trained.

Information explaining how Service Users, Carers and the Public can become involved in the planning, delivery and evaluation of the service/s provided is available

Continue to Display PPI ‘Have your Say’ poster and distribute registration forms to patients and carers

Continue to use the Trust’s Facebook and Twitter accounts to highlight opportunities for involvement

ADs, HOS, Managers, All staff March 2017

Checklist exercise confirms all Wards and

Units provide information on how to become

involved

Information that explains the areas of service and the key service development areas in which SU’s, Carers and the Public can become involved is available

Focus for Emergency & Elderly Medicine -Staff should be aware and signpost patients, carers and public to relevant forums that contribute to planning, delivery and evaluation of services. Opportunities for involvement list to be developed and displayed beside Have Your Say Posters

ADs, HOS, Managers Annually

Checklist exercise confirms all Wards and

Units except EEM have information on

opportunities for involvement.

Database of interested people is in place and maintained

Emergency & Elderly Medicine and Surgery & Elective Care to set up database to record details of interested patients/carers

Continue to maintain database of patients/carers interested in being involved

Managers Annually

Checklist exercise confirms all Wards and

Units except EEM and SEC have database in

place

Feedback provided to those involved and generally on impact and learning

o Use of feedback template and other methods o Feedback to colleagues, PCE and PPI Team

Managers March 2017

Checklist exercise confirms all Wards and Units provide feedback

Page 5: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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2 Service User and Carer Involvement

Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Modernisation of Stroke Services, Dementia and Hospital Services

Direct involvement of service users in Stroke Strategy Workshops to help develop standards for the Long Term Support for Stroke Sufferers/Carers

Gather feedback from service users and carers throughout the stroke care pathway (acute, non-acute, community & C&V phases

E Gishkori A McVeigh M Crilly March 2017

Consultation completed.

Continue to consult with members of the DHSSPS; HSCB; PHA; Southern LCG; Councils, local MLAs; community & voluntary sector agencies. Public better informed about the range of Stroke services available across the southern trust and the importance of early intervention and prevention.

3 draft patient surveys developed–carry out Acute Mar 16 onwards

Reconfiguration of stage 1 Stroke Association group to 12 weeks to increase engagement

Joint acute community stroke meetings

Trust Acute Non acute strategy stroke action plan .SSNAP audit ongoing

Presentation by community stroke team staff to AD and HOS which included stroke survivor experience

Butterfly Scheme

Roll out Butterfly Scheme in acute and non-acute hospitals

Identify champions to attend training sessions

HOS’s March 2017

Initiative developed through various patient experience / feedback audits.

Currently implemented in 1 south and will be rolled out across all wards/units.

Champions identified from Nursing, Medical, AHP, Domestic, Portering, Radiology, phlebotomy to attend training.

Allows people whose memory is permanently affected by dementia to make clear to hospital staff & provides a simple, practical strategy for meeting their needs

2 carers involved in delivering the Butterfly Training

Modernisation of hospital services for children and young people.

Involvement of service, users carers and other stakeholders in planning and development of new Paediatric Centre at CAH

E Gishkori March 2017

The new centre is part of an overall plan to modernise hospital services for children and young people. Work at Daisy Hill is ongoing to make way for the new purpose designed centre on the sixth floor where all planned paediatric surgery for the southern area will take place. Regular feedback on progress provided through Trust’s social media.

An information evening was held on the 12th October in CAH to share plans

and receive feedback for the new Paediatric Centre – parents, carers and a number of young people who are regular attenders to the ward were in attendance. Further engagement is planned in the next few months at both CAH and DHH.

Page 6: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Redevelopment of Craigavon Area Hospital

Involvement of service, users carers and other stakeholders in planning and development of new hospital on Craigavon site

C Stoops E Gishkori March 2017

Corporate Planning representatives attended PPI panel meeting (10/6/16) when draft questionnaires were reviewed with suggestions/feedback given.

Surveys amended accordingly, with a pilot exercise of the outpatient’s surveys undertaken and completed during August.

Evaluation Report (detailing feedback from staff, service users and carers) developed and submitted to Sinead Hughes October 2016 and Neil Gillan November 2016.

Engagement & communications work stream meeting held on 10/11/16 (Sinead Hughes & Neil Gillan & Edel Corr Patient Support in attendance) when the evaluation report was discussed. Agreed that Corporate Planning representatives would attend / provide updates to the quarterly PPI Panel meetings on each of the respective work streams and that PPI Panel would link into the project management structure.

