Enter and view: Royal Shrewsbury Hospital (Trauma and Orthopaedics Ward)

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Summary of report content

In October 2017, Healthwatch Shropshire conducted an Enter and View visit to the Trauma and Orthopaedics Ward at the Royal Shrewsbury Hospital. The purpose of the visit was to find out whether patients are treated with dignity and respect and have privacy, plus whether staff respond appropriately to meet care needs, including preparation for discharge. Three Enter and View representatives observed activity on the ward, as well as the environment, and engaged with 13 patients, 2 visiting relatives and 4 members of staff. Most patients were complimentary about the care they received and Healthwatch observed many instances of excellent care being delivered. Most patients also felt well informed about their condition and discharge plan. Areas highlighted by participants and Healthwatch for improvement were that the ward is cramped, making it difficult for less mobile patients to safely navigate the space, and that sometimes induction to the ward lacked information. Six recommendations were made to the ward staff and two recommendations were made to the Trust. Many of the recommendations centred around communication between staff and patients and making information available. It was also recommended that patients be encouraged to wear daytime clothing where possible. It was suggested that the Trust look at ways to make a confidential space available to patients and explore ways to address the lack of space on the ward. The Hospital provided a detailed response to the report and have actioned or outlined plans to implement recommendations made, including the introduction of a ‘PJ Paralysis Champion’.

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General details

Report title 
Enter and view: Royal Shrewsbury Hospital (Trauma and Orthopaedics Ward)
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Thursday, 21 December, 2017
Date evidence capture began 
Wednesday, 25 October, 2017
Date evidence capture finished 
Wednesday, 25 October, 2017
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Discharge
Food and nutrition
Health and safety
Information providing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-6667

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Structured interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Acute services with overnight beds
Inpatient care
Orthopaedics

Details of people who shared their views

Number of people who shared their views 
19
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.