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. 



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.


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.


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

Breast Cancer Care launches Alexa tool to help women spot key signs

Breast Cancer Care (BCC) has launched a virtual tool on Amazon’s Alexa which shares information on the signs and symptoms of breast cancer | via Digital Health

The tool can help guide women through a breast check and highlight the eight most common signs and symptoms of breast cancer to look out for.

Addie Mitchell, clinical nurse specialist at BCC, told Digital Health News that she hoped the digital tool would help give women more confidence to check for breast cancer. She said: “It gives them the confidence and assurance of being able to check in their own home. Checking for symptoms of breast cancer can cause a lot of anxiety as they don’t know what to look for, but the Alexa tool can help by listing the eight common ones.”

Mitchell added that the Alexa tool will also prompt users who may think they have one or more of the symptoms to get it checked out by their GP.

Full story at Digital Health

Virtual reality treatment to be trialled for stroke patients

Virtual reality could be used to rehabilitate stroke patients if trials are successful thanks to work undertaken by experts at the University of Chester | viaDigital Health Age

The Medical Graphics team at the University of Chester, in partnership with the Countess of Chester Hospital and 3D scanning firm Cadscan, have developed a method of using virtual reality in order for patients to relearn certain tasks.

The project is currently at the start of its two-year funding period from Innovate UK. The first six months will be spent developing software prior to the trial and if the trial is successful then Cadscan could commercialise it and market it to the NHS.

Scenarios that have been developed so far include putting bread into a toaster, pouring water from a jug into a glass and applying toothpaste to a brush with scope for more.

A trial using 60 patients will take place that will last for 12 months involving a more professional version of the application they have currently developed. The aim is that virtual reality can be used to compliment other aspects of rehabilitation – with one of the knock-on effects potentially saving the NHS money.

Full story at Digital Health Age

Digital health solutions to help Parkinson’s patients

People with Parkinson’s may be able to manage their condition with help from apps and devices library launched by Parkinson’s UK and Our Mobile Health | via Digital Health Age

‘Tried and Tested’ aims to offer technological solutions for managing Parkinson’s symptoms, including speech problems, drooling and freezing – and could help up to 145,000 people in the UK.

So far six apps and devices have been approved for the library, with plans to grow it by reviewing existing apps and devices and encouraging new designs from developers.

All the tools featured in the library are designed to help people with Parkinson’s with everyday life. Parkinson’s can affect the voice and affect people’s ability to swallow – also the library features an app that records volume, pitch and speed of speech, with the results easily shareable with health professionals, and one called Swallow Prompt to help prevent drooling. smartphone-1184883_1920

Each app and device first goes through an independent review process used by Our Mobile Health to identify trustworthy digital health tools, before going into ‘real-life testing’ by people living with Parkinson’s.

People can now also try recommended and review apps to help them get some rest, as difficulty sleeping is a common problem for many living with Parkinson’s.

Our Mobile Health sourced the apps from developers and reviewed them against their rigorous quality assurance process, which identifies the ‘best of the best’ apps by reviewing them against ten key attribute areas.  An independent panel of expert reviewers looks at apps across a range of areas including patient safety, data security and indicators of effectiveness. Only apps which meet the standards required are put forward to the charity for real-life testing.

Full story: Apps and Devices library launched to help Parkinson’s patients | Digital Health Age