Enter and view: Royal Shrewsbury Hospital, Ward 21

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Summary of report content

Healthwatch Shropshire conducted an announced Enter and View visit to Ward 21 of the Royal Shrewsbury Hospital, a newly created Supported Discharge ward, on 6 December 2017. The ward has been created as a temporary unit to reduce winter pressures in the rest of the hospital and is designed to accommodate patients who are medically fit for discharge whilst their discharge package is finalised. The focus of the visit was to: observe the layout of the ward and the staffing arrangements; understand the assessment processes for transfer to ward 21; understand the contributing factors that delay a patient’s discharge from hospital; speak to patients about their experiences in hospital and their understanding of the reasons for their transfer to ward 21 and the arrangements for their discharge; and to find out if patients feel they are treated with dignity and respect and feel comfortable on the ward. The Enter and View Authorised Representatives found that patients who lived in Wales faced longer stays in hospital than Shropshire residents and that most of the patients they spoke to felt that the communication with them could be improved, either by being provided with written information, or by staff speaking to the patient themselves rather than to relatives and carers. The assessment processes and liaison with other parts of the hospital were observed to work well and patients were treated with dignity and respect. It was noted that, although there were a number of patients living with Dementia on the ward, there were no security measures in place to ensure their safety. Healthwatch Shropshire made three recommendations one of which was that the Trust reviewed their approach to meeting the communication needs of all their patients and their carers, and makes any changes necessary to implement all the requirements and meet the conformance criteria laid out in the NHS Accessible Information Specification produced by NHS England. The Matron for ward 21 responded very positively to the report and has taken action against all recommendations and have also undertaken to produce an information booklet for patients explaining Ward 21 processes.

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General details

Report title 
Enter and view: Royal Shrewsbury Hospital, Ward 21
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Thursday, 8 March, 2018
Date evidence capture began 
Wednesday, 6 December, 2017
Date evidence capture finished 
Wednesday, 6 December, 2017
Type of report 
Enter and view
Key themes 
Administration
Admission
Building and facilities
Communication between staff and patients
Continuity of care
Discharge
Engagement
Health and safety
Holistic support
Information providing
Integration of services
Quality of care
Referrals
Service delivery organisation and staffing
Staff levels
Support
Healthwatch reference number 
Rep-6775

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
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
Care of the elderly
Dementia
Discharge lounge
Social care services 
Adult social care
Community services 
Continuing care

Details about conditions and diseases

Conditions or diseases 
Neurological conditions
Types of disabilities 
Multiple
Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
11
Age group 
Not known
Gender 
All
Ethnicity 
All
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Nurses
Service manager
Does the information include other people's views? 
No
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
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact
Tangible Impact (cost related)
Tangible impact (not cost related)

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.