Our hospitals, services and staff are all monitored by more than 20 national and local organisations to ensure that we are meeting the standards of care, quality, treatment, governance, health and safety the government requires and our patients expect.
As an NHS Foundation Trust, we are required to meet the stringent performance standards set out by NHS Improvement (formerly known as Monitor), the independent regulator of these organisations.
We are also regularly inspected, surveyed and audited by the Care Quality Commission (CQC).
The CQC held full announced and unannounced inspections of the Trust in December 2015 and revealed in April 2016 that we had been rated Outstanding – only the third acute trust in the country to earn the highest-possible grade.
You can read more about our rating via the following link:
The CQC measures trusts’ compliance with quality and safety outcomes, and carries out surveys to understand patients’ experience of hospital care.
As well as its full inspection, the CQC’s other key assessments include:
- CQC essential standards of quality and safety for hospitals
- CQC National Inpatient Survey results: Western Sussex Hospitals
- Results of all CQC surveys and inspections of Western Sussex Hospitals surveys
Internal performance monitoring
The Trust also measures its own performance against national indicators on a monthly basis.
These performance reports are included in each month’s Trust Board meeting papers.
We also publish an annual Quality Account outlining our hospitals’ performance against a wide range of quality measures during the last year and setting out their priorities for the one ahead.
Editions from previous years are available to download below:
- In 2013-14 and 2014-15, the Quality Account was included in our Annual Report.
- Quality Account 2012-13
- Quality Account 2011-12
- Quality Account 2010-11
- Quality Account 2009-10
Commissioning for Quality and Innovation (CQUIN)
A proportion of our income is conditional on achieving quality improvement and innovation goals agreed between the Trust and its commissioners through the Commissioning for Quality and Innovation (CQUIN) payment framework.
Performance against these targets is reported to the Trust Board and is available within the Board Papers each month. Further details of the agreed goals for the current and recent years are available below:
Acting on feedback
Our patients’ view of how well we treat and care for them is as important a performance measure for us as any activity or financial target we are set.
That’s why we offer patients a wide range of different ways in which they can tell us about their experience of our services and let us know how well we are meeting their needs.
Complaints and PALS reports
The Trust publishes an annual Complaints and Patient Advise & Liaison Service report, as well as regular in-year updates as part of its Trust Board meetings. Annual reports are available below:
Learning from deaths
Western Sussex Hospitals NHS Foundation Trust has one of the lowest rates of preventable deaths in the NHS. Between 2012 and 2016 we moved from being ranked 112th out of 141 trusts to 24th on our Hospital Standardised Mortality Ratio (HSMR) score, and one of our key quality objectives over the period 2015-18 is to remain within the top 20% of performers nationally.
As part of this commitment, we seek to learn from all deaths that occur in our hospitals and in 2017 introduced new processes in line with national recommendations that all deaths are reviewed by a consultant and in-depth reviews carried out whenever any concerns are identified.
The trust policy governing these processes is available to download here and its implementation is reported regularly to our Trust Board meetings.
- Learning from Deaths Policy WSHFT 9-2017
- Appendix 1 – Mortality Review Flowchart 2017
- Appendix 2 – Screening Tools
- Appendix 3 – Mortality Reviewer Job Descriptions 2017
- Appendix 4 – NMCRR data collection sheet England
Our most recent advances in quality of care have been driven by Patient First, our long-term approach to transforming hospital services for the better.