Programmes of Work

Programmes

Serious Infection Sepsis and Community Acquired Pneumonia

Lead Organisation: Northumberland Tyne and Wear NHS Foundation Trust

In collaboration with the North East Quality Observatory Service and Clarity Informatics (local SME), lead clinicians and nurses from 9 acute trusts developed an electronic system to measure the use of CAP and sepsis care bundles.

So far, for example, teams know whether antibiotics have been given in a timely way to over 57,000 patients with CAP or sepsis. The team is currently working with Health Education England North East to agree regional screening, management and educational tools and ongoing contributions to regional data collection.

Pressure Ulcers Collaborative

Lead Organisation: South Tyneside Foundation Trust

This programme bought together over 100 participants from 10 primary, community and hospital care from the NENC delivering training to over 100 participants to reduce the prevalence of pressure ulcers.

This programme achieved a reduction of 36% pressure ulcers prevalence across the region. In collaboration with NHS England, the programme has now set up a train the trainer programme in 10 organisations such as Foundations Trusts, care homes and North East Ambulance Service.

Acute Kidney Injury (AKI)

Lead Organisation: South Tees Hospitals NHS Foundation Trust

This programme seeks to streamline the way clinicians across the region identify and manage patients with acute kidney injury (AKI). For this purpose, regional collaboration was established to develop and ratify consensus on AKI management and referral pathways.

AKI educational materials, pathways and care bundles have been developed and utilised to promote AKI awareness and consistent AKI management across Secondary and Primary Care settings throughout the North East and Cumbria.

Deteriorating Child (RESILIENCE)

Lead Organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

This collaborative programme aimed to establish and monitor regional pathways for both sepsis and asthma for children across primary, secondary and tertiary care.

Stakeholder representatives include medical and nursing staff from all acute hospital trusts across the NENC region, representatives from community-based health services (CCGs, Northern Doctors), from the North East Ambulance Service and from NECTAR, the critical care transport service.

The views of patients and their parents have also being sought. Development of the pathways is underway, with trials planned to take place over the summer months.

Falls in Hospital

Lead Organisation: Northumberland Tyne and Wear NHS Foundation Trust

This collaborative programme built on the existing North East Regional Falls Task Group and aims to increase compliance with evidence based multi-factorial assessment and reduce inpatient falls. A ‘FallSafe’ care bundle (based on Royal College of Physicians best practice guidelines) has been implemented on 13 wards across 3 NHS Foundation trusts.

In its first phase, this multi-centre quality improvement programme aimed to reduce in-patient falls and harm from falls within an acute trust setting. A FallSafe care bundle was developed and implemented in three trusts and adopted by the regional falls task force group. The second stage was to build capacity in other wards. Over 33,000 patients were screened for the bundle and 800 staff trained so far.

ThinkSafe (shared decision making)

Lead Organisation: Newcastle University

Informed by local research, the ThinkSAFE project developed a number of freely available resources, such as a personal healthcare log book, patient safety video, and a dedicated website: www.thinksafe.care. The resources are designed to support the sharing of information between patients, their families and healthcare staff during a stay in hospital.

This project has been successfully implemented within 5 NHS Foundation Trusts across the North East and has received national attention. ThinkSAFE was formally launched at an event in February 2016, and currently the ThinkSAFE team are examining.

Mortality Review

Lead Organisation: North East Quality Observatory System (NEQOS)

Mortality review is a process of clinical analysis of the events leading up to the death of a patient in hospital. It has recently been mandated by NHS England as a mechanism to learn lessons from in-patient deaths. It is an invaluable tool to examine avoidable deaths in hospital and deliver improvements in care.

This programme has engaged with four acute NHS Foundation Trusts to pilot a standardised process for case note reviews of patient deaths. Clinical teams perform a structured review of the events leading up to patient death and the information is recorded in a database. This programme has been implemented in 4 acute trusts, where over 9,500 cases have been reviewed. This programme has also received interest from mental health trusts, learning disability leads (LeDeR) and the ambulance service.