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React to Red – Reducing pressure ulcers in care home settings

Leading change A Tissue Viability Team at Bassetlaw Clinical Commissioning Group (CCG) led the development of the ‘React to Red’ resource to support the prevention of pressure ulcers in care homes and the community. This resource and programme of work has significantly improved outcomes, experience and use of resources. Where to look The Department of […]

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Improving infection control in nursing care homes using a quality improvement tool

Leading change Infection, prevention and control (IPC) nurses at Bassetlaw Clinical Commissioning Group (CCG) led the development and implementation of a quality improvement tool for IPC in nursing homes. This has improved patient safety and outcomes and improved staff knowledge on IPC. Where to look Care Homes: Infection, Prevention and Control guidance (Public Health England, […]

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Sepsis pathway improvements across Lancashire Care Homes

Leading change The Community Infection Prevention Nurse (IPN) & Sepsis Lead at Lancashire County Council (LCC) led on a programme of work to implement a local community sepsis strategy and a sepsis training and development delivery programme. This has improved service provision for care homes across Lancashire. Where to look Sepsis is a life-threatening organ […]

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Implementation of telemedicine at Airedale NHS Foundation Trust

Leading change Nurse leaders at Airedale NHS Foundation Trust led the implementation of a telemedicine service to remotely provide care at home or in nursing and residential homes. This has significantly reduced avoidable admissions to hospital, supported individuals to remain in their place of residence without needing to travel to receive care and improved overall […]

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Introducing a ‘practice frailty nurse’ into the community setting

Leading change The Lead Nurse for the Care Home Vanguard Programme at Newcastle Gateshead Clinical Commissioning Group (NGCCG) led on the commissioning and implementation of a new role and service for those living at home with frailty. This service has led to improved outcomes, experiences and use of resources across the region. Where to look […]

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A ‘Trial Without Catheter at home’ programme at the Royal Victoria Infirmary

Leading change The Urogynaecology Nurse Consultant in the Department of Women’s Services at the Royal Victoria Infirmary led on the implementation of a new Trial Without Catheter (TWOC) at home service within the Trust. The new service has contributed to improved outcomes, experiences and use of resources locally. Where to look The Royal Victoria Infirmary […]

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Small Changes, Big Impact – Healthcare assistant development in a tissue viability clinic

Leading change The Community Tissue Viability team’s healthcare assistants within Bradford District Care NHS Foundation Trust identified an opportunity to develop the healthcare support assistant role to offer a more personalised, flexible service to patients, carers and their families. The developments have led to improved outcomes, experiences and use of resources within community services as […]

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The ‘No catheter – No catheter associated urinary tract infection’ programme

Leading change The Nurse Consultant at Newcastle upon Tyne Hospitals NHS Foundation Trust led on the development and implementation of a programme of work to improve catheter care and reduce urinary tract infection rates locally. This programme has led to improved outcomes, experiences and use of resources by addressing unwarranted variation in practice. Where to […]

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One to one antenatal and postnatal support for mental health

Leading change Two midwifery support workers in the community midwives team at Northern Lincolnshire and Goole NHS Foundation Trust developed a one to one antenatal and postnatal support service for mental health, which has improved the outcomes and experiences of women throughout their pregnancy and postnatally. Where to look The midwifery support workers identified that […]

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Empowering cystic fibrosis inpatients as second checkers in their IV therapy

Leading change Nurses in medicines management, pharmacy services and ward management at Leeds Teaching Hospitals NHS Trust introduced a new system so that experienced patients with cystic fibrosis (CF) had more involvement in their intravenous (IV) therapy in hospital. Where to look Experienced patients within the CF unit were very concerned that when they were […]

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