Proposed that the ‘Health and Wellbeing Information Zone’ within the Main Foyer of CAH could be a suitable area to promote any redevelopment of the CAH.

Progression of inpatient, outpatient and staff surveys planned for Spring 2017.

Bereavement Forum

Involve the Palliative Care Experience Group in the review and redesign of bereavement booklet.

Involve the Palliative Care Experience Group in the design of satisfaction survey that is issued with bereavement booklet.

Anne Coyle March 2017

Completed

Better informed service users and carers

Improved wellbeing

More service user centred service

Bereavement booklet translated into a range of languages to support local BME Communities.

Patient Support Service

Review of current information provided to patients on admission (Questionnaire issued to a sample of service users of service users on 3 Model Medical wards – AMU, 1 South and 2 South Stroke)

Development of new Information Placemat for patients admitted to medical wards based on feedback from questionnaires.

Review of Placemat by PPI Panel

Edel Corr March 2017

Completed

Better informed service users and carers

Higher levels of Service User / Carer satisfaction

Page 7: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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Evidencing

compliance with

the 5 Patient &

Client Experience

Standards and

10,000 Voices Project

Identify Acute representation on newly established PCE Steering Group

Continue to support the NQI Steering group

E Gishkori March 2017

Staff to make use of the Compliment Poster

Template to showcase compliments /experience of

service users & carers

Ward Managers March 2017

Completed on all wards

Implement actions to address regional PCE priorities and provide quarterly up-date reports to PCE & 10,000 Voices Coordinator

E Gishkori AD’s March 2017

Agree Acute PCE priorities for 16/17

Implement and provide quarterly up-date reports to PCE & 10,000 Voices Coordinator

E Gishkori AD’s March 2017

Short questionnaire on experience of care and support and how information in the Coping with Bereavement booklet helped at time of bereavement and afterwards circulated Oct 16

Information Placemat for patients in medical wards. This quality initiative will ensure patients and carers are better informed following admission and better prepared for discharge, improving their experiences of acute services.

Provision of free Wi-Fi service across Southern Trust hospitals and facilities

S Haughey E Gishkori August 2016

Patients and visitors can now stay in touch with family and friends during their stay in hospital. Up until now, people coming into Trust hospitals /facilities had to rely on a good mobile phone signal and also faced a potential cost for communicating via the internet.

Improvement of courtyard areas at Physiotherapy and Occupational Therapy in CAH to improve PCE and make the most of the physical environment under the "Making Life Better framework for Northern Ireland."

Estates CV August 2016

The area had become overgrown with shrubs and trees and was in need of redevelopment. The Conservation Volunteers cut back these areas and cleared the space to allow for new planting. Seated areas for patients, visitors and staff have also been installed allowing for relaxation, reflection and appreciation of the environment.

Page 8: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

ATICS , Surgery and Elective Care

Inflammatory Bowel Disease Service

Continue to support the IBD Patient Panel

Involve IBD panel in Steering Group for 5 Ways to health and wellbeing project – ‘Patients First’

Ruth Hall/ D McParland (PWB) Sept 2016

Programme completed and evaluation report developed.

Feedback has been incorporated into the programme, where appropriate, making it more patient centred.

Cancer and Clinical Division Cancer Services

Continue to support development of Cancer User/Carer Group

Involve Cancer User/Carer group and volunteers in the planning, development and delivery of cancer service

Involve service users, carers and SU Group to become lay reviewers

F Reddick L Smart S Clarke M Haughey Mar 2017

Cancer User/Carer group continues to meet every 3 months.

Ongoing recruitment of new members via HWB events and Macmillan Information Centre.

Cancer Service User/Carer group involved in: o reviewing and finalising Cancer MDT patient

information leaflets o developing the Macmillan Cancer Information

Service leaflet. o developing a staff signposting guide to cancer

support services as part of a Trust QI Project o supporting showcase event of cancer services for

staff.

A local patient/carer survey was issued in the Macmillan Information Centre & Mandeville Unit to seek feedback on the Centre as part of the Macmillan Quality Environment Mark. Feedback displayed in Unit.

