standards that they failed to reach and develop/implement an action plan to rectifythis. They will be the first to be re-audited.A detailed local documentation audit has also been undertaken and alreadyimplemented several changes to practice. In addition these wards have piloted andimplemented the malnutrition screening tool and improved their documentation ofaction taken for each patient regarding nutrition and fluid management. The wardsisters are now looking at the results in more detail in order to identify the next stepsto be taken.These results have also been feedback to the Heads of Nursing and ClinicalMatrons, with the understanding that they will be re-audited by the 14
May 2011 bywhich time; they must achieve the required score.
The NQAT Re-audit plan
From the results, the prioritised list for re-audit will be drafted and implemented fromApril 11. This will then become a rolling program of continuous audit, review anddevelopment. The frequency of re-auditing areas will be taken from the overall scorethat the area achieves as detailed below. A Gantt chart has been prepared to planand monitor this activity and the frequency of the audits is dependent on the scoreachieved and is as follows:
Gold 91% to 100% - Re-audit after 6 months
Silver 81% to 90% - Re-audit after 4 months
Bronze 70% t0 80% - Re-audit after 3 months
Less than 70% is no award and re-audit is after 2 months
The NQAT Question review
Feed back from auditors strongly suggested that some of the questions requiredupdating and made more specific. The audit tool also offered the opportunity tocollect essential data in an efficient way for several purposes. For example the Trustquality account.As a result the content of the audit has been reviewed/completed with keystakeholders, for example infections control team, patient panellist, and ConsultantMedical Staff, matrons, dietetics and resuscitation dept. The questions have also nowbeen labelled by group topic so that the reporting tool can be developed further. Theaudit content will require ongoing review on an annual basis.
The North Bristol Trust (NBT) Professional Principles of Nursing and MidwiferyPractice
In response to this work as well as learning from the Mid Staffs enquiry which statesthat “Trusts
should ensure that its nurses work to a published set of principles,focusing on safe patient care”, the North Bristol Trust Professional Principles ofNursing and Midwifery Practice have been developed, being based on the RCN'sPrinciples of Nursing Practice and articulate what can be expected of nursing &midwifery in any setting (Appendix (3)
NQAT Report – Trust Board – April 20113