2gether NHS Foundation Trust has set out the following actions it will undertake in response to the Sign up to Safety 5 pledges which form the basis of their patient safety improvement to half avoidable harm by 50% in 3 years.
Put safety first. Commit to reduce avoidable harm in the NHS by half and make public the goals and plans developed locally.
- Trust board members carry out patient safety visits to wards and teams twice a month to have conversations about patient safety directly with clinical staff. Any actions are then actively followed up.
- Measures to reduce the number of people who ‘abscond’ from the Trust’s wards are being implemented.
- Steps taken to reduce missed doses of medication have led to a 48 per cent reduction in such occurrences over a three year period.
- Harm from falls in older adult inpatient areas have reduced by 50 per cent over a three year time period, due to the introduction of increased safety measures.
Continually learn. Make their organisations more resilient to risks, by acting on the feedback from patients and by constantly measuring and monitoring how safe their services are.
- We will continue to act on feedback from those who use our mental health services and their families/carers, alongside hearing our staff voices.
- Measurement will continue to provide learning in terms of knowing how we are doing.
- Through building capability and capacity to improve, we will continue to learn.
Honesty. Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.
- We will develop and ensure that duty of candour guidance is implemented and that staff are supported to be candid with patients and their loved ones not just when something goes wrong, but to continue to be open regarding assessment and treatment.
Collaborate. Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.
- We will continue to take a leading role as an organisation within the South of England Improving Safety in Mental Health Collaborative, to support both local and regional learning.
- We will continue to collaborate with our patients and their families regarding their care.
Support. Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate the progress.
- We will continue to build a culture that supports staff to do the right thing, every time and to speak up when it may not be possible.
- We will be open and share the learning of serious incidents and complaints.