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Dr Phil Jennings
Medical Director
@DrPhilJennings
philip.jennings@innovationagencynwc.nhs.uk
Programme Highlights
Innovation Agency
North West Coast
PSC
Deterioration
NEWS 2
Escape Pain
Maternity
Diabetes in
Pregnancy
Smoking in
Pregnancy
Deteriorating
Mother &
Baby
Pre term
Infant
Culture
Coaching
Academy
MSc Patient
Safety
Q Network
Safety
Advocates
Local
TCAM PINCER
SIM iThrive
Point of Care
Testing
Emergency
Laparotomy
Bone Health
Faecal
Calprotectin
PSC
Deterioration
NEWS 2
Escape Pain
Maternity
Diabetes in
Pregnancy
Smoking in
Pregnancy
Deteriorating
Mother &
Baby
PreCept
Culture
Coaching
Academy
MSc Patient
Safety
Q Network
Safety
Advocates
Local
TCAM PINCER
SIM iThrive
Point of Care
Testing
Emergency
Laparotomy
Bone Health
Faecal
Calprotectin
• Pain, reduced mobility, lost productivity
• 2 million GP Consultations
• 150,000 Hip and Knee replacements
• OA related pain is an important factor in the
development frailty
Rehabilitation programme
incorporating
• Education
• Tailored Exercise
• 6 weeks
• Start & Finish as a group
• Each session includes
education & exercise
• Safe and more effective than usual primary care - reduces pain,
improves physical and psychosocial function
• Reduced healthcare utilisation
• More cost-effective than usual primary care and physiotherapy
• Patients and therapists like it
• Sustained benefits for up to 30 months
• Delays and may avoid operations
Automated digital link between acute providers & community pharmacy
Upon discharge community team reviews medication; cancels stopped
items; adds new items; flags discrepancies to GP
Automated digital link between acute providers & community pharmacy
1:5 Prescriptionscontain
errors
1:500 Prescriptions
containerrorsthatmay
leadtoharm
• Antiplatelet
• NSAID
• Anticoagulants
• Diuretics
• Pharmacist-led information
technology intervention for
medication errors in general
practice (‘PINCER’)
• Software audit tool
• 8 Queries for common drug
prescribing pitfalls
• A new collaborative approach to dealing with patients in Crisis
• Recognises that a small number of patients / service users have needs that span emergency services
• SIM (Serenity Integrated Mentoring) involves embedding a Police Officer into the community mental health
team.
• Intensive management results in
• Police incidents: -97%
• NHS assessments: -94%
• Ambulance deployments: -81%
• A&E attendances: -69%
• Mental health bed days: -100%
• Other NHS bed days: -57%
Patient Safety Team:
philip.jennings
andrew.cooper
mandy.townsend
jen.gilroycheetham
@innovationagencynwc.nhs.uk
Innovation Agency
North West Coast

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Patient Safety Collaborative

  • 1. Dr Phil Jennings Medical Director @DrPhilJennings philip.jennings@innovationagencynwc.nhs.uk Programme Highlights Innovation Agency North West Coast
  • 2. PSC Deterioration NEWS 2 Escape Pain Maternity Diabetes in Pregnancy Smoking in Pregnancy Deteriorating Mother & Baby Pre term Infant Culture Coaching Academy MSc Patient Safety Q Network Safety Advocates Local TCAM PINCER SIM iThrive Point of Care Testing Emergency Laparotomy Bone Health Faecal Calprotectin
  • 3. PSC Deterioration NEWS 2 Escape Pain Maternity Diabetes in Pregnancy Smoking in Pregnancy Deteriorating Mother & Baby PreCept Culture Coaching Academy MSc Patient Safety Q Network Safety Advocates Local TCAM PINCER SIM iThrive Point of Care Testing Emergency Laparotomy Bone Health Faecal Calprotectin
  • 4. • Pain, reduced mobility, lost productivity • 2 million GP Consultations • 150,000 Hip and Knee replacements • OA related pain is an important factor in the development frailty
  • 5. Rehabilitation programme incorporating • Education • Tailored Exercise • 6 weeks • Start & Finish as a group • Each session includes education & exercise
  • 6. • Safe and more effective than usual primary care - reduces pain, improves physical and psychosocial function • Reduced healthcare utilisation • More cost-effective than usual primary care and physiotherapy • Patients and therapists like it • Sustained benefits for up to 30 months • Delays and may avoid operations
  • 7.
  • 8. Automated digital link between acute providers & community pharmacy Upon discharge community team reviews medication; cancels stopped items; adds new items; flags discrepancies to GP Automated digital link between acute providers & community pharmacy
  • 9.
  • 10. 1:5 Prescriptionscontain errors 1:500 Prescriptions containerrorsthatmay leadtoharm • Antiplatelet • NSAID • Anticoagulants • Diuretics • Pharmacist-led information technology intervention for medication errors in general practice (‘PINCER’) • Software audit tool • 8 Queries for common drug prescribing pitfalls
  • 11.
  • 12.
  • 13. • A new collaborative approach to dealing with patients in Crisis • Recognises that a small number of patients / service users have needs that span emergency services • SIM (Serenity Integrated Mentoring) involves embedding a Police Officer into the community mental health team. • Intensive management results in • Police incidents: -97% • NHS assessments: -94% • Ambulance deployments: -81% • A&E attendances: -69% • Mental health bed days: -100% • Other NHS bed days: -57%

Editor's Notes

  1. EVIDENCE to support
  2. 1:25 Hospital admissions related to prescribing errors 4 classes of drug account for 50% of these
  3. 1:25 Hospital admissions related to prescribing errors 4 classes of drug account for 50% of these
  4. Emergency services dealing with paitent in crisis Mental health problems Often Chaotic lives; same patients in contact wit Police Often involved with drugs / alcohol / AED / Section 136