St. Margaret's Hospice has pledged to improve patient safety by signing up to the national Sign up to Safety campaign.

The national campaign is to help organisations address the problem of unsafe care and avoidable harm.

St. Margaret's have signed up to the campaign and pledged the following:

Put safety first. Commit to reducing avoidable harm in the NHS by half and make public our locally developed goals and plans.

Continually learning. Make our organisation more resilient to risks, by acting on the feedback from patients and staff and by constantly measuring and monitoring how safe our services are.

Being honest. Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong.

Collaborating. Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use.

Being supportive. Help our people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate progress.

To be able to complete these pledges we have planned the following:

Put safety first

We will:

  • work with staff and volunteers to ensure that “safety” is regarded as everyone’s responsibility
  • circulate and promote the information and resources that are made available on the Sign up to Safety website
  • develop our patient electronic recording system “ Crosscare” to ensure that it is a safe and effective multidisciplinary recording tool
  • produce and publicise an annual quality report to include all aspects of patient safety
  • keep abreast of local, regional and national developments/initiatives in order to maximise every opportunity to improve patient safety
  • develop our dementia friendly facilities and understanding

Continually learning

We will:

  • continually learn from complaints/concerns and accidents/incidents/near misses.
  • improve our spot checking system to ensure that we have changed practice as a result of lessons learnt
  • develop the use of patient stories and filming to complement current methods to collect patient and carer feedback
  • work alongside patients and carers to promote their own safety awareness
  • undertake annual patient led assessment of the clinical environment (PLACE)
  • improve staff confidence and compliance on the completion of risk assessments

Being honest

We will

  • encourage an open and honest culture whereby staff are not afraid to admit mistakes
  • promote to staff the benefits and importance ofreflecting on their practice and completing reflective accounts
  • educate and produce a leaflet on the “Duty of Candour” to ensure that staff understand and are compliant with its principles.
  • improve skills of senior staff to communicate with patients and carers if/when mistakes occur
  • encourage staff to be aware of patient safety risks and how to address them
  • improve our drug error reporting procedure so that it is fair, consistent, timely and objective


We will

  • provide education for our health and social care colleagues to enhance knowledge and skills to ensure that patients receive the best quality care in whatever setting they are in.
  • support the Somerset Care Homes to increase and improve EOL care through the:
    • joint project with the CCG in three identified nursing homes
    • tele-medicine pilot linking SWAST, 24 hour advice line and identified care homes
    • End of Life champions course for RNs and HCAs in Nursing Homes
  • undertake joint working with the Palliative Care Consultant Consortium to deliver training sessions across the county to community nursing staff
  • develop joint working with regional collaborative groups such as the Somerset Pressure Ulcer Collaborative and Falls Collaborative
  • embed the new model/s of care from the Fit For Future review and support staff and volunteers through the change process

Being supportive

We will

  • embed the principles of the Patient Safety “Just Culture”. If you:
    • make an error you are cared for and supported
    • behave in a risky manner by not adhering to policies you are asked why first before being judged
    • recklessly and intentionally put your patients or yourself at risk you are accountable for your actions
  • encourage better attendance at significant event meetings
  • introduce Schwartz type rounds
  • produce an action plan from the July 2015 staff and volunteer survey
  • develop systems to reward staff and celebrate success
  • support the re-validation process for all our registered nurses

For more information please click here.