National Programme —

Adoption & Spread

Aiming to identify and support the spread and adoption of effective and safe, evidence-based interventions and practice across England.

Doctor on video consultation
Programme
Overview

COPD and Asthma discharge care bundles, offering bespoke assistance and networking to improve implementation of all elements of discharge care bundles


Tracheostomy care, produced a toolkit of best practice for tracheostomy patients


Emergency laparotomy care bundle, undertaking a review of this practice, prior to national improvement work

Detailed Programme Information

This programme aims to identify and support the spread and adoption of effective and safe, evidence-based interventions and practice across England.

  • Increase the proportion of eligible patients receiving all elements of the chronic obstructive pulmonary disease (COPD) discharge care bundle to 80% by March 2022, and the asthma discharge care bundle to 80% by March 2023.
  • Increase the proportion of eligible sites adopting three evidence-based tracheostomy safety interventions (bedhead signs, availability of emergency equipment, daily care bundle) to 90% by March 2021.
  • Increase the proportion of patients receiving all elements for which they are eligible of the emergency laparotomy care bundle to 90% by October 2022.

The programme also works with national, regional and local partners to develop a “pipeline” of future improvements.

COPD and Asthma Discharge Care Bundles

Post-discharge care for Asthma and COPD patients is a key element of care.

The South West AHSN Adoption and Spread COPD and asthma work builds on the community of practice that was created prior to the onset of COVID-19.  We are working with COPD and asthma teams across the region.

We are using data to target areas of lower take-up of the bundles, and offering bespoke assistance to allow teams to create localised improvement plans.

Tracheostomy Care

The number of patients requiring relatively prolonged ventilatory support in intensive care due to coronavirus (COVID-19) led to increased numbers of patients requiring tracheostomies, which are used to help wean some patients from respiratory support.

The AHSN Network published, in collaboration with the National Tracheostomy Safety Project and the National Patient Safety Improvement Programmes, a toolkit for healthcare staff to support them to safely care for patients with tracheostomies.

Emergency Laparotomy Care Bundles

From December 2018 to November 2019, 24,823 patients had emergency laparotomies in England and Wales.

Previous work undertaken by the National Patient Safety Improvement Programme and the AHSN network focussed on adopting one or more element of an emergency laparotomy care bundle. The NatPatSIP team are currently reviewing the adoption of the emergency laparotomy care bundle within acute NHS trusts in England and scoping opportunities for further improvement work.

The South West AHSN has recently engaged with local trusts in Somerset, Devon and Cornwall to understand their current position to feed into this national review.

For more information about our Adoption & Spread SIP work, please contact our Programme Lead, Victoria Salmon.

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