welcome to elft qi - sikker psykiatri€¦ · qi launch event and roadshows . attended by over 1000...

qi.elft.nhs.uk

[email protected]

@ELFT_QI

Welcome to ELFT QI

1

1. Why are we focusing on Quality Improvement?

2. Examples of QI work focusing on Violence & Restraint

2

Mental health servicesNewham, Tower Hamlets, City & Hackney, Luton & Bedford

Forensic servicesAll above & Waltham Forest, Redbridge, Barking & Dagenham, Havering

Child & Adolescent services, including tier 4 inpatient service

Regional Mother & Baby unit

Community health services Newham

Urgent care centre Newham

IAPTNewham, Richmond and Luton

Speech & LanguageBarnet3

Challenges and

opportunities in East London

Cultural diversity

Social deprivation

Geographical diversity

Commissioningarrangements

Financial stability and

strong assurance systems

@ELFT_QI

4

The strategic case for change

Make quality our absolute priority

• Improving quality of care is our core purpose

• Of greatest importance to all our stakeholders

• Build on the excellent work already happening to improve quality

National drivers

• The need to focus on a more compassionate, caring service with patients first and foremost

• More structured and bottom-up approach to improvement

Enable our staff to lead change

• The desire to engage, free and support our staff to innovate and drive change

• Engaged and motivated staff leads to improved patient outcomes

The economic climate

• The need to do more with less

– improving quality whilst reducing cost

@ELFT_QI

5

The culture we want to nurture

A listening and learning organisation

Empowering staff to drive improvement

Increasing transparency and openness

Re-balancing quality control, assurance and

improvement

Patients, carers and families at the heart of all

we do

6

Our quality improvement programme

7

AIM:To provide the highest

quality mental

health and community

care in England by

2020

Build the will

Build improvement

capability

Alignment

QI Projects

1. Launch event & roadshows2. Microsite3. Using the power of narrative4. Celebrate successes5. Network of champions / ambassadors6. Learning events

1. Initial assessment of alignment & capability2. Recruiting central QI team3. Online training4. Face-to-face training5. Follow-up coaching on projects6. Develop in-house training for 2016 onwards

1. Align all projects with improvement aims2. Align team / service goals with improvement aims3. Align all corporate and support systems4. Patient and carer involvement in all improvement

work5. Embed improvement within management structures

Reducing Harm by 30% every year1. Reduce harm from inpatient violence2. Reduce harm from falls3. Reduce harm from pressure ulcers4. Reduce harm from medication errors5. Reduce harm from restraints

Right care, right place, right time1. Improving patient and carer experience2. Reliable delivery of evidence-based care3. Reducing delays and inefficiencies in the system4. Improving access to care at the right location 8

@ELFT_QI

Trust board bespoke learning sessions

Visiting other organisations that successfully implemented QI

Sentinel event

Focus groups

Building the will for change

Early small scale tests of QI methodology

9


quality mental


care in England by

2020

Build the will

QI microsite the online hub for the programme has 60,000 page views to date qi.elft.nhs.uk

Staff and service user newsletter reaches 5000 people every month

10


quality mental


care in England by

2020

Build the will



QI launch event and roadshows attended by over 1000 staff, service users and carers

Bespoke QI learning events for staff, service users, commissioners, governors

11


quality mental


care in England by

2020

Build the will



QI launch event and roadshows attended by over 1000 staff, service users and carers

Bespoke QI learning events for staff, service users, commissioners, governors

Annual QI conference attended by over 270 staff, patients and external partners

ELFT experience day attended by over 70 international delegates

QI visibility wall to describe programme & update on progress

12

Building the Will: QI MicrositeThere have been over 60,000 views of the microsite with the number of weekly visits increasing over the year .

