Thursday 13 September is World Sepsis Day and also sees an exciting start to our Leading Change, Adding Value Twitter chat series. Join us at 8pm with our guest tweeters James Merrell, Lead Nurse Deteriorating Patient and Sepsis CQUIN and Natasha Goswell, Deputy Director of Quality and Safety who will be discussing how they identified and addressed unwarranted variation in the early detection and prompt treatment of Sepsis across Weston Area Health NHS Trust.
This Twitter chat presents an excellent opportunity to learn about the practical application of Leading Change, Adding Value and how this unwarranted variation was addressed by taking a multidisciplinary approach in the education and training of staff in Sepsis care, leading to improved outcomes, enhanced patient and staff experience and better use of resources.
James and Natasha will also be joined by Corinne Power, Lead Nurse – Strategic Programmes and Business, NHS England who will be chairing the chat from @6CsLive.
The Twitter handles to follow during the event are:
We will be using #Lead2Add for the Twitter chat – so please don’t forget to include this in your tweets so we can respond and include you in the chat.
Leading Change, Adding Value (LCAV) is the national framework for all nursing, midwifery and care staff. It can be used by everyone, whatever their role, wherever they work.
LCAV was developed to help nursing, midwifery and care staff to apply equal importance to ‘quantifying’ and ‘measuring’ the outcomes of their work as they do to demonstrating the quality and compassion that the professions are recognised for.
The framework specifically looks at reducing ‘unwarranted variation’, where differences in health and care outcomes and patients’ experience can’t be justified by geography or other local circumstances, and how we can make sure that by seeing where variation exists and looking to tackle it, that everyone can receive the same highest standards.
At Weston Area NHS Trust unwarranted variation was identified in the early detection and prompt treatment of Sepsis across the Trust.
Sepsis is a leading cause of death in the United Kingdom (U.K) with a reported 44,000 cases every year (NICE, 2017). Sepsis causes more deaths every year than breast, prostate and bowel cancer combined (U.K Sepsis Trust, 2016). 40% of cases relating to sepsis are severe and 50% of cases are related to septic shock (NICE, 2014). Sepsis is the biggest cause of maternal death in the U.K (World Health Organisation, 2016) and costs the National Health Service over an estimated £2.5 billion per year (Health Care Ombudsman, 2014).
Successful management of sepsis requires prompt recognition, appropriate interventions to identify and control the micro-organisms and restore oxygen delivery to tissues and appropriate escalation and decisive medical management within an hour of red flag sepsis.
It was identified through an audit in September 2017 that the use of the sepsis screening tool at Weston Area NHS Trust was only 17%. This unwarranted variation was addressed through the education and training of all staff, whatever their role, to support them in understanding the basis of sepsis and how to recognise signs and symptoms. This resulted in a large increase in the use of the sepsis screening tool to 96% by January 2018.
To further support improving sepsis identification, the organisation updated its use of national guidelines to NICE NG51, helping to deliver better sepsis care to patients. This was evident in the Trust’s sepsis CQUIN results for timely identification of sepsis in the emergency department (above 80%) and timely identification of sepsis in in-patient areas (100%).
Staff experience has been positive with 100% of staff saying they would recommend the sepsis training to colleagues. Anecdotal evidence from patients and families has also been positive and where there was learning, this has been shared.
Together with our colleagues from Weston Area Health NHS Trust, this Twitter chat is one of the many ways we are engaging with nursing, midwifery and care staff to share learning, and encourage the implementation of Leading Change, Adding Value.
Here you will find a selection of resources that provides further background reading: