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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!
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<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
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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
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<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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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
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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
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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