Other Projects

Please see below HEE Wessex funded Quality Improvement work relating to projects undertaken by some of our QI Fellows.

Improving nutritional outcomes and patient engagement using an online digital dietary programme

Author: Caroline Anderson, Lead Paediatric Renal and Improvement Dietitian, Quality Support Fund 2019/20

Poster and Contact

Reducing readmissions for patients with Acute Kidney Injury through providing patient information 

Author: Becky Bonfield, Acute Kidney Injury Advanced Nurse Practitioner, Individual QI Fellowship 2018-19 

Poster and Contact

 Improving the Effectiveness of Screening and Brief Advice for Alcohol in Patients Coming into Hospital 

Summary: This QI project worked with frontline staff at two Trusts to improve effectiveness of screening for alcohol in patients drinking at levels harmful to their health by increasing the awareness of alcohol harms and the confidence of staff delivering screening and brief advice. Several changes were implemented at each Trust including training in screening and difficult conversations around alcohol, resources to support the Audit C and brief advice, and feedback on screening performance for staff

Author: Emily Walmsley, Public Health Registrar, Individual QI Fellowship 2018-19 

Poster and Contact

Improving the quality of the rehabilitation pathway for high risk patients discharged from critical care to the ward

Author: Susan Calvert, Physiotherapy Team Lead – Critical Care, Individual QI Fellowship 2018-19 

Poster and Contact

Developing Head and Neck Ultrasound services

Author: Victoria Webb, Advanced Practitioner Sonographer, Quality Support Fund 2018-19 

Poster and Contact

Releasing clinical time through better access to Point-of-Care testing

Author: Phil Evans, Consultant Nurse in Acute Medicine, Quality Support Fund 2018-19 

Poster and Contact

Development of a new person-centred hospital passport

Author:  Dr B McCausland, Dr L Dinsmore, Dr S Green and Dr V Osman-Hicks, Quality Support Fund 2018-19 

Poster and Contact

Fifty Shades of Grey – Learning to love the probe! Evaluation of a New Portable Ultrasound Facility at Countess Mountbatten House Hospice

Author: Dr Anna Hume, Specialty Doctor, SAS QI Fellowship 2017-18 

Poster and Contact

Trauma Triage Clinic

Summary: The aim of this work was to reduce numbers of patients in fracture clinic by avoiding unnecessary appointments, ensuring patients were attending the most appropriate sub-speciality fracture clinic, and patients having appropriate tests already ordered and performed. This led to the introduction on a Trauma Triage Clinic which has been successful in reducing the number of patients at the fracture clinic. Next steps include the development of a Nurse-lead clinic to manage most of follow ups to further reduce the number of patients in the fracture clinic itself

Author: Mr George Haidar, Middle Grade Doctor – Orthopaedic Surgeon, HHFT, SAS QI Fellowship 2017-18 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Hospital acquired venous thromboembolism and VTE prophylaxis in Day Surgery  

Summary: The aim of this work was to review current practices of documenting and prescribing venous thromboprophylaxis in day surgery patients at GSTT and compare to local guidelines. Baseline data has been collected and next steps are to look at interventions to support this work

Author: Dr Rebecca Edwards, Foundation trainee – London, SAS QI Fellowship 2017-18 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Implementing tablet computers to improve outcomes in Psoriatic Arthritis Clinical 

Author: Implementing Online Assessments in Psoriatic Arthritis Clinic Team, Team Based QI Fellowship 2017-18 

Poster and Contact

DRIVE SMART: A Quality Improvement project to reduce community health clinicians’ mileage and improve service efficiency 

Author: West Hampshire Community Learning Disability Team, Team Based QI Fellowship 2017-18

Poster and Contact

Millbrook Healthcare Hampshire Wheelchair Service: Improving the referral experience 

Author: Hampshire Wheelchair Information QI Collaborative Team, West Hampshire CCG, Millbrook Healthcare Limited, Southern Health NHS FT, Solent NHS Trust, Motor Neurone Disease Association, and Service Users, Team Based QI Fellowship 2017-18 

Poster and Contact

Improvement to the turnaround time to supply blood for routine requests

Summary: The turnaround time is a key performance indicator within all pathology laboratories and the aim of this project was to improve the turnaround time to supply blood for non-urgent requests. The project looked at how the Trust could use the new Laboratory Information Management System to its full potential and review processes to enable an improved service for the supply of blood. Outcomes from this work included going from zero electronic issues of blood to over 60% in 3 months and the turnaround time improved. Patients were also able to be admitted for a blood transfusion on a Monday, with a sample taken on a Friday.

