Sign up to Safety

Sign up to Safety: Listen, Learn, Act

We are taking part in the Government's three-year Sign up to Safety campaign which is designed to help realise the ambition of making the NHS the safest healthcare system in the world by creating a system devoted to continuous learning and improvement.

This ambition is bigger than any individual or organisation and achieving it requires us all to unite behind this common purpose. We need to give patients confidence that we are doing all we can to ensure that the care they receive will be safe and effective at all times. We all recognise that healthcare carries some risk and while everyone working in the NHS works hard every day to reduce this risk, harm still happens.

One of the first steps is that organisations have been asked to develop a plan that describes what they will do to reduce harm and save lives by working to reduce the causes of harm and take a preventative approach. Plans are built around five core pledges outlined below. 

The pledges - how we will improve safety in our hospitals

1. Put safety first: Commit to reduce avoidable harm in the NHS by half and make public our goals and plans developed locally

We will....

Get the basics right.

Making sure our patients receive high quality treatment is vitally important to our organisation.

Safer Care - Business as normal

Every year we reconfirm our commitment to further reduce avoidable harm to our patients by setting safety objectives. These objectives, based on local and national intelligence, are shared on our website and are publicly available in our Quality Account and we monitor progress through our safety dashboard which shows how well we are doing.      

Take safety improvement to the front line

We are continually working to improve safety year on year and identify areas of improvement. We do this by working with patients and our dedicated front-line teams, encouraging new staff to look at the way we do things with fresh eyes to help us improve and bring new ideas to our Trust.

Members of our Trust Board visit more than 100 departments and wards every year, both day and night, to talk about safety and patient experience.               

Our safety priorities

In the coming year, our improvement programme to help us reduce harm will involve:            

  • The management of patients with sepsis             
  • The management of acute kidney injury             
  • The admission assessment of chronic obstructive airway disease             
  • Prevention of  of pressure ulcers            
  • The assessment and management of venous thrombus embolism (blood clots)             
  • The reduction of patient falls             
  • Preventing clinical condition induced violence and aggression on staff            
  • The reduction of C-Difficile infections and other infection.

2. Continually learn: Make our organisation more resilient to risks, by acting on the feedback from patients and by constantly measuring monitoring how safe our services are

We will....

  • Take every opportunity to learn
  • Pro-actively identify effective methods to gain feedback from patients and actively learn from their comments and concerns. Find out whether our patients would recommend us to their friends and family and how highly they rate our services so we can identify areas to improve our service
  • Engage and involve our patients so they can help us design safer services for others
  • Understand how we can learn from all incidents, claims, inquests, complaints and concerns and build that learning into every education session and simulation programme across our Trust
  • Share the stories of patients with Trust Board and at other key meetings across our organisation.

3. Honesty: Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong

We will....

  • Continue to monitor and measure our safety performance openly with staff, governors, Trust members, local commissioners and at Trust Board  
  • Continue to be open and transparent following serious incidents, sharing information with patients and their families and identify the best way to share this process for less serious incidents
  • Actively consult internally and externally about safety concerns that will inform our areas for improvement as part of the Quality Account process and then measure and report our progress in this area
  • Establish a flexible approach to raising concerns so any member of staff in any position can "put their hand up" about a safety problem.

4. Collaborate: Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use

We will....

  • Seek to engage at every opportunity and support our staff when sharing our good practice across local services
  • Listen, encourage and support our clinical staff to identify areas for safety improvement and then take action using a recognised improvement approach
  • Pro-actively look for best practice and be open to making changes within our hospitals 
  • Always work with the Patient Safety Collaboratives and Academic Health Science Networks and other safety institutes to bring and share the best ideas and on improvement

5. Support: Help people understand why things go wrong and how to put them right. Give staff time and support to improve and celebrate progress

We will.....

  • Increase the skills of our staff through our new Gloucestershire Safety Improvement Faculty to help them identify problems, find solutions and improve so they can provide the safest care possible.
  • Create the right environment to allow staff to raise concerns so we can quickly respond by improving care and reducing harm.
  • Celebrate our excellent staff through Staff Awards and by sharing our safety improvement achievements. 
  • Continue to develop and share improvement through the Safety Hubs programme with an annual showcase of front line improvement programmes.