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Development of a ‘Learning Lessons’ framework at North Staffordshire Combined Healthcare NHS Trust

Leading change A Mental Health Nurse led the development and implementation of a ‘Learning Lessons’ framework at North Staffordshire Combined Healthcare NHS Trust (NSCHT). This has improved patient safety and outcomes, staff and patient experience, the use of resources and demonstrable learning from incidents. Where to look NHS England’s ‘Serious Incident Framework – Supporting learning […]

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A new frailty pathway in the Emergency Department led by the advanced nurse practitioner

Leading change An Advanced Nurse Practitioner (ANP) in Older Persons’ Medicine (OPM) piloted and subsequently embedded a new frailty pathway within the Emergency Department at The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (RBCH). This has decreased waiting times, supported a reduction in length of stay and improved admission avoidance. Where to look In […]

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Supporting carers in the Early Supported Discharge (ESD) Stroke Service

Leading change The Therapy Clinical Lead in the Early Supported Discharge (ESD) Stroke Service at Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust (RBCH), led on a quality improvement initiative to improve carer support in their ESD services transforming carer experiences. Where to look Stroke is a major health problem in the UK. Each year, […]

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Adrenal insufficiency – Improving safety and experience at Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

Leading change Endocrine nurses worked with colleagues to implement a digital system at Royal Bournemouth and Christchurch Hospitals (RBCH) to identify and support all patients admitted with adrenal insufficiency (AI). This led to improved patient safety and associated outcomes and experience. Where to look Addison’s disease, also known as primary adrenal insufficiency or hypoadrenalism, is […]

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Systematic Anti-Cancer Therapy (SACT) Passport – a standardised and portable approach to training and competency

Leading change The London Lead Cancer Nurses in collaboration with Capital Nurse led on the development and implementation of an educational tool consisting of theoretical and competency elements to train and assess chemotherapy skills for cancer nurses across the locality. The development has addressed unwarranted variation in skills and competency assessments carried out across hospital […]

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The Intensive Support Team – supporting positive changes for people with learning disabilities

Leading change Learning disability nurses at North Staffordshire Combined Healthcare NHS Trust led the development and implementation of an Intensive Support Team (IST) to support people with a learning disability either within the community or in-patient unit. This has significantly improved outcomes, experience and use of resources locally. Where to look NICE (2018) highlight that […]

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The ‘Getting Clozapine Right’ initiative at Northern Devon Healthcare NHS Trust

Leading change The Medicines Safety and Governance Pharmacist and Deputy Chief Nurse for Northern Devon Healthcare NHS Trust led the development and implementation of clinical pathways and standard operating procedures to improve clozapine use across the Trust. Where to look NICE (2015) guidance advises that Clozapine is a specialist medication, indicated to treat schizophrenia in […]

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The CARE excellence accreditation scheme in Surrey and Borders NHS Foundation Trust

Leading change The Head of Accreditation in the Quality Directorate at Surrey and Borders NHS Foundation Trust led on the development and implementation of a CARE Excellence Accreditation Scheme to support quality improvement across the Trust. Where to look The Keogh Review (2013) considered the quality of care and treatment provided by hospital Trusts with […]

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Reducing ‘enhanced observations’ on a mental health ward

Leading change A Ward Manager at Harplands Hospital, North Staffordshire Combined Healthcare NHS Trust led a new approach to observation and engagement with patients on Ward 2 at the Trust. The initiative has led to improvements in outcomes, experiences and use of resources. Where to look The Mental Health Act: code of practice (MHA; 2008) […]

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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, […]

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