How do explicitly stated hospital trust values relate to their CQC ratings?

BMJ Leader ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 68-70
Author(s):  
Nathan Hamnett ◽  
Naomi Patel ◽  
Kathryn Nelson ◽  
Tom Harrison ◽  
Nicholas White
Keyword(s):  
Quality Improvement ◽  
National Health Service ◽  
Health Service ◽  
Service Delivery ◽  
National Health ◽  
Care Quality ◽  
A Value ◽  
Care Quality Commission ◽  
Organisational Values ◽  
Range Of Values

IntroductionFor National Health Service(NHS) Trusts in the process of setting internal organisational values, it would be useful to see if there was a correlation between certain organisational values and Care Quality Commission (CQC) ratings to enable quality improvement.MethodsTo examine this, we identified the CQC ratings of the NHS England provider trusts and identified and listed the trust’s values. These values were then categorised and a comparison made of well-performing and underperforming trusts.ResultsA total of 43 different values were identified, with a total of 800 values being used across all 188 trusts. In the reviewed hospitals, a broad range of values were found with some not meeting common definitions of what a value is. All trusts included some aspect of behaviour in their values.ConclusionWell-performing hospitals are more likely to be open and honest with aspirational values, whereas those which are not are more likely to be focused on day to day service delivery with operational or proscriptive values. There was considerable variation from the published NHS constitution values with outstanding and good trusts having more variance from the values in the NHS constitution than trusts rated requiring improvement or inadequate.

scholarly journals Relationship between employee engagement scores and service quality ratings: analysis of the National Health Service staff survey across 97 acute NHS Trusts in England and concurrent Care Quality Commission outcomes (2012–2016)

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026472 ◽  
Author(s):  
Mark Wake ◽  
William Green
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Employee Engagement ◽  
National Health ◽  
Care Quality ◽  
Cross Sectional ◽  
Quality Ratings ◽  
Service Staff ◽  
Care Quality Commission ◽  
Receive Treatment

ObjectiveThis research explores measures of employee engagement in the National Health Service (NHS) acute Trusts in England and examines the association between organisation-level engagement scores and quality ratings by the Care Quality Commission (CQC).DesignCross-sectional.Setting97 acute NHS Trusts in England.Participants97 NHS acute Trusts in England (2012–2016). Data include provider details, staff survey results and CQC reports. Hybrid Trusts or organisations affected by recent mergers are excluded.Outcome measuresAnalysis uses organisation-level employee engagement and CQC quality ratings.ResultsEmployee engagement is affected by organisational factors, including patient bed numbers (β=−0.46, p<0.05) and financial revenue (β=0.38, p<0.05). CQC ratings are predicted by overall employee engagement score (β=0.57, p<0.001) and financial deficit (β=−0.19, p<0.05). The most influential employee engagement dimension on provider ratings is ‘advocacy’ (λ=0.54, p<0.001). Analysis supports the notion that employee engagement can be predicted from advocacy scores alone (eigenvalue=4.03). Better still, combining advocacy scores from the previous year’s survey or adding in motivation scores is a highly reliable indication of overall employee engagement (95.4% of total variance).ConclusionsNHS acute Trusts with high employee engagement scores tend to have better CQC ratings. Trusts with a high financial deficit tend to have lower ratings. Employee engagement subdimensions have different associations with CQC ratings, the most influential dimension being advocacy score. A two subdimension model of engagement efficiently predicts overall employee engagement in NHS acute Trusts in England. Healthcare leaders should pay close attention to the proportion of employees who would recommend their organisation as a place to work or receive treatment, because this is a proxy for the level of engagement, and it predicts CQC ratings.

Organisational values of National Health Service trusts in England: semantic analysis and relation to performance indicators

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000512
Author(s):  
Amina Waheed ◽  
Edward Presswood ◽  
Gregory Scott
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Sickness Absence ◽  
Language Processing ◽  
National Health ◽  
Semantic Analysis ◽  
Care Quality ◽  
Positive Effects ◽  
Universal Sentence ◽  
Organisational Values

BackgroundOrganisational values are widely assumed to have positive effects on performance and staff. National Health Service (NHS) trusts in England have accordingly chosen their own organisational values. However, there has been no survey of the values adopted, and there is little evidence that the choice of values per se has consequences for outcomes. We comprehensively described trusts’ organisational values, using natural language processing to identify common themes. We tested whether the choice of themes was associated with outcomes for patients and staff.MethodsWe collected data on trusts’ values (from their websites), performance (Summary Hospital-level Mortality Indicator (SHMI) statistics, Care Quality Commission (CQC) ratings), sickness absence rates (SAR) and staff opinions (NHS Staff Survey responses). We first characterised values based on lexical properties then progressed to semantic analysis, using Google’s Universal Sentence Encoder, to transform values to high-dimensional embeddings, and k-means clustering of embeddings to semantically cluster values into 12 common themes. We tested for associations between trusts’ use of these themes and outcomes.ResultsOrganisational values were obtained for 221 of 228 NHS trusts, with 985 values in total (480 unique). Semantic clustering identified themes including ‘care’, ‘value respect’ and ‘togetherness’. There was no significant association between themes and SHMI or CQC ratings. However, themes predicted trusts’ SAR (p=0.001, R2=0.159), with use of ‘care’, ‘value respect’, ‘aspirational’ and ‘people’ all significant predictors of increased sickness absence; themes also predicted staff opinions on ‘Equality, diversity and inclusion’ (p=0.011, R2=0.116), but with ‘supportive’ and ‘openness’ predicting more negative responses.ConclusionA trust’s adoption of individualised organisational values does not seem to make a positive difference to its patients or staff. These findings should give NHS managers pause for thought, challenging them to reconsider their reliance on value-defining initiatives, and to seek evidence that a focus on values has measurable benefits on outcomes.

