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<strong>Innovate</strong><br />

Issue 05 Winter 2015 Powering healthcare<br />

innovation<br />

Inside<br />

2 Focus on Funding opportunities<br />

3 Insight Innovation that flies<br />

4 Focus on Medicines optimisation<br />

6 Focus on Out of hospital services<br />

for older people<br />

8 Focus on Digital innovation<br />

12 Focus on Join the Q – the Q initiative<br />

is growing<br />

14 Showcase Community hubs for<br />

greater independence<br />

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Ready to launch<br />

Expo 2016 innovation special!


2<br />

Focus on<br />

<strong>Innovate</strong> Issue 05<br />

Funding<br />

opportunities<br />

i4i Product Development and<br />

Challenge awards<br />

National Institute for Health Research<br />

Product Development awards support research and development of medical devices, active implantable devices and in vitro<br />

diagnostic devices in any area of existing or emerging clinical need. Challenge awards are based on themed calls in areas of<br />

existing or emerging healthcare need.<br />

Deadline: 13 Jan 2016<br />

More information: http://tiny.cc/ii9l5x<br />

Health Services and Delivery<br />

Research funding opportunities<br />

National Institute for Health Research<br />

The researcher-led workstream welcomes outline proposals on topics or research questions identified by researchers within the<br />

programme’s remit.<br />

Deadline: 14 Jan 2016<br />

More information: http://tiny.cc/bn9l5x<br />

HTA commissioned funding opportunities<br />

National Institute for Health Research<br />

The HTA commissioned workstream commissions research proposals that address specific topics or themes, as identified by<br />

the HTA boards and panels. One of the current calls is for Understanding the influence of NHS Health Check Cardiovascular<br />

Disease Risk Assessment Tools.<br />

Deadline: 21 January 2016<br />

More information: http://tiny.cc/hud85x<br />

Eurostars<br />

EUREKA and the European Commission Eurostars supports the development<br />

of rapidly marketable innovative products, processes and services that help improve the daily lives of people around the world.<br />

Deadline: 18 February 2016<br />

More information: http://tiny.cc/a5cx6x<br />

Technology Inspired Innovation<br />

- Feasibility Studies<br />

<strong>Innovate</strong> UK<br />

<strong>Innovate</strong> UK is seeking proposals that will kick-start the delivery of<br />

genuinely new products and services, with substantial and scalable commercial potential.<br />

Deadline: 16 March 2016<br />

More information: http://tiny.cc/l3cx6x<br />

Pathfinder Awards Wellcome Trust<br />

The scheme funds pilots to catalyse innovative early-stage applied research<br />

