What is the impact of developing a seven day hospital service?

An NHS Improvement report

Working with South Warwickshire NHS Foundation Trust and University Hospital Southampton NHS Foundation Trust, we assessed the costs and benefits of implementing the four priority clinical standards for seven day hospital services.

Link to both reports here


Improving staff retention: A collection of practical resources to help NHS organisations to improve staff retention.


An NHS Improvement resource.

We have developed and collated a collection of resources to help improve staff retention which will include a mixture of:

  • retention improvement guides
  • government policy documents
  • case studies on trust initiatives to improve retention

These have been created with support from trust HR directors, directors of nursing, medical directors and NHS providers to help promote best practice and share learning.

This resource was developed in response to trusts’ requests for examples of best practice around improving retention through interviews with trust HR directors, directors of nursing and medical directors.

It showcases proven approaches to improving staff retention with NHS organisations and builds on the same retention themes explored by NHS Employers in improving staff retention: a guide for employersopens in a new window and extends this support with more examples of the innovative approaches being trialled in trusts.

This improvement resource is part of our wider programme of facilitating learning between trusts to help them retain their staff.

Link to main article page here

Young Adult Diabetes: Engaging to improve; outcomes of the young adult clinic restructure.

Image: Google Images, Copyright free
April 2018

In accordance with NICE diabetes guidance NG17 and NG18, and in line with Quality Standard 140 on transition from children’s to adults services, it was recognised that achieving good glycaemic outcomes for young adults with diabetes remained a challenge at the Royal Liverpool University Hospital. Towards the end of 2015, patient engagement was poor with high non-attendance in clinics. A tiny proportion of the cohort was achieving the NICE recommended HbA1c <53mmol/mol and admission rates for diabetes-related emergencies remained high.

To make improvements, there was a desperate need for engagement and innovative working methods. Through a process of team briefings and service user feedback, a number of changes were made, which included a clinic restructure, addition of flexible drop-in sessions, following a structured care pathway, construction of a clinic spreadsheet for data analysis and establishment of the first peer-support group for type 1 diabetes in Liverpool, with a view to engage and support.

Making Every Contact Count for Physical Activity in Musculoskeletal Outpatient Physiotherapy: A service improvement project to implement NICE public health guidance PH44

Physical inactivity is a major risk factor for global mortality and non-communicable diseases (WHO, 2009). The World Health Organisation (WHO) recommend adults achieve a minimum of 150 minutes per week of moderate-to-vigorous physical activity to benefit health and prevent disease (WHO, 2010). 48% of adults living in Doncaster fail to achieve these recommendations making the region one of the least active in England (Public Health England, 2016).

Many physiotherapists discuss physical activity within routine practice but evidence suggests assessment of physical activity status and signposting is limited and local documentation audit reflected these findings (Lowe et al, 2017). This project aimed to establish a suitable targeted approach to identifying patients at most risk of physical inactivity accessing musculoskeletal (MSK) outpatient physiotherapy services and so support acceptable and practical implementation of NICE (PH44) physical activity recommendations 1 and 2 and make every contact count.

Link to page here

The Integrated Pain and Spinal Service (IPASS): A unique, integrated and collaborative approach to persistent pain management – NICE Shared Learning

IPASS is an award winning service which provides multi-disciplinary specialist assessments and treatments for patients with back and generalised persistent pain. Using a holistic approach the team are able to address the physical and mental needs of patients through a range of programmes with a focus on self and the aim of improving quality of life, function and mental health.

The multidisciplinary team (MDT) is able to educate and discuss with patients the most effective treatment for the individual with options including, psychological, pharmacological, physical and invasive treatments.

A stepped approach to the whole pathway right from presentation with the GP was devised to ensure that for those patients who are not improving a choice of treatments could be offered. Referrals are triaged by specialist pain physiotherapists and Extended Scope physiotherapist (ESP) using criteria agreed by the MDT and the use of the ‘Keele STarT back’ tool which places importance on the risk of pain becoming chronic resulting in poor patient outcomes.

The service implements NICE guidance ‘NG59: Low back pain and sciatica in over 16s: assessment and management’.

Link to article here

Latest innovation case studies published on Atlas

Image: Pixabay.com

Six new case studies have been published on the AHSN Network’s Atlas of Solutions in Healthcare, showcasing a diverse range of innovations benefiting patients and supporting clinicians around the country.

Link to page here

iSPACE – dementia friendly GP surgeries

The iSPACE programme is increasing diagnosis rates and providing support for those living with dementia & their carers. Read more

Improving patient involvement in diabetes management

Companies supported by the Digital Health.London Accelerator are improving patient involvement in diabetes management using digital solutions. Read more

Limiting patient harm due to acute kidney injury

This programme is raising awareness of acute kidney injury (AKI), helping healthcare professionals to recognise and treat the condition promptly. Read more

Safer provision and caring excellence – the impact of SPACE

A large-scale care home improvement programme strengthening safety culture and reducing the incidence of adverse safety events. Read more

Reducing acute kidney injury and sepsis mortality

London collaboratives are improving the recognition and treatment of patients admitted to hospital with AKI or sepsis, while increasing NHS staff quality improvement capability. Read more

We share the NEWS – National Early Warning Score

Delivering a system-wide change in how healthcare providers recognise and respond to the deteriorating patient, use of the National Early Warning Score across all handovers of care is supporting a joined-up, standardised approach. Read more