scholarly journals Improving the Usefulness and Use of Patient Survey Programs: National Health Service Interview Study (Preprint)

2017 ◽  
Author(s):  
Kelsey Flott ◽  
Ara Darzi ◽  
Sarah Gancarczyk ◽  
Erik Mayer
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Experience ◽  
National Health ◽  
Care Quality ◽  
Barriers And Facilitators ◽  
Care Staff ◽  
Health Care Staff ◽  
Service Improvement ◽  
Patient Reported

BACKGROUND A growing body of evidence suggests a concerning lag between collection of patient experience data and its application in service improvement. This study aims to identify what health care staff perceive to be the barriers and facilitators to using patient-reported feedback and showcase successful examples of doing so. OBJECTIVE This study aimed to apply a systems perspective to suggest policy improvements that could support efforts to use data on the frontlines. METHODS Qualitative interviews were conducted in eight National Health Service provider locations in the United Kingdom, which were selected based on National Inpatient Survey scores. Eighteen patient-experience leads were interviewed about using patient-reported feedback with relevant staff. Interviews were transcribed and underwent thematic analysis. Staff-identified barriers and facilitators to using patient experience feedback were obtained. RESULTS The most frequently cited barriers to using patient reported feedback pertained to interpreting results, understanding survey methodology, presentation of data in both national Care Quality Commission and contractor reports, inability to link data to other sources, and organizational structure. In terms of a wish list for improved practice, staff desired more intuitive survey methodologies, the ability to link patient experience data to other sources, and more examples of best practice in patient experience improvement. Three organizations also provided examples of how they successfully used feedback to improve care. CONCLUSIONS Staff feedback provides a roadmap for policy makers to reconsider how data is collected and whether or not the national regulations on surveys and patient experience data are meeting the quality improvement needs of local organizations.

Level 3 service delivery: implementation of the oral surgery review

2013 ◽  
Vol 4 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Tara Renton
Keyword(s):  
Medical Education ◽  
National Health Service ◽  
Health Service ◽  
Service Delivery ◽  
National Health ◽  
Oral Surgery ◽  
New Developments ◽  
Level 3

The relatively new specialty of oral surgery really has the opportunity to blossom and expand with new developments and innovations evolving in the National Health Service (NHS). This paper aims to address how we may implement the forward-facing Medical Education England (MEE) review of oral surgery services,1 highlighting both opportunities and challenges.

scholarly journals The effect of external inspections on safety in acute hospitals in the National Health Service in England: A controlled interrupted time-series analysis

2019 ◽  
Vol 24 (3) ◽  
pp. 182-190 ◽  
Author(s):  
Ana Castro-Avila ◽  
Karen Bloor ◽  
Carl Thompson
Keyword(s):  
Time Series ◽  
Adverse Event ◽  
National Health Service ◽  
Health Service ◽  
Time Series Analysis ◽  
Interrupted Time Series ◽  
Care Quality ◽  
Interrupted Time Series Analysis ◽  
Care Quality Commission ◽  
Event Rates

Objectives To evaluate the effect of Care Quality Commission external inspections of acute trusts on adverse event rates in the English National Health Service. Methods Interrupted time-series analysis including all acute NHS trusts in England ( n = 155) using two control groups (new versus historical inspection regime and trusts not inspected). Multilevel random-coefficient modelling of (1) rates of falls with harm and (2) pressure ulcers, from April 2012 to June 2016, was undertaken using the new, resource-intensive regime of Care Quality Commission inspections as an intervention. Data used in the model included dates and type of inspection, patient safety indicators, demographic characteristics and financial risk of hospitals. Results In one year, Care Quality Commission inspected 66 acute trusts (42% of all English trusts) using their new regime and 46 (30%) using their previous one. Prior to inspections being announced, rates of falls with harm and pressure ulcers were improving in both intervention and control hospitals. The announcement of an inspection did not affect either indicator. After inspections, rates of falls with harm improved more slowly, and pressure ulcer rates no longer improved for trusts inspected using both regimes. Conclusions Neither form of external inspection was associated with positive, clinically significant effects on adverse event rates. Any improvement happening before the announced Care Quality Commission inspections slowed after the inspection.

Psychoanalytic Group Therapy in an NHS Psychotherapy Department

2007 ◽  
Vol 40 (1) ◽  
pp. 109-124 ◽  
Author(s):  
Patrick Keown ◽  
Anne Ward ◽  
Sue Davison
Keyword(s):  
National Health Service ◽  
Group Therapy ◽  
Health Service ◽  
Service Delivery ◽  
Group Psychotherapy ◽  
National Health ◽  
Time Points ◽  
Uk National Health Service ◽  
Time Frames ◽  
The Way

In this article we compare a recent audit of the group psychotherapy service at the Maudsley Hospital with Foulkes's description of the same Unit during his tenure there. During this time huge changes have occurred in the NHS (UK National Health Service) both in service delivery and in the way audit is carried out — the main reason why we believe that comparing the two time frames will be of interest to those working in this field. We will also present some more detailed findings from the more recent audit. To set the scene, a description is offered of how the service was organized at these two time points.

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