Better care for patients and service users

This report demonstrates how – in difficult circumstances – trust leaders and staff are coming up with ideas and solutions to deliver better care | NHS Providers

This is the first in a new publication series to promote the work of NHS trusts and foundation trusts in improving care.  This briefing focuses on how trusts have responded to feedback from the Care Quality Commission in a positive and systematic way, encouraging ideas that have made a difference for patients and service users.

The report Providers deliver: better care for patients considers both the leadership approaches and frontline initiatives that underpin improvements in quality. Through 11 case study conversations, it considers some of the frontline work that has contributed to trusts’ improvements in CQC ratings, as well as exploring the role of trust leaders in providing an enabling, supportive environment in which this work has been possible.

Full report: Providers deliver: better care for patients 

See also: NHS Providers blog

Transforming care through technology

This toolkit outlines examples of how Shelford Group trusts are using technology and digital innovations to transform outpatient services in the NHS


This toolkit brings together the work of 10 of the largest teaching and research NHS hospital trusts in England, working together under the umbrella of the Shelford Group. The emergence of new models of care using technology is a primary  theme of the work of the Shelford Group transformation directors, who have summarised the progress in their organisations.

The toolkit shows how Shelford Group organisations have started to deliver many of the  changes highlighted in the NHS Long Term Plan, describing how digitally enabled care  can deliver faster, better access for patients.

The Shelford Group is a collaboration of 10 of the largest teaching and research NHS hospital trusts in England. Case studies from these organisations are included throughout the toolkit and include initiatives that support patients to self care; the provision of better information and advice from patient portals; and the development of wearables and apps.

Full document: Transforming care through technology – a toolkit for new models of outpatient care


Doncaster and Bassetlaw to launch ‘Electronic Observations’

Doncaster Clinical Commissioning Group | September 2019 | Local Hospitals to launch ‘Electronic Observations’

Starting this month (September) staff at Doncaster and Bassetlaw Teaching Hospitals will be adopting a new system to enable health professionals to electronically record patient observations. The launch of eObservations  forms part of DBTH’s ‘Digital Transformation programme’, a scheme of work which is looking at making the most of new technologies in order to improve patient care, safety, experience and treatment.

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One of the most important tasks within any hospital, ‘clinical observations’ is the term used to describe the multitude of tests and exercises which are used to monitor the health of a patient. From temperature checks to heart rate monitoring, these observations help doctors and nurses understand the condition of their patients, guiding treatment if anything changes.

‘eObservations’ will launch within all six adult wards at Bassetlaw Hospital. Using a mobile device (handheld phones), health professionals will be able to record patient observations using a secure app, which then calculates whether these results fall within the ‘normal’ range for the patient, alerting a senior nurse or doctor if urgent attention is required (Source: Doncaster CCG).

The full details of this innovation are available from Doncaster Clinical Commissioning Group



Improved access to MSK services for North Lincolnshire residents

North Lincolnshire Clinical Commissioning Group | September 2019| Improved access to MSK services for North Lincolnshire residents

North Lincolnshire Clinical Commissioning Group (NLCCG) tendered for a new service to provide a single point of referral for the triage, assessment, diagnosis and management of MSK and chronic pain conditions, this represents a significant change to the way in which Musculoskeletal (MSK) and pain services are provided in North Lincolnshire.


Now patients will be referred directly into the new service, meaning they are seen by the most appropriate healthcare professional to meet their needs more quickly. The service is designed to support patients to be more involved in the management of their own condition supported by a range of professionals and resources to meet their needs (Source: NLCCG).

The new service will aim to improve patient outcomes and promote self-management strategies including lifestyle improvement programmes; it will start in January 2020.

Read the full story from North Lincolnshire CCG 


‘NHS Skype doctors and nurses’ prevent thousands of avoidable hospital trips

NHS England | June 2019 | ‘NHS Skype doctors and nurses’ prevent thousands of avoidable hospital trips

An on call Skype NHS team takes around 8,000 calls a year from wardens working in sheltered accommodation, care home staff and community teams looking for expert support for their residents. The innovation is from Tameside, Greater Manchester as part of a programme of integrated services being rolled-out across the country as part of the NHS Long Term Plan, with smart use of technology enabling quicker, more personal care delivered as efficiently as possible.


Previously, they would have had to call an ambulance, but in the last two years they have prevented 3,000 avoidable visits to A&E and freed up 2,000 GP appointments by solving problems via Skype, meaning elderly people get the right support in their own home, avoiding the disruption – and in some cases distress – of an emergency hospital trip (Source: NHS England).

Full details from NHS England 

Investigation into recognising and responding to critically unwell patients

Healthcare Safety Investigation Branch | May 2019 |Investigation into recognising and responding to critically unwell patients

The Healthcare Safety Investigation Branch has published its final report: Investigation into recognising and responding to critically unwell patients, with two safety recommendations and three safety observations published 23 May 2019.
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Final report 

Summary report

NHS staff and parents to gain access to crucial child health information

NHS Digital | April 2019 | NHS staff and parents to gain access to crucial child health information

A new live service which enable access to important child health information at the point of care for health professionals has been launched by the NHS.

The service, the National Events Management Service, securely publishes information on key health interventions for children. Parents and health professionals can securely receive information digitally and use it to inform decisions on care and treatment, the service is the result of collaboration between NHS Digital and NHS England with IT suppliers.


The service shows which preventative interventions a child has received; improving the speed of diagnosis and treatment by giving health visitors and parents access to the same information sources at the same time.

The service has initially launched in North East London in partnership with North East London Foundation Trust (NELFT) and their health visiting and child health services. IT suppliers which already support the Trust have connected their products to the new service.

Full details from  NHS Digital