St Giles Hospice Quality Account 2018/2019 St Giles Hospice 2018-19 Quality Account | Page 11

• W  ith Manchester University a study called Implementing person-centred assessment and support of patients and carers in a hospice inpatient setting. • 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. St Giles closed as a study site in July 2018. • W  ith Keele University Exploring hospice care from the perspective of people living with multiple sclerosis: An exploratory case study. • W  ith Sheffield Teaching Hospitals NHS Foundation Trust A multi-centre evaluation of excessive saliva management in patients with motor neurone disease The hospice has also been expanding its knowledge and experience in conducting research through supporting staff to complete masters and doctoral level programmes. We have expressed interest in other research studies that are planned for 2019/20 and we will be reviewing our Research Strategy. 5.3 Assurance for NHS Commissioners in year St Giles Hospice has sent the three principle Clinical Commissioning Groups with which it contracts a Quarterly Quality Report. We have met regularly with these commissioners throughout the year, where the contents of these reports form the basis for discussion and review. 5.4 Clinical effectiveness • 1  00% of patients who receive care from our Hospice at Home team were enabled to die at home. • O  verall, people who receive care from the hospice are nearly 25% less likely to die in hospital. • A  ccidents, Incidents and Near Misses • 93% of urgent referrals took one day or less to be received and initial contact made with the patient by the Advice and Referral team. We completed this triage, when we match our service to the person’s needs, within one day for 82% of referrals. We were pleased to be able to maintain our high degree of responsiveness to referrals. • S  afeguarding (including where associated with Deprivation of Liberty and Mental Capacity) Overall, during 2018/19 94% of patients and their families reported a positive outcome The reports cover key patient safety topics including the reporting, monitoring, prevention and management of: • Falls • Pressure ulcers • Infection Control • Medicines Management • Complaints • P  atient and Family Reported Outcome Measures. In year we shared the root cause analysis following an outbreak of Norovirus. There were no areas of concern raised which required action although we did revise our Norovirus Toolkit and made our information for patients and families more robust. 5.5 Family Support and Bereavement • 96% reported that the intervention they received had helped to support them with their distress or grief • 100% were satisfied with the service provided and 99% indicated that they would recommend our service to others • 93% reported that the service was offered at the right time 11