Patient Safety

CQUIN – Sign Up To Safety - Practice Implementation Plan

1. Introduction

Sign up to Safety aims to deliver harm free care for every patient, every time, everywhere. It champions openness and honesty and supports everyone to improve the safety of patients.

2. Target audience

Primary Healthcare Team

3. Required outcomes

  • Sign up to the ‘Sign up to Safety’ Campaign and its ethos
  • Increase incident reporting and learning from incidents i.e. general, clinical, nonclinical and medication incidents.
  • Learn from service users’ feedback including the Friends and Family Test and publish “you said we did” outcomes.

4. Committing to five pledges

Sign-up requires the practice to commit to five pledges

  • Put safety first. Commit to reduce avoidable harm in the NHS by half and make public the goals and plans developed locally.
  • 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.
  • Honesty. Be transparent with people about their progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.
  • Collaborate. Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.
  • 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

5. Actions required to support the five pledges

Identifying processes for increasing reporting and learning from:

  • Clinical (including medicines incidents) and non-clinical incidents and
  • The use of service user feedback
Requirement Method Action by Timing
Raise profile within PHCT of need to report incidents Circulate this plan to PHCT
(pledge 1)Remind PHCT of Window desktop access to CCG feedback tool , now in 2 parts (healthcare professional and medication) – (pledges 1 & 2)Remind PHCT of need to record significant events
(pledges 1 & 2)Appoint member of staff to be our ‘patient safety champion’ (see volunteers) (pledges 1,2 3 & 5)Reissue guidance re culture / attitude for reporting – ‘no blame’ approach, learning process, anonymised (pledge 3)
Practice Manager Practice Manager Practice Manager Practice Manager Practice Manager By 31.7.15 By 31.7.15 By 31.7.15 By 31.7.15 By 31.7.15
Make it easier to record incidents Reissue simple electronic recording log in public email folders accessible by all users (pledges 1,2 & 3) Practice Manager By 31.7.15
Review recording log and determine which incidents to report via CCG feedback tool Weekly team meetings (pledges 1,2,3,4 & 5) Meeting with Lead nurse and meeting with partners Weekly
Develop criteria / threshold for external reporting Discuss and agree criteria (pledge 4) Partners By 7.8.15
Significant event auditing These are already done but increase opportunity for discussion of incidents at Monday lunchtime meetings and at staff meetings (pledges 1,2,3 & 5) Primary Healthcare Team Weekly
Review patient feedback narratives Discuss comments on Friends and Family returns and disseminate Business admin apprentice and Practice Manager Monthly
Publish a statement setting out the action to be taken to support the campaign using the five Sign Up to Safety pledges as a template Create statement from action listed above relating to each of the five pledges and post on practice website and noticeboardsUpdate statement with details of progress Practice Manager Practice Manager By 20.8.15 End of each month


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