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NHS North West DoNs Conference
- 1. Welcome Chris Jeffries Acting Director of Workforce and Education NHS NW
- 21. SUCCESS Directors of Nursing Conference 1 September 2011
- 23. The Beginning
- 24. Manchester
- 26. Shaping the Future of Nursing in the North West
- 27. 1 st Annual Director of Nursing Conference
- 28. 1 st Annual Director of Nursing Conference
- 31. MRSA
- 32. C Difficile
- 33. Mixed Sex Accommodation Number of Breaches
- 34. Quality Assurance - Francis
- 40. AQ : A Progress Report *UK Year One Position reflects the AQ programme’s overall Composite Quality Score per clinical area for October 2008 – September 2009. ** UK Year Two Position reflects the AQ programme’s overall Composite Quality Score per clinical area for October 2009 – March 2010 ***US Year One Position reflects the HQID overall Composite Quality Score per clinical area for October 2003 – September 2004. Note: while similar, the measures analysed within each clinical group for the year one HQID project are not identical to those used in year one of the AQ project. For a full list of the HQID initial measure set go to www.qualitydemo.com Clinical Area UK Year One Position * UK Year Two Position ** US Year One Position *** AMI 92.55% 96.89% 89.31% CABG 96.76% 96.94% 87.34% HF 62.11% 69.95% 69.60% HK 88.97% 92.73% 87.52% PN 76.32% 81.55% 73.72%
- 41. Stroke 90:10 drove up standards in stroke care Phase 2 teams joined Phase 1 teams joined 90%
- 43. Collaborative Improvement Aim By April 2011 participating organisations will have improved adjusted mortality by at least 10 points during 2010 – 2011 as measured by CHKS or Dr. Foster.
- 44. The Collaborative Rate of Improvement – Dr Foster
- 45. The Collaborative Rate of Improvement - CHKS
- 48. Nursing Standard – Nurse of the Year 2011 Fiona Murphy – Royal Bolton FT
- 49. Hazel Holmes – Director of Nursing Liverpool Heart and Chest Hospital NHS FT Travel Scholarship
- 50. Honours Awards 2007 - 2011 29 New Years/Birthday Honours Awarded to North West Hospital Staff since 2001
- 51. Leadership
- 53. LEADERSHIP
- 54. Energise for Excellence Where did it start:
- 55. Energise for Excellence Safer Nursing Care Tool (AUKUH) HURST PANDA Birth Rate+ E Rostering Productive Care Safety Express High Impact Actions Essence of Care NW Care Indicators Productive Care Safety Express High Impact Actions Nurse Sensitive Outcome Measures Real-time Monitoring Experience Based Design Single Sex Accommodation Patient Stories High Impact Actions Real-time Monitoring Health and Well Being Get Staffing Right Deliver Care Measure Impact Patient Experience Staff Experience
- 57. NHS Confederation Launch 2011
- 61. NHS North of England
- 62. How wonderful it is that nobody need wait a single moment before starting to improve the world Anne Frank
- 63. The New Mental Health Strategy for England Dr Hugh Griffiths National Clinical Director for Mental Health
- 70. Mental Health Strategy A strategy to transform the mental health and well-being of the nation An ambition to mainstream mental health and achieve ‘parity of esteem’ with physical health The aim for mental health to be ‘everyone’s business’ – all of Government, employers, education, third sector
- 74. A Call to Action
- 79. Safety Express Maxine Power QIPP Safe Care National Work Stream Lead Department of Health [email_address]
- 80. The only thing that exceeds my admiration for the NHS is my hope for the NHS. I hope that you will never, never give up on what you have begun. I hope that you realize and reaffirm how badly you need, how badly the world needs, an example at scale of a health system that is universal, accessible, excellent, and free at the point of care – a health system that is, at its core, like the world that we wish we had: generous, hopeful, confident, joyous, and just. Donald Berwick, July 1, 2008
- 81. The NHS in 2040 Abby – student nurse paediatrics 2012 - 15 Charlotte – student nurse Adult branch 2012 - 15
- 82. Our challenge Equivalent to the number of patients with new stroke?