and development projects in areas of unmet medical need.<br />

Deadline: 20 June 2016<br />

More information: http://tiny.cc/7pam5x<br />

Innovation<br />

that flies<br />

Last time I promised you more about the Kent, Surrey and<br />

Sussex Expo and Awards which are happening on 19 January<br />

2016 at the Lancaster Hotel, London.<br />

It’s our biggest, most innovative, most collaborative event yet,<br />

brimming with practice worth sharing and a growing network<br />

of potential partners to spread innovation further and faster.<br />

The focus is on three themes which we know are on the priority<br />

lists for network members and partners across the region:<br />

<br />

<br />

<br />

Improving out of hospital services for older people<br />

Medicines optimisation, and<br />

Digital innovation.<br />

The agenda for the day is shaped around these themes.<br />

For each one, I’m delighted that we will offer delegates the<br />

opportunity to hear from a leading national figure:<br />

<br />

<br />

<br />

Lord Filkin, Chair, Centre for Ageing Better<br />

Dr Keith Ridge, Chief Pharmaceutical Officer, NHS<br />

England, and<br />

Beverley Bryant, Director of Digital Technology, NHS<br />

England.<br />

Each theme will also hold its own series of round table<br />

discussions, prompted by the national picture and an<br />

example of good practice that’s already happening in Kent,<br />

Surrey and Sussex.<br />

We aim to then build on those discussions to support the<br />

further spread and adoption of best practice and successful<br />

innovation. At our regional innovation event next summer,<br />

we’ll report on the progress made in these areas.<br />

Expo and Awards 2016 will undoubtedly be an exciting<br />

and inspiring event. It will play a key part in the process of<br />

identifying and spreading the types of innovation and new<br />

models of care that the Five Year Forward View has signalled<br />

as being urgent priorities for us all.<br />

I look forward to seeing you in the new year.<br />

Best wishes<br />

Guy Boersma<br />

Managing Director<br />

KSS AHSN<br />

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Insight<br />

<strong>Innovate</strong> Issue 05


4 5<br />

Focus on<br />

<strong>Innovate</strong> Issue 05<br />

Expo and<br />

awards<br />

SHOWCASE<br />

Medicines optimisation is a national<br />

priority. It’s also a focus for our regionwide<br />

Enhancing Quality and Living<br />

Well for Longer programmes, as well as<br />

the Kent Surrey Sussex Patient Safety<br />

Collaborative.<br />

The current national agenda is focused<br />

on faster spread of developed solutions.<br />

There are already a<br />

number of areas of work<br />

including:<br />

<br />

the current<br />

respiratory<br />

programme<br />

<br />

work with<br />

community<br />

pharmacists, and<br />

<br />

the medication<br />

errors workstream<br />

within the KSS PSC.<br />

Medicines<br />

optimisation<br />

At Expo 2016 the medicines<br />

optimisation innovation huddle will<br />

explore the scale and scope of the<br />

issues within this area, share ideas,<br />

best practice and opportunities for<br />

future work between stakeholders. It will<br />

connect a range of people who work<br />

in this area to provide potential future<br />

work projects and collaborations.<br />

+ PHARMACY<br />

Best practice and better<br />

outcomes in Medway care homes<br />

In a great example of integrated care,<br />

a multi-disciplinary team in Medway is<br />

improving quality of care for care home<br />

residents, reducing A&E attendances<br />

and cutting costs.<br />

The team<br />

A pharmacist, two advanced nurse<br />

practitioners, two end of life care<br />

facilitators and a consultant geriatrician.<br />

The care<br />

The team visits each care home on a<br />

weekly basis for early identification of<br />

potential problems. This proactively<br />

reduces the likelihood of preventable<br />

conditions such as urinary tract<br />

infections and dehydration.<br />

The pharmacist conducts in depth<br />

medication reviews for all patients,<br />

ensuring the drugs each resident is<br />

taking are appropriate and necessary for<br />

their health and condition at that time.<br />

The team also provides support for<br />

residents to ensure they are able to die<br />

in their place of choice.<br />

Novel approach<br />

During the weekly ward round, all<br />

patients needing specialist input<br />

are discussed and action is taken<br />

accordingly. This multidisciplinary forum<br />

is novel for community healthcare<br />

because it allows holistic patient care.<br />

The team exemplifies integrated care as<br />

it brings together colleagues from both<br />

primary and secondary care.<br />

Impact<br />

Pharmacist led medication reviews have<br />

resulted in a reduction of inappropriately<br />

prescribed medicines and polypharmacy<br />

totalling approximately £110K.<br />

Unnecessary A&E attendances have<br />

reduced which in turn has also reduced<br />

the chances of prolonged admission to<br />

hospital.<br />

