Other Projects

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

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

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 

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

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

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

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

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

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 

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 

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

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

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 

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

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

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

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 

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 

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

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

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 

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

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

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

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

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 

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 

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

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 

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

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

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 

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

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 

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

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 

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