Raising the
bar on
Quality
at Pennine
10 Actions: Are you doing your bit to make this Trust and
our services the best for our staff and patients?
1) Standardise and
improve the
environment
●● Take ownership of your work area &
declutter regularly
●● Escalate all issues of concern i.e. broken
equipment, environmental issues
●● Monitor stock control
●● Be professional and responsible
●● Wear your uniform correctly
2)Standardise
Operations
●● Adhere to standardised
procedures
●● Undertake any relevant training or
re-education regarding any new procedures
●● Participate and progress with job planning
●● Participate in all departmental accreditations
●● Participate in ‘Perfect Weeks’
6) Care and
Compassion
4) Adhere to
Clinical Standards
●● Ask the question ‘Am I,/ is my ward and
unit following national and best practice
guidance – if not, why not?
●● Follow Standard Operating Procedures
(SOPs) and follow NICE guidance
●● Ensure all clinical investigations are
communicated and followed up in a timely
manner
●● Escalate when you can’t comply
●● Be ‘information governance’ aware (i.e.
Don’t leave patient notes in public areas,
no patient notes lying around, don’t leave
patient details on computer screens or
corridor conversations)
7) Improve and
standardise
documentation
3) Ensure we are
Clean and Safe
●● Wash your hands, maintain
bare below the elbow in clinical
areas
●● Follow policy and procedure
●● Report all incidents
●● Discuss safety at all handovers
●● Undertake a patient safety assessment
●● Do not use equipment that you are not
trained to use or that has not been tested
●● Be intolerant of poor practice – challenge
colleagues
●● Escalate what you need to escalate –
‘Speak out on Safety’ – issues in real time
●● Escalate areas that are not clean
●● Ensure your ward or department is safe and
appropriately accessible
●● Think ‘compassion’ in every action and
interaction
●● Listen to your patients
●● Introduce yourself
●● Participate in the Customer Care
programme
●● Be approachable, Be ‘equality & diversity’
aware, and Be respectful (to patients,
families & other staff)
●● Challenge each other appropriately and
challenge poor staff attitudes
●● Learn from complaints
●● Undertake safeguarding mandatory training
●● Adhere to national and best practice
standards in relation to DNaR CPR
●● Include families and friends in the care of
their loved ones
5) Focus on Dementia
●● Undertake dementia training and be a
Dementia Champion
●● Escalate any environmental concerns
●● Ask for, read and share the ‘This is Me’
document.
●● Ensure appropriate authorisation is in
place for any patient with a deprivation
of liberty application or
●● Ensure appropriate use of the Mental
Capacity Act and decision making is in
patient’s best interest.
●● Provide meaningful ‘activities’ for patients
with dementia
●● Ensure all documentation is l
egible (signed and dated etc.)
●● Apply professional and organisational
standards for all written communication
●● Make contemporaneous notes
●● Complete mandatory training
●● Follow the consent process
●● Turn PCs away from public view
●● Use nhs.net and encrypt documents
8) Have the right
numbers of staff in
the right place
●● Follow the staffing escalation process
●● Listen to staff
●● Support teams and individuals
9) Train and
develop our
staff
●● Lead by example and always be a role
model
●● Ensure you complete your appraisal
●● Ensure you complete your essential
training
●● Participate in offered leadership
programme
10)Improve communication
●● Ensure you introduce yourself,
#Hello my name
●● Address patients by their preferred
name
●● Be consistent with your messages
●● Help patients and relatives to find where
they are going
●● Communicate effectively and regularly
with patients and families
●● Ensure multi-disciplinary approach to
your working
●● Ensure appropriate documentation of all
patient and non-patient information
●● Remember Safeguarding is ‘Everyone’s’
business
●● Deal with patient/family issues
and concerns before they become
complaints