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Sign up to Safety

Alder Hey is part of Sign up to SafetySign up to Safety is a national patient safety campaign whose vision is for the whole NHS to become the safest healthcare system in the world, aiming to deliver harm free care for every patient every time.

This means taking all the activities and programmes that each of our organisations undertake and aligning them with this single common purpose. Sign up to Safety has an ambition of halving avoidable harm in the NHS over the next three years and saving 6,000 lives as a result.

Sign up to Safety invited NHS organisations to join the campaign by setting out what the organisations will do to strengthen patient safety by:

  • Describing the actions their organisation will undertake in response to the five Sign up to Safety pledges and agree to publish this on your organisation’s website for staff, patients and the public to see.
  • Committing to turn their proposed actions into a safety improvement plan which will show how their organisation intends to save lives and reduce harm for patients over the next three years.
  • Within their safety improvement plan organisations will be asked to identify the patient safety improvement areas they will focus on.

As an organisation committed to improving patient safety, Alder Hey Children’s NHS Foundation Trust has joined the campaign, developed a Trust Wide Safety Improvement Plan with specific improvement outcomes and made the following five Sign up to Safety pledges:

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:

  • Strive to achieve our patient safety aim that patients will not suffer harm in our care
    • Our commitment is reflected in the Trust Quality Strategy and Quality Account and supported by a set of Patient Safety Quality Aims that were developed in partnership with our patients, their families, our staff and our governors.
  • Implement robust processes and workforce plans to ensure consistent safe nurse staffing levels. The staffing levels will be made visible to children, young people, their parents and the public, through the use of ward staffing display boards and the Trust intranet site.
  • Continue to publish the monthly Trust Board, Assessment of Quality Report on the Trust intranet site.
  • Conduct engagement events with local stakeholders to share progress against safety priorities, gain feedback and identify opportunities for partnership working.

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

We will:

  • Develop a process that actively engages children, young people and their parents in raising their safety concerns and provides them with feedback on improvements.
  • Conduct an annual staff Safety Attitudes Survey to understand our safety culture.
  • Continue to utilise the Weekly Meeting of Harm to analyse incidents, monitor incident trends and near miss incidents, identify improvement actions, recognise good practice and provide feedback to staff.
  • Continue to monitor patient safety ‘Ward to Board’, utilising the Ward Dashboard and monthly Trust Board, Assessment of Quality Report.

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 meet our Duty of Candour.
  • Promote a culture of openness and transparency.
  • Ensure staff have the skills and support to enable them to communicate effectively with children, young people and their parents, following any patient safety incident or concern.
  • Display progress against key Patient Safety quality aims to staff, children, young people and their parents through the ‘Knowing how we are doing’ boards displayed in each clinical area.

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:

  • Utilise existing networks to facilitate learning across the health economy.
  • Work in partnership with Adult Trusts and Clinical Commissioners, to improve the transition of children with complex needs from Alder Hey Children’s NHS Foundation Trust to adult services.
  • Actively participate in the Patient Safety Collaborative through the Academic Health Science Network.
  • Continue to be an active member of the Making it Safer Together paediatric patient safety collaborative.

5. 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.

We will:

  • Provide a Root Cause Analysis training programme that incorporates knowledge of Human Factors, which are the environmental, organisational and job factors, and individual characteristics which influence behaviour at work.
  • Utilise the Clinical Quality Assurance Committee Walkabouts and the Quality Review Programme, as an opportunity for staff to provide feedback on patient safety issues, the actions they have taken and celebrate the progress they have made.
  • Provide post Quality Review posters for all areas allowing all staff to celebrate what is positive about their area, what they have identified as patient safety issues and what actions have been taken.
  • Promote ‘Raise it, Change it’, to enable staff to make suggestions for improvement direct to the Chief Executive.

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