Leading change The Deputy Chief Nurse responsible for safeguarding and harm-free care at Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) identified an opportunity to use new digital technology to introduce electronic Child Protection-Information Sharing (CP–IS) to the Trust. The process is quicker and more efficient. Any child with particular safeguarding needs can be […]

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 Lead Nurse for Deteriorating Patient and Sepsis at Weston Area Health Trust identified unwarranted variation in the rates of early detection and prompt treatment of sepsis at Weston Area Health Area Trust and addressed this through awareness raising campaigns, training and introduction of best practice sepsis alert practices. This has significantly improved […]

Leading Change Nurses and health care assistants in the Tissue Viability Link Team at Nottingham University Hospitals NHS Trust (NUH) championed best practice to improve patient care and experience in adult critical care by introducing a moisture lesion prescription sticker to address unwarranted variation seen in practice. Where to look NUH is one of the […]

Leading change The nurse leadership team at University College London Hospitals (UCLH) have developed an Exemplar Ward programme with other colleagues across the Trust. This programme is designed to support clinical teams to implement standard processes, reduce unwarranted variation and deliver local quality improvement initiatives in their wards and departments. Data packs and monthly trend […]

Leading change District nursing leads worked collaboratively with other key healthcare professionals and stakeholders to support the transformation of out of hospital care at the Newcastle Upon Tyne Hospital Foundation Trust (NUTH). The nurse lead identified insufficient capacity within intermediate care to meet local needs and fulfil expected standards. This unwarranted variation led the team […]

Leading change A Senior Healthcare Assistant (HCA) and Dementia Champion within the Royal Preston Hospital Emergency Department developed an adapted patient identification wristband that supported staff to recognise that a patient may have additional needs related to their diagnosis of dementia. The innovation has been well received by patients, their families and carers and staff […]

Leading change The Nurse Matrons and Senior Phlebotomist at Nottingham University Hospitals NHS Trust (NUH) have jointly led a programme of work which has a number of successful outcomes including reducing phlebotomy waiting times and improving patient experience of the service as a whole. Where to look The Matrons of Ambulatory Care and the Phlebotomist […]

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 A ward manager in the Cancer and Associated Specialties Division at the Nottingham University Hospital NHS Trust led change by introducing a nurse supplied medication programme on the ward. A review of processes, led by the nursing leadership team identified unwarranted variation in the practice of drug collection upon discharge from services which […]