Staff report finding the microsite as a useful tool

4034,7

UCL

0

1000

2000

3000

4000

5000

6000

7000

8000

Jan-

14

Feb-

14

Mar

-14

Apr

-14

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-14

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14

Jul-1

4

Aug

-14

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-14

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15

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5

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-15

Mon

thly

Pag

e Vi

ews

Month

Monthly page views of the QI microsite - I Chart

13


quality mental


care in England by

2020 Build improvement

capability

14

Experts

Front line staff

Managers and clinical leads

QI coaches

Board

Estimated number = 5000Requirement = introduction to quality improvement, identifying problems, change ideas, testing and measuring

changeTime-frame = train 10-20% in 2 years

Estimated number = 800Requirement = deeper understanding

of improvement methodology, measurement and using data, leading

teams in QITime-frame = train 30-50% in 2 years

Estimated number = 30Requirement = deeper understanding

of improvement methodology, understanding variation, coaching

teams and individualsTime-frame = train 100% in 2 years

Estimated number = 15Requirement = setting direction and

big goals, executive leadership, oversight of improvement, being a

champion, understanding variation to lead

Time-frame = train 100% in 2 years

Estimated number = 7Requirement = deep statistical process control, deep improvement methods, effective plans for implementation &

spreadTime-frame = train 100% in 2 years

Where are we?On track to train over 500

people through 5 six-month waves of ISIA between 2014-

16. New Pocket QI course commencing from October

2015

380 people have completed the ISA so far, with approx. 500 estimated to complete

within first 2 years

Developing QI coaches programme will train 30 QI

coaches in 2015

Most Executives will have undertaken the ISIA, and all

will have received Board sessions together with the

non-Executive Directors

Currently have 6 improvement advisors, with

4.3wte deployed to QI. To increase to 7 IA’s in 2016

(5.5 wte). 15


quality mental


care in England by


capability

Support for improvement work from the Trust’s QI

team

Partnership with IHI on delivery of QI training to

staff and Trust Board, and strategic guidance from IHI

executive team16


quality mental


care in England by


capability

Face to face improvement training -hundreds of staff, services users, Governors to be trained over the next few years

IHI Open School online training resource available to all. Providing essential skills to support people leading quality improvement.


team



executive team17

Prework Workshop9/29-10/1

Webex 110/14

Webex 211/2

Supports:• Listserve• Assignments

AP-1 AP-2Webex 3

11/30AP-3

ProjectPlanning Reliability Sustaining

Gains

Workshop

(3 days)

Webex #2Webex #1

• Faculty consults• Webex calls• Coaching calls

Webex #3 Learning Set 2 &

graduation

AP-5AP-4

The two learning sets will be focused on sharing the participants’ work on their projects and learning from each other. These sessions also will reinforce the

content from the Webex calls and the ISIA workshop.

Improvement Science in Action - 6 month learning path

Learning set 1

18


quality mental


care in England by


capability

Face to face improvement training -hundreds of staff, services users, Governors to be trained over the next few years

QI coaches- 30 staff to become coaches, spending 1 day/week

supporting local QI projects

IHI Open School online training resource available to all. Providing essential skills to support people leading quality improvement.


team

Working upstream with external partners to build capability around continuous improvement



executive team19


quality mental


care in England by

2020

Alignment

20

Starting an Improvement Project

At ELFT

21

qi.elft.nhs.uk

22

To assist in this process we

have a Project Charter form that defines

what we want to accomplish.

26

Driver Diagrams

Support and resources available on microsite:http://qi.elft.nhs.uk/driver-diagrams/

27

http://qi.eastlondon.nhs.uk/driver-diagrams/

Complete Your Charter and Driver Diagram!

• Email to QI team

• [email protected]

• QI team or QI coach will get in contact in a few days

28

mailto:[email protected]

QI Resources

Project Sponsor

QI Forums

QI Coach

29


quality mental


care in England by

2020

A process is in place forteams to submitproject ideas to the QIteam, who will helpwith planning,structure andmeasurement, andensure projects arealigned with our high-level aims.

Quality improvement programme-project support structures

Alignment

30


quality mental


care in England by

2020

Alignment

31


quality mental


care in England by

2020

QI projects

32

Our QI Projects

60

70

80

90

100

110

120

130

140

150

sep-14 okt-14 nov-14 dec-14 jan-15 feb-15 mar-15 apr-15 maj-15 jun-15 jul-15

No.

of n

ew p

roje

cts

No. of active projects per month

33

Trust project status over time

14 12 11 11 15 11

60

25 22

16 17 17 18 1515

15

3128

31 29 25 23 2522

21

35 4419 1920 20

2426

25 29 29

9 9 13 1317

16

15 15 14

97 10 10

12 17

17 19 19

2 6 7 7

9 9

10 8 7

3 3 2 2

4 3

3 4 4

1 1 2 2

5 7

7 10 84

16-Mar-15 30-Mar-15 13-Apr-15 27-Apr-15 19-May-15 28-May-15 15-Jun-15 7-Jul-15 13-Aug-15

