Priority One - Patient safety

Priority	Why we have chosen this priority	What we are trying to improve	What success will look like
Embedding the Learning from Deaths programme.	To improve the quality of care delivered to service users, both when things go well and when things could have been done differently.	The use of reviewing real cases to learning from and improve care delivery.	A robust review process in place to ensure improvements in the delivery of care and a reduction in harm to patients.
Embedding the Patient Safety Incident Response Framework into the organisation.	Embed the principles of the Patient Safety Incident Response Framework to further improve our ability to learn from incidents.	All aspects of our service, including the care delivered to our services users, our ability to respond quickly, as well as corporate functions	Improvement in relation to lessons learned and implemented actions leading to a reduction of current trends of incidents.
Implementation of a Continuous Improvement Assurance Framework (CIAF).	We are committed to continually improve the quality and safety of our service for both patients and staff and Risks, internal audit, CQC recommendations and recognise that triangulation of a number of outcomes and drivers are required.	Compliance with the Health and Social Care Act and Fit for the Future plan.	An overarching framework linking CQC recommendations, improvement plan actions, audit programmes and processes including internal audit and our identified risks to undertake monitoring, identify good practice and further areas for improvement.
How we will monitor progress: Monthly Board reports detailing Learning from Deaths data and through the Patient Safety and Experience Group with progress reported bi-monthly to the Quality Governance Committee.
Responsible lead: Melissa Dowdeswell, Director of Nursing, Quality and Improvement
Date of completion:31 March 2024