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Well organised working environment
Project Description:

Staff at NHS Bolton noticed that desks in their office were very cluttered and disorganised, and they were wasting time looking for essential items. This project aimed to standardise desk layout using the 6 `S` principle.

The team agreed which items were essential on their desks (stapler, hole punch, telephone, pen holder, computer) and removed all other items. Items were photocopied to create shadows of their bases. These were cut out and stuck on the desks and staff placed essential items on their shadows before leaving their desks.

A weekly audit was carried out to ensure this was upheld. Benefits included:

  • reduced interruptions
  • clear desks
  • easier access to regularly used items
  • a calmer working environment. 


Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
WOWE
Project Description:

A Well Organised Working Environment – Bolton Wheelchair Service

 

Bolton Wheelchair Service used Productive Community Services techniques to re-organise its recently acquired gym.

 

Staff voiced their frustration about working in this poorly organised clinical area and were empowered to make changes to the layout of equipment and paperwork, encouraging a more efficient through flow of work. They used visual markings and audits to ensure consistency. The addition of a printer in the gym and computerised prescriptions saved valuable clinical time. Staff  were then inspired to also use PCS in the offices, car boots, and tool boxes!



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
Care Home Support Team - providing therapy services for older people in care
Project Description:

The development of the Care Home Support Team (CHST) has provided a multi-disciplinary/multi-agency support and therapy service to care homes in Derbyshire.

Access to patients in care homes is variable, in that the service relies on the care home staffs knowledge about referrals for appropriate services. Early interventions and preventative measures are often not common practice for this group of people.

The CHST aims to address these discrepancies. This service offers an opportunity to improve the quality of care to residents in Care Homes and enhance their quality of life.



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
Preventing Type 2 diabetes with Care-Call, a telephone based service offering lifestyle advice and motivational support to patients with Impaired Glucose Tolerance
Project Description:

The diabetes implementation theme for the Greater Manchester Collaboration for Leadership in Applied Health Research and Care is working with NHS Salford to develop a telephone based service to help prevent the onset of type 2 diabetes in people identified as having Impaired Glucose Tolerance (IGT)

The service will be provided through NHS Salford's exisiting Diabetes Care-Call service, using trained band four health advisors. Delivered via the telephone, this service will offer a six month programme of advice and motivational support to promote behaviour changes towards a healthier lifestyle.

Information will be sent to participants following each telephone call. This reinforces key messages and builds into a useful reference resource for the future.



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
NHS Direct patient decision aid pilot
Project Description:

NHS Direct has recently been commissioned to develop, pilot and implement three online patient decision aids to help patients make informed healthcare decisions. They will help patients:

  • who are facing difficult decisions about medical tests or treatments
  • when there is no clinical evidence that one treatment is better than another
  • where they don’t know which treatment will be best for them.

 

The decision aids will assist with:

  • Breast cancer surgical choices (choice of mastectomy or lumpectomy with radiotherapy).
  • Amniocentesis testing.
  • PSA testing.

 

GP surgeries (for the PSA testing decision aid) and hospitals will pilot the online decision aids between November 2010 and January 2011. The decision aids are accessible online and a telephone service is also available for patients who don't have access to the internet.



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
Proactive Intervention to Enhance Recovery (PIER)
Project Description:

One to three percent of the general population will develop psychosis. 7,500 young people in the UK deal with an emerging psychosis every year. 1,500 of these are teenagers.

Early intervention has proven to improve bio-psychosocial prognosis. There is an 84% unemployment rate in those who go on to develop chronic illness such as schizophrenia. The estimated societal cost of untreated psychosis leading to chronic illness, eg schizophrenia, is £6.7 billion per year.

PIER is a project aimed at engaging young people and their carers in interacting with online health information. This will improve access to health care, improve self management and enhance recovery. The PIER website will be produced by service users, with service users, for service users. It will include a blog, wiki and information on psychosis and other mental health resources.  



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
Improving EAU using a clinical microsystems approach
Project Description:

The urology team at Salford Royal Foundation NHS Trust are focusing on the EAU as a clinical microsystem and studying all aspects including patients, staff, patterns, and processes. This information will help them to improve the way they work within their unit, using a range of tools and skills, and including the whole team in this work.

Aims: to plan, provide and communicate the best initial patient assessment in a safe and timely fashion with the patient at the centre of our efforts

Outcomes: we will set different measures for each part of the system we tackle - this could be cycle time for a process, reducing length of stay or reducing harm using a trigger tool approach. We will aim to improve staff and patient satisfaction scores as an excellent measure of an improved system.



Added: Monday 8 November 2010
Status: Complete
Category: NHS Live Projects
Preventing type 2 diabetes – a lifestyle intervention for people with impaired glucose tolerance
Project Description:

The Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester and NHS Bolton are developing a service to tackle the rising number of type 2 diabetes cases. The service is aimed at people with Impaired Glucose Tolerance (IGT); a patient group which is at increased risk of developing type 2 diabetes.

 

Research evidence shows that intensive lifestyle interventions are successful in reducing IGT patients’ risk. Supported by the CLAHRC, NHS Bolton’s Health Trainers now offer lifestyle and motivational support to people with IGT to reduce the patient’s risk.

 

For further information, please visit the CLAHRC website: http://clahrc-gm.nihr.ac.uk/diabetes



Added: Wednesday 7 July 2010
Status: Complete
Category: NHS Live Projects
Speak out for Skin – Tissue Viability Programme in North East Lincolnshire
Project Description:

North East Lincolnshire’s Skin Health programme is an innovative community-led social marketing approach to raise awareness of wounds and support earlier presentation into services. 

The belief that ‘people are not the problem, they are the solution’ drives the approach.  The project supports teams of local people to work with services to create a range of solutions and approaches. Insight is gathered and used to develop key messages which are targeted to audiences in ways and places most likely to influence behaviours.

The programme was winner of the Wounds UK ‘Innovation in Leg Ulcer’ Award in June 2010.

Download the skin and wounds programme summary Download the skin and wounds programme summary (1 MB)



Added: Wednesday 7 July 2010
Status: Complete
Category: NHS Live Projects
Gloucestershire Primary School Lesson Plan
Project Description:

The Patient and Public Involvement team have developed a workshop (including a lesson and resource pack) to involve children and young people in redesigning an emergency and urgent care pathway. The pathway focused on feverish illness in children.

The children’s input was powerful, with comments such as:

“at night loads of people [in A&E] were drunk and I felt scared”

“it was crowded”

“not spend a long time waiting in a room with nothing to do”

Capturing patient’s feelings through writing and drawing provided insights which were practical, easily remedied and improved quality of care.

 

Download Teachers lesson plan and resource pack.

If you are interested in this project, we would also like to recommend the following helpful NHS Institute publication.

Focus On: Emergency and Urgent Care Pathway for Children and Young People - this document focuses on the emergency and urgent care pathway for children and young people with the most common illnesses and injuries



Added: Thursday 3 June 2010
Status: Complete
Category: NHS Live Projects

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