Latest activity and updates from the Patient Safety Collaborative Workstreams – November 2022

England’s 15 Patient Safety Collaboratives (PSCs) play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the health and care system.

PSCs are funded and nationally coordinated by NHS England and NHS Improvement, and hosted locally by the Academic Health Science Networks (AHSNs). Health Innovation Manchester hosts the Greater Manchester and Eastern Cheshire Patient Safety Collaborative.

PSCs can work directly with local teams, supporting them to make sure they have the right skills and resources to implement improvements. PSCs can also share good practice across the health system, focus on people-centred care and build relationships with NHS staff, business and academia to stimulate innovation and improvement.

Care Homes

We now have engagement from all 10 localities within Greater Manchester in rolling out the Restore 2 Mini tool to all care homes where a deterioration tool is not in place. We recognise that care homes are about to enter a tough period and finding time to attend training for new initiatives is not always easy so we have focused on developing a range of resources that any home in GM can access to get up and running with Restore2Mini and these will be shared on a dedicated website soon. We also plan to hold 2 multi-disciplinary, systemwide events to share all the work that has gone into rolling out deterioration tools and develop response pathways to ensure Restore2Mini isn’t rolled out in isolation. 

Maternity and Neonatal

  • We have now commenced face to face meetings with the optimisation teams this has enable HInM to deliver to the teams the ‘Think Optimisation’ set of posters that were developed in collaboration with Northwest Neonatal Operational Delivery Network (NWNODN) and Northwest Coast Innovation Agency (NWCIA) for units to utilise on their improvement boards.  
  • We delivered the 3rd SIG in collaboration with NWNODN and NWCIA on the 4th of October and the focus was the antenatal measures and data 
  • The National team facilitated the second action learning sets on the 27th of September and Vicky Parrington from Bolton NHS Trust delivered an inspiring presentation on their improvement work on the maternal breast milk intervention. Process performance monitoring has seen sustained changes and for the month of October they achieved 100%. 
  • The 4th action learning set facilitated by the national team was held on the 29th of November and the focus was on antenatal steroids. Great to see representation from every GMEC trust. 
  • Oldham participated in the Phase 2 testing of the new national MEWS tool and further testing will take place in the 2023. Bolton participated in the final testing of the national NEWTT2 tool. 
  • The pilot for Omega-3 supplementation continues at MFT Oxford Road and Wythenshawe preterm birth clinics. 

Mental Health

  • We have continued to support mental health wards across Greater Manchester, conducting both face-to-face and virtual coaching sessions, to develop quality improvement projects to reduce restrictive practice (RRP). 
  • We delivered a data learning session on 6th October regarding the importance of data, and we have developed a dashboard to enable us to feedback to wards their improvement since starting the programme. 
  • We facilitated a learning collaborative on 15th November. The focus of the learning event was coproduction and shared learning. Louise Edwards from Mersey Care delivered an inspiring presentation on the improvement work they have done at Taylor Ward. 
  • There has been an increase in interest regarding the RRP programme and we have recruited 3 more wards, 2 further wards from Pennine Care and a CAMHS ward from Cygnet.  We are now working with a total of 11 wards.  
  • We have introduced certificates to reward teams.  These are produced when wards complete and forward their safety crosses, attend learning events, and identify and carry out improvements. 

System Safety

We have collaborated with partners in NHSE North West regional team, North West Coast (Innovation Agency) and Aqua to plan a support offer to providers from within GM, alongside their regional counterparts. This will take the form of 4x one-day, face-to-face learning events, occurring bi-monthly until the end of this year’s commission. Collaborating with these partners allows us to offer events at scale, widen opportunities for learning from regional colleagues and to present a single, unified and official support offer to our stakeholders.  

The first event, held on 4 November, was a great success – search “#PSIRFNWEvents” to read about it on Twitter. There is also a workspace on FutureNHS to support this collaborative – find out more here: https://future.nhs.uk/NW_PSIRF_Collaborative/groupHome  

Medicines

  • We collaborated with the IPMO and aligned programmes of work to deliver best outcomes for patients.  
  • We held a successful meeting with Salford Pain Centre with their agreement to support the MedSIP agenda and to act as a discovery site to develop a change package ready to roll out across Greater Manchester. Salford Pain Centre also agreed to deliver education events for Link Workers and Community Pharmacy. 
  • We met with lead for Bolton to explore opportunities to utilise Discharge Medicines Service as a safety net to identify patients discharged from the acute trust. 
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