Leading change A Senior Learning Disability Nurse (SLDN) and Senior Nurse Specialist in Palliative Care addressed unwarranted variation in end of life care for people with learning disabilities in Hertfordshire through education of staff and adapting the end of life model used in care homes. Where to look Hertfordshire County Council Community Learning Disability Nursing […]

Leading change Nurse leaders at Hertfordshire Community NHS Trust have worked with Health Care Assistants (HCAs) to develop their role through additional training so they can lead on insulin administration in the Diabetes Service. The team’s initiative highlights their leadership in quality improvement to address unwarranted variations seen locally in insulin administration and has significantly […]

Leading change Nurses and midwives within West Suffolk NHS Foundation Trust led key elements of the implementation of a smartphone communication app, which has significantly improved the efficiency of communication, patient experience and safety of their services, releasing staff resources to spend more time with patients. Where to look The Trust previously used a pager […]

Leading change A nurse led project at James Paget University Hospitals has identified and implemented opportunities to improve the prompt identification and treatment of sepsis at the Trust. Their project aimed to raise staff awareness and embed best practice. The evidence based care pathway that resulted has reduced sepsis-related mortality and truly improves patient safety. […]

Leading change The nurse lead at Bedfordshire Continence Service undertook a comprehensive service review, developing new systems, processes and pathways in order to address unwarranted variation in their service’s practices, to improve the outcomes and experience of people using their service. Where to look The Continence Service provides advice, support and treatment for people with […]

Leading change The Inclusion Healthcare CIC General Practice Nursing team identified a need to improve the health and wellbeing of the homeless and other marginalised groups with the support of Leicester City Clinical Commissioning Group (CCG). The nurses identified unwarranted variation with low uptake of seasonal flu vaccine amongst those patients who were rough sleepers […]

Leading change A senior staff nurse in the Cancer and Associated Specialties Unit at Nottingham University Hospitals NHS Trust identified unwarranted variation in the pathway of care of suspected neutropenic sepsis patients and led on changes to address these. Where to look Before the change, all patients suspected of having neutropenic sepsis were admitted for […]

Leading change The Designated and Named Nurses for Cambridgeshire and Peterborough CCG introduced a General Practice (GP) Safeguarding Administrator’s Network. The network was established to improve communication, provide a peer support network and encourage collaborative working.  This supported a more uniform process in the administration of safeguarding within local GP providers, reducing the previous unwarranted […]

Leading Change The Patient Experience and Quality Manager for NHS England – Midlands and East identified unwarranted variation in the provision of consistent guidance for managing safeguarding concerns, for frontline healthcare staff. The Patient Experience and Quality Manager, and a nurse-led reference group, successfully rolled out an application (app), initially across the East region but […]

Leading change Nurses within South Norfolk CCG supported residential and nursing homes to reduce avoidable hospital admissions. They developed a checklist and trained care staff in its use, to help them when making urgent calls to other services. There are fewer urgent calls as a result, as the care staff feel better equipped in making […]