Coupled with a prompt review of<br />

patients referred to the care home team,<br />

the service is very effective at delivering<br />

efficiency savings.<br />

Lasting change<br />

Regular training and education is<br />

provided to nursing homes to manage<br />

common medical conditions so that<br />

knowledge and experience is shared.<br />

Following medication reviews and<br />

changes, pharmacists and nurse<br />

practitioners make follow up calls to<br />

ensure no harm has been done by doing<br />

so and that the changes made were<br />

understood.<br />

Good practice from individual nursing<br />

homes is shared on a regular basis at<br />

the care home forum to encourage<br />

positive change in the sector.<br />

Find out more<br />

Contact Dr Sanjay Suman, Consultant<br />

Physician, Medway NHS Foundation<br />

Trust, sanjay.suman@medway.nhs.uk<br />

Prina Sahdev, Care Home Pharmacist,<br />

NHS Medway CCG, prina.sahdev@nhs.net<br />

It all revolves<br />

around the<br />

resident


6 7<br />

Focus on<br />

Focus on<br />

<strong>Innovate</strong> Issue 05 <strong>Innovate</strong> Issue 05<br />

Expo and<br />

awards<br />

SHOWCASE<br />

Over the past few months we’ve<br />

engaged with our stakeholders<br />

and members to shape and inform<br />

the Living Well for Longer (LWfL)<br />

programme. A significant focus for the<br />

programme is supporting the shared<br />

ambition across our communities to<br />

avoid unnecessary hospital admissions<br />

for older people and, to that end,<br />

consider new and innovative models of<br />

care to help achieve this goal.<br />

Colleagues in health, social care and the<br />

voluntary sector all face monumental<br />

funding challenges.<br />

Out of hospital<br />

services for<br />

older people<br />

But LWfL isn’t just about money … it’s<br />

about ensuring that older people have<br />

the treatment and support they need<br />

in the right place and at the right time.<br />

And we know that, more often than not,<br />

hospital becomes the place of choice<br />

because of the absence of alternatives.<br />

That’s why we are delighted to be<br />

working in partnership with Age UK.<br />

They are creating the conditions that<br />

enable older people to stay out of<br />

hospital. It’s about supporting older<br />

people to access the person centered<br />

care that enables them to live more<br />

Many of the people who use<br />

our programme say their<br />

volunteer made the biggest<br />

difference to their wellbeing<br />

independently for longer. Volunteers<br />

play a major part in delivering this<br />

initiative.<br />

As we pull together our refreshed<br />

strategy for Living Well for Longer, we<br />

are moving towards a place where we<br />

can support our partners to contribute<br />

to communities in which more older<br />

people can flourish, enjoying better<br />

health, care and wellbeing.<br />

Living Well in Guildford<br />

and Waverley<br />

Isolated older people living with long<br />

term conditions can be at greater risk<br />

of ill health and unplanned hospital<br />

admissions. An innovative project run by<br />

Age UK Surrey is tackling the source of<br />

the problem with an integrated service<br />

that promotes independence and builds<br />

confidence and wellbeing. “Living Well<br />

in Guildford and Waverley” was set up<br />

in August this year and is a partnership<br />

with Guildford and Waverley Clinical<br />

Commissioning Group and the national<br />

Age UK team.<br />

Why was Living Well in<br />

Guildford and Waverley set up?<br />

A similar project with an integrated<br />

care approach was trialled in Cornwall<br />

to help address the issue of avoidable<br />

hospital admissions. It showed that by<br />

addressing older people’s personal and<br />

emotional needs - such as loneliness,<br />

lack of confidence and isolation -<br />

unplanned hospital admissions could be<br />

dramatically reduced.<br />

What makes it different?<br />

The project looks at the whole person<br />

and supports people to get reconnected<br />

to their communities. Its person centred<br />

approach focuses on what makes them<br />

who they are.<br />

“By being part of multi-disciplinary<br />

team and working closely with<br />

GPs, the voluntary sector is<br />

playing an important role as a<br />

change agent, challenging how<br />

support can be provided in a<br />

more person centred way.”<br />

Di Cheeseman<br />

How does it work?<br />

Illustrative case study<br />

Mr Brown is 70 years old and has<br />

diabetes and a heart condition. His<br />

wife has passed away so he now lives<br />

alone with his dog, Rufus. Mr Brown has<br />

had a couple of falls which resulted in<br />

him being admitted to hospital. Since<br />

returning home Mr Brown has lost<br />

confidence and is no longer walking his<br />

dog. He has stopped eating properly<br />

and is no longer managing his diabetes<br />

well. During one of numerous visits to<br />

his GP, his doctor suggested a referral<br />

to the Living Well in Guildford and<br />

