Category > Transforming systems and services

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…

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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…

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SHarED (Supporting High impact users in Emergency Departments)

The SHarED (Supporting High impact users in Emergency Departments) project aimed to improve outcomes for the most frequent users of Emergency Departments (EDs). High impact users (HIU) of EDs suffer some of the most severe health inequalities in the UK. Through a collaborative case management approach, significant improvements have been recorded through project SHarED for…

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FeNO testing in Primary Care

The FeNO testing programme aims to improve the speed and accuracy of asthma diagnosis and prescribing, therefore reducing the risks of exacerbations and admissions to hospital.  FeNO devices measure fractional exhaled nitric oxide in the breath of patients. This provides an indication of the level of inflammation in the lungs, a marker which helps make…

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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…

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PreciSSIon (Preventing Surgical Site Infection across a region)

PreciSSIon (Preventing Surgical Site Infection across a region) is a double award-winning collaborative involving all hospitals in the West of England. The aim was to reduce incidence of surgical site infection after elective colorectal surgery by implementing a four-point evidence-based bundle of care developed at North Bristol NHS Trust in February 2013. This became a…

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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…

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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…

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PReCePT – preventing cerebral palsy in preterm babies

Every year around 4,000 women in the UK give birth very early because of complications with their pregnancy. Being born too early is the leading cause of cerebral palsy, which has a lifelong impact on children and families. Magnesium sulphate (MgSO4) given during preterm labour reduces the relative risk of cerebral palsy in very preterm…

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NEWS – National Early Warning Score

Prior to use of the National Early Warning Score (NEWS) across healthcare systems there was no standardised response to deterioration or common ‘language’ used at all handovers of care for acutely unwell patients. The Royal College of Physicians (RCP) developed NEWS and the updated NEWS2 as an aggregate scoring system of physiological observations that act…

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