Author: Maraneka Greenslade, Hospital Blood Bank Manager, DCHFT, Individual QI Fellowship, 2016-17

Poster and Contact

Achieving an equitable service: Increasing Access to a Multi-Professional Low Clearance Clinic

Summary: This project was looking to improve the care and increase satisfaction of among patients with advanced renal failure by increasing access to dedicated, multi-professional low clearance clinic across Dorset. 

Author: The Dorset Renal Service Team, DCHFT, Team Based QI Fellowship, 2016-17

Poster and Contact

Going Home: Improving the patient experience of discharge

Summary: This piece of work was looking to investigate patient and staff experience of the discharge process from Salisbury Hospital in order to identify future quality improvement strategies to benefit patients and support enhanced hospital flow. Communication was confirmed to be key in the discharge process and work will continue with staff and patients on this work

Author: Salisbury Therapies Team, Salisbury NHS FT, Team Based QI Fellowship, 2016-17

Poster and Contact

Standardised Follow-up for patients with Acute Diverticulitis

Summary: Patients admitted with uncomplicated Acute Diverticulitis form a sizable proportion of surgical take in our district general hospital. Patients admitted with uncomplicated Acute Diverticulitis form a sizable proportion of surgical take in our district general hospital. The project aimed to look at these patients and their follow up

Author: Dr Chaitanya Mehta, Specialty Doctor – Surgery, SAS QI Fellowship, 2016-17 

Poster and Contact

Chronic Pelvic Pain and on-going urethritis in men

Summary: The aim of this work was to improve the management of Chronic Pelvic Pain and on-going urethritis in male patients in sexual health. As part of the project, patients with ongoing urethral and pelvic symptoms were identified and an Early Morning Sample (EMS) for those eligible patients was introduced. A training package, protocol and care pathway was designed to help clinicians direct patients to a referral clinic in which patients will be managed via a multidisciplinary approach

Author: Dr. Chandima T. Ratnayake, Specialty Doctor – Sexual Health, RBCH, SAS QI Fellowship, 2016-17 

Poster and Contact

Screening for Chlamydia in Women: Ensuring the Correct Swab Technique is being used

Summary: This aim of project was looking at the instructions given to women regarding swab techniques for testing for chlamydia and the process used by clinicians. Actions as part of this work included the correct instructions being included in a Service wide “Newsflash” email and placed in the Sexual Services Newsletter. They were also highlighted at regular educational sessions

Author: Dr Megan Philpot, Specialty Doctor, Solent NHS Trust, SAS QI Fellowship, 2016-17

Poster and Contact

Using Lifemusic on an Inpatient Neuropsychiatry/ Brain Injury Ward

Summary: This project aimed to enhance the experience and wellbeing of inpatients who are undergoing neuropsychiatric rehabilitation, usually for acquired brain injury. The project uses the Lifemusic method developed by Dr Rod Paton

Author: Dr Veronika Wagner, Associate Specialist – Psychiatry, Solent NHS Trust, SAS QI Fellowship, 2016-17

Poster and Contact

UROTEL – Nurse led telephone appointment clinic

Summary: The aim of this work was to look at reducing outpatient follow up appointment of patients by devising an alternate method of patient contact (telephone consultations) that is both safe and effective. The Fellowship work saw the setup of a dedicated weekly nurse led telephone appointment clinic which usually has about 7 slots per clinic. Patients are followed up by a telephone call at a specified time along with a questions about any post procedure complications and a standard questionnaire about urinary symptoms. The clinic was originally designed to specifically follow up patients who had had bladder outflow surgery but this is now being extended to a wider patient group

Author: Mr Govindaraj Rajkumar, Associate Specialist in Urology, HHFT, SAS QI Fellowship 2016-17 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Introduction of Contraception Provision to eligible patients attending the Department of Sexual Health

Author: Dr Monika Prabhakar, SAS doctor in Sexual Health, RBCH, SAS QI Fellowship 2015-16

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Service evaluation of the use of in-theatre induction of anaesthesia in surgical day care

Author: Dr Anwar ul Huda, SAS Doctor, RBCH, SAS QI Fellowship 2015-16

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Don’t go breaking my heart! Diagnosis and treatment of myocardial infarction, in women, will it get better?