- 83. Can we ‘engineer’ pace and scale? Preventable cases? 29,000 8,000 49,222
- 84. Our research into the issues
- 86. What is harm free care? Pressure Ulcer Fall Catheter Infection VTE HFC Patient 1 √ x x x x Patient 2 x x x x √ Patient 3 x √ x x x Patient 4 x x x √ x Total 75% 75% 100% 75% 25%
- 87. Benefits
- 88. What have we learned? Patients affected
- 90. One Programme: Four Harms
- 92. Frontline Teams Measuring 4 Harms at the point of care NHS Safety Thermometer Pressure Ulcers Harm from falls Urinary catheters VTE Risk assessment & treatment New VTE Harm Free Care
- 96. Policy fit
- 98. Measuring HARM
- 100. What will they say about us?
- 101. Embedding Amanda Cheesman Head of Professional Practice
- 109. WWL and a HSJ Award .
- 110. Energising for Excellence (E4E) .
- 111. Fiona Murphy Clinical Lead Bereavement & Donation Nurse of the Year 2011 1 st September 2011 Bereavement and Donor Support
- 112. Low rates of donation in Western Europe In 2002 Bolton NHS trust began to make service changes with the aim of increasing donor rates Education can enhance knowledge & confidence in end of life care and ultimately improve the quality of bereavement and donor support In 2004 Bereavement & Donation became a ‘usual not unusual’ part of our care.
- 114. How Excellent communication Bereavement Care Bundle Empowerment Support
- 117. Culture Change Referrals to SN-OD 56 Referrals to TD- SN 540 From approx 1700 deaths. Referrals to SN-OD 56 Referrals to TD- SN 540 From app Full tissue 23 Gift Donors 6 Brain Donors 23 Eye Donors 322 Multi organ Donors 7
- 118. Insanity Death is the only certainty in life – there is no excuse for all professionals to be less than fully prepared The responsibility for providing quality end of life care now rests with each and every clinical member of staff Collaborative working sets out a clear and established policy providing guidance and support to all those looking after the dead; thus ensuring true choice .
- 119. Reducing Falls & Building the Case for Quality 1 September 2001 Gill Harris Director of Nursing & Performance, DIPC
- 130. Reducing the Number of Falls
- 131. Financial Savings - #NOF With costing ability within EPR we were able to retrospectively cost #NOF due to falls Financial Year 2007/08 2008/09 2009/10 2010/11 2011/12 Financial Cost # Femur £200,807.36 £67,752.10 £50,201.84 £50,201.84 £12,550.46 TYPE OF COST COST £ Radiology Costs £ 33.00 Pathology Costs £ 10.00 Procedure Costs £ 9,231.00 Physio Costs £ 69.00 Nursing Costs £ 18.13 Clinician Costs £ 37.98 Increased LOS Costs £ 3,151.26 Total Costs £ 12,550.37
- 135. Standish Ward Incident Map
- 136. Using Innovative Initiatives to Impact on Infection
- 137. Better Care Better Health Better Life Helen Crombie - Assistant Director Performance Improvement & Julie Hughes – Nurse Consultant Infection Control
- 140. NHS North West - Number of MRSA Bacteraemia April 2008 – June 2011
- 141. NHS North West - Number of MRSA Bacteraemia April 2008 – June 2011 Trend
- 142. NHS North West – MRSA Bacteraemia Yearly reductions (2008-2011)
- 143. NHS North West – MRSA Bacteraemia Acute & Non- Acute (by Quarter)
- 144. MRSA – Latest position Commissioner)
- 145. NHS North West - Number of C- Difficile Infections April 2008 to June 2011
- 146. NHS North West - Number of C- difficile Infections April 2008 – June 2011 Trend
- 147. NHS North West – C- difficile Infections Yearly reductions (2008-2011)
- 148. NHS North West – C- difficile Infections Acute & Non- Acute (by Quarter)
- 149. C-difficile – Latest Position (Commissioner)
- 152. Impact on Risks relating to Infection Prevention & Control Why Focus on this Agenda? - impacts on the whole health economy
- 155. Innovative Involvement Initiative CDI – The Challenge Reducing Antibiotic Prescribing Promoting Patient Involvement – Antibiotic awareness information cards – North West Wide initiative
- 156. CDI – The Challenge Reducing Antibiotic Prescribing Patient Information leaflet Card attached
- 157. CDI – The Challenge Reducing Antibiotic Prescribing Clinicians Information Sheet: Describes Purpose, Benefits Web Site www.northwest.nhs.uk/cdiff
