St Giles Hospice Quality Account 2017/2018 St Giles Hospice 2017-18 Quality Account | Page 10

Review of services
During 2017/18 St Giles
Hospice was contracted
to provide six core
services to the NHS:
The services were as follows:
• C
 linical Nurse Specialist
Community Team
• Hospice at Home services
• Day Hospice
• Outpatient care
• Lymphoedema Clinics
• In-patient care
The total value of services
provided by the hospice in 2017/18
was £10,231,203. The hospice
received a contribution from
the NHS equalling 33.17% (1.13%
less than the previous year) of
the full cost of the contracted
service provision. The remaining
funds were generated through
fundraising and the Hospice’s own
subsidiary companies amounting
to a £6,847,679 contribution from
the local community. The hospice’s
Clinical Governance Committee
receives a quarterly report which
enables them to review the quality
of care provided by all clinical
services. The committee reviews:
• A
 ny reported accident, incident
or near miss
• Drug errors
• Patient falls
• Complaints or concerns
• P
 atient and Family Outcome
Measures
The Clinical Governance
Committee then provides quality
assurance to the Board.
Research
The hospice has
significantly increased
its research activity and
has participated in or is
undertaking a number
of research studies
including:
• A
 St Giles led study: A pilot study
identifying attitudes, knowledge,
facilitators and barriers of
Advance Care Planning (ACP)
practice in a hospice.
• W
 ith University College London
we are a site for a study called
The Prognosis in Palliative care
Study II (PiPS2).
• W
 ith Kings College London we
are a site for a cohort study
called C-Change Work stream 4:
Testing a case-mix classification
in palliative care
• W
 ith Manchester University
a study called Implementing
person-centred assessment and
support of patients and carers in
a hospice inpatient setting
• W
 ith Keele University a study
called Exploring hospice care
from the perspective of people
living with multiple sclerosis:
An exploratory case study
• W
 ith Surrey University a study
called An Observational Study
Of Diagnostic Criteria, Clinical
Features and Management Of
Opioid - Induced Constipation
(OIC) In Patients With Cancer
Pain - The StOIC Project
• W
 ith Keele University a study
called Qualitative pilot study
using a communication
app (picTTalk©) to promote
therapeutic engagement and
conversations with patients
We have expressed interest in a
number of other research studies
that are planned for 2018/19.
Assurance for NHS
Commissioners
in year
St Giles Hospice has sent
the three principal clinical
Commissioning Groups
with which it contracts a
Quarterly Quality Report.
We met regularly with commissioners
throughout the year, where the
contents of these reports form the
basis for discussion and review.
The reports cover key patient
safety topics including the
reporting, monitoring, prevention
and management of: Falls;
Pressure Ulcers; Accidents,
Incidents & Near Misses;
Safeguarding (including where
associated with Deprivation of
Liberty and Mental Capacity);
Infection Control; Medicines
Management; Complaints and
Patient & Family Reported
Outcome Measures.
The CCG asked us to report further
on one incident, a suspected
norovirus outbreak. No further
formal action was required as it was
identified that it was not, in fact, an
outbreak.
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