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Oxford University Hospitals NHS Foundation Trust

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Quality Priorities

Each year we work with our patients, staff and commissioners to agree a number of priorities for development.

Working together to achieve quality

The Trust has a Quality Strategy aimed at building high quality healthcare based on national and international comparisons and to improve our performance in three key domains:

  • Patient Safety
  • Patient Experience
  • Clinical Effectiveness and Outcomes

Our vision for quality is to be:

Recognised as one of the UK's highest quality healthcare providers. All our clinical services will provide high quality healthcare; some will provide care that is internationally outstanding.

Our quality domains apply to all staff and departments. We strive for excellence in healthcare by encouraging a culture of support, respect, integrity and teamwork; by monitoring and assessing our performance against national and international standards of care; by learning from our successes and setbacks; by striving to improve what we do through innovation and change; and by ensuring we work in partnership and collaboration with all local agencies of health and social care.

Our Quality Strategy has also been informed by both staff and patients through a number of workshops. We need to understand not only what quality means to us as healthcare professionals, but also what matters to our members, patients and their families. All service areas have developed posters outlining their quality priorities specific to their patients' needs and these are displayed in service areas.

Our aim is to deliver continuous improvement at all levels in the quality of our services in the pursuit of the best patient-centred care.

Our quality goals and priorities

We have always been committed to providing the highest standard of care and we listen to the views of our patients, our staff, our commissioners and other stakeholders to ensure we continue to deliver improvements.

Twice a year, we invite public and patients to tell us what matters to them to help inform our quality goals. Those attending highlight issues ranging from clinic appointment times to better communication and greater involvement in Trust service development.

Quality Priorities 2019/20

Patient safety

Reducing Never Events - particularly around safe surgery and procedures

Prevent Never Events, avoidable adverse events which should not happen if specific safety checks are consistently applied, by for example producing more OUH Local Safety Standards for Invasive Procedures (LocSSIPs).

Launching the new version of the National Early Warning Score (NEWS2)

Standardise the assessment and treatment of acutely unwell patients through the Trustwide implementation of NEWS2 by 30 June 2019.

Patient Safety Response Teams

Run a pilot on the John Radcliffe Hospital site for 8-12 weeks and evaluate the impact before a Trustwide rollout is considered - the team will review all moderate and above clinical harm incidents daily and, if required, visit clinical areas to support patients, relatives and staff.

Reducing stillbirths

Reduce stillbirths by 20 percent by 31 March 2020 by introducing the five elements in NHS England's Saving Babies' Lives Care Bundle.

Clinical effectiveness

Sepsis care – antibiotics within one hour

More than 90 percent of sepsis patients to receive antibiotics within one hour by 31 March 2020 because prompt treatment can reduce the duration and severity of subsequent illness.

Reducing the number of 'stranded' patients

16 percent reduction in the number of patients with an extended length of stay in hospital (more than 21 days) by 31 March 2020.

Digital - rollout of the SurgiNet module in Cerner Millennium

To support best care for patients undergoing surgery and procedures.

Patient experience

Patient Portal to support better interaction with hospital services

A new, secure online system that will enable patients to access more healthcare information as it is rolled out to more services and becomes available via smartphone as well as online.

Care of patients with mental health issues

Child and Adolescent Mental Health Services (CAMHS) and Emergency Department Psychiatric Service to see 100 percent of patients referred to them within one hour by 31 March 2020.

Home Assessment Reablement Team (HART) services

By 31 March 2020, 60 percent of patients supported by HART after leaving hospital to be able to live independently at home.

We also consult with our commissioners to determine local goals in terms of quality and innovation projects. These are known as CQUINs (Commissioning for Quality and Innovation) and are aimed at supporting shared priorities for improvement.

You can read more about the activities we undertake to improve all aspects of quality in our Quality Account. This details our achievements in delivering patient safety, clinical effectiveness and improving the patient experience, and highlights our priorities.

For information about the Trust quality priorities for this year please see our Quality Account via the link below.

Quality Accounts and Commissioning for Quality and innovation (CQUIN) goals

DEPARTMENTS AND SERVICES