Phase 1 Pioneers have worked on their first always events since early Spring 2015, they continue to develop them as well as spreading throughout the services across the Trust.
Lancashire Care NHS Foundation Trust has developed their first always event as:
- We will always support you in your transitions of care
- We will always support you in moving on in care
These always events were developed by asking the service users who accessed the community learning disability team, what was good, what was bad, what needed improving and how could they improve. Some great ideas came from the co-production workshop including the use of photographs on letters so service users could actually see who was sending the letter or who was going to be providing their care next.
Blackpool Teaching Hospitals NHS Foundation Trust are working with patients who have accessed stroke treatment to develop and always event to ensure their discharge is safe and in the words of their patients “I always know what to when I get home or, if not, I know who to contact.” This has included work with all staff groups including pharmacy staff. Medications are key areas where working with patients and their carers to ensure understanding of what is explained/taught to them on discharge is an area where quality initiatives around ‘teach back’ have been explored and implemented, not to test patients knowledge but to test how well the discharge co-ordinator has explained the medications, when to take, side effects etc.
Phase 2 was launched in November 2015 and includes the following pilot sites:
Blackpool Teaching Hospitals NHS Foundation Trust (phase 1)
Area of focus: stroke ward – “Patients always know what to do when they get home or, if not, they know who to contact”.
Lancashire Care NHS Trust (phase 1)
Area of focus: learning disability services – “We will always support you in moving on in care”.
Aintree University Hospital NHS Foundation Trust
Area of focus: medicine ward and major trauma ward – open visitation for family members.
Ashford and St Peters NHS Foundation Trust
Area of focus: dementia-friendly medical ward – what matters to you and your carer?
Calderdale and Huddersfield NHS Foundation Trust
Area of focus: outpatient vascular clinic or orthopaedic clinic – patients understand clinical condition and treatment plans; clinical team understands “what matters to patients”.
East Kent Community Trust
Area of focus: neurology rehabilitation unit in a community hospital – co-design of personalised care plans.
The Royal Marsden NHS Foundation Trust
Area of focus: haematology clinic – patients get the right information at the right time.
Southampton NHS Foundation Trust
Area of focus: medical ward – involvement of patients and family members in planning for discharge.
Taunton and Somerset NHS Foundation Trust
Area of focus: pre-natal care by community midwives – create and implement individualised care plans based on what matters to mothers, fathers and family members.
University Hospitals Morecambe Bay NHS Foundation Trust
Area of focus: post-partum ward – customise immediate post-natal care for the entire family and prepare for discharge.