Waverley team at Age UK Surrey.<br />

Within a couple of days, Mr Brown had<br />

been contacted by an Age UK Surrey<br />

Personal Independence Co-ordinator<br />

(PIC) Anne.<br />

Anne visited him at home to talk about<br />

the project undertake a wellbeing scale<br />

assessment and then start the process<br />

with a ‘guided conversation’. Guided<br />

conversations enable the PIC to find out<br />

more about the older person, what they<br />

enjoy and their goal. It became clear<br />

that Mr Brown wanted to walk his dog<br />

again and cook healthy meals. He was<br />

missing the social contact of meeting<br />

up with other dog walkers for a chat.<br />

Together they drew up a support plan<br />

that involved exercises to build up<br />

balance and stability and arranging<br />

any mobility aids he needed. These<br />

first steps helped to build Mr Brown’s<br />

confidence to go out. He was then<br />

matched to a volunteer to support him<br />

over a 12 week period to achieve his<br />

end goal. Over the following weeks,<br />

he started to cook healthy meals, walk<br />

Rufus with his volunteer and meet up<br />

again with his dog walking friends.<br />

Find out more<br />

Contact Di Cheeseman, Community<br />

Support and Development Manager,<br />

Age UK Surrey<br />

di.cheeseman@ageuksurrey.org.uk


8 9<br />

Member showcase<br />

<strong>Innovate</strong> Issue 05<br />

Expo and<br />

awards<br />

SHOWCASE<br />

Digital<br />

innovation<br />

Digital technologies have the potential<br />

to deliver significant benefits to<br />

patients and help overcome some of<br />

the major challenges facing the NHS.<br />

They have a crucial role to play in the<br />

new models of care which are seen as<br />

essential for improving health, care<br />

and value in the Five Year Forward<br />

View published by NHS England.<br />

Our Expo 2016 will profile some of the<br />

areas where digital innovations are<br />

making a big difference across KSS -<br />

and beyond - on themes that include:<br />

<br />

<br />

<br />

<br />

sharing and interpreting<br />

data and patient information<br />

tele-health<br />

health apps<br />

assistive technologies<br />

The project has delivered real results,<br />

but it hasn’t always been an easy<br />

ride. Clinical Director Dr Laura Hill,<br />

and Project Manager Bharti Mistry<br />

talked to us about their journey and<br />

highlighted the top 10 things they wish<br />

they’d known at the start.<br />

What is the PROactive care<br />

programme in north west<br />

Sussex?<br />

It’s a method of supporting people who<br />

have long-term health conditions, or<br />

complex health and social care needs,<br />

and who are at risk of their condition<br />

worsening. As the name implies, the<br />

key objective is to shift away from<br />

reactive care.<br />

The programme embraces digital<br />

innovation using a risk stratification<br />

tool to identify patients have a high<br />

risk of admittance to hospital in the<br />

next year. The tool (Artemus Intelligent<br />

Commissioning System) is provided by<br />

Docobo UK Ltd.<br />

Once patients are identified then a<br />

multi-disciplinary team (MDT) agrees<br />

a plan with each individual to support<br />

them to manage their own care as well<br />

as identifying other sources of help.<br />

PROactive care data for year 2014/15<br />

2,600<br />

More<br />

patients have<br />

than<br />

benefited<br />

20%<br />

of the referrals from risk stratification<br />

profiles which identify patients at high<br />

risk of hospital admission<br />

Since April<br />

2013, there<br />

have been nearly 6,000referrals<br />

Average reduction of<br />

2 unplanned bed days<br />

for more than 400<br />

high risk<br />

patients cared<br />

for by MDT<br />

<br />

<br />

<br />

computer modelling<br />

clinical decision support<br />

use of smart devices.<br />

Work with South East<br />

Coast Ambulance<br />

Service meant 666<br />

220 £0.6m<br />

conveyances<br />

to A&E and<br />

admissions<br />

were avoided,<br />

saving<br />

The PROactive<br />

care approach<br />

Digital innovation has been central to<br />

North West Sussex’s much vaunted<br />

PROactive care programme. Crawley<br />

Clinical Commissioning Group and<br />

Horsham and Mid-Sussex Clinical<br />

Commissioning Group have worked<br />

closely with digital health experts<br />

Docobo on a risk stratification tool to<br />

target at risk patient groups.<br />

8/10<br />

patients strongly<br />

agreed that<br />

staff listened to them and<br />

treated them well<br />

they were provided the<br />

information needed<br />

they felt supported and<br />

managed, and<br />

they knew how to seek help<br />

from the right professional<br />

at the right time<br />

Patients reported<br />

improvements in respect to<br />

motivation and confidence<br />

to self care, their social<br />

network, emotional well<br />

being and physical health.


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<strong>Innovate</strong> Issue 05 <strong>Innovate</strong> Issue 05<br />

