Quality accounts and priorities

Quality priorities 2023/24

What are these programmes?

The annually set quality priorities help to deliver the Trust’s quality strategy; ‘quality priorities delivered and supported by a systematic improvement method’, and are agreed as part of business planning each year.

They align with one or more of the Trust’s three strategic objectives and triangulate with areas with the greatest opportunities for improvement, based on an initial review of improvement opportunities looking at triangulation of data sources, including GIRFT, model hospital, top themes from claims, SIs, complaints, FFT and using our Trust challenges framework.

1. End of life care

  • SRO: Iain Beveridge, Hospital Director, West Middlesex University Hospital
  • Project Lead: Louise Robinson, End of Life Care Consultant


Identify and support patients, and those important to them, at the end of life through personalised care planning, ensuring a timely and safe transfer to preferred place of care.


  • >75% of fast track transfers to be delivered in less than 4 days with centralised support for the management of fast track discharges
  • 100% of patients with an urgent care plan attending A&E are identified

2. Effective discharge

  • SRO: Richard Turton, Divisional Director of Nursing
  • Project Lead: Yvette Smith-Roach, Head of Integrated Discharge


A two year transformational piece of work that will utilise digital solutions to ensure accuracy of information and data is being used to make informed decisions. Key areas will then be identified for specific improvement work/plans supported through quality improvement methodology.

This quality priorities aims to achieve:

  • Patient to be discharged as soon as the MDT agree they no longer need acute hospital stay (which will in turn reduce the backlog of medically optimised patients that are in beds).
  • Putting patients are the heart of the plan ensuring that they get good and timely communication at the easiest point possible
  • Staff feel empowered and enabled to effectively discharge patients in a timely manner through support of digital solutions to facilitate early communication to patients, public and community.


  • 95% patients to have an anticipated discharge date (ADD) within 24 hours of admission
  • 75% community/social care referrals (where relevant) completed within 24 hours of admission

3. Frailty and deteriorating patients

  • SRO: Kevin Shotliff, Divisional Medical Director
  • Project Leads: Lydia Dennis, Consultant and Georgi Trodov, Consultant


Improve identification, management, and prevention of frailty through evidence-based interventions, multidisciplinary teams, and data-driven approaches earlier within a patient’s pathway and within the emergency pathway.


  • 35% of Patients aged 65 and over attending A&E or same-day emergency care (SDEC) receiving a clinical frailty assessment and appropriate follow-up
  • 95% of all patient facing staff to have basic frailty training

4. Implementation of patient safety incident response framework (PSIRF)

  • SRO: Gary Davies, Hospital Director
  • Project Leads: Alex Bolton, Associate Director of Quality Governance and Charlotte Deans, Clinical Director for Patient Safety


Implementation of PSIRF in collaboration with Acute Provider Collaborative across the Trust and development of next steps.


  • 95% of staff trained within PSIRF compliance at all levels:
    • Level 1: Essentials for patient safety
    • Level 2: Essentials of patient safety for boards and senior leadership teams
    • Level 3: Access to practice
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