35

August

36

Right Care, Right Place, Right Time

MHCOPLarch Lodge, Cedar Lodge, Sally Sherman Ward

CHNEPCS Teams (North East, North

West, Central, South)Multiple I/P Wards (Cazebon, Sally

Sherman and Fothergaile) City & HackneyAdult Psychiatry CMHT, All CMHT’s, Assertive Outreach, Rehab, Joshua, Conolly

NewhamCMHT’s, Newham Centre for Mental Health

CHN / MHCOPUrgent Care Centre

Children’sNewham CFCS, CDC West Ham

Lane, Community CAMHS TH, OT, Health Visiting

CHN / MHCOPNewham Memory Service

C&HSouth CMHT, AOS & CRRT, North

Team 1 Recovery/Primary Care

ForensicsClerkenwell, West Ferry Ward

REDUCE HARM BY 30% EVERY

YEAR

RIGHT CARE, RIGHT PLACE, RIGHT TIME

VIOLENCE REDUCTION

PHYSICAL HEALTH

ACCESS TO SERVICES

PRESSURE ULCERS

TH CollaborativeRoman, Globe, Bricklane, Lea, Millharbour, Rosebank

Children’sAll Community CAMHS, Adolescent MHT

ForensicsWoodberry, Victoria, Limehouse, Morrison

Psychological / LDCommunity Learning Disability Service

SmokingForensics, Millharbour

PsychologicalOlder People Richmond /

Newham, City and Hackney, Newham

CAMHSCoborn Unit

Tower Hamlets

37

• Reduced violence by 26% across all 6 wards. Reduced from 11.8 incidents of violence per 1000 Occupied Bed Day (OBD) every fortnight, to 8.8 incidents/1000 OBD.

Tower Hamlets Violence Collaborative

Tower Hamlets Collaborative

Roman ward, Globe ward, Brick Lane ward, Lea ward,

Millharbour ward, Rosebank ward

REDUCE HARM BY 30% EVERY

YEAR

VIOLENCE REDUCTION

38

UCL

LCL0

5

10

15

20

25

30

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an-1

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531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Physical Violenceper 1000 occupied bed days (OBD) - U Chart

Outcome measures - Acute Wards only

5.8 to 2.4 incidents/1000 OBD = 57% reduction

Note, there have been no reported incidents resulting in staff injury on the Acute Wards since 7th Sept (each dot shows when incidents were reported prior to that)

39

5,8

2,4

UCL

LCL0

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503

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17-A

ug-1

531

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-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents of Physical Violence (Acute wards only)per 1000 occupied bed days (OBD) - U Chart

23

0

20

40

60

80

100

05-J

an-1

4

13-J

an-1

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an-1

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29-J

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Tim

e be

twee

n ev

ents

/ da

ys

Days between incidents resulting in staff injury (Acute wards only) - T Chart

OU

TCO

ME

MEA

SURE

S -A

CUTE

Outcome measures - PICUs only

No significant changes, with mean of 35 incidents/1000 OBD

40

UCL

LCL0

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20

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50

60

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100

06-J

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-15N

o. o

f Inc

iden

ts p

er 1

000

OB

D

Incidents of Physical Violence (PICU's only)per 1000 occupied bed days (OBD) - U Chart

