Stockport NHS Foundation Trust

“The Trust's formal patient handover document was re-launched across the Trust on 15 November 2022, via the Trust's 'Risky Business' weekly bulletin and also via targeted e-mails from the · divisions governance teams.”

“The requirement for the use of the maple leaf sign, identifying patients at risk of falls, was re launched across the Trust on 15 November 2022, via the Trust's 'Risky Business' weekly bulletin and also via targeted e-mails from the divisions governance teams.”

“A multi-agency risk assessment has been developed this will support residential home managers to provide safe and effective care for patients have been assessed as needing twenty four hour nursing care and are waiting to be transferred to a nursing home, This risk assessment is to be launched at the Stockport Care Home Managers' meeting in June 2017 and due to be implemented in July 2017.”

“The Patient Records audit is being repeated to ensure that the improvements have been sustained.”

“The Named Nurse for the each care home will undertake all visits to the residents within their allocated home; however, when not on duty, the Named Nurse will hand over any relevant information to whichever nurse is assigned to visit.”

“Locating and assessing Nursing Home placements is not the responsibility of the District Nursing Team, and we respectfully request that this concern is forwarded to the Stockport Clinical Commissioning Group's Funded Nursing Care team to be addressed.”

“HEE (Consuttant Psychiatric Doctor for Older People) is also planning educational events with the District Nursing staff from July 2017 in order to help and support the DN staff in the management of patients with Dementia.”

“The Trust is currently in the process of installing an electronic patient record system (EPR); this is a computerised version of the entire healthcare record. Instead of hospital staff using a mixture of paper and electronic records, information will be available to them online in one place. We already use a variety of electronic systems to help staff look after our patients but the EPR will bring all this information about our patients together into one system for better and safer care.”

“We have used Septrin routinely in this Trust for step-down oral treatment for many intra- abdominal infections for about 5 years and this is the first time we have had a serious incident associated with its usage. The Antibiotic Management Team (microbiologists and antibiotic pharmacists) have discussed the future of Septrin usage and they do not feel it appropriate to change our current practice, as the alternatives would be more risky in terms of C.difficile and antibiotic resistance.”

“Trust is moving towards a Trust wide electronic patient record (EPR) which should resolve this issue, but in the meantime, | can confirm that there isa specialist "Task& Finish Group" in-place to further review this issue and develop.an effective interim solution. This group reports to the Trust's Risk Management Committee and through this to the Quality Governance Committee and the Quality Assurance Committee, which reports directly to the Board”

“The Trust has also implemented an electronic inpatient referral form for patients needing review, which provides a more robust method for all ward areas to request help or support in managing patients with diabetes.”

“The following system is in place for all patients arriving by ambulance to Stockport NHS Foundation Trust: the ambulance personnel will deliver a verbal handover to the triage nurse whilst a hard copy of the ambulance Patient Report Form (PRF) is left with the reception staff. This is then scanned by reception staff into the ED electronic system (therefore accessible to all) and the hard copy is taken to the main base in the ED clinical area.”