Author: Dr Vanessa Bell, SAS Doctor, DCHFT, SAS QI Fellowship 2015-16 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Emailing patient appointment letters – Pilot in Orthopaedic Outpatients

Author: Dr Rajeev Ghat, Speciality doctor in Orthopaedics, RBCH, SAS QI Fellowship 2015-16

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Better Journey for Plastic Surgery Trauma Patients

Summary: Currently most plastic surgery trauma patients wait from 24 hours to 5 days before surgery. This work looked at giving guaranteed surgery time slots for these patients. By the end of the Fellowship change was already taking place, with one list a week being designated for these patients in day surgery. 

Author: Dr Sathish Jayagopal, Specialty Doctor in Plastic Surgery, Salisbury NHS FT, SAS QI Fellowship 2015-16 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Breast Clinic Efficiencies

Summary: This work looked at whether time could be reduced between referral received by the team and the outpatient appointment offered

Author: Dr Kauser Kazem, SAS Doctor, RBCH, SAS QI Fellowship 2015-16 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

GI Radiology Services at Portsmouth Hospitals NHS Trust 

Author: Radiographic GI (gastro intestinal) Team, PHT, Team Based QI Fellowship 2015-16

Poster and Contact

Complex Nutritional Care in Stroke

Summary: Following stroke, up to 45 % of people experience some degree of dysphagia (difficulty swallowing). Poor nutrition can have a negative impact on functional recovery, and is associated with increased risk of complications and ultimately length of stay in hospital. This project aimed to ensure consistently high standards of ward based care in relation to swallow and nutrition management.  A nutritional care bundle was piloted alongside a nutritional care record

Author: The Stroke Service Team, RBCH, Team Based QI Fellowship, 2015-16 

Poster and Contact

View Complex Nutritional Care in Stroke poster.

For more information please contact: qualityimprovement.wx@hee.nhs.uk

To reduce the number of inappropriate referrals being made to Adult Services 

Author: Clare Barlow, Occupational Therapist, HHFT, Individual QI Fellowship 2014-15

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Understanding variation in management of nSTEMI across Wessex

Author: Dr Susan Hayward, Wessex Anaesthetics Trainee, Individual QI Fellowship 2014-15

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Southampton Medical Anticipatory plan (SMAP): Improving the quality of care for nursing home residents discharged from acute hospital settings

Summary: In conjunction with stakeholders we developed SMAP an electronic individualised care plan completed within the acute hospital in conjunction with the person and their family. This documents the persons preferences and priorities of care in the last year of life and supports health care professionals to care for them in the appropriate setting. Within 6 months SMAP had been used for 39 patients; of these, only three patients were inappropriately readmitted. A significant reduction in 30-day readmissions and ED attendances were seen. Hospital staff, patients and relatives find the tool straightforward to use and an important driver of patient centred high quality care. Following this success, the SMAP has been rolled out across all older people discharged from the acute hospital setting within UHS. It has now been completed in well over 100 patients

Author: Dr Sarah Rumbold, Wessex Geriatric and General Internal Medicine Trainee, Individual QI Fellowship 2014-15 

Poster and Contact

The role of the nurse specialist in managing Huntington’s disease / complex dementias using a care navigator model to support wellbeing and reduce the potential for patient or carer crisis

Author: Fiona Chaabane, Clinical Nurse Specialist, UHS, Individual QI fellowship 2014-15 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Ward rounds that INSPIRE

Summary: Ward rounds are complex clinical activities, which should directly involve patients/carers in reviewing and planning care. UHS is establishing best in class practice on ward rounds that will improve quality, timeliness and safety of care for patients

Author: Angie McClarren, Service Improvement Manager, UHS NHSFT, Individual QI Fellowship 2014-15 

Contact

For more information please contact: angie.mcclarren@uhs.nhs.uk

A team to support QI projects taking place across the Trust

Summary: This initiative aimed to link across all the strategic priorities and Trust objectives as QI projects happened across the organisation. The team also aimed to link with networks where this fitted with specific projects

Author: Quality Improvement Ninja Team, HHFT, Team Based QI Fellowship 2014-15

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Redesigning the Wessex orthodontic pathway

Summary: This work looked at the orthodontic central referrals process and what could be improved to reduce waste

Author: Wessex Local Dental Network Team, NHS England Wessex Area Team, Team Based QI Fellowship 2014-15 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk

Utilising the latent energy of Junior Doctors in Quality Improvement – the development of a web based educational tool 

Summary: The development of a web based educational tool to support the Wessex Patient Safety First programme for junior doctors.  

Author: Dr Sarah Noble, HEE Wessex Emergency Medicine Trainee, Individual QI Fellowship 2013-14 

Contact

For more information please contact: qualityimprovement.wx@hee.nhs.uk