Chain3 Improvement Stories

There are 22 project listings.
A PCT nurse led PSA follow-up service for patients
This project began in response to publication of the NICE guidelines on improving urology cancers and to developments in PSA monitoring that allowed stable patients to be monitored in the community without the need for ongoing specialist input. The projec ...
Added: Friday 6 July 2007
Category: Chain3 Improvement Stories
A programme of evaluation and service improvement for young people who attend community mental health services
Sheffield Care Trust adult MH services had lots of anecdotal evidence that their provision to young adults of 16 years and older was not as effective as it could be. Staff didn't feel there were sufficient age appropriate services to refer young people t ...
Added: Friday 13 July 2007
Category: Chain3 Improvement Stories
An example of redesign in Audiology to meet the 18 Week challenge
There are many different factors that contribute to the creation of long queues of people waiting for hearing aid audiology. Common themes include: recruitment and retention of skilled staff; local cost and resource pressures; recent referral patterns; h ...
Added: Wednesday 8 August 2007
Category: Chain3 Improvement Stories
Bed management and health outcomes measurement
In the financial year 1999-2000, the Southwark Adult Mental Health (AMH) Directorate of South London and Maudsley NHS Foundation Trust referred 402 individuals for acute admission to private hospitals. Focussed bed management meetings were introduced and ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Developing the role of the ward housekeeper within a multidisciplinary team
The Department of Health's Essence of Care programme was launched in February 2001 to raise the standards of care across a number of key areas including food and nutrition. Related developments included a pledge in the NHS Plan (2000) that over half of a ...
Added: Thursday 16 August 2007
Category: Chain3 Improvement Stories
Enhanced Intermediate Care Team
In an older care hospital facility with 200 beds between 25 and 30 people per month were blocking beds through delayed discharge. This bottle neck impacted on other services such as restricting capacity to undertake elective work. Care management arrangem ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
First Trimester Screening Clinic
The FTSC was introduced to provide Downs Syndrome and routine screening at 12 weeks as recommended by the National Institute for Clinical Excellence. Both the ultrasound scan (Nuchal Translucency test) and the blood test (the double test) are provided on ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Focused Mealtimes involving Therapists
The Essence of Care Nutrition benchmarking exercise (Department of Health) highlighted some areas where the expertise of allied health professional therapists (AHPs) at mealtimes might improve the experience for patients. Some patients arrived in the dini ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Improving acute and community management of gestational diabetes
The Royal London Combined Obstetrics and Diabetes Ante-natal clinic experienced a volume of referrals that had become difficult to manage. The number of attendees on one day alone had exceeded 100 and some women were waiting 3 hours or more to be seen. Th ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Improving cataract patient pathways to meet the 18 week target
The NHS Improvement Plan promised that by December 2008 no patient will have to wait longer than 18 weeks from referral to the start of treatment. The South Warwickshire General Hospitals NHS Trust approached this challenge by identifying those specialiti ...
Added: Wednesday 8 August 2007
Category: Chain3 Improvement Stories
Improving productivity through Microsystems working
The National Service Framework for Coronary Heart Disease (NSF CHD), published in March 2000, set out a strategy to modernise CHD services over ten years. It details 12 standards for improved prevention, diagnosis, treatment and rehabilitation and goals t ...
Added: Thursday 5 July 2007
Category: Chain3 Improvement Stories
Low Vision Aid Assessment Services in the Community
Low vision aid assessment services at Hartlepool PCT were considered to be rather haphazard and fragmented with complex referral routes and waiting times of 3 to 4 months. The local hospital delivered a monthly service but was not able to offer a combined ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Operating Theatre Efficiency Improvements using Operations Management Science
This project was established to tackle the problem of down time in operating theatres. The literature estimates that about 50% of available operating time is actually used for operating. This wasted time reflects a high cost to the organisation. South ...
Added: Thursday 16 August 2007
Category: Chain3 Improvement Stories
Pioneering an 18 week measurement system
Delivering an 18 week patient pathway from GP referral to the start of treatment is a key objective for the NHS. In early 2006 a number of Trusts around the country were accepted as sites to develop methods for measuring the attainment of this objective. ...
Added: Tuesday 4 September 2007
Category: Chain3 Improvement Stories
Preadmission Assessment ClinicTitle
The Freeman Hospital originally operated multiple isolated pre-admission assessment units within each directorate. As a result there was no consistency in how medical and nurse assessments were performed. Each unit followed a different assessment pathway ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Rapid access one stop neurovascular clinic
This Foundation Trust was not meeting a national standard specified by the Royal College of Physicians, which recommends rapid referral within 7 - 14 days to a specialist stroke clinic for people who experience a TIA. A failure to meet this standard could ...
Added: Friday 6 July 2007
Category: Chain3 Improvement Stories
Reducing Serious Safety Events
Added: Thursday 30 August 2007
Category: Chain3 Improvement Stories
Specialist services for the homeless and other vulnerable adults
As a generic health visitor, Margaret Somers visited clients living in hostels or temporary accommodation along with working her normal health visiting caseload. Margaret was able to identify the needs of homeless people using the Principles of Health Vi ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
Staying Steady Balance Project
Bristol Primary Care Trust was concerned about the management of older patients who had experienced a fall or near fall but who were still relatively mobile in the community. A fall could significantly alter an older personís quality of life particular ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories
The addictions pilot partner forum project
The Priory Hospital, Glasgow noted a lack of mechanisms to promote involvement of in-patients in the design and delivery of services. Community meetings were held regularly on the addictions ward and led by a member of nursing staff, which could make it d ...
Added: Monday 9 July 2007
Category: Chain3 Improvement Stories

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