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We will extend the work we are doing with national partners (Situational Awareness For Everyone S.A.F.E) to all inpatient areas at Sheffield Children's

All inpatient wards will hold twice daily safety huddles.

There will be Quality Boards on all inpatient wards and Paediatric Early Warning System (PEWS) audit data will be displayed.

We will embed the World Health Organisation checklist across all theatres at Sheffield Children's.

We will audit our theatre checklist documentation.

There will be no further wrong site Never Events.

The Medical Director will lead a robust, evidence-based junior doctor induction programme twice yearly. 

We will evidence attendance on the programme.

We will retain an audit trail of programme content. 

There will be an executive review of safe staffing and patient acuity twice a day. This will be triangulated at the end of the month with our recently acquired PANDA software. 

We will retain our twice daily bedstates.

We will retain our Monthly Paediatric Acuity and Nurse Dependency Assessment (PANDA) data.

The Director of Nursing and Quality will report this to every Board of Directors meeting. 

We will write an escalation policy for the deteriorating child at our respite care centre Ryegate House. All staff will be trained on escalation and support staff will demonstrate 100% compliance with basic life support, tracheostomy and Sim competencies. 

We will have a ratified escalation policy in place.

We will have competency documents for support staff in place and maintain contemporary records of staff training and competency. 

We will demonstrate Trust-wide compliance with Department of Health 2014 'Positive and Safe' guidance on reducing restrictive practice. 

We will maintain and update our reducing restrictive practice action plans.

Our Board will receive outline and update papers on our progress against reducing restrictive practice. 

We will roll out eDMS (electronic document management system) across the Trust to reduce harm from communication issues.

All patient documentation will be accessed via eDMS.

We will develop our patient experience strategy and demonstrate how we have used this data to improve care for our patients.

We will have a Patient Experience strategy document.

We will provide monthly and quarterly papers on how we have responded to patient feedback to our Quality Committee.

We will provide real time feedback via our 'You said We did' boards.

We will develop systems to ensure that our staff receive timely feedback on incidents reported and enable them to learn from incidents across the Trust.

We will have a system of meetings, updates and newsletters in place.

We will report monthly on our compliance with our Duty of Candour responsibilities.

This data will be included in our integrated governance report monthly.