10 things to think about before you<br />

start your digital innovation project<br />

1<br />

Cast your<br />

net wide<br />

The Clinical Commissioning Groups<br />

knew they wanted to take an innovative<br />

approach to risk stratification, but the<br />

best technical solution wasn’t obvious<br />

to them at the start of the programme.<br />

“There was a fairly limited range of<br />

options even just a couple of years<br />

ago. By the time we had gone to formal<br />

procurement we had already done<br />

a lot of ground work looking at what<br />

technology was out there.”<br />

4<br />

Start small but<br />

think big<br />

Faced with sceptical stakeholders,<br />

complicated governance rules, and<br />

an untested technological solution,<br />

the Clinical Commissioning Groups<br />

focussed on just primary and acute care<br />

data to start with. It wasn’t until those<br />

approaches were embedded that they<br />

started looking at mental health and<br />

social care data. Now they are looking at<br />

some complex areas like using the data<br />

to identify socially isolated individuals.<br />

2<br />

Get on top of<br />

the guidance, so<br />

it doesn’t get on<br />

top of you<br />

Any digital project involving sharing<br />

of data immediately brings you into<br />

contact with a huge amount of red<br />

tape, national rules and guidance.<br />

The guidance is there for a reason,<br />

but it needn’t restrict you when you<br />

are looking to innovate.<br />

“Know what the guidance is and start<br />

with what you can share and go from<br />

there. You don’t always need to be able<br />

to identify the patient, it’s about finding<br />

populations.”<br />

5<br />

At the end of the day,<br />

it’s about winning<br />

hearts and minds<br />

The solution might be a technological<br />

one, but it is the goodwill of people<br />

across the health and social care<br />

system which will mean the success<br />

or failure of your project. Don’t neglect<br />

the battle for hearts and minds. Better<br />

communication is really important. The<br />

Clinical Commissioning Groups used<br />

infographics, videos, and patient stories.<br />

3<br />

Small can<br />

be beautiful<br />

Think carefully about the type of<br />

provider that will work best with you<br />

to create a solution. For the Clinical<br />

Commissioning Groups, working with<br />

a small, locally, based team meant that<br />

they could build a custom solution, and<br />

experiment with different options.<br />

“Other providers we spoke to only had<br />

a set product but the people at Docobo<br />

liked to innovate and were quite open to<br />

adaption. That is why we chose them.”<br />

Positivity<br />

6<br />

The technology<br />

supports the<br />

service, not the<br />

other way round<br />

It might seem obvious, but it is easy to<br />

get carried away with your technical<br />

solution and to forget to develop the<br />

services that the technology is designed<br />

to support.<br />

9<br />

Utilise the SBRI<br />

process to bid for<br />

funding to develop<br />

innovative solutions<br />

The CCGs used the Small Business<br />

Research Initiative (SBRI) competition<br />

to fund changes to the risk stratification<br />

tool to pilot the inclusion of social<br />

isolation. The resulting innovation has<br />

ensured this high-risk group can be<br />

identified more effectively.<br />

Involve patients<br />

7 from the beginning 8<br />

Involving patients not only ensures the<br />

solution you are building is the right one,<br />

it also helps you build support around<br />

your ‘case for change’.<br />

“From early on we were already<br />

involving the patients and consulting<br />

them and getting their input. And there<br />

were other people who started wanting<br />

it so there was a little bit of patient<br />

pressure as well.”<br />

10<br />

And finally… don’t<br />

be afraid to fail<br />

Remember that failing is an important<br />

part of the process of implementing<br />

something new.<br />

“Our digital solution came off the back<br />

of similar project that had not quite<br />

worked. People were sceptical but we<br />

didn’t let that stop us coming back<br />

with the next iteration until we had<br />

something that worked.”<br />

Experience<br />

Try to move beyond<br />

the traditional<br />

commissioner/ provider<br />

relationship<br />

Innovation requires proper collaboration<br />

between all parties. Don’t manage your<br />

digital provider at arms-length. Work<br />

closely with them from the start, and<br />

keep the conversation going.<br />

“Flexibility and the adaptive nature of<br />

the relationship has taken us forward.<br />

It’s a symbiotic relationship. Docobo<br />

can’t do without our expertise as<br />

clinicians and we can’t do without their<br />

technical expertise.”<br />

Think big<br />

Courage


12 13<br />

Focus on<br />

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<strong>Innovate</strong> Issue 05 <strong>Innovate</strong> Issue 05<br />

