St Giles Hospice Quality Account 2017/2018 St Giles Hospice 2017-18 Quality Account | Page 7

How will we know what we have achieved? How will we know what we have achieved? The reports and monitoring referred to above will tell us about the demand for this type of care and about people’s experience of it. We will collect quarterly data from referrers, Family Recorded Outcome Measures and other Key Performance Indicators we identified within the project specification. 2. Piloting a new Hospice at Home service in Walsall. How was this identified as a priority? The community we serve through our 12-bedded St Giles Walsall unit at Walsall Palliative Care Centre did not have access to a Hospice at Home service; we know through our experience that this can make a significant difference in enabling people to remain in their own homes at end of their lives. What are we aiming to achieve? Following discussion with commissioners, St Giles Hospice Trustees agreed to fund a 12 month pilot of Hospice at Home in Walsall to demonstrate the positive impact on supporting and enabling patients to remain at home. From 01.02.18 we began accepting referrals for the service in Walsall, working with the District nurse teams and Specialist Palliative Care team to raise the profile. The first phase will cover the South and East Locality areas working with Dr Teoh Macmillan GP. 3. We will complete the implementation of Datix, an electronic reporting system which will transform the way the organisation collects and reviews accidents, incidents, events or near misses and support a learning culture across the hospice. How was this identified as a priority? Datix is a widely used system in healthcare. The hospice’s system was primarily paper based, cumbersome and time consuming to use and manage. The new system should free up both clinical and administrative time and improve monitoring, reporting and learning. What are we aiming to achieve? The ultimate aim is to increase our understanding of when things don’t go according to plan so that we can to learn together to understand how we can improve systems or practices and to avoid, where possible, repeated incidents. Through collaborative working with personnel from Datix we were able to amend the software to ensure that it followed St Giles Hospice processes and procedures already in place and make it as clear and easy to use as possible thus encouraging a culture of self-reporting. How will progress be monitored and reported? Datix will be used to report all accidents, incidents and near misses across the whole hospice group. These will be fed through to our trustee governance committees as well as operational groups together with closing the loop by informing the original reporter what actions were taken and, where relevant, lessons learned. How will we know what we have achieved? The system went ‘live’ on 1st April 2018 across the whole organisation and our challenge will be to ensure that we use the data to its maximum advantage to learn lessons and improve practice. The system itself can identify the learning that has taken place so we can demonstrate how practice has been improved. How will progress be monitored and reported? We will monitor referrals, how we deliver the service and people’s experience of our care. We will report this regularly to commissioners in Walsall and our Care Services Governance Committee and Board of Trustees. Page 05