During 2014/15 the Trust has continued to achieve national standards across a number of key measures (as shown below) including waiting times for cancer, consultant-led treatment and diagnostic tests such as Magnetic Resonance Imaging (MRI) scans. The Trust has also continued to further reduce the number of hospital acquired healthcare infections through on-going initiatives within our ward areas to reduce this risk.
Some of these indicators are taken into consideration by Monitor, the regulator of Foundation Trusts, as part of their regular assessment of governance.
The quality of care for patients, who have experienced a stroke, and those with dementia, has continued to exceed the national standards, which demonstrates the commitment of our clinical teams to deliver excellent care for our patients.
So how do we know we do well?
All NHS bodies are subject to a number of external reviews to assess our performance and the outcomes are made available to the public and other healthcare organisations. These include the following:
Regulatory ratings review
Monitor, our independent regulator assesses Foundation Trusts on the basis of risk ratings, which includes a rating of ‘Governance’, essentially a measure of the Trust’s performance against a range of performance targets and information. The governance rating will be in one of the following categories:
- Green equates to no concerns
- Where there are potential concerns the rating will be ‘under review’
- Red equates to where Monitor may take regulatory action
The Trust’s latest rating relates to Q3 of 2014/15 where the Trust was rated ‘under review’ in relation to some of it’s financial indicators.
Care Quality Commission
City Hospitals Sunderland is regulated by the Care Quality Commission (CQC).
The Care Quality Commission widget below shows a summary of whether this service is meeting the essential standards of safety and quality.
If a service is meeting all standards it will show a tick; if a service is not meeting one standard or more, it will show a cross and an explanation that the CQC require improvements or are taking enforcement action. This also links to our full profile page on the CQC website.
The CQC coordinates surveys to collect feedback on the experiences of people using a range of health care services provided by the NHS. The results are used in a range of ways, including the assessment of NHS performance as well as in regulatory activities such as registration, monitoring ongoing compliance and reviews. The results of the latest surveys can be seen via the link to the Care Quality Commission.
A proportion of the Trust’s income is conditional based upon achieving quality improvement and innovation goals through the Commissioning for Quality and Innovation (CQUIN) payment framework which was agreed between City Hospitals Sunderland and any person or body the Trust entered into a contract, agreement or arrangement with for the provision of NHS services. For information relating to the Trust’s CQUIN targets, please contact firstname.lastname@example.org
A&E Clinical Quality Indicators
Please click here to see the Trust’s A&E Clinical Quality Indicator dashboard which shows performance relating to:
- Unplanned re-attendance rate – Patients who return to A&E within seven days of the original attendance are classed as an unplanned re-attendance if they have not been specifically asked to re-attend.
- Left without being see rate – Patients who have been registered but leave the department without waiting to be seen by a clinician.
- Time to initial assessment – This applies only to patients who are brought in by ambulance and is measured from the time of arrival in the department to the time the patient has an assessment by the clinical team.
- Time to treatment – This applies to all patients and is the time from arrival to seeing a doctor or nurse practitioner who will start the treatment for the patient’s condition.
- Total time in the Accident & Emergency Department – This is measured from the time of arrival and registration on the hospital information system to the time the patient leaves the department to return home or to be admitted to a bed on one of the wards.