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Welcome to the Innovation & Improvement online newsfeed. Here you’ll find all the latest research, news stories, policy updates and guidelines. View our other newsfeeds for more subject-specific news.

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Royal Cornwall Hospital: Improving sepsis screening and treatment

NHS England | November 2018 | Royal Cornwall Hospital: Improving sepsis screening and treatment

A case study from NHS England  shows how the Royal Cornwall Hospital formed a cross-speciality panel and employed a dedicated sepsis nurse to improve patient outcomes.
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The  trust recognised that sepsis affected patients at all stages of the patient journey in hospital; from day of admission to awaiting discharge, from clinic visit to post-operative recovery, and therefore a range of specialties had to be represented in drawing up the quality improvement plan. The establishment of a national CQUIN which sampled sepsis screening and treatment from across the hospital population helped to provide impetus towards a trust-wide co-ordinated approach.

The  trust raised mortality to national average and saw an increase in  emergency department assessment for sepsis from 52% to 89% from April 2015 to December 2017.

Timely treatment increased from 49% to 76% in the same period. In-patient assessment for sepsis increased by 8 per cent from 68 per cent to 70 per cent from April 2016 to December  2017 and timely treatment increased from 58 per cent to 80 per cent for these patients. This has contributed to the improvement in patient outcomes (Source: NHS England).

Case study in full at NHS England 

Advice line for GPs saves hours of travel for patients and £100k to be reinvested back into NHS

NHS England | November 2018 | Advice line for GPs saves hours of travel for patients and £100k to be reinvested back into NHS

The Walton Centre in Liverpool – the only specialist hospital trust in the UK dedicated to providing comprehensive neurology, neurosurgery, spinal and pain management services-   runs an advice line which means GPs in the Cheshire and Merseyside area can call neuro consultants for fast advice any weekday reducing extra patient appointments. 

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So far the service has received 181 calls 37% were resolved by the GP saving £51,698 which over a year saves around £100k.

Programme Director Julie Riley said: “We want to deliver services closer to home and when patients do come into hospital, support them so they can recover and go home quicker. From a patient point of view, we want to work in partnership with them. We, our consultant colleagues and GPs want to support them in self-management, where appropriate – rather than taking a paternalistic approach.”

Read the full case study at NHS England 

IHI Psychology of Change Framework

Institute for Healthcare Improvement | November 2018 | IHI Psychology of Change Framework 

Institute for Healthcare Improvement has produced a white paper as a guide for all leaders interested in understanding the underlying psychology of change and leveraging its power to impact quality improvement efforts: to achieve breakthrough results, sustainably, at scale.

The paper presents a framework and set of methods for the psychology of change — five interrelated domains of practice that organizations can use to advance and sustain improvement:

  • Unleash Intrinsic Motivation
  • Co-Design People-Driven Change
  • Co-Produce in Authentic Relationship
  • Distribute Power
  • Adapt in Action

Read the white paper here 

Technology in care

Care Quality Commission | November 2018 | Technology in care

The Care Quality Commission (CQC) have published a series – Technology in care- which shows how technology is used, the benefits of its usage and it also includes examples of best practice .

Introduction: How technology can support high-quality care

Using surveillance in your care service

Check the way you handle personal information meets the right standards

Find out if you need consent to use technology as part of someone’s care

 

NHS to provide life changing glucose monitors for Type 1 diabetes patients

NHS England | November 2018 | NHS to provide life changing glucose monitors for Type 1 diabetes patients

Simon Stevens Chief Executive of NHS England  has announced that thousands of people with diabetes will be able to access Freestyle Libre; a wearable sensor that means those with the condition no longer need to rely on inconvenient and sometimes painful finger prick blood tests, as the device works by relaying glucose levels to a smart phone or e-reader.  This announcement marks an end to the current variation  some people in different parts of the country were experiencing. 

 

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The pioneering technology should ultimately help people with Type 1 diabetes achieve better health outcomes and benefits for patients include:

  • Easily noticing when sugar levels are starting to rise or drop, so action can be taken earlier
  • Giving patients more confidence in managing their own condition
  • Not having to do as many finger-prick checks (Source: NHS England)

Read the full announcement from NHS England

In the media:

BBC News Diabetes glucose monitors ‘available to thousands more’

Instant messaging services a “vital part of the NHS toolkit” during a crisis

NHS England | November 2018 |Instant messaging services a “vital part of the NHS toolkit” during a crisis

New guidance from NHS England will help NHS organisations and staff to make a judgement on how and when to use instant messaging safely in acute clinical settings, taking in to account data sharing and data privacy rules.

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Simple steps that staff should take include:

  • Only using apps and other messaging tools that meet the NHS encryption standard
  • Not allowing anyone else to use their device
  • Disabling message notifications on their device’s lock-screen to protect patient confidentiality
  • Keeping separate clinical records and delete the original messaging notes once any advice has been transcribed and attributed in the medical record.

Dr Helgi Johannsson, Consultant in Anaesthesia at Imperial College Healthcare NHS Trust, set up a major incident instant messaging group to help coordinate his hospital’s response to Grenfell Tower after learning a key lesson during the Westminster attack.

Dr Simon Eccles, Chief Clinical Information Officer for Health and Care, said: “Helping people during a crisis like the Grenfell fire, demands a quick response and instant messaging services can be a vital part of the NHS toolkit. Health service staff are always responsible about how they use patients’ personal details and these new guidelines will help our doctors and nurses to make safe and effective use of technology under the most intense pressure.” (Source: NHS England)

Read the full release here 

Related:  NHS England  Information governance and technology resources

In the media:

The Telegraph  NHS tells staff to use WhatsApp to communicate during emergencies

Nursing Times  New NHS guidance sanctions use of WhatsApp by nurses in emergencies

Increasing continuity of care in General Practice

The Health Foundation is supporting five large-scale GP practices and federations to carry out targeted improvement work to increase continuity of care in their practices.

The Increasing Continuity of Care in General Practice programme will explore what continuity of care will look like, considering relationships between GPs and patients, and also examining whether better information and management practices can help increase continuity with the aim of bringing benefits to both staff and patients.

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This programme is inspired by recent Health Foundation research which demonstrated that patients with ambulatory care sensitive conditions who see the same GP a greater proportion of the time have fewer unplanned hospital admissions. The programme has been developed with the advice and support of the Royal College of General Practitioners.

Each project will run for up to two years and each project team will receive up to £250,000 of funding to support the implementation, evaluation and dissemination of findings from their work.

Full story at The Health Foundation