“Celebrating Best Practice” Date: Tuesday, 29th September 2009 “Celebrating Best Practice” Kevin Randall (Senior Nurse) Cwm Taf Nhs Trust Insert name of presentation on Master Slide

Presenting a Patient Story at Trust Board Level Aim : Share an experience of presenting a patient story at board level Describe lessons learnt in the process “Celebrating Best Practice”

The Story Serious patient incident Altered conscious level (quasi -patient story) Review of documentation Interviewing key staff Ensuring staff aware of purpose of exercise “Celebrating Best Practice”

Cwm Taf Governance Committee “Celebrating Best Practice”

The Experience Vulnerability “Remember, you’re the clinical expert” Keep your aims in focus Professional duty Story welcomed by board “Celebrating Best Practice”

Vehicle to Influence Quantitative v’s qualitative data Brought emergency care targets to life Very powerful tool “Celebrating Best Practice”

Factors to Consider Structure Grab attention Powerful way of sharing problems / solutions Inspire change Celebrating Best Practice”

Achievements Rapid handover from pre-hospital staff (<15mins) Triage within first minute (<10mins) Doctor 15mins post arrival (target time 1 hour) On-going observation in A&E Wound care provided (sutured) Appropriately referred to T&O team S/B T&O Doctor in A&E (Rapid speciality assessment) Transferred to ward for observation (<4hr)

Coroners Inquest: cause of death: 1) multi-organ failure 2) spinal injury Open Verdict

The Outcome Action plan Review of establishments & skill mix Development of a trust wide management of head injury policy Significant educational investment “Celebrating Best Practice”

The Outcome Unrivalled returns on investment Opportunity not to be missed Focus on patient dignity v’s performance targets “Celebrating Best Practice”

“It takes a thousand voices to tell a single story” “Celebrating Best Practice”