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Improving Palliative Care: The Conversation Project

Leading change Nursing leadership in the Palliative Care Team at the Royal United Hospitals Bath NHS Foundation Trust identified that staff had more confidence in supporting patients with palliative and end of life care in the last few days of life compared to the weeks and months prior to a patient dying. This unwarranted variation […]

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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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Improving patient safety by introducing a daily Emergency Call Safety Huddle

Leading change The Lead Nurse for the Critical Care Outreach Team (CCOT) led the implementation of a ten-minute daily emergency call safety huddle at Surrey and Sussex Healthcare NHS Trust, which has increased efficiency in team working and improved patient safety. Where to look The UK Resuscitation Council Advanced Life Support guidelines highlight the importance […]

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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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Using technology enabled care to support cognition in early onset dementia

Leading change The Nurse Manager in the Mental Health and Vascular Wellbeing Team at North Staffordshire Combined Healthcare NHS Trust (NSCHT) led a programme of work to introduce a digital application (app) into the care and treatment plans for service users at high risk of developing mild cognitive impairment (MCI). The app was designed to […]

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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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Quality improvement using the principles of the Leading Change, Adding Value framework

Leading change The Senior Development Nurse at South West London and St George’s Mental Health NHS Trust (SWLSTG) undertook a programme of quality improvement, by supporting staff across the Trust, to embed principles of the Leading Change, Adding Value framework into practice. This programme has supported the continued professional development of nursing staff to carry […]

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Introducing a carers resource pack at South West London and St George’s Mental Health NHS Trust

Leading change The Senior Development Nurse in South West London and St George’s Mental Health NHS Trust (SWLSG) Psychiatric Decision Unit (PDU) led on a programme of work to develop and implement a welcome pack for service users, carers and their families to reduce unwarranted variation across the Trust. The programme has led to improved […]

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‘When a child dies’; the development of a collaborative education programme to enhance care and support

Leading change Nurse leaders within the Clinical Simulation Centre (CSC) at Great Ormond Street Hospital NHS Foundation Trust (GOSH) developed an education programme in collaboration with Bereavement, Chaplaincy, Mortuary and Palliative Care services. This aided staff in developing their skills in caring for a dying child and supporting families through this critical time. The programme […]

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