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Improving smoking cessation in pregnancy at East Suffolk and North Essex NHS Foundation Trust

Leading change The Clinical Specialist Midwife worked collaboratively with the smoking cessation midwife in the Colchester Hospital maternity unit at East Suffolk and North Essex NHS Foundation Trust (ESNEFT) to lead on the development and implementation of a smoking cessation service for pregnant women. This programme of work has led to improved outcomes, experiences and […]

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Development of the ‘Avoiding Falls Level of Observation Assessment Tool’

Leading change The Matron and nurses in the falls team at Northumbria Healthcare NHS Foundation Trust (NHCFT) identified unwarranted variation in the practice of observation for patients who may be at risk of falling. The matron, in collaboration with the nursing team, developed a new system of observation ‘Avoiding Falls Level of Observation Assessment Tool’ […]

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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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Improving referral to the Critical Care Outreach Team

Leading change Whittington Health NHS Trust’s Critical Care Outreach Nurse Practitioner working as part of the Critical Care Outreach Team (CCOT), led on the development of a more effective use of an existing triggering system as part of a care pathway for critically ill patients. This reduced unwarranted variation in the timely referrals of critically […]

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A falls improvement programme for people with Dementia

Leading change A Ward Manager at Harplands Hospital, North Staffordshire Combined Healthcare NHS Trust, developed a programme of work to reduce falls on the ward through active identification of predisposing factors. The programme has shown improved experiences and outcomes for the service users on the ward. Where to look The National Service Framework: older people […]

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Improving pathways in elective orthopaedic arthroplasty care

Leading change The senior matron in the surgical division at Chesterfield Royal Hospital NHS Foundation Trust led on the redesign of clinical pathways for patients having elective orthopaedic arthroplasty procedures. The new pathways have resulted in improved outcomes, experiences and use of resources across the surgical division. Where to look The ward matron identified unwarranted […]

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Safety on board – reducing risk

Leading change A Ward Sister at Solent NHS Trust led the implementation of a Patient Safety Board on a neuro-rehabilitation ward which has significantly improved staff accessibility to patient information relating to risk. This has improved patient safety, staff and patient experience and use of resources. Where to look The importance of patient handover and […]

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Improving diabetes care at Mid Cheshire Hospitals NHS Foundation

Leading change Nurses at Mid Cheshire Hospitals NHS Foundation Trust (MCHFT) have developed and implemented a specialist inpatient diabetes service to address unwarranted variation in practice. This new service has led to improved outcomes and experience for diabetes inpatients as well as improved use of resources at the Trust. Where to look The Lead Consultant […]

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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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Improving the quality of care for neonatal patients

Leading change Great Ormond Street Hospital NHS Foundation Trust’s (GOSH) Neonatal Nurse Advisor and Consultant Neonatologist led a project in collaboration with the GOSH Quality Improvement (QI) team. The QI project focused on improving the quality and safety of core care for neonatal patients across the whole Trust, which included: Jaundice care, New Born Bloodspot […]

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