Adopt and Spread programme

About the programme

The Adopt and Spread Safety Improvement Programme (A&S SIP) is designed to have the flexibility needed to respond to new insights and emerging safety concerns. It will support patient safety recommendations that are amenable to spread and adoption through a quality improvement approach and will continue to work alongside the many stakeholders across the system.

The overarching aim of the programme is to:

  • Identify and support the adoption and spread of effective and safe evidence based interventions and practice across England.

The A&S-SIP will support the continuation of the safety improvement work and will build on its alignment with the wider health agenda. It will respond to national insights and recommendations amenable to spread and adoption through a quality improvement approach and will continue to work alongside the many key stakeholders across the system. The programme will build on its enabling work around improvement and spread and adoption capability. It will also support a safety culture and enable clinicians to lead safety improvement across local systems.

Each year the programme focuses on different priorities that have shown impact and supports their spread across England, the priority areas for next year are Asthma and Chronic Obstructive Pulmonary disease in-patient care bundles.

What we are doing in the region

We have already supported many different programmes of work that have led to measurable improvements including supporting the introduction of the Emergency Laparotomy Care Bundle, adoption of the emergency department safety checklist and PReCePT.

We estimate that six cases of cerebral palsy have been prevented as a result of 175 eligible preterm mothers receiving a dose of Magnesium Sulphate during childbirth. In March 2020, 99% of maternity units (155/157) reported adopting the PReCePT programme, with 83% of eligible mothers being given MgSO4 representing 23 potential cases of cerebral palsy avoided in 2019/20.

More than 1,800 patients undergoing emergency bowel surgery have reduced their risk of post-operative complications, lengthy stays in hospital and death thanks to the improved standards of care promoted by our Emergency Laparotomy Collaborative (ELC) programme.

Future Plans

The projects that are currently included in the work programme for the next 12 months are:

  • Supporting an increase in the number of patients in hospital receiving the Chronic Obstructive Pulmonary Disease (COPD) discharge care bundle to 80% by March 2022. (Currently at around 55%)
  • Supporting an increase in the number of eligible sites (i.e. acute hospitals in England that care for patients with tracheostomies) adopting three evidence-based tracheostomy safety interventions (bedhead signs, availability of emergency equipment, daily care bundle) to 90% by March 2021.
  • From April 2021, we will support an increase in the number of patients in hospitals receiving the asthma discharge care bundle to 80% by March 2023.
  • From April 2021, we will support an increase in the number of patients receiving the emergency laparotomy care bundle to 90% by October 2022.

Also included in the programme is the development of an improvement or innovation pipeline for ideas and innovations demonstrating patient safety improvements that are ready for wider adoption and spread.

How to get involved

Please contact Mel Johnson, Patient Safety Collaborative Programme Manager.