Hampshire and Isle of Wight Healthcare NHS Foundation Trust

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

This means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Good. At this assessment, the rating has remained Good.

Good: This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

We rated this key question good because:

• Staff reviewed patients’ health needs and completed assessments based on the patients’ needs.
• Staff had the correct skills and training to work in the service.
• The were always senior staff available and the service had regular multidisciplinary meetings.
• The service took part in regular audits and identified any actions they needed to take.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We saw 4 consultations and reviewed their notes and saw that each patient received a comprehensive assessment of their presenting condition and a review of their history. Staff followed the correct assessment process based on the patient’s needs. For example, staff completed neurologicalobservations for a patient who presented with a head injury.

Staff agreed a personalised care plan with the patient which showed the immediate treatment plan and identified any follow up actions that were needed. For example, going to a GP appointment for follow up care.

Staff followed trust policies and procedures relating to the service to ensure they provided the standard of care patients should expect. Staff had regular safety huddles where they discussed patients’ needs and staff could agree on appropriate treatment.

Staff discussed pain with patients at triage and again when they were seen for treatment, when needed staff gave patients pain relief. Medication records were correct and up to date.

Staff had the correct skills needed to work at the service based on their role. Managers ensured new staff received an introduction to the service. Managers ensured temporary staff had the right skills and were familiar with the service.

Managers could explain how they would manage staff performance issues and knew what support was available from the trust including a structured performance management process if needed.

Staff told us they could access the training, including specialist training, they needed for their role and managers supported them to do this. Managers told us that the team were divided into three groups to allow them to staff the unit and allow all staff to attend training.

There were regular team meetings and managers ensured all staff saw minutes from the meetings. Managers also gave staff information via safety huddles and education boards.

There were always senior staff available to discuss patients if practitioners needed advice. Staff could contact an urgent care consultant when they needed more support.

Staff referred patients to an appropriate service if they needed additional care and treatment following their visit to the UTC. Staff had good relationships with the GP services for the area they covered, local accident and emergency services and could access mental health support if needed.

Staff held regular and effective multidisciplinary meetings to discuss patients and improve their care.

Staff could provide patients with information about healthy living and would encourage them to visit their GP or pharmacist for follow up support.

The trust had ensured patients had access to water. There was other drinks and snack food available from vending machines.

Staff triaged patients on arrival, and a risk assessment was completed when they saw a practitioner, any identified risks were discussed with the patient, and the patient was referred to their GP for additional support.

The service had a continuous audit programme that allowed the service to find any concerns and rectify any issues. The audit programme included audits of medicines management, patient records and clinically specific issues such as head injury, asthma and depression. Managers shared the audit results with the staff team and any actions that they needed to complete at the monthly team meeting.

Patients attended the service independently for treatment. In all episodes of care we saw, the staff member explained what they had to do and got permission from the patient before carrying out the intervention.

Staff explained that they always gave patients information about where else they could receive treatment if they did not need to be seen at the UTC. Staff allowed the patient to decide if they wished to remain for treatment at the UTC.