Poole Hospital NHS Trust NHSLA Pilot level 1 an acute Trust experience

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Poole Hospital NHS TrustNHSLA Pilot level 1- an
acute Trust experience

• Mandy Rann
• Assistant Director of Nursing Governance
• Helen Taylor
• Governance Co-ordinator
• 27th March 2007

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Introduction

• Medium size acute trust
• 800 beds
• Level 1 CNST 2004
• Document review CNST Level 2 2005
• NHSLA Pilot level 1 Oct 2006
• NHSLA Level 2 June 2007

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In the beginning.

• Major review of related policies
• Gap analysis against pilot standards
• Steering group key players
• Timetable and responsibilities
• Project co-ordinator
• Action plans
• Communication

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planning is everything!....
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The good stuff..

• Familiarity with the process
• Senior buy in to assessment
• Staff on board
• Much already in place
• Positive organisational culture
• Patient safety key
• No reinventing the wheel

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never assume!...........
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the bad and the ugly..

• Timescale!
• Finding original electronic documents!
• Double check understanding of standards!
• Ownership of policies!
• Long days and weekends!
• Time to populate electronic spreadsheet!
• IT!

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keep it simple..
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The grand finale..

• Time
• Project lead
• Evidence co-ordinator
• Systematic collation
• Paper copies on the day
• Hospitality
• Dont panic

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Thank you

• ANY QUESTIONS?