1. Royal Liverpool and Broadgreen Hospitals NHS Trust 2013/14 Plan
5th April 2013

2. Royal Liverpool - Review of 2012/13 (1)
Highlights of 2012/13
Delivered on all mandated performance targets
Delivered financial plans
Achievement of NHSLA level 3
Full compliance with standards following two unannounced CQC inspections
Da Vinci Robot
Reduced los for urology elective cases
First robotic colorectal cases

3. Royal Liverpool - Review of 2012/13 (2)
Highlights of 2012/13 cont.
Pilot site for friends & family test
Stroke services – performance in top five nationally
MTCC accreditation
MTCC performance – TARN data supports high performing level 1 trauma unit

4. Royal Liverpool - Plans for 2013/14 (1)
Deliver all mandated performance targets
Enhance patient experience & developing system for real time feedback
Embed National Quality Dashboard – from board to ward
Deliver financial plan
Achieve financial close for new hospital

5. Royal Liverpool - Plans for 2013/14 (2)
Progress successful FT application
Maintain successful MTC collaboration
Develop & build upon partnerships

6. No. Improvement Priority Improvement Plan
NHS Trust 2013/14 improvement priorities template
Annex A
For too long, significant variation in the quality of care has existed in the NHS, meaning patients in some parts of the NHS Trust sector receive world class care in a particular service while patients in other parts of the system don’t. Tackling that variation won’t just lead to improvements in care provided across the NHS Trust sector; all the evidence suggests it would also make the way we deliver care more efficient. We want to support NHS Trusts to close the gap on variation, create the conditions where highly performing Trusts can share best practice with poorer performing organisations, bring the best national expertise to bear on issues which require further support and ensure the local expertise we provide directly through our Delivery and Development teams is on hand to help NHS Trusts when they need it. As part of this, we expect every NHS Trust to identify five key areas of delivery where there is a significant variation from the top performers in the NHS and to set out an improvement plan to bridge that gap in the coming year.
No.
Improvement Priority
Improvement Plan 1
Sustaining and reducing C-Difficile rates.
2013/14 – Target 35
Actions:
Improved risk assessment, identification and referral for patients deemed as high risk
Prompt response to any potential relapse or symptomatic GDH patient
Review septic screen protocol to ensure best practice and incorporates CDI risk assessment

7. No. Improvement Priority Improvement Plan
NHS Trust 2013/14 improvement priorities template
Annex A
For too long, significant variation in the quality of care has existed in the NHS, meaning patients in some parts of the NHS Trust sector receive world class care in a particular service while patients in other parts of the system don’t. Tackling that variation won’t just lead to improvements in care provided across the NHS Trust sector; all the evidence suggests it would also make the way we deliver care more efficient. We want to support NHS Trusts to close the gap on variation, create the conditions where highly performing Trusts can share best practice with poorer performing organisations, bring the best national expertise to bear on issues which require further support and ensure the local expertise we provide directly through our Delivery and Development teams is on hand to help NHS Trusts when they need it. As part of this, we expect every NHS Trust to identify five key areas of delivery where there is a significant variation from the top performers in the NHS and to set out an improvement plan to bridge that gap in the coming year.
No.
Improvement Priority
Improvement Plan 2
Reducing falls Trust-wide by 50%.
Improvements will be measured against a 2012/13 baseline.
Actions:
Risk assessments completed & acted upon
Ward level reporting
Pro-active education & support
Sharing of lessons learned through RCA
Improved risk ownership
Additional focus on problem areas
Appointment of additional falls nurse to target hotspot areas

