PSCs are working with care homes to support staff in identifying the physical and early soft signs of health deterioration in adult residents, communicating concerns to multi-disciplinary teams, and taking early action when needed. Adopting a deterioration management tool, such as RESTORE2, is key to supporting staff and PSCs have supported care homes in adopting this improved way of working.
Impact: PSCs are now working with 11,827 care homes across England. As a result of working with PSCs 79% of care homes have received deterioration management tool training and 64% (9,530) of care homes have adopted a deterioration management tool. Four PSC localities have particularly high adoption levels of over 85%. The programme has now entered a period of pause.
Find out more about how PSCs are supporting safety improvements in care homes.
Maternity and Neonatal safety
Improving the safety and outcomes for mothers and pre-term babies is at the core of PSC support to maternity and neonatal units.
Impact: Improving the care of premature babies has saved up to 584 lives and prevented up to 385 cases of cerebral palsy.
Opioids are highly effective in supporting patients in managing pain, but can do more harm than good when used long-term for non-cancer pain. PSCs are working with 42 integrated care boards (ICBs) and are actively supporting 24 of these to implement a whole system approach to reducing opioid prescribing for non-cancer related chronic pain. This work brings the science of continuous safety improvement to safety culture, safety systems and high-risk medicines in common use.
Impact: There has been a reduction in the number of people being prescribed transdermal opioids in four or more consecutive months this equates to 518 lives being saved, and the prevention of 4,676 severe harms and 24,128 hospital readmissions avoided.
Find out more about the work Health Innovation Networks are doing to improve medicines safety.
Restrictive practices such as physical restraint, seclusion, and rapid tranquilisation, can cause physical and mental harm to patients and staff. PSCs are supporting mental health services to reduce the use of restrictive interventions in mental health settings.
Impact: At the end of 2023, 98% of all eligible NHS mental health, learning disabilities and autism (MHLDA) Trusts were involved with the programme, either supported directly by PSCs or involved through the mental health patient safety networks. 261 wards across England were actively engaged in the reducing restrictive practice work, including wards across NHS MHLDA Trusts and all of the major private providers of NHS-funded mental health inpatient services.
We are seeing significant decreases in restrictive practice with between 37-75% reduction in physical restraint, between 19-84% reduction in rapid tranquilisation, and up to 87% reduction in seclusion in some organsiations.
PSCs continue their contribution to the implementation of the Patient Safety Incident Response Framework (PSIRF). PSCs have engaged with systems, particularly Integrated Care Boards (ICBs), to define their support for PSIRF implementation in the stipulated phases.
Impact: PSCs are engaged with all stakeholders supporting them to implement PSIRF across the system.
Harriet Smith is the Health Innovation Network's MTFM National Lead for Spectra Optia. In this blog, she outlines the collaborative efforts to improve the support available to people with sickle cell disease, and tackle long standing inequalities. Sickle cell disease (SCD) is a serious and lifelong health condition. People with SCD produce unusually shaped red [...]
Dr Stuart Monk, National Programme Director for the Accelerated Access Collaborative (AAC) Programmes at the Health Innovation Network, talks about the pivotal role of innovation tackling healthcare inequalities in the NHS. At the Royal Society of Medicine’s Tackling Inequalities conference it was clear from the passion in the room that great progress has been made [...]
Dr Phil Jennings, Vice Chair of the Health Innovation Network and Chief Executive of Health Innovation North West Coast, discusses why the Network’s collective relicensing gives innovation a better chance of success. In any one day in England, 1.2 million people attend a GP appointment, over a quarter of a million people have an outpatient [...]
Sign up to our monthly health innovation newsletter