The Melbury Clinic publishes a monthly Quality Assurance (QA) report to demonstrate to members of the public and to referring doctors and other healthcare professionals just how seriously we take Quality and Safety. In addition, we monitor our performance over time and against standards which we have set ourselves as well as against independent national standards whenever they might apply. The Clinic Manger introduced this initiative at the beginning of the year.
The QA report for April is published below. You can see that we monitor accidents, incidents, near misses and complications such as infections and admissions to hospital. The Clinic Manager has a robust system for recording such events, analysing them at our Clinical Governance Meetings and disseminating lessons learned to all members of staff so that patient safety is continuously improved. The Manager also monitors our performance against national guidelines such as those from the National Institute of Health and Care Excellence. In the light of this information, modifications may be made through changes in our policies and procedures.
In our QA report below, you will also see how we monitor quality and how we make changes. For example, the Clinic has set itself a zero tolerance for complications in areas such as deep vein thrombosis (DVT), collapse, infection, allergic reactions, medication errors and emergency admission to hospital. Our report shows that the Clinic met this target in April in all areas. In addition, the Clinic monitors the Quality of the Vein Treatments against NICE Guidance QS67. The report below demonstrates that the Vein Clinic met the NICE standard in all cases: all new patients being considered for treatment were examined by Duplex Ultrasound and all patients who were treated in April received endo-venous interventions in line with NICE Guidance CG 168.
In April, the Clinic Manager investigated two events and these led to changes in the way the clinic works: that is, the policies and procedures of the clinic were amended and modified in the light of our monitoring and investigations.
One event involved a patient who was treated with a toe ring in place. In general, we prefer patients to remove foot jewellery before any leg vein treatment, the reason being that in very rare cases, the procedure may be followed by a degree of foot swelling and tight toe rings could pose a risk to the circulation of that toe. Fortunately, in this case, this problem did not happen, but the Clinic Manager recorded the event as a “near miss“. After it was investigated, the Clinic Manager changed the policy of the clinic such that staff will now enquire about foot jewellery whenever a patient is booked for treatment and, when relevant, staff will advise that it is removed prior to treatment.
The other event involved an elderly patient who had a very low pulse rate during the procedure. It was recognised for the first time at the start of the procedure. An electrical recording of the patient’s heart (ECG) was made and this delayed the start time of this patient’s treatment. The patient’s ECG was analysed by the treating doctor and the patient was monitored continuously by ECG throughout the procedure; he did not develop any complications. However, after a full investigation, the Clinic Manager changed our policy such that patients over the age of 70 years will now have a pre-treatment blood pressure and pulse observations taken prior to the day of treatment. If necessary, ECG recordings can be carried out and analysed for abnormalities prior to the day of treatment.
This month’s QA report also gives information about the feedback we have received, audits undertaken, meetings held and improvements made. Of note is that no complaints were received and feedback from a variety of sources has been very positive.
If you would like more information about any aspect of our QA report, do please contact us. In addition, if you would like to send us feedback about your care at The Melbury Clinic, positive or negative, we are always pleased to hear from you.
There are many ways for you to give feedback
- calling us by telephone
- verbally to any member of staff
- using the contact form on the website
- filling our survey form
- sending feedback directly to our regulator, the Care Quality Commission
- On the independent website, IWantGreatCare
- making a complaint