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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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Ambulatory Care Models in the Surgical Assessment Unit at Portsmouth Hospitals NHS Foundation Trust

Leading change The Senior Sister, Practice Educator and Lead Surgical Emergency Nurse Practitioner in the Surgical Assessment Unit (SAU) at Portsmouth Hospitals NHS Foundation Trust have collaborated to implement a new ambulatory care model. The programme has led to improved outcomes, experiences and use of resources within the hospital. Where to look NHS Improvement (2018) […]

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Introducing bedside vital signs devices at Imperial College Healthcare NHS Trust

Leading change The Chief Nursing Information Officer (CNIO) at Imperial College Healthcare NHS Trust led the implementation of digitising the National Early Warning Score (NEWS) at the Trust, with support from nursing, midwifery and healthcare assistant colleagues. This has significantly improved patient safety and outcomes, improved staff experience, and streamlined and standardised handovers which has […]

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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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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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Improving care in mental health services – an acute care pathway

Leading change The ward manager at Harplands Hospital, Stoke-on-Trent led on the development and implementation of an Acute Care Pathway (ACP) programme of work to foster new ways of working, standardise good practice and improve experiences for both staff and patients within the Trust. This programme of work has led to both improvements in outcomes […]

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The Sudden and Unexpected Deaths in Childhood (SUDC) Service – a nurse-led model of care and support

Leading change The Lead Sudden and Unexpected Deaths in Childhood (SUDC) nurse at Lancashire Care NHS Foundation Trust (LCFT) led on improvements to the nurse-led SUDC Service in collaboration with partner agencies. This service has led to improved outcomes, experiences and use of resources locally. Where to look The SUDC Service leads on the implementation […]

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Implementation of an App for organ donation processes at NHS Blood and Transplant

Leading change Specialist nurses for Organ Donation at NHS Blood and Transplant led on the implementation of a digital Application (App) programme for organ donation, for use by specialist nurses nationally. The programme has significantly improved the safety of organ recipients, patient and staff experience and released staff resources to spend more time with patients. […]

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Improving urinary tract infection treatment in peoples’ homes

Leading change The Head of Care Strategy at the Good Care Group led on a programme to improve at home treatment and care for urinary tract infections (UTI’s) with its clients. Through enhanced training and support, combined with collaborative working, this programme has led to improved outcomes, experiences and use of resources locally. Where to […]

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The implementation of PEWS (Paediatric Early Warning System) at Great Ormond Street Hospital

Leading change The Chief Nurse and Nursing Team at Great Ormond Street Hospital for Children NHS Foundation Trust led on the introduction and embedding of the Paediatric Early Warning System (PEWS) across the Trust. The PEWS system has led to improved outcomes and experience through early identification of triggers to deterioration in children and young […]

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