{"id":13288,"date":"2019-03-21T12:10:24","date_gmt":"2019-03-21T12:10:24","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=13288"},"modified":"2019-03-21T12:10:24","modified_gmt":"2019-03-21T12:10:24","slug":"knowledge-lert-for-thursday-21st-march","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2019\/03\/21\/knowledge-lert-for-thursday-21st-march\/","title":{"rendered":"Knowledge @lert for Thursday 21st March"},"content":{"rendered":"<hr \/>\n<p><strong>Long\u00a0length of stay reviews<\/strong><br \/>\nThis <a href=\"https:\/\/improvement.nhs.uk\/resources\/guide-reducing-long-hospital-stays\/\" target=\"_blank\" rel=\"noopener\">case study<\/a> shows how Royal Preston Hospital, part of Lancashire Teaching Hospitals NHS Foundation Trust, implemented the ECIST long length of stay reviews to achieve a reduction in the number of patients with a length of stay greater than 20 days.<\/p>\n<hr \/>\n<p><strong>Home\u00a0to the unknown: getting hospital discharge right &#8211;\u00a0British Red Cross<\/strong><br \/>\nThis <a href=\"https:\/\/www.redcross.org.uk\/-\/media\/documents\/about-us\/research-publications\/health-social-care-and-support\/british-red-cross-home-to-the-unknown-full-report.pdf\" target=\"_blank\" rel=\"noopener\">research <\/a>explored patients\u2019 unplanned stays in hospital and what it was like for them after they had returned home. More specifically, the research sought to reveal: patients\u2019 experiences of being discharged from hospital; hospital systems and healthcare professionals\u2019 experiences and perceptions of the discharge process; and what it was like for people returning home from hospital feeling more or less prepared. As a result, it aimed to explore the impact of discharge on recovery and wellbeing and to identify opportunities to improve systems, communication and support.<\/p>\n<hr \/>\n<p><strong>Closing\u00a0the gap: key areas for action on the health and care workforce &#8211;\u00a0The King&#8217;s Fund<\/strong><br \/>\nStaffing is the make-or-break issue for the NHS in England. In this <a href=\"https:\/\/www.kingsfund.org.uk\/sites\/default\/files\/2019-03\/closing-the-gap-health-care-workforce-full-report.pdf\" target=\"_blank\" rel=\"noopener\">joint report with the Nuffield Trust and the Health Foundation<\/a>, we set out the policy actions that need to be at the heart of the workforce implementation plan due to be published later this year.<\/p>\n<hr \/>\n<p><strong>Exploring\u00a0variations in the opportunity cost cost-effectiveness threshold by clinical area: results from a feasibility study in England &#8211;\u00a0Office of Health Economics<\/strong><br \/>\nThis <a href=\"https:\/\/www.ohe.org\/system\/files\/private\/publications\/Quantitative%20aspects%20of%20the%20clinical%20threshold%20revised%2019th%20March%202019%20v1%20clean.pdf?download=1\" target=\"_blank\" rel=\"noopener\">research <\/a>paper provides empirical evidence on the relationship between health outcomes and health expenditures in England. Results suggest that setting a cost-effectiveness criterion for NICE may not be capable of being synthesised using scientific methods alone, but involve political judgements.<\/p>\n<hr \/>\n<p><strong>Clinical oncology workforce census<\/strong><br \/>\nThe Royal College of Radiologists has published <a href=\"https:\/\/www.rcr.ac.uk\/posts\/rcr-workforce-report-highlights-continuing-struggle-staff-uk-cancer-centres\">Clinical oncology: UK workforce census report 2018<\/a>.\u00a0 This report provides information on the number, distribution and working patterns of consultant-grade oncologists employed in NHS cancer centres.\u00a0 It also forecasts workforce numbers and working patterns and estimates the extent to which future workforce supply and demand for cancer treatments are aligned. \u00a0The report is intended to inform local and national oncology workforce training, planning and policy.<\/p>\n<hr \/>\n<p><strong>Visualising patient journeys<\/strong><br \/>\nThe Nuffield Trust has published an explainer <a href=\"https:\/\/www.nuffieldtrust.org.uk\/resource\/a-10-year-story-visualising-patient-journeys\">A 10-year story: visualising patient journeys<\/a>.\u00a0 This article explains an approach to visualising individual patients\u2019 contacts with health services through charts.\u00a0 It looks at what the charts are and when they are most useful.\u00a0 The approach is now expanding into tools with the potential to enhance patient care.<\/p>\n<hr \/>\n<p><strong>Developing\u00a0People Improving Care\u00a0\u00a0<\/strong><br \/>\nNHS Improvement has added <a href=\"https:\/\/improvement.nhs.uk\/resources\/developing-people-improving-care\/#h2-guides\" target=\"_blank\" rel=\"noopener\">these guides<\/a> to their Developing People \u2013 Improving Care webpage.