Knowledge @lert for Wednesday 17th January
High impact change model examples of emerging and developing practice – LGA
The high impact change model for managing transfers of care identifies eight system changes that will have the greatest impact on reducing delayed discharge. This report references a range of initiatives where there is already evidence of impact, points to examples of emerging practice that are starting to make a difference and includes links to published guidance, and further information.
Nutrition and hydration
NHS Improvement has published a series of resources to encourage providers to follow best practice in nutrition and hydration to reduce the incidence of pressure ulcers and promote good wound healing. The resources include evidence and recommendations for assessment and action when assessing an individual’s risk of developing a pressure ulcer; five top tips to prevent pressure ulcers; and three case studies.
Adoption and spread of innovation in the NHS – The King’s Fund
This article aims to make a pragmatic contribution to the discussion of how to speed up the adoption of service innovation in the NHS. It draws on eight examples of successful spread of innovation supported by academic health science networks.
No hospital is an island: learning from the Acute Care Collaboration vanguards – NHS England
This report covers the learning from 13 acute care collaborations that were established in September 2015 as part of the new care models programme. It highlights six common strategies that have emerged, including the way clinical practices are being standardised; how vanguards are making better use of clinical support services; and how the skills of healthcare professionals are being used more creatively and flexibly.
Fatigue and sleep deprivation – the impact of different working patterns on doctors – British Medical Association
This briefing highlights why doctors are at risk of fatigue and the acute and long-term impacts this can have. It also presents a framework for how Government, organisations and doctors themselves can manage this risk.
Thinking on its own: AI in the NHS – Reform
This report illustrates the areas where artificial intelligence (AI) could help the NHS become more efficient and deliver better outcomes for patients. It also highlights the main barriers to the implementation of this technology and suggests some potential solutions.
NHS efficiency map – Healthcare Financial Management Association
The Healthcare Financial Management Association and NHS Improvement have worked in partnership to update and revise the NHS efficiency map. The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes in the NHS. It contains links to a range of tools and guidance to help NHS bodies improve their efficiency.
Using rotational posts – NHS Employers
This briefing explores how rotational posts can be an effective response to the challenges faced by employers in attracting and retaining staff. It provides examples from NHS organisations and outlines advice on how to implement rotational posts.
Sepsis guidance implementation advice for adults – NHS England
This document describes an operational definition of sepsis and supports the implementation of the NICE guidelines on the identification and treatment of sepsis.
Reducing avoidable hospital based care: re-thinking out of hospital clinical pathways – South East Clinical Senate
Improving health outcomes, preventing serious illness, providing convenient, timely and cost effective care, and avoiding the unnecessary use of acute hospitals, is a shared goal across the NHS, and requires a radical re-think about how and where care is delivered, for both acute and long term conditions. The design and implementation of high quality community-focused clinical pathways now requires the full range of health and social care professionals and their organisations to work together, alongside patient and public partners. New ways of working are required that maximise the impact of available staff, facilities and resources, and creative and innovative but realistic models of care need to be implemented.
Delayed transfers of care: a quick guide – The Kings Fund
Why do delayed transfers of care occur? And what is the impact on the wider health system? We answer some key questions.
Delayed transfers of care: a target that misses the mark? – The Kings Fund Blog
Reducing delayed transfers of care continues to be a priority for the NHS and social care. But since March 2017, the already significant national focus on delayed transfers has increased substantially, as national bodies attempted to arrest the spiralling growth in these delays.
