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 and make public our goals and plans.

Be more resilient to risks as an organisation, by acting on the feedback from patients and by constantly measuring and monitoring how safe services are.

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

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

Be supportive. Help 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
  • continue to monitor patient falls, pressure ulcers and medical incidents, reducing numbers where possible whilst also promoting patient independence
  • 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

Be more resilient to risks as an organisation

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
  • utilise “You said, We did” feedback boards to publicise what we have done in response to feedback from patients and carers
  • develop IT systems to improve data collection and monitoring of patient safety
  • improve staff knowledge on safeguarding, MCA, DoLS and restraint
  • work alongside patients and carers to promote their own safety awareness

Be honest

We will

  • encourage an open and honest culture whereby staff are not afraid to admit mistakes
  • 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


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
  • engage with our colleagues in the Somerset CCG and our commissioners to ensure that we are working effectively and efficiently together to improve and enhance the quality and safety of our service
  • develop joint working with regional collaborative groups such as the Somerset Pressure Ulcer Collaborative and Falls Collaborative
  • continue to benchmark our numbers and severity of falls, pressure ulcers and medical incidents with other hospices regionally and nationally and share results with staff and stakeholders
  • review and improve our trustee walk the floor programmes to mirror CQC kloes.

Be supportive

We will

  • educate staff on the value of reflection as a tool to learn from positive as well as negative events
  • encourage better attendance at significant event meetings
  • encourage staff to report the concerns they have resolved, so that we all benefit from lessons learnt
  • introduce Schwartz rounds
  • produce an action plan from the July 2015 staff and volunteer survey
  • develop systems to reward staff and celebrate success

For more information please click here.