Quality priorities
What are our quality priority programmes?
The quality priority programmes for 2024/25 are initiatives established by the Trust to improve various aspects of healthcare delivery. These programmes focus on four key areas:
- Patient safety
- Patient experience
- Clinical effectiveness
- Addressing health inequalities
These programmes were identified through a thorough review of improvement opportunities and data sources, including GIRFT (getting it right first time), the model hospital, claims, complaints, incidents and national audit data. Each programme is aligned with a specific division within the Trust for implementation, with progress monitored quarterly.
1. Deteriorating patient (PEWS)
Division
West London Children's Healthcare
Aim
Roll out a digital Paediatric Early Warning System (PEWS) to improve monitoring and timely response to deterioration in children.
Measures
- Complete testing and implementation of the digital system
- Audit effectiveness post-implementation
- Align with NHSE Digital PEWS standards
Priority 2: Implementation of NatSSIPs2
Division
Planned Care
Aim
Standardise safety processes for invasive procedures through adoption of LocSSIPs across all specialties.
Measures
- Track incident reductions via WHO checklist audits
- Monitor compliance with LocSSIPs
- Align with national NatSSIPs2 standards
Priority 3: Violence and aggression
Division
Emergency and Integrated Care
Aim
Support staff and patients through initiatives addressing workplace violence, prevention and psychological safety.
Measures
- Deliver Level 2 conflict resolution training in high-risk areas
- Track incident reports and staff survey feedback
- Establish safety champions and guardians in all divisions
Priority 4: Reducing medication incidents
Division
Clinical Support Services
Aim
Reduce the percentage of medication incidents causing moderate harm or higher.
Measures
- Develop a Critical Omitted Doses Dashboard
- Promote safer anticoagulant prescribing
- Keep moderate harm incidents at or below 1% of all medication-related incidents
Priority 5: Single Delivery Plan
Division
Specialist Care
Aim
Deliver all 43 actions in the NHS Single Delivery Plan for maternity care, focused on safety, workforce and personalised care.
Measures
- Reduce remaining amber/red-rated actions to zero by year end
- Embed cultural safety, continuous learning, and equity in care
- Report quarterly to executive management board on progress
Priority 6: Dementia
Division
Corporate
Aim
Improve dementia care through better screening, carer involvement and staff education.
Measures
- 90% of patients aged 75+ screened within 72 hours
- Achieve 75% Tier 2 dementia training compliance in year one, 95% in year two
- Develop integrated care pathways and a dementia framework
Priority 7: Deteriorating patient (sepsis)
Division
Corporate/Acute Provider Collaborative (APC)
Aim
Improve the identification and escalation of adult patients at risk of sepsis using a Trustwide PIER approach (Prevention, Identification, Escalation, Response).
Measures
- Increase timely recognition and early intervention
- Monitor compliance with NEWS2 and escalation protocols
- Align with national sepsis care pathways