Improvements have
been seen in patient safety and quality of care in NHS Lanarkshire, according
to Health Secretary Alex Neil.
Speaking as he appeared at the Scottish Parliament’s Health and Sport
Committee today (Tuesday), Mr Neil said that positive changes have been
made.
NHS Lanarkshire
was asked to make improvements as a result of an assessment of patient safety
and the quality of care last year, and an expert Governance and Improvement
Support Team was set up in December 2013 to help NHS Lanarkshire make
improvements
The Health
Secretary has now received the March progress report from NHS Lanarkshire,
documenting the progress that has been made, with support from the Governance
and Improvement Support Team.
However, Mr Neil
also acknowledged that there were still some areas where further work still
needs to be done, and that further support will be provided to assist NHS
Lanarkshire in these areas.
Speaking at the
Health and Sport Committee, Mr Neil said:
“I welcome
the progress which has been made by NHS Lanarkshire, and the positive
improvements that have been seen as a result.
“It is clear
that staff at NHS Lanarkshire at all levels have put in a significant amount of
commitment and energy into making changes, and it is essential that this
momentum and leadership focus is maintained moving forward.
“I am
pleased that the focus on patient safety and quality of care has increased
significantly in recent months, and I am reassured that this focus will
continue.
“In
particular, the creation of a dedicated patient safety team, led by an
experienced Head of Patient Safety, is helping to embed patient safety
throughout the organisation.
“I am also
reassured that NHS Lanarkshire is building on the record staffing levels it
already has by recruiting additional permanent nursing staff, and that an
additional £3.1 million is being invested in acute nursing
services.
“NHS
Lanarkshire has also shown a renewed emphasis on obtaining and acting upon
patient experience information. There is no better source of knowledge to help
us continually improve and NHS Lanarkshire is now actively engaging with and
promoting the use of feedback website Patient Opinion.
“However, there are still some areas where the initial work done needs
further development and bedding in, particularly around simplifying governance
structures, in providing support to the new acute management team, and ensuring
that board members can appropriately challenge and scrutinise the quality and
safety of care.
“I have made
it clear to NHS Lanarkshire that I expect to see further progress in these
areas, and the Governance and Improvement Support Team will continue to offer
support to help the health board make this progress.
“It is
important to remember that there are many examples of positive experiences
alongside negative ones and we should not lose sight of the commitment and
dedication of staff across NHS Lanarkshire and the whole of our health
service.”
NHS Scotland
Clinical Director Prof Jason Leitch, who commissioned the original review
following the publication of mortality data in NHS Lanarkshire,
added:
“We have
received regular monthly progress reports in both January and February, and we
have been very clear that we expected NHS Lanarkshire to have made significant
progress on the recommendations made by Healthcare Improvement Scotland by
March.
“This report
shows considerable improvement and this progress reflects our absolute
commitment to shine a light on areas where our NHS does not live up to the
standards we expect.
“We will
work closely with NHS Lanarkshire to ensure they can build on the changes they
have already made, and will ensure that, where necessary, appropriate support
is provided to NHS Lanarkshire to help make these
improvements.”
Notes To Editors
In December 2013,
Health Secretary Alex Neil established an expert Governance and Improvement
Support team to help NHS Lanarkshire make improvements as a result of an
assessment of patient safety and the quality of care.
The rapid review, which was commissioned by the Scottish Government and
undertaken by Healthcare Improvement Scotland (HIS), resulted in 21
recommendations for improvement by the health board.
These
recommendations were being urgently addressed by NHS Lanarkshire, and the board
was supported by the improvement team, made up of health experts from across
Scotland.
The expert team has been headed up by Jeane Freeman, Chair of the Golden
Jubilee National Hospital, Malcolm Wright, Chief Executive of NHS Education
Scotland and Professor Sir Lewis Ritchie, Director of Public Health at NHS
Grampian.
The team has
focused on supporting the development and implementation of the delivery plan
put in place by NHS Lanarkshire to fulfil all 21 recommendations.
The HIS review was
initiated by the Scottish Government in August last year when monitoring of
Hospital Standardised Mortality Ratios (HSMR) through the Scottish Patient
Safety Programme indicated that while the fall in hospital mortality over the
last five years at all three hospitals in the NHS Lanarkshire area was welcome,
Monklands Hospital had not progressed as quickly as hoped.
The HIS review
also looked at Hairmyres and Wishaw hospitals.
NHS Lanarkshire
currently has its highest ever staffing levels, including a record number of
nursing and midwifery staff.