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Enhancing patient engagement in care planning at Solent NHS Trust

Leading change The Adult Services Complex Case Management Team at Solent NHS Trust manages the complex needs of patients within their care. A nurse in the team has led the development and implementation of improved approaches towards care planning to increase patient engagement. The change has led to improvements in outcomes, experiences as well as […]

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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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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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Introducing asthma guidance and support for Shropshire schools

Leading change School nurses from Shropshire Community Health NHS Trust addressed unwarranted variation in the support and treatment of children with asthma in schools by developing and implementing asthma management guidance. This has led to improved knowledge and confidence in school staff, which has improved the care and treatment of children with asthma, leading to […]

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Technology enabled care services to support people in rural settings

Leading change A Clinical Nurse led the implementation of Technology Enabled Care Services (TECS) at Ashley Surgery, a rural practice in Shropshire. This digital approach to care has significantly improved patient accessibility and experience, outcomes and use of resources locally. Where to look The Long-Term Plan (2019) highlights that digital technology can support the NHS […]

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Digital applications for self-management at Audley Health Centre

Leading change A practice nurse at Audley Health Centre in Stoke-on-Trent led the implementation of digital applications to support patients to self-manage their long-term conditions (LTCs). This new approach to care has improved patient outcomes by improving compliance with symptom monitoring, improving patient and staff experience as well as use of resources locally. Where to […]

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Improving the delivery of physical healthcare for older people on inpatient mental health wards

Leading change Two Matrons at Nottinghamshire Health Care NHS Foundation Trust and their teams coordinated and guided improvements in physical healthcare on inpatient mental health wards to improve outcomes, experiences and use of resources across the Trust. Where to look Improving life expectancy for people living with mental health conditions is a national priority as […]

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Group clinics for parents of children with sickle cell anaemia

Leading change A specialist community children’s nurse for sickle cell and thalassemia at Oxleas NHS Foundation Trust has implemented group clinics for parents of babies and children with sickle cell anaemia, with support from a health care assistant. This new approach has led to better outcomes for patients, better experiences for patients and staff, and […]

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General Practice Matron led delivery of a responsive/pro-active service supporting residents of care homes

Leading change The newly appointed Practice Matron at Consett Medical Practice introduced and led an enhanced approach to supporting residents in care homes registered with the Practice. This replaced a more re-active service being offered by the GPs. The Practice Matron led a programme of work to address and change this, strengthening working relationships with […]

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