NUH News SPRING 2016 Online

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10 SpotlightOn Facts 23 areas of outstanding practice highlighted by the CQC across NUH During the course of their visit inspectors from the CQC identified many areas of outstanding practice across our hospitals – ranging from excellence in dementia care to innovative staff training. Here are a selection of the areas they highlighted: Surgical Triage Unit Our Surgical Triage Unit helps patients who are admitted for potential emergency general surgery receive a quicker service, avoiding unnecessary admissions to hospital. There is a new triage line for GPs and other healthcare professionals to give a specialist surgical assessment of patients. Theses clinicians now speak direct to a senior doctor in advance of any admission. This means more patients are receiving emergency care in the right place first time. Elective Orthopaedics Our £12.5million operating theatres that opened in 2015 are making a difference for those who need orthopaedic surgery. The new theatre complex houses four theatres and a recovery unit and admissions lounge. An additional 850 operations will be performed each year. The theatres will soon have audio visual equipment installed to allow live surgery filming for training purposes. Patients who have had minor procedures are cared for in the theatre admissions lounge, reducing pressure on our inpatient wards. Inspectors identify outstanding work Theatres safety programme Theatre staff have successfully standardised practices and processes at QMC and City to ensure safe ways of working and reduce cultural differences. The theatres safety improvement programme implemented a variety of safety projects and ensured that all theatre staff were trained on team working and consistent working practices. This emphasised safety, mutual respect, effective communication and accountability. As a result, our theatres are safer and more efficient. Listening to Patients’ Voices Working with patients, the Theatre Patient and Public Involvement Group used short surveys to capture the experience of patients after surgery. The CQC considered this to be innovative practice. Previously there was no way of monitoring feedback until long after a patient had left hospital. The Listening to Patients’ Voices project introduced new cards for staff to get ‘real-time’ feedback which has informed improvements. The group produced a DVD to show patients what to expect when coming to theatres to help reduce fear and anxiety. Their work was recognised at the 2015 Nursing Times Awards. Right place first time An innovative service for local GPs is ensuring more patients are cared for by the most appropriate specialist in our hospitals. The web application gives GPs access to urgent advice lines in our hospitals. This gives family doctors an option to discuss a patient’s medical condition with an appropriate specialist consultant and make sure patients are seen in the ‘right place, first time’. It has reduced the number of unnecessary hospital admissions from 28 per cent to 5 per cent since its launch, and is improving patient experience. Think Drink Traditionally, patients are asked not to eat or drink from midnight the night before their operation. Despite emerging evidence revealing that excessive fasting results in negative outcomes and delays, this practice still continues across the NHS. The Think Drink project was set up to minimise the time patients went without a drink before their operation. The introduction of new guidance, education and better communication led to excessive fasting times reducing from nine hours to less than four hours. There is still work to do in order to bring the waiting time down to the target of two to three hours, but significant progress has been made. IMPS Our Injury Minimisation Programme for Schools (IMPS) teaches more than 2,300 children a year about first aid and resuscitation skills. Children aged 10 and 11 from city primary schools visit QMC for a morning and spend time in the children’s Emergency Department and elsewhere in the hospital, learning vital life-saving skills. The programme is run by the hospital’s Department for Research and Education in Emergency and Acute Medicine (DREEAM) team and funded by Nottingham City Council’s Public Health team, with extra support from Nottingham Hospitals Charity. It began in 2001 and in 2015 taught its 40,000th child. Contributed... £14,000+ @nottmhospitals facebook.com/nottinghamhospitals Kindly sponsored by #lovenottmhospitals
SpotlightOn Facts 11 8,000 downloads of the Pocket Midwife app since its launch in May 2015 Pocket Midwife The Pocket Midwife app, written by our own midwives, is a first for any UK hospital. The free app for mums-to-be, funded by Nottingham Hospitals Charity, contains general pregnancy information, useful to all prospective parents and their families, but also information specific to NUH, such as the Trust’s own maternity leaflets and contact telephone numbers. Other features include a pregnancy calendar, which describes the baby’s development and changes to the woman’s body. A contraction counter supports women and their birth partners in early labour, and a selfie gallery allows women to log the progress of their growing bump. The app was developed with feedback from 100 pregnant women. Contributed... £30,000 Contributed... £35,000+ Ice cream for older patients Getting the right food and fluid is essential to patient’s recovery during their time in hospital. That’s why nurses on Ward F20 now serve ice cream to older patients who are not getting enough calories. The ice cream project is one of a number of initiatives we have in place to help patients meet their nutritional needs. The idea started as a pilot project with 23 male and female patients in February 2015. The group included patients with a range of ailments including dementia, osteoporosis and fractures. Within just a few weeks the average calorie intake of the group increased by 10 per cent. Shared Governance Nottingham is home to the most advanced programme of Shared Governance in any UK hospital trust and is fast developing a reputation as a leader in this field. Shared Governance places power in the hands of frontline nurses and midwives, giving them the chance to influence decision-making as close to patients as possible. Wards and departments are supported to create their own councils, who feed in to senior teams. Over 25 councils have been set up, with more in the pipeline, and in the summer of 2015, NUH hosted its own Shared Governance conference with international visitors. Our Shared Governance programme also won the Improving Staff Experience category at the 2015 Nursing Times Awards. Trent Simulation and Clinical Skills Centre Our doctors and nurses keep their skills up to date at our Trent Simulation and Clinical Skills Centre at QMC. Since the Centre opened in 2004, more than 10,000 staff have used the facility to develop skills ranging from communication techniques to advanced surgical procedures. The specially adapted building allows staff to realistically simulate clinical settings using patient actors and mannikins. The centre has two floors which house the simulation suite and clinical skills rooms, where staff experience hands-on training in procedural skills and resuscitation as well as communicating with patients in complex circumstances. Wrist bands for patients with respiratory illnesses We’ve had great feedback from patients with respiratory problems about a simple idea that can make a big difference to their lives. Nurses on our respiratory wards give out coloured wristbands to patients that highlight the kind of oxygen they need if they become ill. The bands look like charity bracelets and have been designed to discreetly wear out and about as well as in the hospital. The idea gives patients confidence to know that first-responders will have the right information to administer potentially life-save treatment. They also help our staff to know how much oxygen patients need at a glance when they are in hospital. Dementia care Dementia care training has been expanded to a wider range of staff, including porters, cleaners, chaplains and volunteers. All clinical staff are trained during their inductions. CQC inspectors were particularly impressed with initiatives like the About Me booklets, which are completed by relatives and friends of patients with dementia and give an overview of the person’s life, what was important to them and their likes and dislikes. NUH uses an electronic system to capture information for all patients over the age of 75 admitted as an emergency. This enables us to screen these patients for dementia, thereby improving the care we deliver to them and their families/carers. Each ward has a staff member who is a ‘dementia champion’, and the hospital also has a dedicated dementia ward – B47. Contributed... £470,000 Kindly sponsored by #lovenottmhospitals
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