37

0

10

20

30

40

50

60

70

10-J

an-1

421

-Jan

-14

21-M

ar-1

424

-Mar

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27-M

ar-1

411

-Apr

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22-A

pr-1

426

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26-J

un-1

403

-Jul

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20-J

ul-1

431

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06-A

ug-1

421

-Aug

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25-A

ug-1

412

-Sep

-14

29-S

ep-1

401

-Oct

-14

30-O

ct-1

412

-Nov

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12-N

ov-1

418

-Nov

-14

20-N

ov-1

424

-Nov

-14

29-N

ov-1

407

-Dec

-14

20-D

ec-1

420

-Dec

-14

21-D

ec-1

431

-Dec

-14

07-J

an-1

509

-Jan

-15

11-J

an-1

511

-Jan

-15

13-J

an-1

526

-Jan

-15

03-F

eb-1

512

-Feb

-15

14-F

eb-1

515

-Feb

-15

23-F

eb-1

511

-Mar

-15

21-M

ar-1

522

-Mar

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23-M

ar-1

524

-Mar

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27-M

ar-1

522

-May

-15

17-J

un-1

528

-Jul

-15

29-J

ul-1

504

-Aug

-15

09-A

ug-1

516

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-15

17-A

ug-1

524

-Aug

-15

18-S

ep-1

5

Tim

e be

twee

n ev

ents

/ da

ys

Days between incidents resulting in staff injury (PICU's only) - T Chart

There have been no reported incidents resulting in staff injury since 24th Aug

OU

TCO

ME

MEA

SURE

S –

PICU

Outcome measures by individual acute wards

Because of the small number of incidents on each of the Acute Wards, these charts show “days between incidents” by fortnight, so we can still look at data over time.

