Nursing Quality Reporting Period Q 2 202021 Current

Nursing & Quality Reporting Period: Q 2 2020/21 Current position • Currently allocating reviews as soon as notification Actions • TOR completed for the Dorset Le. De. R Steering Group. • Dorset Le. De. R Steering Group to be established in the next received. • Internal review of current Le. De. R process ongoing. • With the new KPI that has been set, we are on target to complete all qualifying reviews within 6 months of notification. The exemptions to this will be CDOP, Coroners and CSU cases. quarter. • 5 reviews allocated grades 4 and 5 have been shared with the Safeguarding Adults Board. Q 2 position 2020/21 completion of Le. De. R reviews, these have been completed, except for those awaiting outcomes from the Coroner. • New process agreed for obtaining medical records/case notes. COVID-19 deaths reported to 30/09 (inc. suspected) Notifications (Q 2) 10 No. of reviews currently allocated to a Reviewer 27 Completed, panel review & closed (Q 2) 39 Cases awaiting allocation to a Reviewer 0 Backlog cases with CSU (still to be completed) 4 Child Death Overview Panel awaiting completion 3 (1 x completed in Q 2) Multi Agency Reviews (delayed due to COVID) Risks/assurance gaps • The Covid-19 pandemic had caused some delays in 1 Q 1 4 Q 2 0 Place of death Home 1 Hospital 3 TOTAL 4 Key successes • New cases are allocated to Le. De. R Reviewers within 1 week of notification. • Established joint ongoing workstream, for Annual Health Checks, with the System actions • The national team, based in Bristol, have produced five ‘Action into Learning’ CCG specific actions • CCG needs to maintain a pool of sufficient trained reviewers to enable timely Assurance • Completed reviews are quality assured at monthly QA panels. The Dorset Le. De. R Programme Lead for LD and Autism at the CCG. • Additional funding into the Le. De. R programme received from NHSE to fund Le. De. R Reviewer hours. • A Multi Agency Review has been successfully completed with good system working across Health and Social Care. allocation & completion of reviews. • Align Le. De. R and ME workstreams. • Focus on service improvement and quality assurance work directed by the recommendations from reviews. newsletters since July 2018, sharing the national learning associated with aspiration pneumonia, sepsis, recognising deterioration, constipation and the Mental Capacity Act. • A monthly newsletter, which contains news and resources, is circulated from the Le. De. R team at the University of Bristol. team are trialling a new QA process for non-complex reviews to be seen on a fortnightly basis, with input from expert professionals. During the pandemic this has been done virtually. • We continue to review all of our processes in collaboration with other CCGs.