<\/p>\n<hr \/>\n<p><strong>Our Fabulous NHS \u2013 Academy of Fabulous Stuff\u00a0<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7492\" data-permalink=\"https:\/\/www.lihnnhs.info\/Sando\/2017\/05\/25\/how-new-technology-is-benefiting-patients-living-with-respiratory-conditions\/aofnhss-hi-res-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=673%2C440&amp;ssl=1\" data-orig-size=\"673,440\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"AoFNHSS-Hi-Res\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=300%2C196&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=673%2C440&amp;ssl=1\" class=\"  wp-image-7492 alignright\" title=\"\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?resize=164%2C107\" sizes=\"auto, (max-width: 164px) 100vw, 164px\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?w=673 673w, https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?resize=300%2C196 300w\" alt=\"AoFNHSS-Hi-Res\" width=\"164\" height=\"107\" data-attachment-id=\"7492\" data-permalink=\"http:\/\/www.lihnnhs.info\/Sando\/2017\/05\/25\/how-new-technology-is-benefiting-patients-living-with-respiratory-conditions\/aofnhss-hi-res-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=673%2C440\" data-orig-size=\"673,440\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"AoFNHSS-Hi-Res\" data-image-description=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=300%2C196\" data-large-file=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/Sando\/wp-content\/uploads\/2017\/05\/aofnhss-hi-res.jpg?fit=673%2C440\" \/><br \/>\n***Get involved*** \u2013\u00a0\u00a0<a title=\"Submit Fab Stuff\" href=\"https:\/\/fabnhsstuff.net\/login\" target=\"_blank\" rel=\"noopener\">share your fab stuff!<\/a><\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/fabnhsstuff.net\/fab-stuff\/introduction-of-award-winning-pharmacy-service-on-emergency-department\" target=\"_blank\" rel=\"noopener\">Introduction of award winning pharmacy service on emergency department<\/a><br \/>\nA new, exciting service is being rolled out at Lancashire Teaching Hospitals NHS Foundation Trust which will enable patients to receive their medication reviewed and optimised much earlier in their admission.\u00a0A dedicated pharmacy team will be based within the emergency department at Royal Preston Hospital. Lancashire Teaching Hospitals are one of few nationally that have fully integrated a team of pharmacy professionals into the emergency department. This innovative service will allow patients to be seen by the emergency department pharmacy team at the front door.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><a href=\"https:\/\/fabnhsstuff.net\/fab-stuff\/ed-competencies\" target=\"_blank\" rel=\"noopener\">ED Competencies at Whipps Cross Hospital<\/a><br \/>\nWe have put together a developmental pathway for nurses in the ED. Recruitment was at an all time low in August 2018 and more needed to be done to ensure that a good retention strategy was in place.\u00a0A 6 Year strategy was designed. Taking a staff nurse through a 6 year programme covering all elements of ED Nursing, from RCN ED Competencies, trauma competencies, local competencies for professional development, all augmented with training days to augment learning. The programme then takes staff through quality improvement through a Champion\/Link Nurse programme, focussing on their passions and giving them tools for improvement. The Nurse then moves onto Level 2 (Band 6 marker) which is about advanced skill levels in the ED\/Trauma, how to run areas effectively and leadership. The Nurses have mandatory training days and at level 2, an in-house leadership training morning looks at the basics of leadership fundamentals and how to run a safe and high quality environment.<\/li>\n<\/ul>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"Long\u00a0length of stay reviews This case study shows how Royal Preston Hospital, part of Lancashire Teaching Hospitals NHS Foundation Trust, implemented the ECIST long length of stay reviews to achieve a reduction in the number of patients with a length of stay greater than 20 days. Home\u00a0to the unknown: getting&hellip;\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[37,15],"tags":[],"class_list":["post-13288","post","type-post","status-publish","format-standard","hentry","category-ccg","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-3sk","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/13288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/comments?post=13288"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/13288\/revisions"}],"predecessor-version":[{"id":13330,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/13288\/revisions\/13330"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=13288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=13288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=13288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}