Service user feedback was sought as part of the peer review of Cancer MDTs and local improvement plans are being developed

Support the development of the Regional Acute Oncology service

R Carroll F Reddick March 2017

NI Cancer Patient Experience Survey F Reddick Dec 2016

Page 9: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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Conduct Breast Cancer Screening Survey with service users at Lurgan Hospital & the Dromalane Site in Newry

January 2017 Completed

Positive feedback (Written information; Attitude & Behaviour; Cleanliness) relayed to staff

Car parking concerns raised with Traffic Management & car parking group; signage issues raised with Estates; Confidentiality Concerns (Reception Desk) addressed in team meetings

Service User feedback displayed in Unit. Impact: Improved staff morale and more responsive services.

Radiology Continue to involve service users in the evaluation and improvement of the radiology service through questionnaires and involvement in MCN

Involve service users in the development of an Aftercare Information leaflet for ladies attending hysterosalpingograms.

Involve service users in the development of a breast Shower Card

Helena Kincaid March 2017

Completed

Service improvements with regards to privacy in reception and waiting areas.

PPI Panel involved in development of poster to promote new clothing policy to improve the diagnostic image quality of the x-rays

Better informed service users and carers

Better quality service.

Informed communication between staff and service users

Improved staff morale

Improved awareness amongst women Audiology

Liaise with Primary Care patient representatives to help improve the Quality Standards for Audiology

J Robinson March 2017

AHP’s

Orthopaedic ICATS

Pilot a system of pre booked telephone reviews in Ortho ICATS

Carry out Patient Satisfaction with booked telephone reviews in Ortho ICATS

Aim reduce the amount of time spent on failed phone contact /maximise staff time/ensure patients are available and prepared for the call in a suitable environment

Additional patient satisfaction questionnaire in relation to the overall service.

OMcKeever Physio Clinical Specialist March 2017

Patients sent a letter informing them of the date & time of call. This was designed to allow the patient to be prepared and available to take the call.

Link to TYC– negating need for unnecessary visits to health care premise /increasing patient involvement–able to change date and time of call as necessary / Link to 5 year elective care plan – making best use of resources and adapting to increased demand by using a leaner approach to patient reviews.

Staff feedback generally positive – we have to ensure that capacity for face to face reviews is flexible and not taken up completely by phone reviews.

Ongoing. 20 questionnaires completed to date.

Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Page 10: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

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Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Integrated Maternity and Women’s Health

Maternity Services Liaison Committee (MSLC)

o Continue to work in partnership with the MSLC and to involve the committee in the development, improvement or planning of services by providing regular up-dates at each meeting.

o Review the effectiveness of the MSLC o Consider undertaking ‘Walking the Patch’ as a potential way of

getting immediate feedback from our service users.

J McGlade March 2017 MSLC members March 2017

Quarterly meetings with MSLC are ongoing with a focus on improving the services for women. MSLC members are invited to attend the labour ward forum and the regional working group for the updating of the Maternity Hand Held Record, the Community Care Pathway for Normal Pregnancy and the NI Maternity Strategy.

Review of the MSLC will take place when the DOH guidance has been updated and circulated to all members.

MSLC service user has contributed significantly yo helping improve the home birth experience for women and contributed to auditing of the maternity service.

Ante Natal Education

o Review the Antenatal Education Programme and accessibility for women from ethnic minority groups including the Traveller Community.

o Health Visitors to continue to record ethnic identifier information

Trust Maternal and Child Health March 2017

Pregnant ethnic Minority and traveller women are offered antenatal parent craft education with interpreter assistance as required.

Women from these groups are supported through Sure Start groups.

Breast Feeding o Continue to support and evaluate the Breast Feeding Peer Support service

Maternity staff, BF Support volunteers

New peer support workers have recently been recruited and are to commence training on 5

th of

April. This will enhance the experience of local women. Regional evaluation to be undertaken in the near future.

An audit has recently been undertaken and outcomes were positive for the CAH site and this will be replicated on the DHH site.

Home Birth Policy Review

o Involve MSLC and wider service users in the review of the Trusts Home Birth Policy in line with NICE guidelines

H Trouton MSLC chair March 2017

Trust review of the Home Birth policy is to take place within the next 3-4 months and service users are to be invited onto the working group which will feed into the regional GAIN working group.

Introduction of Postnatal Clinic in the community.

Short questionnaire and freepost envelope included to ascertain women’s views on whether they would avail of a community postnatal clinic.

A planned pilot of community postnatal clinics

H Trouton March 2017

This work is currently on hold due to a pending review through working groups of the activity of the community midwifery service.

