Enhancing Care Delivery for Elderly and Frail Patients in Hampshire Region

1. How PHT’s Services are being improved further to implementation of the Trust’s new 5 year strategy Gill Gould Associate Chief Nurse- Patient Safety

2. We will fulfil our role for the communities we serve As a Trust we need to review and assess our services so that we are aligned to deliver against the role we are best placed to deliver in the system. We cannot address the systemic issues we face in isolation and need to work closely with our partners. The objective: Fulfil our role as a provider of timely, accessible care to the Portsmouth and South East Hampshire communities The challenge: The Hampshire population is set to grow and age significantly faster than the national average, placing increased strain on all aspects of the service. How PHT’s services are being improved further to the implementation of the Trust’s new 5 year strategy

3. We will fulfil our role for the communities we serve Improving care and outcomes for older people and those living with frailty. Frailty Intervention Team in Emergency Department Frailty Assessment Unit Older Persons Nurse specialists in AMU Dedicated short stay ward for older people Dedicated complex discharge ward for older people End PJ paralysis Discharge Planning assistants with specific focus on older people Dementia case workers targeting patients in urgent care Discharge to assess beds in collaboration with social care Anticipatory care planning for patients nearing end of life How PHT’s services are being improved further to the implementation of the Trust’s new 5 year strategy

4. We will support safe, high-qualitypatient-focused care Our patients, their families and carers are at the centre of their care, and we work for their benefit. We prioritise safety and pursue the highest quality standards to give our patients the best outcomes. The objective: Get the basics right - deliver high quality care across all clinical services The challenge: Quality assessments of our performance have identified a number of areas for improvement. How PHT’s services are being improved further to the implementation of the Trust’s new 5 year strategy

5. We will support safe, high-qualitypatient-focused care Focus on learning to replicate high standards and best practice, reduce clinical variation and support services to meet quality standards Mortality Review Panel – review of all adult inpatient deaths Weekly incident review panel- focus on learning and action Introduction of near patient post event review Positive event reporting Specialist nursing team- focus on improving patient outcomes In situ simulation training Programme of clinical site reviews How PHT’s services are being improved further to the implementation of the Trust’s new 5 year strategy