Goal 1: Transforming the Culture 11
Theme (Continued) Next Steps Status
Complaints
and
Compliments • We also have an ongoing survey asking people who have complained to tell us about
their experiences of using the complaints process. The results will be shared with
staff for any learning and used as part of our training programme.
Adverse
Incidents/
Serious
Adverse
Incidents
(SAIs)
• Continue to promote and further embed an open, learning and just culture that
supports reporting of adverse incidents including those identified as Serious Adverse
incidents
• Trust-wide roll out of DatixWeb on Line Incident Reporting System to include the use
of the Central Classification System, version 2 to code incidents, to support regional
benchmarking
• Roll out of reports and dashboards via DatixWeb providing 'live' incident reporting
information
• Continue to learn from all types of adverse incidents and ensure that when changes
to policy, procedures and/or practice are recommended following an incident, these
are fully implemented within the organisation
• Implementation of the new suite of regional Adverse Incident policies when released
by the Department of Health.
Quality
Improvement • To develop accessible Level 1 programmes for Band 1 - 3 staff
• To develop a Level 4 programme for executives and non-executives
• To develop a range of Quality Improvement Masterclasses.
Home for 1pm project
The pilot wards are continuing with their Quality Improvement work and plan to spread
the project to a further five wards commencing October 2019
• We will be holding further learning sets for staff to share progress
• Dedicated QI support will continue for ward teams.
Achieved
On Plan
Achieved
On Plan
On Plan
On Plan
On Plan
On Plan
On Plan
On Plan