Statistics
- Recorded dementia diagnoses – December 2017
- Patients registered at a GP practice – January 2018: special topic – patients age group comparison January 2014 to January 2018
- Patient Safety Alert compliance data – January 2018
- NHS performance statistics summary – January 2018
- Additional detail can be found within each individual release
- Provisional monthly hospital episode statistics for admitted patient care, outpatient and accident and emergency data – April 2017 – November 2017
- Emerging infections: monthly summaries – December 2017
- Monthly legionella report – December 2017
- NICE technology appraisals in the NHS in England (Innovation Scorecard) – to June 2017
- Waiting time statistics: cancer waiting times – July to September 2017
- Cover of vaccination evaluated rapidly (COVER) programme 2017 to 2018 – July to September 2017
HSJ Roundup (contact the Library for further details)
- Treasury raises ‘PM salary’ pay threshold for NHS managers
The pay threshold for very senior managers in the NHS is no longer tied to the prime minister’s salary and has been increased by more than £7,000 this month. - Carillion collapse: Trust chief ‘optimistic’ new builder will be found for £350m hospital
The chief executive of a trust building new £350m hospital is “cautiously optimistic” a new builder can be found soon to complete the construction after the liquidation of Carillion. - More than 500 staff to transfer from community to acute trust
More than 500 community services staff will be transferred to an acute trust as part of a £20m contract switch paving the way to an accountable care system. - Struggling trust remains ‘inadequate’ despite leadership improvements
A West Midlands hospital where patients died on trolleys last winter has retained its inadequate rating, with the Care Quality Commission saying “it remained severely crowded”. - NHS England given deadline to explain how cuts will not risk patient safety
NHS England has been given three months to explain how it will make large savings from a specialist fund for people with long term health conditions without putting “patient safety at risk”. - Exclusive: Ambitious merger ‘not a Machiavellian plan’, says trust chief
Plans to merge three Essex trusts were proposed after an experiment to run the hospitals as a “group” with one leadership team proved “cumbersome and inefficient”, the chief executive has told HSJ. - Long awaited merger pushed to April 2019
Local NHS leaders have amended the estimated finish date of a long awaited merger in the South West, which they say will make it easier to achieve major service reconfiguration. - Revealed: 14 trusts start contingency plans after Carillion collapse
Contingency plans are in operation across 14 NHS trusts after the collapse of construction and facilities management company Carillion. - Exclusive: Leaked documents reveal bullying and management concerns at trust
Wirral University Teaching Hospital FT doctors reported high levels of bullying and “disconnect” from management, according to documents leaked to HSJ. - Trust ‘sorry’ for 40 per cent A&E performance
Health leaders have apologised to patients after a hospital trust reported performance of 40 per cent against the four hour waiting standard in its main accident and emergency department.
Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** – share your fab stuff!
- 24 Hours in Maternity – Episode Lancashire Teaching Hospitals. Helen and Tracey talk about what it’s like to work in our maternity department.
- Cumbria leads the way in prevention and management of Delirium An innovative new service is helping patients in Cumbria at risk of becoming confused during their stay in hospital. Delirium is mental confusion, which can sometimes occur when people are unwell. It can be caused by a number of things, including infections, dehydration and pain, but with the right support it can be managed or […]
- 24 Hours in Maternity – Episode 1 Lancashire Teaching Hospitals. Linda and Tricia talk about what it’s like to work in our maternity department.
- Dementia Care Tool 1 – Yes it really is YOU Ourselves – the most powerful dementia care tool there is, because how much a person with dementia cooperates and engages depends mostly on us. So knowing how to use yourself as a care tool makes your daily work easier, gives you many advantages and at the same time you spread Joy & Happiness into […]
- ‘All About me’ seeing the patient behind the dementia On Scotter Ward we are passionate about ensuring that our patients living with dementia receive the best possible care whilst they stay with us. My name is Donna and I am the Clinical Team Lead/Ward Sister and a Johns Campaign Ambassador and would like to share a blog that I recently wrote for the Johns […]
- Scheduled On Time Departure from Hospital In about May 2017, I had an idea that on a Monday ward round I should anticipate a complex patient’s discharge from hospital by saying “everything should be ok by Wednesday, so you will be discharged first thing on Thursday morning. On Thursday you will leave the ward at 9 a.m. and if your transport […]