Improvement collaborative materials: 13 March 2018

Presentations and materials from London’s Urgent and Emergency Care Improvement Collaborative event held on 13 March 2018.

This is the fourth in a series of six sessions. More than 160 colleagues from London’s health and care took part in exploring how best to support people for whom getting better and returning home is the most challenging when they require unplanned care, particularly those that are elderly.

The London Urgent and Emergency Care Improvement Collaborative events give health and care leaders a dedicated space to discuss the most complex issues facing their local areas and how these issues need to be acknowledged and responded to. The day provides an important opportunity to hear about best practice, discuss and challenge the most complex issues occurring locally, agree local priorities and gain from peers and others in the Improvement Collaborative.

The programme for the fourth event included learning from good practice in key areas including supporting people to come home sooner; using Day of Care surveys for improvement; building capability within care homes; and improving the management of mental health problems in physically frail people living in care homes.

The day was also supported with involvement from several patient representatives. Additionally, Professor Brian Dolan, visiting Professor of Nursing at Oxford Institute for Nursing, Midwifery & Allied Health Research, took the opportunity to update delegates and inspire them about the 70 days to end pyjama paralysis campaign, the next phase of the #EndPJparalysis movement.

Twitter highlights from the day:

Presentations available to download:

Welcome and aims – Prof Derek Bell, Chair London Urgent & Emergency Care Improvement Collaborative
London’s Vision for Urgent and Emergency Care – Dr Tom Coffey, Senior Advisor to the Mayor, Health Policy and practicing GP
Do Multi Agency Discharge Event (MADE) and Stranded Patient reviews have an impact? – Angela Thompson, Director of Nursing & Deputy Regional Chief Nurse, NHS Improvement
Why patient time is the most important currency in healthcare? – Prof Brian Dolan, Visiting Professor of Nursing at Oxford Institute for Nursing, Midwifery and Allied Health Research

Delegate workshops in the morning:

Supporting people to stay in their residential and nursing home in the last months of life – Dr Clare O’Sullivan, Sutton Homes of Care, Sutton CCG
Implementing #PJParalysis and #FittoSit – Prof Brian Dolan, Visiting Professor of Nursing at Oxford Institute for Nursing, Midwifery & Allied Health Research
Supporting people to come home sooner – Katy Millard, London Community Services Director, Central and North West London NHS Foundation Trust
Using community assets to support people to stay home – Sarah Perrin, Prevention and Wellbeing Service Manager for ‎Adults and Communities, London Borough of Barnet
Measuring demand and capacity – and responding to the information – Ulrich Dempfle, Demand and Capacity Lead

Delegate workshops in the afternoon:

Using Day of Care surveys for improvement, including Day of Care on community beds and mental health – Dr Milla Marinova, Clinical Research Fellow, NIHR CLAHRC Northwest London
Using QI tools including Action Effect Diagrams – Dr Tom Woodcock, Public Health & Information Intelligence Co-Lead, NIHR CLAHRC Northwest London
Building capability within care homes to support frail older people – Jenny Shand, UCL Partners & Executive Lead, Care City
Management of mental health problems in physically frail people living in care homes – Dr Daniel Harwood, Consultant Psychiatrist & Clinical Director for Mental Health of Older Adults and Dementia, South London and Maudsley NHS Foundation Trust
Responding to urgent needs at home – 111 star line and AHP/paramedic collaboration – Eileen Sutton, Head of Urgent and Emergency Care Programme (111 and Integrated Urgent Care), HLP