41

65 days since last incident

0

10

20

30

40

50

60

7014

-Feb

-14

26-F

eb-1

410

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16-M

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ay-1

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ug-1

406

-Sep

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13-S

ep-1

418

-Sep

-14

29-S

ep-1

407

-Oct

-14

09-N

ov-1

411

-Nov

-14

14-N

ov-1

420

-Dec

-14

30-J

an-1

511

-Mar

-15

20-A

pr-1

520

-Apr

-15

14-M

ay-1

516

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07-J

un-1

517

-Jun

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ul-1

515

-Jul

-15

15-J

ul-1

518

-Sep

-15

Tim

e be

twee

n ev

ents

/ da

ysDays between incidents of Physical Violence (Bricklane ward) - T Chart


0

20

40

60

80

100

120

140

10-J

an-1

4

11-J

an-1

4

11-J

an-1

4

11-J

an-1

4

11-J

an-1

4

11-J

an-1

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26-F

eb-1

4

27-F

eb-1

4

05-A

pr-1

4

02-J

un-1

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19-J

un-1

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21-J

un-1

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26-J

un-1

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02-J

ul-1

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04-A

ug-1

4

22-D

ec-1

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22-D

ec-1

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16-M

ar-1

5

20-M

ar-1

5

11-J

un-1

5

09-J

ul-1

5

18-S

ep-1

5

Tim

e be

twee

n ev

ents

/ da

ys

Days between incidents of Physical Violence (Globe ward) - T Chart


0

10

20

30

40

50

60

70

18-J

an-1

4

30-J

an-1

4

11-F

eb-1

4

17-F

eb-1

4

27-F

eb-1

4

05-M

ar-1

4

11-M

ar-1

4

29-M

ar-1

4

30-M

ar-1

4

17-A

pr-1

4

19-A

pr-1

4

26-A

pr-1

4

20-J

ul-1

4

02-A

ug-1

4

08-S

ep-1

4

19-O

ct-1

4

23-N

ov-1

4

17-J

an-1

5

03-F

eb-1

5

11-M

ar-1

5

09-J

un-1

5

02-J

ul-1

5

25-J

ul-1

5

Tim

e be

twee

n ev

ents

/ da

ys

Days between incidents of Physical Violence (Lea ward) - T Chart


0

20

40

60

80

100

120

09-J

an-1

4

16-J

an-1

4

29-J

an-1

4

10-F

eb-1

4

10-M

ar-1

4

29-M

ar-1

4

30-M

ar-1

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10-A

pr-1

4

01-M

ay-1

4

20-M

ay-1

4

29-J

un-1

4

11-J

ul-1

4

31-J

ul-1

4

07-A

ug-1

4

15-S

ep-1

4

19-S

ep-1

4

27-S

ep-1

4

28-S

ep-1

4

10-O

ct-1

4

16-D

ec-1

4

23-J

an-1

5

31-M

ar-1

5

06-M

ay-1

5

30-A

ug-1

5

Tim

e be

twee

n ev

ents

/ da

ys

Incidents of Physical Violence (Roman ward) - T Chart

OU

TCO

ME

MEA

SURE

S –

ACU

TE

Outcome measures by individual PICU wards

42

19,6

3,8

29,9

UCL

LCL0

20

40

60

80

100

120

140

06-J

an-1

4

20-J

an-1

4

03-F

eb-1

4

17-F

eb-1

4

03-M

ar-1

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17-M

ar-1

4

31-M

ar-1

4

14-A

pr-1

4

28-A

pr-1

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12-M

ay-1

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26-M

ay-1

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09-J

un-1

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23-J

un-1

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07-J

ul-1

4

21-J

ul-1

4

04-A

ug-1

4

18-A

ug-1

4

01-S

ep-1

4

15-S

ep-1

4

29-S

ep-1

4

13-O

ct-1

4

27-O

ct-1

4

10-N

ov-1

4

24-N

ov-1

4

08-D

ec-1

4

22-D

ec-1

4

05-J

an-1

5

19-J

an-1

5

02-F

eb-1

5

16-F

eb-1

5

02-M

ar-1

5

16-M

ar-1

5

30-M

ar-1

5

13-A

pr-1

5

27-A

pr-1

5

11-M

ay-1

5

25-M

ay-1

5

08-J

un-1

5

22-J

un-1

5

06-J

ul-1

5

20-J

ul-1

5

03-A

ug-1

5

17-A

ug-1

5

31-A

ug-1

5

No.

of I

ncid

ents

per

100

0 O

BD

Incidents of Physical Violence (Millharbour ward)per 1000 occupied bed days (OBD) - U Chart

39,8

99,3

36,7

UCL

LCL0

50

100

150

200

06-J

an-1

4

20-J

an-1

4

03-F

eb-1

4

17-F

eb-1

4

03-M

ar-1

4

17-M

ar-1

4

31-M

ar-1

4

14-A

pr-1

4

28-A

pr-1

4

12-M

ay-1

4

26-M

ay-1

4

09-J

un-1

4

23-J

un-1

4

07-J

ul-1

4

21-J

ul-1

4

04-A

ug-1

4

18-A

ug-1

4

01-S

ep-1

4

15-S

ep-1

4

29-S

ep-1

4

13-O

ct-1

4

27-O

ct-1

4

10-N

ov-1

4

24-N

ov-1

4

08-D

ec-1

4

22-D

ec-1

4

05-J

an-1

5

19-J

an-1

5

02-F

eb-1

5

16-F

eb-1

5

02-M

ar-1

5

16-M

ar-1

5

30-M

ar-1

5

13-A

pr-1

5

27-A

pr-1

5

11-M

ay-1

5

25-M

ay-1

5

08-J

un-1

5

22-J

un-1

5

06-J

ul-1

5

20-J

ul-1

5

03-A

ug-1

5

17-A

ug-1

5

31-A

ug-1

5

No.

of I

ncid

ents

per

100

0 O

BD

Incidents of Physical Violence (Rosebank ward)per 1000 occupied bed days (OBD) - U Chart

OU

TCO

ME

MEA

SURE

S -P

ICU

What change ideas are making the difference?• 3 Safety Huddles per day, Safety Cross and Broset Violence Checklist.

Next steps• Wards currently working on ensuring Safety Huddles are focused on

outcomes• Wards also now working to integrate SafeWards evidence based

interventions (see www.safewards.net) • Next collaborative October 5th with IHI. Plan to co-design with ward teams

and include session with SUs at beginning of this meeting

43

http://www.safewards.net/

BALA

NCI

NG

MEA

SURE

S

UCL

LCL0

5

10

15

20

25

06-J

an-1

420

-Jan

-14

03-F

eb-1

417

-Feb

-14

03-M

ar-1

417

-Mar

-14

31-M

ar-1

414

-Apr

-14

28-A

pr-1

412

-May

-14

26-M

ay-1

409

-Jun

-14

23-J

un-1

407

-Jul

-14

21-J

ul-1

404

-Aug

-14

18-A

ug-1

401

-Sep

-14

15-S

ep-1

429

-Sep

-14

13-O

ct-1

427

-Oct

-14

10-N

ov-1

424

-Nov

-14

08-D

ec-1

422

-Dec

-14

05-J

an-1

519

-Jan

-15

02-F

eb-1

516

-Feb

-15

02-M

ar-1

516

-Mar

-15

30-M

ar-1

513

-Apr

-15

27-A

pr-1

511

-May

-15

25-M

ay-1

508

-Jun

-15

22-J

un-1

506

-Jul

-15

20-J

ul-1

503

-Aug

-15

17-A

ug-1

531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Restraintper 1000 occupied bed days (OBD) - U Chart