Where do the participants<br />

come from?<br />

Join<br />

the<br />

Sign up to join the Q<br />

KSS PSC co-ordinated the<br />

founding cohort appointment<br />

process for our region.The<br />

founding cohort has been<br />

appointed to help design and<br />

test Q during 2015, which will<br />

inform wider recruitment to<br />

Q in 2016. KSS PSC is now<br />

developing a new Safety and<br />

Quality Improvement Network<br />

which will work alongside<br />

the Q Initiative. Future Q<br />

members will be selected<br />

from this network, so if you<br />

are interested, experienced<br />

or trained in safety or quality<br />

improvement work, we want<br />

you to join.<br />

Sign up at www.kssahsn.net/Q<br />

is an initiative, led by the Health<br />

Foundation and supported and<br />

co-funded by NHS England, connecting<br />

people skilled in improvement across<br />

the UK.<br />

will make it easier for people from<br />

all parts of the health and care<br />

system with expertise in improvement<br />

to share ideas, enhance their skills<br />

and make changes that bring tangible<br />

benefits for all patients.<br />

is bringing together a diverse<br />

range of people to form a<br />

community working to improve<br />

health and care. These people range<br />

from frontline staff, managers and<br />

researchers to policymakers and<br />

‘patient leaders’.<br />

Jennifer Bayly<br />

Nial Quiney<br />

Tony Kelly<br />

Liz Fisher<br />

Jo Habben<br />

The aim is connect a critical mass of<br />

people in order to radically expand and<br />

accelerate improvements to the quality<br />

of care.<br />

Watch our Q video at<br />

www.kssahsn.net/Q<br />

Kate Cheema<br />

Sarah Leng<br />

Michelle Webb<br />

Anna Van der Gaag<br />

The Kent, Surrey and Sussex<br />

Q Initiative founding cohort<br />

Ursula Clarke


14<br />

Member showcase<br />

<strong>Innovate</strong> Issue 05<br />

15<br />

Member showcase<br />

<strong>Innovate</strong> Issue 05<br />

Multi-disciplinary<br />

services, personalised<br />

patient plans<br />

Ultimately we<br />

want to make it<br />

possible for more<br />

people to have<br />

access to care<br />

at home and<br />

stay independent<br />

for longer.<br />

Community hubs<br />

transforming care in Surrey<br />

Glenda Vella, Clinical Lead in<br />

Adult Community Hub, Queen’s<br />

Nursing Institute Nurse at First<br />

Community Health and Care, speaks to<br />

<strong>Innovate</strong> about Community Hubs and<br />

takes a transformational look at how care<br />

can be more effectively delivered in our<br />

communities.<br />

What is a community hub?<br />

It’s a long term vision to offer a single point<br />

of access to multidisciplinary services in<br />

the community. We aspire for it to be an<br />

integrated approach across health and<br />

social care that is designed with the patient<br />

to create a personalised plan.<br />

How’s this different from the<br />

current model?<br />

First Community Health and Care’s<br />

current services provide a high standard<br />

of care to patients. Often the care is<br />

delivered by multiple services which can<br />

sometimes create unnecessary obstacles<br />

for patients trying to access care.<br />

The objective of the Community<br />

Hubs project is to reduce duplication<br />

caused by multiple assessments and to<br />

reduce the burden on the acute sector<br />

in emergency admissions through<br />

community delivered care.<br />

We work closely with community nurses,<br />

therapists, primary care, social care,<br />

mental health, carers support, therapies<br />

services and the voluntary sector to<br />

deliver this new service.<br />

So this has been created as<br />

a response to high hospital<br />

admissions?<br />

In part - acute hospital care accounts<br />

for almost half of the entire NHS budget<br />

and admission rates to hospital are<br />

increasing. However there is also a need<br />

for people to be supported to stay well<br />

and for patients to receive care at home<br />

or as close to home as possible.<br />

The Community Hubs focus on “what<br />

good looks like” and aspires to create<br />

community services that better serve<br />

the patient. We scoped the work with<br />

stakeholders in the local community to<br />

understand where gaps were in their<br />

own services and across the local health<br />

economy to develop this programme.<br />

These are the sort of improvements we<br />

need to make now if we’re going to keep<br />

in step with changing patient needs. In<br />

Surrey, over the next 7 years the rate of<br />

increase in over 85s is projected to be<br />

greater than that for over 65s, so we need<br />

to act quickly to be prepared for these<br />

generational changes.<br />

OK, so give us an example<br />

of how this project can help<br />

older people maintain their<br />

health, independence and<br />

wellbeing?<br />

People living with diabetes on insulin is<br />

a great example. In the UK, the number<br />

of patients diagnosed with diabetes<br />

continues to grow. The increase in people<br />

needing assistance to administer insulin<br />

to maintain safe blood glucose levels<br />

has resulted in additional demand on<br />

community nurses.<br />

Before the hub redesign it was an<br />

increasing challenge to accommodate<br />

patients’ insulin at a time that fitted<br />

with their lifestyle. The evening nursing<br />

had very limited capacity between<br />

18.00-20.30 as they had a full caseload<br />

of patients requiring insulin or clexane<br />

administration.<br />

By changing the service times for<br />

community nursing, we’ve created<br />

capacity for an unscheduled care in<br />

evening service and we are able to<br />

support insulin administration at a time<br />

that supports patient choice.<br />

How can people find out<br />

more?<br />

There’s more information at<br />

www.firstcommunityhealthcare.co.uk<br />

or contact<br />

Liz.Hobby@firstcommunitysurrey-cic.nhs.uk<br />

Thanks very much Glenda for taking the<br />

time to speak to us here at <strong>Innovate</strong>. We<br />

wish you the best of luck with the future<br />

of Community Hubs.


