First winners of new Yorkshire & Humber AHSN awards

Six health and industry organisations are celebrating after winning new awards from the Yorkshire & Humber Academic Health Science Network.

The awards are the first to be presented by the Yorkshire & Humber AHSN with the winners announced at the organisation’s Innovation, Improvement and Impact Conference held at the Royal Armouries, Leeds on Wednesday 25th January.

The six categories were:

  • Patient safety achievement
  • Best example of adoption and diffusion
  • Performance through partnership
  • Improving care through innovation or improvement
  • Using technology to improve efficiency
  • Best patient driven innovation/improvement/collaboration

Sir Andrew Cash OBE, Chief Executive of Sheffield Teaching Hospitals NHS Foundation Trust and Vice Chair of the Yorkshire & Humber AHSN presented the awards to the winners and highly commended nominations.

The award winners were:

Patient safety achievement

Winner: Leeds Children’s Hospital for its project S.A.F.E – the Positive Impact of Druggles on Prescribing Standards and Patient Safety within the Neonatal Intensive Care Environment

A Druggle is a five-minute weekly staff meeting led by a pharmacist to improve prescribing standards and medicines safety on the neonatal unit (NNU). There are also plans to extend the scheme across the hospital.

The Druggle has earlier won the prize for innovation at the Neonatal and Paediatric Pharmacists’ Group Conference.

Highly Commended: York Teaching Hospital NHS Foundation Trust for its Reducing Falls on a Complex Psychogeriatric Ward project.

Inpatient falls across NHS hospitals account for 26 per cent of all incident reports and the number of reported inpatient fall incidents has risen to 250,000 per year in acute and community hospitals in England and Wales.

One ward in York Teaching Hospital NHS Foundation Trust has used a variety of methods to counter the problem of inpatient falls including learning from previous incidents, the development of individual patient care plans and daily ward staff huddles.

These have resulted in a significant reduction in the number of falls on the ward (60 per cent) and no falls resulting in moderate or severe harm have happened on the ward since 13th July 2016.

Best example of adoption and diffusion

Winner: Yorkshire & Humber NHS Genomic Medicine Centre for its project Yorkshire & Humber NHS GMC and delivery of the 100,000 Genomes Project

The Yorkshire & Humber NHS Genomic Medicine Centre (YHGMC) is a region wide organisation that began operations in January 2016 and is already making real progress in creating a lasting legacy for personalised medicine in the area.

The team is working to embed genomic medicine in the work of clinical teams across the region and developing IT systems to enable all stages of patient recruitment to be monitored and diagnostic samples to be tracked.

The YHGMC has also developed a comprehensive education package that is being rolled out across the region. This includes access to formal courses, educational event and outreach to the wider community.

The work of the YHGMC has been commended by NHS England as an example of good practice.

Highly commended: Working Together Partnership Vanguard for its project Collaborative Procurement Approach

The Working Together Partnership Vanguard is made up of Barnsley Hospital NHS Foundation Trust, Chesterfield Royal Hospital NHS Foundation Trust, Doncaster & Bassetlaw Hospitals NHS Foundation Trust, The Mid Yorkshire Hospitals NHS Trust, The Rotherham NHS Foundation Trust, Sheffield Children’s NHS Foundation Trust and Sheffield Teaching Hospitals NHS Foundation Trust.

The partnership works together to strengthen each organisation’s ability to deliver safe, sustainable and local services. It has a number of key work streams including joint procurement. Joint procurement has now delivered over £1m savings and the programme has also led the way for a Department of Health national core range initiative.

Performance through partnership

Winner: Maldaba Ltd for its My Health Guide App for Adults with Learning Disabilities

My Health Guide is an innovative tablet based app for adults with learning disabilities to manage their healthcare, developed in partnership between Maldaba Ltd and Humber NHS Foundation Trust using Small Business Research Initiative Healthcare funding. Maldaba and Humber NHS Foundation Trust have worked in close partnership since 2014 on this project, and have co-produced the technology along with service users and friend/families, carers.

The app enables adults with learning disabilities to communicate better, to understand more about what’s going on with their healthcare and to have a voice in decisions made about them.

The CQC inspection report of Humber NHS Foundation Trust in August 2016 named My Health Guide as an example of Good Practice.

Highly commended: Interface Clinical Services and Aire Valley Medical Group for their project Partnering to Improve Prevalence.

Interface Clinical Services partnered with the Aire Valley Medical Group across four member practices to improve identification of patients with specific medical conditions including osteoporosis and heart failure.

As a result, an average of 205 patients per practice are now on disease registers who previously were not. These patients can now be considered ‘safer’ by virtue of their place on a register, as their disease will be effectively monitored, and any changes will be made by the GP when needed.

