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3.3.9 Best in Operative Care

The Best in Operative Care (BIOC) group set out the below aims for 2017/18. Improvements have been achieved in all
areas with some ongoing work which will continue to be tracked and supported throughout 2018/19.

Comprehensive Pre-Operative Improving Patient Access Patient Safety First
Assessment Service and Flow
• Recognition and accreditation
• Develop comprehensive • Simple, accurate single • Completion of overarching
pre-assessment service for all process booking system
policy and risk assessment
patients undergoing a general
• Good communication
anaesthetic • Electronic dashboard
throughout all phases of patient
development to provide
• Review processes at journey from clinic to theatre
oversight and assurance
other centres to provide a
• Reduce inpatient bed
benchmark of pre-assessment • Surgical site surveillance for all
requirements
service nationally specialities
• Theatre staff involved in list
• Updated approach to
planning for all specialities
paediatric life support/resus
• Formula 1 theatre teams training
• Private practice • Embed and audit use of
NatSSIPs

Staff Development and Emergency Surgery Materials Management
Well Being
• Senior leadership across six • Enhanced Materials
• 95% compliance with days Management Team
mandatory training and CPD
• Electronic booking system • New contract for
requirements decontamination of surgical
• Development of a set of
• Plan in place for all staff to have Emergency Surgery standards instruments
a qualification for the role they • Theatre non-pay spend in line
perform • Robust training and with budget
development plan in place for
• Human factors training in place
all emergency staff • Capital replacement
• Development of a Band 6 • Review of early bird pathway programme with budget
leadership programme and first • STP and HTE procurement
cohert trained • Coordinate the line list
projects
• Clear development plan for all
staff
• Improved staff survey results
• Communication strategy

• Staff recognition
• Reduction in sickness

Notable achievements included:

• Implementation of ELIS (Emergency List Information System) across all specialties, winning the Game Changing
Innovation award at the staff awards in January 2018.
• Delivering human factors training to over 55% of theatre and surgical staff (from 0% in April 2017).

• Pre-operative assessment delivered to 4,344 children in 17/18 (an increase of 600 patients compared to the
previous year).
• Reduction in never events relating to theatres.

Alder Hey Children’s NHS Foundation Trust 136 Annual Report & Accounts 2017/18