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Improving insulin administration in a community setting

Leading change Specialist diabetes nurses at Shropshire Community Health NHS Trust led on the development and implementation of a modular training programme for both community nurses and non-registered practitioners in diabetes care. This has improved the management of individuals’ diabetes, patient experience and use of resources locally. Where to look Diabetes UK (2016) discussed how […]

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Introducing group consultations for adults living with Type 2 diabetes at Brigstock Medical Practice

Leading change A general practice nurse (GPN) at Brigstock Medical Practice addressed unwarranted variation in the management of Type 2 diabetes through introducing a group consultation model at the surgery. This new approach has led to better outcomes for patients, better experiences for patients and staff, and better use of resources locally. Where to look […]

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Nurse Led Digital Health Service – delivering place-based care to older people

Leading change The Emergency Nurse Practitioner and Clinical Nurse Lead for Digital Health at Tameside and Glossop Integrated Care NHS Foundation Trust (TGICFT) led the implementation of a digital service that has significantly reduced avoidable admissions to the emergency department (ED), improved experiences for nursing and residential home service users and staff, as well as […]

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Introducing group consultations for adults with Type 2 diabetes

Leading change General practice nurses (GPN) in the Premiere Health Team, Leigh (Wigan CCG) and West Gorton (Manchester CCG) medical practices introduced group consultations for adults with Type 2 Diabetes. This new approach has led to better outcomes, experiences and use of resources locally. Where to look Uncontrolled diabetes can lead to serious complications, but […]

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Personal care planning in Chronic Obstructive Pulmonary Disease at Solent NHS Trust

Leading change A Chronic Obstructive Pulmonary Disease (COPD) Specialist Nurse at Solent NHS Trust led on the refinement of personal care planning based on Patient Activation Measure (PAM) scores within respiratory services. The project has led to improved engagement, outcomes and experiences for those using respiratory services at the Trust. Where to look NICE (2016) […]

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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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Implementation of a best practice framework to support staff to care for individuals with dementia

Leading change Nurse leads at Belong, a non-profit charitable organisation, implemented a best practice framework for residents living with dementia. This nurse-led programme aimed to improve staff knowledge, confidence and competence in caring for residents. The project has improved resident outcomes and experience, empowering staff across the organisation to implement change. Where to look Belong […]

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Increasing training and development in Vagus Nerve Stimulation

Leading change A Matron at the David Lewis National Epilepsy Centre, a health foundation based in Cheshire, led a programme of work to embed Vagus Nerve Simulation (VNS) mentorship into clinical practice. This has supported staff to develop their skills, knowledge and roles which is impacting outcomes, experience and use of resources locally. Where to […]

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Implementation of telemedicine at Airedale NHS Foundation Trust

Leading change Nurse leaders at Airedale NHS Foundation Trust led the implementation of a telemedicine service to remotely provide care at home or in nursing and residential homes. This has significantly reduced avoidable admissions to hospital, supported individuals to remain in their place of residence without needing to travel to receive care and improved overall […]

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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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