Quality Improvement Zone

To increase the number of psychiatric assessments scheduled in the Western Trust Northern Sector CAMHS team to 3 per week by June 2020.

To reduce the amount of waste sent for disposal as general clinical waste by Maynard Children’s Ward in the Ulster Hospital by 10% by June 2020

To improve completion of Consultant Reviews on the Morbidity & Mortality (M&M) Pathway within 3 days from 34% in Jan 2019 to 70% by July 2020

To create conditions that ensures 80% of Band 5 nursing staff in ward 14, Lagan Valley Hospital report that the ward is a great place to work by May 2020.

By July 2021 capture 80% of all QI/Audit project registrations carried out by doctors in training on the Antrim Hospital Site

Increase the number of referrals to the Connected Community Care Hub to 5 per month by the BHSCT Neighbourhood District Nursing team for patients identified as mild or moderately frail by May 2020.

By December 2020 Paramedics in Omagh ambulance station will increase the number of referrals, for patients over the age of 65 years who meet the falls referral criteria, to the Community Falls Prevention Team from a mean of 1 to 3 referrals per week.

98% of regional surgical centre clinical coding for cataract procedures in Downe Hospital will be completed within 3 months of discharge.

To increase Demand Template returns by all Psychological Therapies Service (PTS) clinicians from 20% to 65% of clients discharged, by June 2020.

90% of all Chest and Abdominal plain film imaging referred from the RVH Emergency Department to be reported within 72 hours by May 2020.

To improve the efficiency of progress reporting by June 2020 by reducing the average time taken per person in the programme team to produce the weekly report by 20% from 12 minutes per week to 9.6 minutes.

By June 2020 all participants in the Improvement Directorate’s weekly senior safety brief will rate the meeting as excellent

To increase the number of women who are offered a postnatal clinic appointment at 10+ days (excluding Caesarean Sections) by 70% by June 2020.

To reduce the number of days for the HSCB to close an Early Alert from its notification to within 10 days

By May 2020, 99% of request forms & samples received in Belfast Health and Social Care Trust Blood sciences laboratories will meet the Minimum Acceptance Criteria (MAC)

By June 2020, 70% of patients open to keyworkers in the Armagh Support and Recovery Mental Health team will have a “Purposeful Recovery” plan in place.

This project aims to reduce the number of incidents of inappropriate co-prescribing of anticoagulants and/or antiplatelets in the adult acute in-patient wards to zero by 30th May 2020.

To reduce the number of patients prescribed Pregabalin per Month in Grosvenor Road Surgery from 139 to 97 (30%reduction) by May 2020

To ensure that 90% of newly qualifying social workers who accepted permanent contracts in May 2020 are still employed by the South Eastern Health and Social Care Trust in November 2020

To reduce short term absence hours an individual Children’s Home. The children’s Home will reduce absence hours from 463 to 380 by March 2020.

To increase compliance with the Paediatric IV Fluid Audit Improvement Tool (PIVFAIT) from 71% to 100% by May 2020