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

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GP Career Plus Case Study: Newham Health Collaborative Ltd

NHS England | September 2018 | GP Career Plus Case Study: Newham Health Collaborative Ltd

A new video case study from NHS England  shows the  Newham created a ‘supply and demand’ staff bank that helps retain experienced GPs, provides direct access to experienced clinicians and lowers costs for sessional staff (NHS England).

Improving asthma and COPD in primary care

NHS England | August 2018 | The Atlas of Shared Learning 

A new case study on NHS England’s Atlas of Shared Learning shows how asthma and COPD in primary care can be improved.   Following training for level 6 COPD and asthma care, the practice nurse at a Northumberland general practicerecognised the unwarranted variation between best and current practice within her GP surgery and addressed this by changing how their respiratory conditions were managed with more focus on patient empowerment and self-management, which is having a positive effect on patients ( Source: NHS England).

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The case study looks at how value can be added, changes and lessons learnt

The full case study is available from NHS England 

Driving improvement: Case studies from GP practices

This publication from the Care Quality Commission looks at 10 GP practices that have achieved a significant improvement on their rating.

Key themes

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Image source: http://www.cqc.org.uk

The practices in this report faced similar challenges. They all showed an impressive commitment to improve their service to patients. To achieve this they shared common experiences:

  • strong leadership from a practice manager with the time and skills to lead the practice team
  • addressing staffing and training issues such as poor recruitment or training practices
  • making sure every member of the practice team understood their own and others roles and responsibilities
  • involving the whole team in running the practice
  • involving patients and the local community
  • using external support to help improvement

Their experiences show that improvement in GP practices is possible. The case studies highlight some clear actions that other practices can use to help them learn and improve.

Full report: Driving improvement: Case studies from 10 GP practices

Adoption and spread of innovation in the NHS

This report, commissioned by the Academic Health Science Network, looks at opportunities to accelerate the adoption of service innovation in the NHS, drawing on findings from eight case studies of successful spread of innovation in the NHS | Kings Fund

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From new communication technologies for patients with long-term conditions, to new care pathways in liver disease diagnosis, to new checklists for busy A&E departments, the report details the highs and lows of an innovator’s journey through the NHS.

While thousands of patients are now receiving new innovative treatments for arthritis, diabetes, cardiovascular disease and chronic liver disease, thanks to successful innovations, the report outlines the significant barriers that stand in innovators’ paths.

The case studies reveal common themes:

  • Providers need to be able to select and tailor innovations that deliver the greatest value given local challenges and work in the local context.
  • Fragmentation of NHS services remains a barrier to adoption and spread of innovation, making it harder to develop shared approaches and transmit learning across sites.
  • New innovations may appear simple to introduce but can have a domino effect – triggering a series of changes to diagnosis and treatment, revealing new patient needs and resulting in big changes to staff and patient roles. That’s why staff need time and resources to implement them.
  • As long as the NHS sets aside less than 0.1% of available resources for the adoption and spread of innovation, a small fraction of the funds available for innovation itself, the NHS’s operating units will struggle to adopt large numbers of innovations and rapidly improve productivity.

Full report: Adoption and spread of innovation in the NHS

 

Leeds Teaching Hospitals reducing agency spend case study

This case study shares the experience of Leeds Teaching Hospital NHS Trust on how they reduced levels of medical agency spending | NHS Employers

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The Leeds Teaching Hospitals NHS Trust has reduced its medical agency spend by introducing a central deployment service and making effective use of e-rostering to deliver a consistent and professional approach to the deployment of junior doctors.

This case study details the work the trust has carried out, from the medical workforce team working with medical managers, consultants and junior doctors to standardisation of processes. Read up on the steps they took towards improvement and the successes that have been achieved.

Download the full case study here

Dementia: Best practice repository for clinical commissioning

NHS England has developed a repository of examples and case studies of best practice, which is available via the online Learning Environment.

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In March 2016, NHS England introduced a new CCG Improvement and Assessment Framework (CCG IAF). This framework brings together a range of key indicators, enabling NHS England and CCGs to work together to drive improvement for patients.
The CCG IAF framework has indicators for six national clinical priority areas, including dementia. The dementia indicators are:

  • Estimated diagnosis rate for people with dementia.
  • Dementia care planning and post-diagnostic support.

NHS England recognises that CCGs will have varying levels of need for support based on their performance against the indicators, and in October 2016 published a support offer to help with this.

To substantiate the support offer, the NHS England Dementia Team has developed the Best Practice Repository on the NHS England Learning Environment website. This repository is currently being developed and case studies will be added to the NHS England Learning Environment website along with links to other resources.

View an overview of the resource here

Search for case studies here