1. Success and Challenges 2008 Mark Smithies Cardiff & Vale NHS Trust

2. Success Patient Safety campaigns –MRRT HCAI surveillance Filling vacant posts –Directorate management –Consultant posts Improved Cross site communication Improved communication with Cardiac Network engagement with Critical Care Agenda

3. Challenges Building on the Success Communication –Within the Directorate –Medicine Financial Stability Team Behaviours

4. Sentinel Event Alert Issue 40, July 9, 2008 Behaviors that undermine a culture of safety jointcommission.org

5. Intimidating and disruptive behaviors can… Foster medical errors Contribute to poor patient satisfaction Contribute to preventable adverse outcomes Increase the cost of care Cause qualified clinicians, administrators and managers to seek new positions in more professional environments Safety and quality of patient care is dependent on teamwork, communication, and a collaborative work environment. To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team.

6. Ask Four Consultants Success SPI MDT started Role definition Consultant expansion ICNARC Directorate structure Improved trainee training and teaching Better relationships with some other Directorates Challenges MDT working Consultant engagement Directorate structure, direction of travel Manage staff to ensure cooperation Communication Relationship with other Directorates Quality agenda

7. Lots to do !