8. No. Improvement Priority Improvement Plan
NHS Trust 2013/14 improvement priorities template
Annex A
For too long, significant variation in the quality of care has existed in the NHS, meaning patients in some parts of the NHS Trust sector receive world class care in a particular service while patients in other parts of the system don’t. Tackling that variation won’t just lead to improvements in care provided across the NHS Trust sector; all the evidence suggests it would also make the way we deliver care more efficient. We want to support NHS Trusts to close the gap on variation, create the conditions where highly performing Trusts can share best practice with poorer performing organisations, bring the best national expertise to bear on issues which require further support and ensure the local expertise we provide directly through our Delivery and Development teams is on hand to help NHS Trusts when they need it. As part of this, we expect every NHS Trust to identify five key areas of delivery where there is a significant variation from the top performers in the NHS and to set out an improvement plan to bridge that gap in the coming year.
No.
Improvement Priority
Improvement Plan 3
Diagnostic tests - improving access to reduce waiting times, expedite emergency admissions and reduce delays
Improvements will be measured against a 2012/13 baseline.
Actions:
Delivering a 7 day diagnostic service
Extended working day

9. No. Improvement Priority Improvement Plan
NHS Trust 2013/14 improvement priorities template
Annex A
For too long, significant variation in the quality of care has existed in the NHS, meaning patients in some parts of the NHS Trust sector receive world class care in a particular service while patients in other parts of the system don’t. Tackling that variation won’t just lead to improvements in care provided across the NHS Trust sector; all the evidence suggests it would also make the way we deliver care more efficient. We want to support NHS Trusts to close the gap on variation, create the conditions where highly performing Trusts can share best practice with poorer performing organisations, bring the best national expertise to bear on issues which require further support and ensure the local expertise we provide directly through our Delivery and Development teams is on hand to help NHS Trusts when they need it. As part of this, we expect every NHS Trust to identify five key areas of delivery where there is a significant variation from the top performers in the NHS and to set out an improvement plan to bridge that gap in the coming year.
No.
Improvement Priority
Improvement Plan 4
Improved Waiting times – General Surgery & Orthopaedics
Improvements will be measured against a 2012/13 baseline.
Improved waiting list management at consultant level
More effective distribution of activity amongst clinicians
Better data validation for 18 week pathway

10. No. Improvement Priority Improvement Plan
NHS Trust 2013/14 improvement priorities template
Annex A
For too long, significant variation in the quality of care has existed in the NHS, meaning patients in some parts of the NHS Trust sector receive world class care in a particular service while patients in other parts of the system don’t. Tackling that variation won’t just lead to improvements in care provided across the NHS Trust sector; all the evidence suggests it would also make the way we deliver care more efficient. We want to support NHS Trusts to close the gap on variation, create the conditions where highly performing Trusts can share best practice with poorer performing organisations, bring the best national expertise to bear on issues which require further support and ensure the local expertise we provide directly through our Delivery and Development teams is on hand to help NHS Trusts when they need it. As part of this, we expect every NHS Trust to identify five key areas of delivery where there is a significant variation from the top performers in the NHS and to set out an improvement plan to bridge that gap in the coming year.
No.
Improvement Priority
Improvement Plan 5
Staff Engagement
Improve staff survey response from 60% to 70%
Improve motivation and involvement indicators from lowest 20% to median.
Actions:
Staff engagement events
Participation in Pioneer Programme
Increased level of appraisals

11. No. Development Priority
NHS Trust 2013/14 development priorities template
Annex B
The planning process will identify the support that NHS Trusts may require to achieve their goals. Organisations will have access to a wide range of potential support in the new system, from the NHS Leadership Academy, the new Improvement Body clinical networks and senates, and the NHS TDA itself. To establish a fuller and clearer understanding of the support each NHS Trust would find most beneficial we are asking each Trust to identify a small number (3-6) of high priority support and development needs. These might include things the NHS TDA can offer directly, such as networking, peer support and access to expertise; or they may include things that the NHS TDA can help Trusts to access elsewhere in the system. Please complete the template below to identify these needs.
No.
Development Priority 1
Reducing length of stay across a range of clinical pathways – NTDA to undertake research and provide details of best practice nationally that can be translated into local actions 2
Reducing re-admissions – NTDA to lead/facilitate a piece of health economy wide work to generate improvements in re-admissions rates 3
Sickness and Absence – NTDA to identify best practice nationally in terms of actions that could be taken to reduce sickness and absence rates 4 5 6