Royal national orthopaedic hospital nhs trust

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ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST
RNOH Patient Group Issues from ward & department fact finding visits

(April 2008 to March 2009)
Orthotics Department – Visit 8 April 2008

Issue/Recommendation	Action	Lead	Update
Health & Safety of operatives. Policy on ear, eye and lung protection needs to be in place and enforced for operatives own safety	Policy is in the ISO 9001 documentation and is audited	Kelvin Smith	Complete
Succession planning and training schemes for new operatives. If no external courses exist, the Trust to consider running a scheme or liaising with a local college/university for provision of apprenticeships scheme.	Awaiting reinstatement of technical training at Salford/Strathclyde University	Kelvin Smith	Awaiting information from Strathclyde University
The access leaflet mentions the mini bus service that there is no mention at Stanmore Station that it runs every 15 minutes and is free and can be used by patients	The timetable is on the Trust website. The bus service is mention in the hospital literature.	Lynne Wilson	Complete
Map on the web cannot be viewed in a larger size so difficult to find Orthotics. It was suggested this could be published as a .pdf file	The map has been reviewed and individual areas have been enlarged	Jackie Stephen	Complete

Ward 4 – Visit 24 June 2008

Issue/Recommendation	Action	Lead	Update
Storage problem – cluttered areas need to be cleared and alternative storage facilities found. It was suggested that a hut could be erected on the grounds outside the ward to store equipment and therefore provide better access to the men’s toilets/shower room.	The ward is part of the Productive Ward Releasing Time to care programme and aims to address this.	Trish Treacy	This is causing some issues as no more storage available on unit, however ward staff have worked with supplies to limit the amount of deliveries and preventing surplus which needs to be stored in ward
The sluice room is small and the plan is to reorganise and refurbish this area	The ward manager is planning to do this	Trish Treacy	The sluice is well organised which has mitigated the problem. Ward awaiting quote for refurbishment of sluice and have identified this year’s ward improvement money to fund this work.
The Staff room requires furniture. Washable flooring may be more a hygienic alternative to the carpet	Furniture was ordered February 2008	Trish Treacy	Complete

Physiotherapy Department – Visit 19 August 2008

Issue/Recommendation	Action	Lead	Update
Storage space is small. When renovation of the accommodation is planned in the new build, to ensure both working and storage spaces are not reduced and possibly increased	The issue has been highlighted to the Healthcare Planner. To be completed in line with refurbishment/Redevelopment	Heather McDowell	Will be addressed in refurbishment

Alan Bray ITU – Visit 11 September 2008

Issue/Recommendation	Action	Lead	Update
The security doors require urgent attention as it is continually out of order.	The maintenance department has been contacted	Matt Hardy	Complete
Storage/space is high priority due to the large amount of specialised equipment required. It was suggested that a portakabin could be erected.	Discussion took place with Estates to address storage	Betty Wynne	Complete
Poor drains prevent installation of a macerator bedpan machine.	The maintenance department to investigate the drain problem	Matt Hardy	This is an ongoing problem with drainage however the ward has a pan steriliser which is adequate

Bolsover Street Outpatients – Visit 10 November 2008

Issue/Recommendation	Action	Lead	Update
Difficulties arranging paediatric nursing cover at clinics treating children	There is now a paediatric nurse working one day a week in the department on a day when the paediatric surgeons have a clinic. Advice is also available by telephone on other days.	Siobhan Lalor- McTague	Complete
Lack of security/or sufficient portering staff in the event of abuse on staff.	Staff have been notified to call 999. Security is changing its role when the new development opens later in the year	Lynne Wilson	Deadline for security role to be implemented - December 2009

X ray Department – Visit 6 January 2009

Issue/Recommendation

Action

Lead

Update

The waiting area needs to be made brighter and more stimulating.

No indication of expected waiting times

Patients seem to come in and are seen immediately while other wait. Receptionists do not update or inform the patients.

The toilet is not suitable for the disable, no alarm, no handrails and the light switch is out of reach

The current x ray department was due for refurbishment but there is no capital monies left. They will assign a reception area monitor.

Communication is continually improving with various work streams to look at the whole patient journey.

Pauline Lodwick

Deadline to improve area - July 2009
Matron now identified to assist

Introduce a telephone or computer terminal booking point for x ray to be located in outpatients to save patients the trip to x ray to make bookings. Also to look at booking systems for convenient patient access.

There is a significant number of missed x ray appointments

As communication improves the outcome will be that each patient will know their follow-up appointment dates and times when they leave the clinic and Imaging will appoint accordingly.

Pauline Lodwick

Complete

Angus Mackinnon Unit – Visit January 2009

Issue/Recommendation	Action	Lead	Update
Staffing ratio should be reviewed and improved both for staff and patients wellbeing	To be reviewed with Matron and Ward Manager	Kathy Coultry	Ongoing project – September 2009
Wet room should be sealed so more patients can shower comfortably	Ward Manager to discuss with the Estates department for repairs	Jayne Brown	Complete
Ensure patients rooms are made as comfortable as possible	Ward Manager to take forward with Matron	Jayne Brown	To be achieved by August 2009
Internet and TV access for patients should be reviewed to find a way of improving reception	Ward Manager to discuss with IT and Facilities	Jayne Brown	Complete