Category > Patient safety

White mother and newborn. Child birth in maternity hospital.

A real-world evaluation of the Hegenberger Retractor

In partnership with Royal United Hospitals Bath NHS Foundation Trust, we carried out a real-world evaluation of the use of an innovative device, designed to improve recovery for women and birthing people after childbirth. The study explored how the Hegenberger Retractor was used in practice, its impact, and the barriers and enablers influencing its adoption.…

Read more

National Polypharmacy Programme: Getting the balance right

Led by Health Innovation West of England, the National Polypharmacy Programme: Getting the balance right was a multi-year national initiative designed to address the growing clinical risks associated with problematic polypharmacy. Running from April 2022 to September 2025, the programme engaged all 42 Integrated Care Boards (ICBs) across England and focused on helping healthcare professionals…

Read more

Reducing harm from opioids: a whole system approach in the West of England

We led the Medicines Safety Improvement Programme (MedSIP) in the West of England from 2022-2025, focused on addressing the widespread prescribing of opioids for long-term pain. While opioids are effective for acute and end-of-life pain, there is little evidence supporting their efficacy for chronic pain. However, their prescribing more than doubled between 1998 and 2018,…

Read more

PERIPrem (Perinatal Excellence to Reduce Injury in Premature Birth)

Launched in April 2020, PERIPrem (Perinatal Excellence to Reduce Injury in Premature Birth) is a unique perinatal care bundle that aims to improve the outcomes for premature babies across the West and South West regions. PERIPrem reflects the NHS Long Term Plan ambition to reduce stillbirths, maternal and neonatal mortality and serious brain injury by…

Read more

Improving care for patients receiving acute non-invasive ventilation

Our project to improve care for patients receiving acute non-invasive ventilation (NIV) has helped to reduce mortality rates from 28% to 22% across the West of England, and modelling shows this approach has saved 165 lives to date. (NIV) services were developed in many UK hospitals after a clinical trial showed that it could reduce…

Read more

PreCiSSIon – Preventing Caesarean Birth SSI across the region

From November 2022 to March 2025, the PreCiSSIon programme successfully supported five acute maternity units in the West of England to achieve a 25% reduction in surgical site infection (SSI) rates following caesarean births by testing and reliably implementing evidence-based interventions at the time of surgery. As most SSIs occur after patient discharge from hospital,…

Read more

RESTORE2 training for care providers

Building on our leadership of national projects to support the management of deterioration including New Early Warning Score (NEWS2) and ED Safety Checklist, we have delivered free RESTORE2 training to thousands of care staff across the region. Originally created by Hampshire, Southampton and Isle of Wight CCG, RESTORE2 is an escalation tool for use in…

Read more

ReSPECT (Recommended Summary Plan for Emergency Care and Treatment)

The ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) process creates a summary of personalised recommendations for a person’s clinical care in a future emergency in which they do not have capacity to make or express choices. ReSPECT was developed by the Resuscitation Council, working alongside NHS stakeholders, patients, and families. The roll-out of…

Read more

The West of England Learning Disabilities Collaborative

We established the West of England Learning Disabilities Collaborative (LDC) in early 2019 bringing together individuals and organisations from across the region interested in the care of people with a learning disability and experts by experience, with a focus on three priority areas: Improving recognition of deterioration through use of soft-signs and National Early Warning…

Read more

Electronic health records in care homes

With our support, Bath and North East Somerset, Swindon and Wiltshire (BSW) CCG built on a recent trial using an early ‘mobile’ version of TPP’s SystmOne electronic health record, by introducing a new care home module across a small number of care homes. Early feedback is indicating demonstrable benefits in improved communication between care homes…

Read more