16 17<br />

Focus on<br />

Focus on<br />

<strong>Innovate</strong> Issue 05 <strong>Innovate</strong> Issue 05<br />

Heart failure:<br />

evidence based<br />

clinical measures<br />

save lives<br />

Heart failure care has improved continually over the last seven years; that’s according to the<br />

National Heart Failure Audit. The audit has shown prolonged survival and better outcomes<br />

for heart failure patients every year.<br />

Leadership, benchmarking,<br />

collaboration<br />

KSS AHSN Improvement Manager<br />

Jen Bayly leads the Heart Failure<br />

collaborative in our Enhancing Quality<br />

programme. She has created a process<br />

in which strong clinical leadership,<br />

benchmarking and collaborative<br />

learning is used to identify and reduce<br />

variation in heart failure care.<br />

Connecting acute and<br />

community teams<br />

The work brings together Heart Failure<br />

specialist teams from acute and<br />

community settings to benchmark the<br />

quality of care being provided, measure<br />

improvement of that care and provide<br />

regional and international comparisons.<br />

It aligns the Best Practice Tariff and the<br />

Acute Heart Failure guidelines, using the<br />

National Heart Failure Audit data and<br />

NICE Quality Standards.<br />

Our approach uses regional monthly<br />

dashboard reports, at trust and service<br />

level, to enable commissioners and<br />

providers to understand how they<br />

can deliver better care and outcomes<br />

for people with heart failure. It also<br />

addresses the considerable variation<br />

that currently exists in the management<br />

of heart failure and associated<br />

outcomes.<br />

Find out more<br />

Contact Jen Bayly, Enhancing Quality<br />

Heart Failure and Atrial Fibrillation<br />

Programme Lead, KSS AHSN<br />

jennifer.bayly@nhs.net<br />

kssahsn.net/heartfailure<br />

We aim to<br />

improve<br />

outcomes,<br />

reduce<br />

variation<br />

and save<br />

the lives of<br />

people living<br />

with heart<br />

failure<br />

Heart failure affects<br />

550,000<br />

people<br />

currently diagnosed in the UK<br />

Heart failure is the<br />

leading cause of<br />

hospital admission in<br />

O<br />

65s<br />

V<br />

E<br />

R<br />

Projectio ns indicate<br />

that hosp ital admissions<br />

for heart failure<br />

are set to rise by<br />

50%<br />

in the ne xt 25 years due<br />

to an ag eing population<br />

5-year<br />

survival rate for<br />

heart failure<br />

is<br />

worse<br />

than breast or<br />

prostate cancer<br />

NATIONAL<br />

HEART<br />

FAILURE<br />

AUDIT<br />

shows improvements<br />

in each of the last<br />

7 years


18<br />

Focus on<br />

<strong>Innovate</strong> Issue 05<br />

19<br />

Events<br />

<strong>Innovate</strong> Issue 05<br />

Pressure damage is<br />

everybody’s business<br />

The KSS PSC ‘Pressure Damage is<br />

Everybody’s Business’ conference<br />

in October attracted more than 250<br />

delegates from health and social care<br />

services in Kent, Surrey and Sussex.<br />

The conference provided opportunities<br />

to hear patient stories and share best<br />

practice, as well as to learn from, and<br />

network with, national patient safety<br />

and pressure damage experts.<br />

Delegates also found out more about<br />

the new innovative devices and tools<br />

industry partners are developing to<br />

help reduce pressure damage and<br />

improve patient experience. Workshops<br />

delivered by leaders in their field<br />

included key learning from litigation and<br />

serious incident reviews, nutrition and<br />

hydration, and pressure mapping and<br />

positioning.<br />

Download<br />

All of the presentations and<br />

workshop resources from the<br />

conference are available on the<br />

pressure damage resources section<br />

of our website<br />

www.kssahsn.net/pressure<br />

Kay Mackay, Co-Director,<br />

Kent Surrey Sussex Patient<br />

Safety Collaborative<br />

“I’m more certain than ever that by<br />

working together we can achieve our<br />

ultimate goal of reducing pressure<br />

damage in all care settings.”<br />

Kieran Attreed-Williams,<br />

Quality Innovation Manager<br />

for Home Support Services,<br />

Essex County Council<br />

“There needs to be more of this<br />

more regularly, it’s brilliant.<br />

We wanted to come today to<br />

share what we’ve been doing<br />

around Essex and for people<br />

to take away a little bit of the<br />

knowledge we’ve got.”<br />

Clare James, Director, Your<br />

Turn<br />

“It’s a fantastic environment with<br />

everybody cherry picking the bits<br />

they want from everybody else and<br />

also understanding how they can<br />

