Red Bag Hospital Transfer Pathway:

Transcription

1 Red Bag Hospital Transfer Pathway: Christine Harger, Quality Assurance Manager, Sutton CCG Don Shenker, Senior Project Manager, Health Innovation Network

2 Who are we? Sutton Homes of Care Vanguard Health Innovation Network CCGs, LAs, NHS Trusts Universities, Voluntary Sector

3 Integrated Care Care Staff Education and Development Quality Assurance and Safety Sutton Homes of Care: The Programme Our vision is to have vibrant, high-quality care homes in Sutton delivering care that embraces the national nursing values of patient care Care, Compassion, Competence, Communication, Courage and Commitment (the 6Cs ). NEW MODEL OF CARE The vision is implemented through the three pillars 3

4 Why? Care home managers forum with our partners revealed there were several issues with the admission/discharge of care home residents from all organisations Issues identified No standard paperwork Lost documents Loss of residents belongings Medicines disappear No system in place to track residents through the hospital Care homes find it difficult to get information from hospitals Care homes receive lots of phone calls about the residents clinical situation Poor communication between hospitals and care homes on discharge Residents staying in hospital for longer periods than necessary Solutions proposed Transfer bag Standard paperwork to assist ambulance staff and A&E staff Baseline information about the resident Better communication between care homes and hospitals at all points of the resident s journey Senior staff from care homes to visit residents in hospital within 48 hours of admission 4

5 The Hospital Transfer Pathway- (Red Bag) 5

6 Improved patient safety Consent - hospital and care homes talk! Highlights specific and holistic care needs Smoother quicker handover Care homes visit their residents Nursing summary for continuity Timely and appropriate interventions NICE Guidance (NG27) I didn t know the patient was on thickener [for drinks] until I looked through the red bag The documentation gives me all the information I need to ensure the patient has the best chance of making an excellent recovery after their surgery Before the red bag we would spend ages on the phone trying to get information about the patient, now the information and their medicines are all in one place, its saved our time immensely

7 Feedback Patient can be aggressive but tips included about talking to him about his wife and has been so much easier to care for him. Might usually take 2 hours to find out this information and sometimes might never find out! A good organised comprehensive approach enabling clinicians to obtain a complete picture, especially in cognitive impairment. I didn t know the patient was on thickener [for drinks] until I looked through the Red Bag Definitely helpful for the acute take 7

8 Demonstrable impact to date 179 residents of care homes have been tracked through our local hospital in the last nine months Average length of stay with a bag was 13.4 days, compared to 17.4 days without a bag Residents with a Red Bag spent 4 days less in hospital than those without a Red Bag Note: Data kindly collected by Integration and Transformation Team and Older People Nurses at our local hospital 8

9 A Spread and Adopt Initiative NHSE Models of Care Team / Online Platform Face to face engagement / policy and frameworks Practical tools support local adoption Sustainability Key: Progressing/Implemented Shown interest

10 Red Bag Adoption in South London 7 South London boroughs now fully implemented or in process of implementing HIN support for implementation: Advising CCG/LA Leads to plan and implement Sharing resources, templates, learning Carrying out Red Bag training across acute sector, care homes 10

11 Evaluation in South London Focusing on qualitative and quantitative research in four boroughs Measuring length of stay data and readmissions Key questions: Has the red bag pathway improved communication? Has patient care improved Publishing evaluation report in November

12 Sutton Homes of Care Great care is a partnership 12

13 Any Questions? Photographs courtesy of: Epsom and St. Helier NHS Trust, Wakefield CCG, Tower Hamlets CCG, King s Lynn NHS Foundation Trust, Hounslow & Richmond Community Healthcare NHS Trust, Health Innovation Network