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27Th March 2019 Experience Day 2: NHS Lanarkshire

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27Th March 2019 Experience Day 2: NHS Lanarkshire International Forum on Quality & Safety in Healthcare Experience Visit to NHS Lanarkshire - 27th March 2019 Experience Day 2: NHS Lanarkshire – Quality in a health board setting NHS Lanarkshire is the third largest health board in Scotland, serving a population of 655,000 across rural and urban communities in Lanarkshire and employing around 12,000 staff working in communities, health centres, clinics and offices and at our three district general hospitals – University Hospital Hairmyres, University Hospital ​ ​ ​ Monklands and University Hospital Wishaw. ​ ​ ​ During this visit, delegates will learn about a number of projects in different care settings, including person-centred visiting, sepsis improvement, frailty at the front door and a range of primary care and mental health transformations. We are committed to delivering high quality, innovative and person-centred health and social care. Our aim is that everyone is able to live longer, healthier lives at home, or in a homely setting. Find out more on our plan for person-centred, innovative healthcare to help ​ Lanarkshire flourish. NHS Lanarkshire Experience Day – Option 1: University Hospital, Hairmyres 8.30am: departure by coach from SEC ​ 9.30am: arrival at University Hospital Hairmyres. Delegates to be met by Mrs ​ Frances Todd, Nurse Director, Acute Division, NHS Lanarkshire 09.45am: Welcome from Dr Jane Burns, Medical Director, NHS Lanarkshire ​ 10.15am - 11.00am: Presentation: Distress Brief Intervention. Speaker: Dr Linda ​ Findlay, Medical Director, South Lanarkshire Health & Social Care Partnership Distress Brief Interventions (DBIs), which emerged from the Scottish Government’s work on the Suicide Prevention and​ Mental Health strategies, are an innovative way of supporting people in distress. The DBI programme is hosted and led nationally by Health and Social Care North Lanarkshire (H&SCNL) and South Lanarkshire Health & Social Care Partnership (SLH&SCP), on behalf of the Scottish Government and is being piloted until March 2021 in four sites across Scotland including North & South Lanarkshire as above. The programme is nurturing and delivering a shared vision for connected ​ compassionate support, through a large and far reaching national and regional ​ distress collaboration between health and social care, emergency services and third sector, putting citizens at the centre, providing early intervention, reducing duplication, increasing efficiency and improving outcomes and experience for people experiencing distress and those providing support. 11.00 – 11.45am: Mobilisation in an Intensive Therapy Unit Setting, Dr Sanjiv ​ Chohan Delirium and weakness are common consequences of critical illness. Early mobilisation and rehabilitation are recommended as standards of care within critical care services. We aimed to introduce a standardised staged mobilisation process for our patients. Using iterative testing, and informed by feedback from patients and staff, we tested the introduction of an early mobilisation process 'The Daily Dangle' in our ICU. Although this led to more work for staff, co designing the process led to the dangle being valued both by patients and staff. Data showed that the new process was safe, and also associated with a decrease in the incidence of delirium, an important complication of critical illness. 12.00: Buffet Lunch and Market Stalls – Foyer Area ​ There will be various market stalls where Lanarkshire health and social care staff will be available to discuss improvements they are making to improving quality and safety for the people of Lanarkshire including: Primary Care Improvement Team Lead: Judith Cain, Senior Improvement Manager Primary Care Delegates will learn about how Lanarkshire’s Primary Care Improvement Team oversees the implementation of the Primary Care Improvement Plan which supports the delivery of the General Medical Services (GMS) contract 2018. The contract refocuses the role of GPs as expert medical generalists, leading multi-disciplinary teams to provide healthcare in the community. Specific tasks currently carried out by GPs will then be carried out by other members of the wider team – where it is safe, appropriate and will benefit the patient. These substantial changes to primary care services will ensure that more people can be cared for in their own communities. Mental Health and wellbeing Lead: Jenny Hutton, Public Mental Health Development Manager Improving the mental health of the population is a national priority for Scotland, and a local priority for Lanarkshire. Achieving good mental health for all requires diverse, co-ordinated action and an ambitious, innovative approach. We believe in a mentally flourishing