apply it to where they work and<br />

whichever situation they are in.”<br />

Jacqui Fletcher, Clinical<br />

Strategy Director, Welsh<br />

Wound Innovation Centre<br />

“KSS PSC have got nurses,<br />

people from patient safety, from<br />

commissioning and a whole host<br />

of other disciplines here; it’s great<br />

to see that level of engagement.”<br />

Caroline Lecko, Patient<br />

Safety Lead, NHS England<br />

“KSS PSC has been really<br />

proactive at bringing together<br />

some expertise, some knowledge,<br />

some innovation and really<br />

engaging with people who are out<br />

there delivering care.”<br />

Samantha Gradwell, Patient<br />

Safety National Lead<br />

Investigator, NHS England<br />

“It’s been a really, really innovative<br />

day. You can see that the audience<br />

are fully engaged and interested in<br />

the topic, so it’s very encouraging.”<br />

Upcoming events<br />

Ongoing in 2016<br />

Innovation surgeries<br />

Kent, Surrey and Sussex<br />

We host regular innovation surgeries for<br />

companies wishing to further develop<br />

their market access strategies and plans.<br />

We explore, in confidence, where the<br />

peculiarities of the NHS (or wider health<br />

system) and its financial mechanisms are<br />

likely to impact on their plans and advise<br />

on potential remedies. The surgeries are<br />

intended for companies with products or<br />

services on market or ready for market. They<br />

help us identify products of potential interest<br />

to our member organisations.<br />

Next dates are:<br />

• Guildford on 25 January 2016<br />

• Crawley on 27 January<br />

• Kent on 28 January.<br />

To find out more or to book, please email<br />

Clare.Ansett@sehta.co.uk<br />

3 Feb 2016<br />

KSS AHSN Heart Failure<br />

Collaborative<br />

Gatwick<br />

Featuring the new EQ measures data for<br />

acute and community services across KSS.<br />

See kssahsn.net for more information<br />

9 Feb 2016<br />

Integrating care throughout the<br />

patient’s surgical journey<br />

The King’s Fund, London W1G 0AN<br />

This one-day conference will explore how<br />

to embed a coordinated and collaborative<br />

way of working between health and care<br />

professionals who are responsible for<br />

patients’ care before, during and after major<br />

surgery, so that they can deliver the best<br />

possible outcomes.<br />

http://tiny.cc/w5gm5x<br />

9 February 2015<br />

Intermediate care for older people<br />

The King’s Fund, London W1G 0AN<br />

Workshop for clinicians and managers<br />

leading the delivery, co-ordination and<br />

commissioning of intermediate care<br />

for older people with frailty, within and<br />

across health care, social care and<br />

the voluntary sector. Programme<br />

includes Professor David Oliver<br />

on ‘what good care looks like’<br />

based on the paper, Making<br />

our health and care systems<br />

fit for an ageing population.<br />

http://tiny.cc/8bhm5x<br />

9 Feb 2016<br />

KSS PSC Medication<br />

Errors<br />

Gatwick<br />

See kssahsn.net for more<br />

information<br />

24 Feb 2016<br />

KSS PSC – Sepsis Learning<br />

Event – Primary and Community<br />

Care Gatwick<br />

Free event for GPs, practice nurses, care<br />

home staff, community nurses, paramedics,<br />

urgent treatment and minor injuries staff<br />

and out-of-hours staff (including 111 and<br />

GPs), and anybody else who may need<br />

to recognise the signs of sepsis in a<br />

community setting.<br />

See kssahsn.net for more information<br />

Get in touch<br />

innovate@kssahsn.net


Events<br />

<strong>Innovate</strong> Issue 05<br />

The fast lane<br />

for innovation<br />

Tuesday 19 January 2016<br />

The Lancaster Hotel,<br />

London<br />

I<br />

N<br />

N<br />

O<br />

V<br />

A<br />

T<br />

I<br />

O<br />

N<br />

16<br />

Main stage speakers include:<br />

<br />

<br />

<br />

Beverley Bryant, Director of Digital Technology,<br />

NHS England,<br />

Dr Keith Ridge, Chief Pharmaceutical Officer,<br />

NHS England, and<br />

Lord Filkin, Chair, Centre for Ageing Better<br />

We will focus on three major themes that are key to<br />

achieving better health, better care, and better value:<br />

<br />

<br />

<br />

Digital innovation<br />

Medicines optimisation, and<br />

Improving out of hospital services for<br />

older people.<br />

Brought to you in partnership with<br />

Kent Surrey Sussex Leadership Academy,<br />

South East Coast Strategic Clinical Networks,<br />

South East Health Technologies Alliance.<br />

Find out more at<br />

www.kssahsn.net/Expoandawards2016<br />

#KSSExpo<br />

Practice worth spreading

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