08 Jun 2016 ABMU has four shortlisted schemes in national safety awards

Four ABMU Health Board projects have been shortlisted in the 2016 UK Patient Safety Awards, taking place in Manchester next month.

Two projects have been shortlisted under ‘Cancer Care’, one in ‘Clinical Leadership’ and the fourth under ‘Procurement’. And the Lymphoedema Network Wales, which is based in Cimla Hospital and led by clinical lead Melanie Thomas and her team, has also been shortlisted in the Procurement category.

Now in its eighth year, the Patient Safety Awards recognise and reward outstanding practice within the NHS and independent healthcare organisations.

Cancer Care

The Chemotherapy Day Unit at Singleton Hospital, Swansea, was shortlisted for reducing delays in patients receiving treatment. The team investigated why there were hold-ups in some chemotherapy arriving in time for patients’ appointments and improved the processes to get around this. Now more patients – up to seven more per day – can be treated.

Our Sarcoma team in Morriston Hospital, Swansea, recognised that because soft tissue sarcoma in a rare cancer, a suspected case may take longer to be referred to a specialist. Soft tissue sarcomas are cancers of the supporting tissues of the body, including muscles, fat and blood vessels.

The team set up clinics staffed with specialist sarcoma clinicians. The clinics now run weekly in both ABMU and Hywel Dda university health boards, and patients can be referred by GPs and radiologists. If a lump is suspected of being a sarcoma, patients proceed right to a sarcoma specialist radiology consultant for further investigation. Also, patients whose lumps are diagnosed as benign, now get early reassurance.

Clinical Leadership

Elderly Care Advanced Nurse Practitioner Wendy Mashlan, in the Princess of Wales Hospital in Bridgend was shortlisted for developing a team of 10 advanced nurse practitioners (ANP) specifically to help deliver high standards of care to older, frail, patients.

Improvements have included an ANP inpatient referral system which identifies patients across the hospital who need to be assessed elderly specialist care; identifying patients early on and the development of an ANP-led community hospital frailty clinic.

Procurement

Our Medical Devices department, Infection Control team and staff at Morriston Hospital Emergency Department worked together to improve the way IV cannulation is given to patients.

Intravenenous cannulae are used to give patients drugs, fluids and blood products. In ABMU in 2015,over 300,000 cannula were bought; and one in three patients will have one in place at any one time. However there can be problems with these common devices, including infections and medication leaking into surrounding tissue.

This project developed safer and more effective ways of inserting and monitoring IV cannulae, and an all-Wales contract is now out to tender for a dedicated insertion pack, which will result in a national minimum standard for NHS Wales.

Compression garments are the mainstay of lymphoedema treatment. The Welsh Government Lymphoedema Strategy 2009 recommended central purchasing of compression garments ensuring best outcome for patients and value for money.

Since the development of Lymphoedema Network Wales in 2011, collaboration between NHS Wales Procurement Services, the Surgical Materials Testing Laboratory (SMTL), clinicians and most importantly service users, have enabled the development of an all Wales compression garment contract and a national formulary for Wales.

This has ensured that garments being procured and dispensed are the right products for the best outcome and at the right price. It has also reduced waste, harm and variation and ensured prudent prescribing and procurement.

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