Page 11: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

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2 Service User and Carer Involvement

Repeat the survey to capture the women’s experience of the postnatal clinics and their views on continuing it

Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Medicine and Unscheduled Care Emergency Department

Continue to support the establishment of the Patient Feedback Group.

Paul Smith Mary Burke

Continue to meet with patients, their families and carers to obtain their feedback/experiences on the services they have received and how we could improve them

Edel Corr

P McAloran

March 2017

Patient/families/carers feedback of their experiences on the services they have received and the staff providing these services shared with relevant staff on an ongoing basis to provide real time feedback and learning opportunities to continue to improve ED services

Patients and carers feel more valued and have a more positive experience when they feel someone has listened to and acted on their feedback.

Delirium Screening

Implement the Delirium Screening Tool in the Acute Medical Unit B Conway

Dr Roberts

March 2017

PDSA model of quality improvement being employed

MDT led by senior consultant and senior nurse

Team attended regional Patient safety forum

Education and training for staff planned

Implementation date agreed Pharmacy and Acute Governance

Evaluation of Nursing Care

o Pilot the ‘This is Me’ tool in wards Lead Nurses March 2017

Simple and practical communication tool that people with dementia and learning disability can use to tell staff about their needs, preferences, likes dislikes and interests.

Improved communication and understanding

More patient centred care.

Daily ward visit to review nursing

o Implementation of daily white board meetings and introduction of electronic IMMAX system on each non- acute ward.

Lead Nurse Nov 2016

Daily white board meetings have been implemented on all wards led by ward sisters and initially overseen

Page 12: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

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2 Service User and Carer Involvement

Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Functional Support Services and Service Improvement Catering and Portering Carry out a Review of Catering Services at

Hill Building, St Luke’s.

Carry out a Review of Portering Services at St Luke’s & South Tyrone and the Waste

A Carroll March 2017

Consultation with the Trade Unions, staff and service users i.e. other depts.

Review completed.

Staff dining room menus have been changed to offer a greater menu choice.

New tables and chairs have been ordered for the dining area to improve the comfort and

care and nursing documentation

o Develop and pilot patient held information folder by Lead nurse.

Completed

Improved communication

Improved safety

Better informed patients and carers

Ward Sisters Charter

Continue to Implement Ward Sisters Charter

All ward managers

Completed

Safer environments for service users and visitors

Service users and visitors are better informed about how they can contribute to a safer and cleaner environment.

Improved staff morale.

SBRI Medicines Project

Support HealthCare Futurists to involve range of stakeholders in development of an electronic pill dispensing device and companion app to support people in their own homes

Dr Tracey Boyce Elizabeth Smith March 2017

Project group established

Involvement information being developed in partnership with PPI Panel

Interviews conducted on 28th and 29

th September

A Trial is to be conducted with domiciliary care on 17

th – 21

st of February

Further interviews with local GP’s, pharmacists, Nursing groups, memory services, Voluntary organisations and support groups.

Parkinson patient and service user involved in producing a video.

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Management System at South Tyrone 2016. appearance for service users.

Catering services is offering a greater variety to customers and takings have increased.

There is now a safer and more effective waste management system on the South Tyrone Hospital site.

Portering work schedules meet the needs of the service.

Portering staffing levels match activity on both sites which means there is now a safer more effective and efficient Portering service provided

Better working environment and improved morale for Porters.

Portering staffing levels have reduced by 2.00 WTE with no adverse effect on delivery.

Domestic, Catering, Portering and

Laundry Services

Carry out Support Services Satisfaction Survey amongst inpatients

K Corley / S McLoughlin March 17

Survey carried out and results being analysed.

Recommendations have been reviewed and implemented

Higher levels of service user satisfaction.

Acute Service Improvement Review of CAH Main outpatients department utilisation

Implementation of GAIN Guidelines for LD in general Hospital Settings

Development of a Trust wide Directory of Services

Charlotte A Wells C Rocks Anita Carroll Sept /Oct 17

Engagement with PPI team at outset of each project and will take guidance from them re: user input and engagement on a rolling basis throughout the projects

Patient and Staff questionnaires developed and currently being rolled out.

The needs of those with learning disabilities and their carers are better met.

Support Services – Car Parking Introduce revised Car Parking Charges on both Acute hospital sites at Craigavon Area Hospital (CAH) and Daisy Hill Hospital (DHH)

As part of the Trust Car Parking Review Group site surveys conducted at CAH and DHH to assess shortfall in the number of spaces and parking patterns.