UCL

LCL0123456789

10

06-J

an-1

420

-Jan

-14

03-F

eb-1

417

-Feb

-14

03-M

ar-1

417

-Mar

-14

31-M

ar-1

414

-Apr

-14

28-A

pr-1

412

-May

-14

26-M

ay-1

409

-Jun

-14

23-J

un-1

407

-Jul

-14

21-J

ul-1

404

-Aug

-14

18-A

ug-1

401

-Sep

-14

15-S

ep-1

429

-Sep

-14

13-O

ct-1

427

-Oct

-14

10-N

ov-1

424

-Nov

-14

08-D

ec-1

422

-Dec

-14

05-J

an-1

519

-Jan

-15

02-F

eb-1

516

-Feb

-15

02-M

ar-1

516

-Mar

-15

30-M

ar-1

513

-Apr

-15

27-A

pr-1

511

-May

-15

25-M

ay-1

508

-Jun

-15

22-J

un-1

506

-Jul

-15

20-J

ul-1

503

-Aug

-15

17-A

ug-1

531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Rapid Tranqper 1000 occupied bed days - U Chart

2,91,4

UCL

LCL0123456789

06-J

an-1

420

-Jan

-14

03-F

eb-1

417

-Feb

-14

03-M

ar-1

417

-Mar

-14

31-M

ar-1

414

-Apr

-14

28-A

pr-1

412

-May

-14

26-M

ay-1

409

-Jun

-14

23-J

un-1

407

-Jul

-14

21-J

ul-1

404

-Aug

-14

18-A

ug-1

401

-Sep

-14

15-S

ep-1

429

-Sep

-14

13-O

ct-1

427

-Oct

-14

10-N

ov-1

424

-Nov

-14

08-D

ec-1

422

-Dec

-14

05-J

an-1

519

-Jan

-15

02-F

eb-1

516

-Feb

-15

02-M

ar-1

516

-Mar

-15

30-M

ar-1

513

-Apr

-15

27-A

pr-1

511

-May

-15

25-M

ay-1

508

-Jun

-15

22-J

un-1

506

-Jul

-15

20-J

ul-1

503

-Aug

-15

17-A

ug-1

531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Seclusionper 1000 occupied occupied bed days (OBD) - U Chart

UCL

LCL0

2

4

6

8

10

12

06-J

an-1

420

-Jan

-14

03-F

eb-1

417

-Feb

-14

03-M

ar-1

417

-Mar

-14

31-M

ar-1

414

-Apr

-14

28-A

pr-1

412

-May

-…26

-May

-…09

-Jun

-14

23-J

un-1

407

-Jul

-14

21-J

ul-1

404

-Aug

-14

18-A

ug-1

401

-Sep

-14

15-S

ep-1

429

-Sep

-14

13-O

ct-1

427

-Oct

-14

10-N

ov-1

424

-Nov

-14

08-D

ec-1

422

-Dec

-14

05-J

an-1

519

-Jan

-15

02-F

eb-1

516

-Feb

-15

02-M

ar-1

516

-Mar

-15

30-M

ar-1

513

-Apr

-15

27-A

pr-1

511

-May

-…25

-May

-…08

-Jun

-15

22-J

un-1

506

-Jul

-15

20-J

ul-1

503

-Aug

-15

17-A

ug-1

531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Restraint (Acute wards only)per 1000 occupied bed days (OBD) - U Chart

UCL

LCL0

10

20

30

40

50

60

70

80

06-J

an-1

420

-Jan

-14

03-F

eb-1

417

-Feb

-14

03-M

ar-1

417

-Mar

-14

31-M

ar-1

414

-Apr

-14

28-A

pr-1

412

-May

-14

26-M

ay-1

409

-Jun

-14

23-J

un-1

407

-Jul

-14

21-J

ul-1

404

-Aug

-14

18-A

ug-1

401

-Sep

-14

15-S

ep-1

429

-Sep

-14

13-O

ct-1

427

-Oct

-14

10-N

ov-1

424

-Nov

-14

08-D

ec-1

422

-Dec

-14

05-J

an-1

519

-Jan

-15

02-F

eb-1

516

-Feb

-15

02-M

ar-1

516

-Mar

-15

30-M

ar-1

513

-Apr

-15

27-A

pr-1

511

-May

-15

25-M

ay-1

508

-Jun

-15

22-J

un-1

506

-Jul

-15

20-J

ul-1

503

-Aug

-15

17-A

ug-1

531

-Aug

-15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Restraint (PICU's only)per 1000 occupied bed days (OBD) - U Chart

