The King’s Fund was commissioned by Oxleas NHS Foundation Trust to work with their Quality Board to facilitate an assessment of its existing approaches to quality improvement and to develop a strategy for future work.
This case study details the approach and philosophy behind this work, which involved working with the trust’s five directorates to develop their ability to appraise their own approach to quality improvement with a view to improving performance, achieving better clinical outcomes and building further on the trust’s capacity as a learning organisation.
NHS England has worked with staff and patients in four mental health trusts to improve the cardiovascular (CVD) health outcomes and reduce premature mortality in people with serious mental illness.
CVD is the biggest cause of death in this patient group. The toolkit builds on the findings from this project and shares materials from the four pilot sites that other trusts can build on and adapt for their own use locally.
The project was independently evaluated by the Royal College of Psychiatrists which found that:
Inpatients receiving all five recommended CVD screens increased from 46% across all sites at baseline to 83% at follow-up.
Interventions delivered to those who needed them as a result of appropriate screening rose from 79% to 94%.
This report aims to further understanding of the burden of physical inactivity in terms of health and economic impact. The estimates provided here are a starting point in understanding the cost of physical inactivity in England as a result of treating adverse health outcomes