Helping to address delayed discharges

A new specialist service in South London is bringing together housing, clinicians and discharge teams to work with patients whose housing problems are delaying their discharge from hospital | NHS Confederation

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This briefing reports on a a new specialist service based in Croydon, South London. The service  supports patients to move on from hospital to either supported living, the private rented sector, council properties or hostel accommodation. They are helped to access funding, legal advice, benefits and other services.

Insecure housing is often cited as reason for patients being admitted to hospital. The Crisp report (2016) found that 16 per cent of patients on acute wards were delayed discharges, and that 49 per cent of these patients could not be discharged due to a lack of suitable housing. In response to this, South London and Maudsley NHS Foundation Trust commissioned a new specialist service to be based within Bethlem Royal Hospital to work alongside clinicians and the current discharge team.

Since launching in February 2017, more than 200 patients in Croydon have been supported with housing, which has allowed them to leave hospital quicker.

Full briefing: Helping to address delayed discharges in South London: the HAWK/SLaM service

 

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District nursing students lead change to reduce pressure ulcers in care homes

NHS England | October 2018 | District nursing students lead change to reduce pressure ulcers in care homes

District nursing students at the Bradford District Care NHS Foundation Trust (BDCT) led a programme of work to reduce the incidence of pressure ulcers in local care homes.  A case study of the programme is featured on NHS England’s Atlas of Shared Learning, it has demonstrated pressure ulcer reduction, as well as improved staff and resident experience, combined with better use of resources (NHS England).

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See also: Nurse leadership in providing a virtual community placement for nursing students

Nurse leadership in providing a virtual community placement for nursing students

NHS England | August 2018 | Nurse leadership in providing a Virtual Community Placement for nursing students

A recent addition to NHS England’s Atlas of Shared Learning is a case study of a nurse leadership in providing a virtual community placement for nursing students (NHS England).

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A Quality, Health and Innovation Lead in the Nurse Development Team at Bradford District Care NHS Foundation Trust (BDCFT) has developed a new placement model for  first year nursing students, to address variation in the experience and opportunities available to them.

Read the full case study at NHS England 

Of interest:

NHS England | District nursing students lead change to reduce pressure ulcers in care homes

Improving quality and cost

Approaches to better value: improving quality and cost | The Kings Fund

  • The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest possible cost.
  • This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement. It draws on interviews, roundtables and site visits with senior leaders in the NHS who are committed to developing better value services.
  • The report suggests a wide variety of approaches are being taken to improve value in the NHS. These include top-down programmes that focus on a wide range of clinical services from their inception, to value improvement strategies that are more organically grown from a few individual services until they cover a wider breath of hospital-based care.
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Image source: http://www.kingsfund.org.uk
  • While there are differences in how organisations are approaching value improvement, there are also several common conditions for success. These include fidelity to a clearly defined strategy that brings the various strands of value improvement work together; recognition that value improvement is a long-term commitment that will require considerable staff time and resources; and a new leadership approach that requires continuous engagement with frontline clinicians and managers.

Full report: Approaches to better value: improving quality and cost

Summary available here

Maths, baths and computer models: ways to make health services more efficient

Nuffield Trust | October 2018 | Maths, baths and computer models: ways to make health services more efficient

In a new post on the Nuffield Trust’s blog, Chris Sherlaw-Johnson looks at different approaches being used to improve the efficiency and effectiveness of health services, and explains the value they could bring to the NHS.

Sherlaw- Jones also cites other health care applications stream describing how mathematical and computer models are used to improve the efficiency and effectiveness of health services.

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These  include:

  • Developing a predictive model using information on the referral forms for breast cancer screening to establish the risk of abnormal screening results. Then hospitals can investigate the consequences of choosing different thresholds for identifying high-risk women, using a computer simulation that models the processes of screening, diagnosis and treatment, and their influences on clinical outcomes.
  • Using mathematical formulae of queueing behaviour to evaluate different approaches for reducing overcrowding in emergency departments and achieving the four-hour target. This has been used to explore what would happen if, for example, low acuity patients were managed differently, or if beds were freed up quicker.
  • Developing a system for helping surgeons plan their schedules based on what is known about their case mix.
  • Using computer modelling to help design the layout of a hospital.

Read the full post at Nuffield Trust 

Wellcome funding available for innovative health research

Wellcome | Innovator Awards 

Researchers who are transforming great ideas into healthcare innovations that could have a significant impact on human health are eligible to apply for funding awards from the Wellcome Trust. The awards are up to £500,000, or up to £750,000 for multidisciplinary collaborations. 

Individuals and teams from not-for-profit and commercial organisations can apply.

 

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You can work in any scientific discipline, including a discipline outside life sciences. You can work on any type of technology. Examples of technologies include:

  • therapeutics (small molecules or biologics)
  • vaccines
  • devices
  • diagnostics
  • regenerative medicine.

The work that you propose must be essential for developing your healthcare innovation (Source:  Wellcome).
Full details available from Wellcome  

Outpatients app ‘saving NHS millions’

A new app which enables patients to manage their outpatients appointments at the touch of a button could save the NHS millions of pounds | NHS Confederation

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A new app developed by  Milton Keynes University Hospital NHS Foundation Trust allows patients to change and confirm appointments on a smartphone, tablet or computer, with outpatient letters emailed in real time. Described as the ‘Ocado app for outpatients appointments’, the portal speeds up the medical booking process, giving patients greater choice and flexibility.

The new app, called MyCare, is also saving staff time and money, significantly reducing the amount spent on staff administration and postage.

Milton Keynes is the first NHS hospital to provide the ability for people to directly manage their appointments, including rearranging them solely online without needing to call the hospital. The trust, which used to send over 400,000 letters a year, will save over £1 million in postage, stationery and admin costs in 2018/19.

Full detail at NHS Confederation