UCL

LCL

30

35

40

45

50

55

60

65

70

75

80

Jan-

14

Feb-

14

Mar

-14

Apr-1

4

May

-14

Jun-

14

Jul-1

4

Aug-

14

Sep-

14

Oct

-14

Nov

-14

Dec

-14

Jan-

15

Feb-

15

Mar

-15

Apr-1

5

May

-15

Jun-

15

Jul-1

5

Aug-

15

Staf

f sic

knes

s (F

TE) p

er 1

000

OB

D

Staff Sickness (FTE) per 1000 occupied bed days (OBD) - U Chart

OTH

ER U

SEFU

L CH

ARTS

UCL

LCL

20

30

40

50

60

70

80

90

100

06-J

an-1

4

20-J

an-1

4

03-F

eb-1

4

17-F

eb-1

4

03-M

ar-1

4

17-M

ar-1

4

31-M

ar-1

4

14-A

pr-1

4

28-A

pr-1

4

12-M

ay-1

4

26-M

ay-1

4

09-J

un-1

4

23-J

un-1

4

07-J

ul-1

4

21-J

ul-1

4

04-A

ug-1

4

18-A

ug-1

4

01-S

ep-1

4

15-S

ep-1

4

29-S

ep-1

4

13-O

ct-1

4

27-O

ct-1

4

10-N

ov-1

4

24-N

ov-1

4

08-D

ec-1

4

22-D

ec-1

4

05-J

an-1

5

19-J

an-1

5

02-F

eb-1

5

16-F

eb-1

5

02-M

ar-1

5

16-M

ar-1

5

30-M

ar-1

5

13-A

pr-1

5

27-A

pr-1

5

11-M

ay-1

5

25-M

ay-1

5

08-J

un-1

5

22-J

un-1

5

06-J

ul-1

5

20-J

ul-1

5

No.

of I

ncid

ents

Incidents resulting in Physical Violence (Trust-Wide) - C Chart

UCL

LCL

3

4

5

6

7

8

9

10

11

12

06-J

an-1

4

20-J

an-1

4

03-F

eb-1

4

17-F

eb-1

4

03-M

ar-1

4

17-M

ar-1

4

31-M

ar-1

4

14-A

pr-1

4

28-A

pr-1

4

12-M

ay-1

4

26-M

ay-1

4

09-J

un-1

4

23-J

un-1

4

07-J

ul-1

4

21-J

ul-1

4

04-A

ug-1

4

18-A

ug-1

4

01-S

ep-1

4

15-S

ep-1

4

29-S

ep-1

4

13-O

ct-1

4

27-O

ct-1

4

10-N

ov-1

4

24-N

ov-1

4

08-D

ec-1

4

22-D

ec-1

4

05-J

an-1

5

19-J

an-1

5

02-F

eb-1

5

16-F

eb-1

5

02-M

ar-1

5

16-M

ar-1

5

30-M

ar-1

5

13-A

pr-1

5

27-A

pr-1

5

11-M

ay-1

5

25-M

ay-1

5

08-J

un-1

5

22-J

un-1

5

06-J

ul-1

5

No.

of I

ncid

ents

per

100

0 O

BD

Incidents resulting in Physical Violence (Trust-wide)per 1000 occupied bed days (OBD) - U Chart

46

0

5

10

15

20

25

30

35

jan-

13

feb-

13

mar

-13

apr-

13

maj

-13

jun-

13

jul-1

3

aug-

13

sep-

13

okt-

13

nov-

13

dec-

13

jan-

14

feb-

14

mar

-14

apr-

14

maj

-14

jun-

14

jul-1

4

aug-

14

sep-

14

okt-

14

nov-

14

dec-

14

jan-

15

feb-

15

mar

-15

apr-

15

maj

-15

jun-

15

No.

of I

ncid

ents

per

100

0 O

BD

Incidents of physical violence per 1000 occupied bed days (OBD)

Participating wards

Non-Participating wards

47

qi.elft.nhs.uk

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@ELFT_QI 48

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