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GP Bulletin - October 2016

Our work draws praise from CQC Chairman

At a visit earlier this month from Peter Wyman CBE, Chair of the Care Quality Commission, to Bradford Royal Infirmary we found it was the perfect opportunity for us to showcase our work and our services which are making a real difference to our patients. It was obvious from the reaction we received from Peter during the tour, and his letter of thanks afterwards, that he was clearly impressed with what he saw. On the itinerary was a visit to the elderly care ward where he met Dr Maj Pushpangadan, Clinical Lead for Elderly Care, and Matron Danni Woods, Lead Nurse for Dementia, and saw first-hand how the “My Life” technology can help with patients with dementia.

There was also a visit to our neonatal unit, where Dr Chakrapani Vasudevan, Consultant Neonatologist, Carol Hudson, Advanced Neonatal Nurse Practitioner and Steve Pearson, Network and Telecoms Manager were able to demonstrate one of our latest advances, the ground-breaking Baby View video link system which connects parents with their babies. Another highlight was a tour of our new wing, guided by Shane Embleton, Programme Manager.  Peter took up the position of Chair of the Care Quality Commission in January this year and served as Chair of the Yeovil District Hospital NHS Foundation Trust for five years.

New innovation will have positive impact on bed days

We’d like to share with you an insight into our new Diagnostic Virtual Ward project based at Bradford Royal Infirmary. When fully functioning, we expect it to have a significant impact on the number of bed days we are able to save.  All credit is due to Consultant, Alex Brown, for coming up with the idea for the innovative project, which so far has saved 96 bed days and counting. The project has been turned into reality by Alex, together with Patient Safety Leadership Fellow, Stefan Williams along with co-ordinator Jo Karim.

Stefan explains: “Some patients come to the end of their stay in hospital but are waiting for one final test which could preclude them from going home. They don’t need to be in hospital, taking up a bed, however, if they are discharged without having had that final test, then they would go on an outpatients’ waiting list to return to hospital which can take as much as six weeks. The Diagnostic Virtual Ward is the perfect solution because when the patient is well enough to go home, they can be discharged. Then they are called to have that final test on an ‘inpatient timescale’. It’s as if they have remained in hospital but are not taking up a bed.”

Jo is the Diagnostic Virtual Ward co-ordinator, ensuring a smooth transfer for patients who are ready to be discharged but need to return for their final test. She ensures that patients have their appointment date and time, checks that patients have attended and contacts the patient’s consultant to inform them when the result is available. She explains “The project is like a one-stop shop and we can co-ordinate everything a patient may need, whether this is transport, interpreters and so on. Feedback has been really positive and the patients who have used the Diagnostic Virtual ward so far have said they would definitely recommend it.”

Stefan added that so far the Diagnostic Virtual Ward began with wards 6 and 9 – gastro/renal medicine and stroke/neurology – but it is hoped to roll the project out to all wards throughout the hospital eventually. The project is a six month pilot initially, one of several projects we are working on. But we hope it will continue.

Enhancing our understanding through ProgRESS

ProgRESS is our PROGrammed Review of Effectiveness, Safety and Sensitivity and it is unique to our Foundation Trust. It has been designed so that it can enhance our understanding in relation to the safety, effectiveness, caring, responsiveness and leadership associated with the services that we provide.

It will help us to understand where there might be difficulties, risks and opportunities for change and improvement in the way that we deliver our services.  Assurance and Regulation Manager, Lucy Atkin explained: “ProgRESS reviewers will use a range of tools and techniques that are designed to review, assess, identify risks, assess service levels and highlight best practice. All staff will be trained in the review process and form part of a pool of reviewers with different areas of expertise and interest available to support individual reviews.”

We look forward to sharing the developments and future areas of focus in upcoming bulletins.

Patient information crowned best in the NHS

We are thrilled to inform you that we have won the top prize in an awards scheme to celebrate the very best in patient information. Colleagues from geriatric medicine and medical illustration pooled their skills to develop a new leaflet on delirium, a state of mental confusion, for patients and carers.  And their hard work was rewarded when it was crowned winner of the “Best Patient Information provided by an NHS Trust” category in the prestigious British Medical Association (BMA) awards.

Altogether, we submitted three entries to the awards – recognised as the “Oscars” for patient information – and they were all either highly commended or commended. A tremendous achievement by all concerned. Our winning leaflet was created to complement new guidelines on delirium that we are developing. Like all our other entries that drew praise from judges, it was designed by Stephen Cunningham, from Medical Illustration. Its authors were Dr Andy Clegg, Consultant Geriatrician, and Dr Amy Illsley, Registrar in Geriatric Medicine.
The intended audience of the leaflet includes any patient diagnosed with delirium, and their relatives and carers.

It drew this praise from Ms Catherine Macadam, the immediate past Chair of the BMA Patient Liaison Group: “This is a very simple information leaflet which provides some much needed information very clearly. Because it is designed for use within one hospital trust it has been produced simply, but with input from clinicians and feedback from service users: the clinicians are identified on the leaflet and it also states the review date. The lay-out is very plain, but it does what it needs to and I can see that it would be a valuable thing to have. Well done for taking care over producing this fantastic resource which explains very clearly what can happen to people in hospital when they experience delirium. The language is simple but explains very effectively what the relatives need to know; it is easy to read. Everything is crystal clear and very helpful and empowering. I wish I had had something like this when my mum had delirium in hospital.”

Trust Grand Round November 2016

The next Grand Round will take place on November 29 2016. The subjects will be Diagnostic Virtual Ward presented by Stefan Williams and Improving the Patient Experience through Volunteering presented by Christine Heaton/Shelley Bailey. These meetings provide an excellent opportunity to meet with fellow professionals whilst remaining up to date with key issues and developments.

The Foundation Trust invites all local GPs to attend the Grand Round which are held monthly. The Grand Round is held in the Sovereign Lecture Theatre at Bradford Royal Infirmary. Meetings start at 12.45pm and last for an hour. Lunch is available from 12.15pm.

This monthly bulletin aims to keep local GPs up to date with the trust’s new services and developments. If you’d like any further information about any of the items in this month’s briefing contact Naveed Saddique on 01274 272635, email gp.comments@bthft.nhs.uk