Lanarkshire where mental health inequalities are neither acceptable nor inevitable. Delegates will learn of innovative approaches across a number of areas, including: · Social prescribing · Early intervention in mental health · Stigma Free Lanarkshire · Building Recovery Communities · Suicide Prevention · Lanarkshire Green Health Partnership QI within Children, Young People and Families Leads: Vivian Boxall IHI Improvement Advisor, Louise Graham Senior Nurse and Sandra MacInnes Improvement Coordinator Delegates will learn, via four brief poster presentations, how practitioners have developed their skills as improvers and are using the model for improvement within children's services. The focus is on addressing child poverty, reducing the inequality gap in the uptake of the 27 month child health review, coproduction with parents to reduce exposure to second hand smoke, and improve language skills in early years. These presentations will be of interest to any colleagues working with children, young people and families and a desire to learn about the practical journey of taking projects to scale and sustaining the gains. Telehealth and Telecare Lead: Morag Hearty, Lanarkshire Telehealth and Telecare Manager As a major partner in the National Technology Enabled Care programme, Lanarkshire’s Telehealth team, are changing the way people access health and care services. Delegates will learn about how team have introduced remote health monitoring and video consultations (VC) to a wide range of services. Remote monitoring of long term conditions has improved condition control and saved appointments, VC in care homes has improved quality of life for residents and the use of VC by acute, specialist and community teams has improved communication. Overall it has achieved considerable savings in travel and time for citizens and staff. This supports all national health and wellbeing outcomes. 1-1.45pm: Presentation: Think Activity in a Community Hospital ​ Speaker: Lianne McInally, Senior Improvement Advisor, Quality Directorate, NHS The #Think Activity improvement journey originated in Kello Community Hospital, Biggar, to improve physical and mental wellbeing outcomes for patients. The initial project was a collaboration between NHS Lanarkshire, Healthcare Improvement Scotland and Glasgow Caledonian University. Improvements encouraged an active ethos on the ward, incorporating a self-management approach to goal setting and increasing activity levels that put patients at the centre of the process, giving them control over goals set and how they were achieved. The project has involved patients, families, staff and the wider community in the improvement approach including local spiritual support, volunteers and Biggar primary and secondary schools. There has been national and international interest in the use of the Activity Passport at scale both in hospital and community to support people to ‘Think Activity’. 1-45-2.30pm: Presentation: Care Home Continence Promotion ​ Speaker: Jean Donaldson, Associate Director of Nursing, South Lanarkshire Health & Social Care Partnership Research has identified incontinence as a risk factor that increases skin damage, infection and falls in older people. That has a detrimental impact on people’s lives and, in turn, places increasing pressure on the health and care system. Working in partnership with care homes and using improvement methodology a continence promotion care bundle has been developed. This has led to marked improvements including a reduction in falls by 65%, urinary tract infections being reduced by 50% and skin damage reduced by one third. The number and absorbency levels of continence pads used have also reduced. Health economist analyses demonstrate a potential saving to the NHS of £250,000 in one care home over nine months. This multi award winning project which involved two care homes is now being spread and implemented in care homes across Lanarkshire. 2.30-3.30pm: Clinical Area Visits ​ Delegates will visit one of the following areas and have the opportunity to meet staff who have carried out improvements in quality and safety in healthcare in NHS Lanarkshire. Visit 1: Frailty Team Visit 2: Medical Assessment Unit Visit 3: Theatre Hub Visit 4: Emergency Department 3.30-4pm: Session: Reflections on the day ​ Chair: Frances Dodd, Director of Nursing, NHS Lanarkshire This session will be an opportunity for delegates to share insights on their visit to NHS Lanarkshire and share learning and experiences. 4pm: Session: Closing the day ​ Speaker: Irene Barkby, Executive Director of Nursing, Midwifery and Allied Health Closing remarks and an invitation for future connections. 4.30pm: return to SEC by coach ​ NHS Lanarkshire Experience Day: Option 2 - University Hospital Wishaw 8.30am: departure by coach from SEC ​ 9.30am: arrival at University Hospital Wishaw.
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