Quality assurance monthly report - December 2017 Safety of service Quality of service Quality improvement & planning Total number of patients seen in all services year to date: 935 (74 in December) No of vein procedures for month: 4 New: 8 Follow up: 16 Total number patients seen: 28 Audits completed: Chaperone audit – 100% patients chaperoned Clinic Manager’s monthly premises audit Storage temperatures for pharmaceuticals kept within recommended ranges at all times Meetings held: Informal daily staff meetings Staff meeting 19th December 2017 Training: Compression stocking training with Credenhill 12.12.17 Metabolic Clinic/Pre-Diabetes training with Catherine Cassells 20.12.17 Infection Prevention and Control training 20.12.17 Safety alerts/ clinical guidance/Regulations changes: No of MHRA alerts received: 11 No of relevant alerts requiring action: 0 Improvements and reviews of practice Infection Prevention and Control reviewed by team 20.12.17 Review of aesthetic practice with Dr Ian Strawford 7.12.17 No of post procedure DVTs or infections December 2017 0 Total = To date 0 No of medication errors December 2017 0 Total = Collapse/Faint/Allergic event post procedure To date 2 No of complaints received: 0 “I was extremely nervous when I attended the clinic having previously had the procedure done at a local NHS hospital but I can honestly say that this time, it was a completely different experience. The cleanliness and hygiene standards at the clinic and the professionalism and caring attitude of all members of staff was excellent. The procedure itself was unhurried and I was made to feel as comfortable as possible. Each part of the procedure was explained to me as it was being carried out which was very reassuring. The follow-up care afterwards was second to none. I was contacted by several members of staff and even Mr Gajraj called me to see how I was and told me to contact him if I had any concerns. Overall I cannot fault the service or staff at The Melbury Clinic and would highly recommend it to anyone considering vein surgery.” patient comment 16.12.17 Dr Gajraj Iwantgreatcare.com (5 * for recommend, trust, listening). Total 196 (5 * reviews) 2 Health and safety related accident/incidents December 2017 1 Total = To date 4 (RF fibre malfunction at Southampton) 4 Melbury Clinic Iwantgreatcare.com (5 * for recommend, trust, listening). Total 113 (5 * reviews) Notifiable safety incidents Moderate harm 0 Prolonged psychological harm 0 Death or severe harm 0 Best practice adherence Treatment delivered in order (QS67) : 100% Protocol followed to prevent collapse/faint episodes – 0 required. Number of duplex scan to both legs (QS67) 100%