Stop the Pressure: An update from NHS England

Transcription

1 Stop the Pressure: An update from NHS England 4 th February 2015

2 Suzanne Banks Professional Advisor 4 th February 2015

3 Why is Patient Safety and Pressure Ulcer Prevention important?

4 Don Berwick (2014) A promise to learn - a commitment to act: Improving the safety of patients in England 10 recommendations: The NHS should continually and forever reduce patient harm by embracing wholeheartedly an ethic of learning All leaders concerned with healthcare political, regulatory, governance, executive, clinical and advocacy should place quality of care in general, and patient safety in particular, at the top of their priorities for investment, inquiry, improvement, regular reporting, encouragement and support

5 Don Berwick (2014) contd. The NHS in England can become the safest healthcare system in the world...everyone can and should help While zero harm is a bold and worthy aspiration, the scientifically correct goal is continual reduction

6 NHS England 5YFV Simon Stevens 2014 Transparency around Quality has helped improve care There are still unacceptable variations of care provided to patients, which can have devastating effects on individuals and their families 2015/16 will see a major national and local focus on improving patient safety

7 Florence Nightingale Notes on Nursing If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed sore, it is generally the fault not of the disease but of the nursing

8 The impact of pressure ulcers on patients, families, carers, staff and the organisation is huge. The lifestyle of a person who has suffered a pressure ulcer is changed forever, their ability to lead a pain free, risk free life in the future affected.

9 What has the journey been like?

10 How it started back in November 2011 The Stop the Pressure campaign was launched by NHS Midlands and East as part of their ambition to make life better for patients. Ambition 1: To eliminate grade 2,3 and 4 pressure ulcers

11 NHS Safety Thermometer CQUIN for 2 years An improvement tool, which measures the presence or absence of 4 harms: Pressure Ulcers Urine infections in patients with a catheter Falls New venous thromboembolisms (VTE)

12 What does the ST data show us? All categories ST prevalence data: April % Dec % July % Dec % The Incidence of new PUs: April % Dec % July % Dec %

13 Dec 2013 Dec 2014 PU data

14 What is the data showing us? 700,000 patients are affected by PUs 186,617 in hospital settings 46% in newly acquired PUs (ST data)across Country 50% in newly acquired PUs (ST data) M&E 80-95% avoidable Between Apr Sept % PU reported NRLS Between Apr Sept % PU reported NRLS..But we are seeing a plateau and variation Grade 4 14% severe harm category SI

15 What else have we achieved so far in Phase 1. Expert working group Communications; warning signs; preventative measures; baseline; tools and materials to support prevention Interactive website / twitter StP and Nutrition games November PU month 2014 Student SSKIN Student Conferences over 2500 students NHS Change Day 2013 and and more

16 Expert Working Group Commissioners Community / Mental Health settings Tissue Viability Nurses NHS England Acute settings Education

17 How can we apply what we know and move forward?

18 Moving from Good to Great Midlands & East Stop the Pressure National / International SHA Ambition

19 So.What are the Programme Board priorities? 1. Research 2. Care Homes 3. Website development

20 And.What else are we doing? 6Cs Compassion in Practice Open and Honest programme Care Makers support Supporting Student Conferences and further roll out Updated cost analysis National and International opportunities Partnership working PSC / NHSIQ Work to support commissioners Update our stakeholder analysis and spread our engagement wings wider

21 What is happening nationally and locally? Patient Safety Collaboratives / AHSN PSC Clusters Patient Safety Team Intensive Support Team - Deep Dives and support to Commissioners Derbyshire & Nottinghamshire PU Ambition Leeds University research Your Turn programme of support PROSPER programme

22 What can you do? Drive forward and champion your ambition around pressure ulcer prevention Be a Quality Inspector (Berwick 2014) Want to make a difference.. #hellomynameis Consider what you will do on Change Day 2015 Treat every patient and relative you come into contact with as though treating your loved one (6Cs) Continue to do a great job!!!

23 Dates to note! 5 th February - Time to Change Day 11 th March NHS Change Day 16 th March Nutrition and Hydration week

24 Thank You for listening 4 th February 2015