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Introduction of the ‘RAPP’ (Respiration, Activity, Perfusion, Position) Tool to minimise the risk of Sudden Unexpected Postnatal Collapse
Leading change The neonatal practice development nurse and infant feeding midwife at Bedford Hospital NHS Trust led a programme of work to adopt and implement the ‘RAPP’ (Respirations, Activity, Perfusion, Position/Tone) tool (Ludington-Hoe, 2014) in their maternity unit. This programme led to improved outcomes for new-born babies in the unit. Where to look In 2014, […]
Defining the boundaries of Public Health Nursing in Leicestershire
Leading change The Public Health Nursing Leads at Leicestershire Partnership NHS Trust led on the development and implementation of a new model of care for public health nursing, as well as the adoption of a new discharge support tool to empower and enable safe practice. Where to look The RCN (2019) outline the marked improvement […]
Reducing perineal tears during childbirth at Bedford Hospital NHS Trust
Leading change The midwifery Matron at Bedford Hospital NHS Trust led on the implementation of an education and training programme and care bundle to reduce third and fourth degree tears post-partum. The programme has led to improvements in outcomes, experiences and use of resources locally. Where to look In 2017, there were 679,106 live births […]
Improving mentorship at North Staffordshire Combined Healthcare NHS Trust
Leading change The Practice, Education and Preceptorship Lead Nurse at North Staffordshire Combined Healthcare NHS Trust led on the development and implementation of a programme to improve mentorship within the organisation. This programme has shown a variety of improvements including enhanced patient care and experience, more confident students, nurses & Allied Health Partners (AHPs) and […]
Newark acute home visiting service
Leading change Advanced Nurse Practitioners (ANP) at the Primary Integrated Community Services (PICS) in Nottinghamshire have led the development and introduction of a new Acute Home Visiting Service to ensure timely assessment and support for vulnerable patients. The service is preventing hospital admissions, improving patient experience and has led to better use of resources. Where […]
Living with and beyond cancer
Leading change Macmillan Cancer Support and Lincolnshire West Clinical Commissioning Group (CCG) led the development of the programme ‘Living With and Beyond Cancer’ (LWABC). They worked collaboratively with all Lincolnshire CCGs, United Lincolnshire Hospitals NHS Trust, the voluntary sector, Healthwatch Lincolnshire, University of Lincoln, Lincolnshire County Council and other local stakeholders. Nursing and care staff […]
Virtual learning hubs for advanced practice
Leading change The Clinical Quality lead nurse for primary care, working for North and South Norfolk Clinical Commissioning group (CCG), developed bespoke virtual learning hubs to ensure equity of access and engagement for primary care nursing team development. The programme supported local Advance Nurse Practitioners (ANPs) to deliver a national course through work based learning, […]
Urinary tract infection checklist for care homes
Leading change South Norfolk CCG Nurses (Care Home Practitioners) are working with residential and nursing homes across central Norfolk and Waveney to reduce avoidable hospital admission and misdiagnosis of urinary tract infections (UTIs). They developed and implemented a new checklist, to support nursing and care staff within the residential facilities to improve diagnosis and management […]
Improving venous leg ulcer healing in the community
Leading change Tissue Viability Nurses at Nottinghamshire Healthcare NHS Foundation Trust led on the development and implementation of a new standardisation approach to venous leg ulcers within the community. This programme of work has addressed unwarranted variation in venous leg ulcer treatment and management in order to deliver better outcomes, experience and use of resources […]
Introduction of a new Nurse Angiographer role to reduce Catheter Laboratory waits
Leading change The Consultant Nurse at Buckinghamshire Healthcare Trust, Cardiac Day Unit and Catheter Laboratory, led on the development and introduction of a new nurse angiographer role within their Trust. The role reduced unwarranted variation seen in waits for catheter laboratory services and has led to improved experience and outcomes for patients using the service. […]