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Case Studies

  • Last modified date:
    28 October 2010

These case studies provide real examples of how staff are improving quality and productivity across the NHS.

The aim of these case studies is to provoke thoughts, ideas and discussions about changes that can be made locally in the NHS.

End of life care family liaison service

The Birmingham East & North Family Liaison Service is a partnership between the PCT and Healthcare at Home Ltd which enables patients to access a wide range of end of life care services including support with independent living and more choice about where and when they receive care and how they die. Piloting in Kingstanding and Sutton Coldfield, it has already exceeded anticipated referral rates and targeted savings. Birmingham East & North PCT plans to roll out the programme across the region to improve services for patients, achieve efficiency savings and reduce avoidable hospital admissions.

Enhanced recovery programme

The enhanced recovery programme in elective surgery is reducing patients’ return to normal from weeks to just days and, if adopted nationally, has the potential to save 200,000 bed days. Mr Nader Francis, consultant colorectal surgeon at Yeovil District Hospital, says it has transformed the way patients recover from major operations.

Fractured neck of femur – rapid improvement programme

Senior nurse Glynis Peat was the pathway leader for a multi-professional group at South Tees Hospital NHS Foundation Trust that transformed the patient pathway for fractured neck of femur. Their improvements have speeded recovery for this vulnerable group, saving money and freeing valuable orthopaedic bed days.

Engineering simpler, safer and more efficient blood transfusion systems

Mike Murphy is Professor of Blood Transfusion Medicine at Oxford University and consultant haematologist, NHS Blood and Transplant at Oxford Radcliffe Hospitals. He pioneered the ‘re-engineering’ of hospital blood transfusion using an electronic system. It has made transfusion at the Oxford Radcliffe Hospitals safer for patients, simpler for staff and is reducing costs for the trust.

Rapid response community assessment and management of dysphagia in end-of-life care

Ruth Williams is a speech and language therapist and acting manager for rehabilitation services in Sandwell Primary Care Trust (PCT). Ruth led a programme to improve the assessment and management of dysphagia, allowing more patients to remain at home during end-of-life care and reducing hospital admissions.

Antibiotic stewardship

At Southampton University Hospitals NHS Trust pharmacists and medical microbiologists work together to support clinical teams’ treatment decisions. Consultant pharmacist for anti-infectives Kieran Hand says this systematic approach to antibiotic prescribing is helping to reduce the rates of C. difficile infection, supports effective and safer patient care and saves money for the trust.

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