As part of the Trust Car Parking Review Group parking survey concucted amongst staff and service users at CAH, DHH, LH &

Anita Carroll April 2017

Completed

Prices increased in April 2016

Site Surveys have been completed and the shortfall in spaces has been identified at CAH and action agreed. Review of additional parking spaces that could be provided at DHH to be completed.

Staff and service user surveys have been completed but the results have yet to be undertaken.

Update provided to the PPI Panel on 10/03/17.

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STH.

Laundry Services o Carry out Laundry Services User Survey S McLoughlin & A Forbes

Survey completed.

Increased quality.

Increased deliveries of some pieces to areas where shortages were identified.

Outpatients o Pilot self-check-in desks at OPDs, CAH and DHH to reduce patient waiting times.

o Roll out to further OP reception areas o Carry out a Patient Satisfaction Survey

H Forde March 2017 H Forde Aug 2017

Completed

Pilot completed and kiosks now in CAH; DHH; ACH; STH & BPC.

Completed with reception service in outpatients

Relocation of Bus Stop at CAH o Review traffic congestion around the site due to the Paediatrics site development.

Completed

Service users and carers now have safer access to board the bus

Improved traffic flow around the front of the hospital

The initiative helps the trust to meet its environmental responsibilities

3 Training

Key Objective: Training is provided to support staff, service users, carers and other stakeholders to develop skills and knowledge to enhance service user involvement at all levels across the Trust.

Key Deliverables Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Staff receive training to develop skills and knowledge to enhance service user involvement within their area of work.

o Continue to encourage staff to attend PPI Awareness training

o Promote and encourage up-take of PHA e-learning PPI Awareness training

Heads of Services

March 2017

PPI Information leaflet for staff outlining support available circulated.

PPI Awareness at Prof Dev Programme for Nursing and Midwifery –Sept 16- 12 staff attended

CIT – Quality Improvement E learning pilot (PPI section) 30 staff

Functional Support – completed

PPI E Learning 47

o Complaints and comments training o Staff induction o Patient and Client Council awareness o Customer care training

Heads of Service

All teams received an update on complaints requirements – this remains an area for further development and education especially with regard to local resolution

Customer Care Training pilot delivered to Referral and Booking Centre Staff

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Service Users, Carers and public have access to training to develop skills & knowledge to participate effectively in the planning, delivery, monitoring & evaluation of services.

Disseminate information about relevant training courses to voluntary/ community sector

Focus for Emergency & Elderly Medicine and Surgery and Elective Care as per PPI Checklist

All Staff Continue to disseminate via mailing list

IBD Patient Panel received induction training which included PPI awareness training

Cancer User Group received PPI induction training and Macmillan induction training. Group continue to avail of training from Macmillan to support their involvement

Service Users and Carers are involved in staff training.

o Identify opportunities to involve Service Users, carers and the public when developing staff training

o Focus for Emergency & Elderly Medicine and Surgery and Functional Support as per PPI Checklist

ADs, HOS & Team Leaders

2 carers involved in delivering the Butterfly Training – 45 minutes sessions for all grades of staff.

Staff confirm their learning by completing e-certification.

MSLC user reps via committee meetings

4 Monitoring and Evaluation

Key Objective: Establish systems and process to monitor and evaluate PPI activity across the Trust

Key Deliverables

Key Actions 2016/17 Timescale & Leads

RAG rating

Progress Update/Impact @ 31/3/17

Monitor progress against key deliverables in PPI Action Plans

Complete PPI Checklist and return to PPI Team

Continue to complete and return PPI Impact Template

Continue to gather directorate PPI Impact Templates and develop summary flyers

Produce regular reports as required

HOS PPI Team March 2017

Complete Ongoing. PPI Champions identified in division. Included in compliments poster

Continue to record new PPI activity Continue to encourage the completion of PPI Checklist and Impact Template to capture new PPI activity and impact to contribute to Annual PPI Report

Continue to complete and return PPI Impact Template

PPI Team March 2017 OPPC HOS March 2017

Page 16: Within the Acute Directorate · 1 Information 1. Do you have information explaining who you are, what you do and how you can be contacted? 2. Do you provide information on the standards

SHSCT PPI Action Plan Template 2016/2017

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Evaluate how those involved in PPI Activity think about the process of involvement

Divisions to develop evaluation strategies to capture how those involved in PPI activity think about the process of involvement and link with PPI Team to support this.

PPI Team to promote the use of the Service User Testimonial Template

All staff