- 158. CDI – The Challenge Reducing Antibiotic Prescribing Poster For: Surgery’s Dentists Pharmacies A&E Dept MAU OPD
- 160. Increasing Awareness Initiative Identify Infection Prevention & Control Priorities - Focusing Resources, Promoting Guidance and Guidelines Mental Health Initiative – Julie Hughes
- 161. HCAIs and IPC in mental health settings – different bugs or different approaches? 1 J Hughes, 2 L Owens 1 Nurse Consultant Infection Control/Lecturer, 5 Boroughs Partnership NHS Trust, Warrington, University of Chester, Cheshire, UK 2 Infection Prevention and Control Practitioner, 5 Boroughs Partnership NHS Trust, Warrington, Cheshire, UK
- 169. The New Commissioning Architecture
- 173. 2011 2013 To deliver Largest change management project Cluster: Key Objectives
- 174. Success will be measured by the successful establishment of the new commissioning architecture Commissioning Development
- 175. 1. Integrated Finance, Operations and Delivery 3. Emergency Planning and Resilience 4. Commissioning development 5. The New Public Health System 2. Ensuring Safety & Quality 6. QIPP Delivery & Provider Development Day to Day Delivery The New Commissioning Architecture Service Transformation Cluster: Key Objectives
- 176. An Olympic Size Challenge?
Notas del editor
- Cases prevented 23,151 & 5,788
- The changes we will introduce are based on empirical evidence, widely recognised in best practice guidelines but simplified for execution. This simplification should not be misinterpreted as ‘dilution’. Our experience of improving healthcare quality has clearly shown that focussing a small number (3-4) key interventions and figuring out strategies for local implementation are key to breakthrough improvement. The rationale is clear, find the key interventions which make the biggest difference and implement reliably for every patient, all the time. However, in requiring that four clinical specialist areas work together with frontline teams to create a single plan for harm free care this design concept forces teams to agree on a single model, for example, in the active risk management domain clinical specialists in pressure ulcers and falls are moving towrds intentional or hourly rounding to manage ‘risk’, by combining their requirements in a single rounding proforma we can deliver against multiple agendas with the ultimate design being a form which is elegantly designed to accommodate ALL areas.
- Not just a hospital problem, it affects patients in the community, in their own homes, in other peoples homes Restricts lives Management in care home settings was reported in this Health protection Report ; it really brings home the need for education
- CQC report on HPA web site 34 care homes and eight care agencies shut down ahead of tough new registration system, says Care Quality Commission 29 September 2010 Thirty-four care homes and eight agencies providing care in people’s homes have closed in the past 12 months following regulatory action and the Care Quality Commission (CQC) says the system is about to get tougher. The regulator today (Wednesday) said it had needed to take strong measures in order to protect people’s safety. Alternative care homes were found for about 700 elderly people and younger adults with a disability. In six cases, CQC had issued a legal notice to close the service. In the remaining cases, owners closed or sold the service after CQC took enforcement action. The regulator said the closures represent a very small fraction of the 24,000 services in England. It stressed that the vast majority provide good care and respond positively when areas for improvement are identified. But CQC said that in a small number of cases, risks to people’s health and welfare were too great and the only option was closure. The regulator’s concerns included: verbal and psychological abuse of residents medicines not being managed safely, leaving people at risk of not receiving vital medication lack of medical and nursing care staff not legally able to work in the country poor sanitary conditions lack of staff training
- WGO guidelines 2008
- WGO guidelines 2008 Assessment, using good practice
- IPC message