Improving care through innovation or improvement

Winner: South West Yorkshire Partnership NHS Foundation Trust for its project A Lifeline for Women in Forensic Services.

Forensic services can be especially challenging for women. The wards, which deliver mental health care in secure settings, are typically dominated by men, meaning women’s care has historically been viewed as a less effective service.

The women’s pathway team at Newton Lodge were determined to change this and has made huge strides to improve the experience and outcomes for women in their care. The team developed an innovative approach to the women’s pathway which differs significantly from traditional women’s secure services including;

  • A new five to eight-bedded rehab area, specifically for women being introduced. It has its own lounge, quiet area, beverage bay for women to make their own drinks and a kitchen and dining area. The new ward layout and environment allows women to begin to feel that they are able to start to return to a more normal way of living and avoids the distress associated with living with acutely unwell women.
  • The team put in place a dedicated responsible clinician, manager, nursing team, occupational therapist, psychologist and social worker. This means the women don’t have to build new relationships or have a new assessment when they move into rehab.

This commitment to innovative new approaches is seeing impressive results. Women are recovering more quickly than ever with a typical stay having dropped by an impressive 3.4 years since 2015. This medium secure unit at South West Yorkshire Partnership NHS Foundation Trust is now at the forefront of innovation in women’s services.

Highly commended: Sheffield Teaching Hospitals NHS Foundation Trust for its project The Seamless Surgery Programme

The Seamless Surgery Programme aims to ensure a smooth patient journey for those facing elective surgery whilst using resources efficiently.

Since the programme formally launched in July 2016, data for Sheffield Teaching Hospitals shows:

  • A reduction in lists cancelled per week by 50 per cent
  • Better planning and scheduling and a focus on reducing on day cancellations has enabled an additional six patients per week to be operated on within existing resources
  • The programme has enabled around 300 more patients to be operated on with additional gross income (within existing fixed and staff costs) of around £540,000 and potential annual income of over £2m.

Using technology to improve efficiency

Winner: Sheffield Teaching Hospitals NHS Foundation Trust for its project Advanced Web-based Preoperative Assessment to Improve Quality and Efficiency

Across the UK thousands of patients undergo a pre-operative assessment (POA) every year, a time-consuming and resource-intensive process, which varies significantly depending on whether individuals are fit and well or have complex medical conditions. Through the development of an electronic Personal Assessment Questionnaire (ePAQ-PO) patients are invited to complete the questionnaire the same day as being listed for surgery.

All 12 surgical specialities in the Trust now use ePAQ with savings of over 200 hours of nurse practitioner time each month and 200+ return visits to the hospital. In October 2017, this was in excess of 300. Since early pilots in December 2016, over 1,700 patients have completed ePAQ.

Highly commended: 365 Response for its HealthCab Smart Platform

Healthcab is a cloud based logistics smart platform that supports front line staff to make bookings for patient transport services. This is helping to reduce the length of time staff have to spend making transport arrangements as well as helping to reduce costs.

The number of complaints about patient transport has also drastically reduced.

Best patient driven innovation/improvement/collaboration

Winner: Recovery Enterprises for it project Sheffield Flourish

Sheffield Flourish is a blended real life and digital well-being hub co-created to support people living with mental health conditions to connect with others and the resources they need to build the lives they wish to live. Volunteers steer the site, produce content and help others to go online.

Recovery Enterprises joined forces with Sheffield Health and Social Care NHS Partnership Foundation Trust, the University of Sheffield, Human Studio, Big Lottery and Sheffield Hospital Charity and most importantly the over 180 people living with mental health conditions who were involved in shaping it pre-launch, co-designing the specification, branding, principles and initial content. Since the launch of the Beta platform in the summer over 3,500 users have viewed 43,000 pages. The community has also hosted over 20 Sheffield Flourish meetups and new groups are beginning to emerge, e.g. a monthly ADHD group. More than 50 stories have been produced by the creative content producers and more than 40 volunteers involved in editing, content production and helping people to go online.

Highly commended: Schools App Challenge – A Digital Skills and Co-creation Approach to Health Promotion and Improving Outcomes for Children.

Schools App Challenge (SAC) is an early intervention project using digital innovation and app co-design to change the way health promotion is delivered to children in primary schools. The annual competition provides a real-life application to making good health choices. It was launched by West Wakefield in 2015 as one of its Prime Minister’s Challenge Fund initiatives, following the recognition for the need for an innovative way to tackle the war on ill health, specifically childhood obesity, oral health and mental health in children.

Now in its third year, thanks to recurrent funding as a Vanguard for NHS England’s New Models of Care, the competition has successfully engaged with over 1,600 Year 6 students in Wakefield, who have designed over 200 health app concepts. This has resulted in two winning apps been subsequently built by West Wakefield.