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QI Projects: Frailty

Please see below QI fellowship projects or funded work relating to the care of people who are frail.

Project Title: Improving the identification and management of older (aged 70 years and over) patients with frailty in an acute surgical setting (Link to poster)

  • Location of Project: Portsmouth Hospitals NHS Trust
  • Summary: Awaiting summary
  • Author: Sarah Clarke, Kelly Cole, Claire Porter, Beverley Watson and Claire Spice
  • HEE Wessex funded initiative: Quality Improvement Support Fund 2018/19
  • For more information please contact: qualityimprovement.wx@hee.nhs.uk     

 

Project Title: Improving the quality of the pathway for over 65-year olds who fall with injury in Southampton City (Link to poster)

  • Location of Project: Southampton
  • Summary: Identifying sources of variation in rates of falls with injury in over 65-year olds in Southampton and leading change to improve the quality of the service offer. This included focused quality improvement on the Fracture Liaison Service in Southampton, to reduce the incidence of secondary fractures in older people through improved identification and management of people with osteoporosis.
  • Fellow: Dr Susannah Cochrane, Public Health Registrar
  • Fellowship programme: Individual QI Fellowship 2018-19
  • For more information please contact: susannah.cochrane@nhs.net

 

Project Title: See the Person not the Patient (Link to poster)

  • Location of Project: PHT
  • Summary: Awaiting summary
  • Fellow: See the Person not the Patient Team, PHT
  • Fellowship programme: Team Based QI Fellowship 2017/18
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving the continuity of care for people living with frailty within the acute setting (Link to poster)

  • Location of Project: Salisbury NHS FT
  • Summary: Awaiting summary
  • Fellow: Salisbury OPAL Team
  • Fellowship programme: Team Based QI Fellowship 2017/18
  • For more information please contact: OPAL@salisbury.nhs.uk

 

Project Title: Implementing a 24 Hour Rehabilitation Approach at Bournemouth Hospital (Link to poster)

  • Location of Project: RBCH
  • Summary: Awaiting summary
  • Fellow: Bournemouth OPAL Team, RBCH
  • Fellowship programme: Team Based QI Fellowship 2017/18
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving care for frail elderly patients on general medical wards (Link to poster)

  • Location of Project: PHT
  • Summary:  The aim of this work was to reduce length of stay for Frail Elderly patients 75 years admitted to Respiratory Wards at Queen Alexandra Hospital.
  • Fellow: Dr Eleanor Reid, Wessex Geriatric Medicine Trainee
  • Fellowship programme: Individual QI fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving the care of frail patients (Link to poster)

  • Location of Project: HHFT
  • Summary:  The aim of this improvement project was to reduce the time frail patients stay in hospital by 10%, within a year. Using the model for improvement and a PDSA testing approach, we introduced a frailty pathway, a screening and comprehensive geriatric assessment tool and set up our Integrated Frailty Intervention Team. We were successful in achieving a 21% reduction in the length of stay of patients over 75, following these changes.
  • Fellow: Yvonne McWean, Quality Improvement Lead, Chief Nursing Office, HHFT
  • Fellowship programme: Individual QI Fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving out-of-hours handover of frail and vulnerable patients in the community setting (Link to poster)

  • Location of Project: Dorset
  • Summary: This project looked at enabling systems to ensure that salient information from anticipatory care plans were made accessible to relevant clinicians at key moments in the patient journey. The work undertaken identified improvements that could be made in care plans that were in use across Dorset, in terms of timely accessibility to relevant clinicians. To fully improve these a larger systems/IT approach is needed.  
  • Fellow: Dr Susannah Jackson, GP, Dorset
  • Fellowship programme: GP QI Fellowship, 2015-17 (undertaken part-time)
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Linking the virtual ward with general practice (Link to poster)

  • Location of Project: Solent NHS Trust
  • Summary:  Awaiting summary
  • Fellow: Helen Brewah, Community Matron, Solent NHS Trust
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Contingency Planning: A Discharge Planning Pilot (Link to poster)

  • Location of Project: RBCH
  • Summary:  Awaiting summary
  • Fellow: Liz Smith, Clinical Lead Physiotherapist, RBCH
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving the quality of communication and care planning in a front door frailty service (Awaiting poster)

  • Location of Project: Salisbury NHS FT
  • Summary:  Awaiting summary
  • Fellow: James Lee, Elderly Care Nurse Specialist, Salisbury NHS FT
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Does the introduction of holistic care planning have an impact on the wellbeing of people with frailty? (Link to poster)

  • Location of Project: Southern Health NHS FT
  • Summary:  Awaiting summary
  • Fellow: Karen West, Physiotherapy Team Lead, Southern Health NHS FT
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: karen.west@southernhealth.nhs.uk

 

Project Title: Constipation - a timely response to a big problem (Link to poster)

  • Location of Project: Southern Health NHS FT
  • Summary:  Awaiting summary
  • Fellow: Elizabeth Kerridge-Weeks, Strategic Manager - Falls prevention team, Southern Health NHS FT
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: How do we Improve Review of Medication for Acute Patients living with Frailty? (Link to poster)

  • Location of Project: PHT
  • Summary:  Awaiting summary
  • Fellow: Kerry Burrows, Pharmacist, PHT
  • Fellowship programme: Frailty Fellowship, 2016-17
  • For more information please contact: Kerry.burrows@porthosp.nhs.uk

 

Project Title: Improving the care of frail older patients in colorectal surgery (Link to poster)

  • Location of Project:  RBCH
  • Summary:  An initial detailed assessment of the current care for the older patients in colorectal surgery demonstrated that improvements were needed with the multidisciplinary team working, input from Older Persons Medicine specialists and delirium management. We tested interventions to ensure these areas were addressed and that older frail patients medical and social issues were recognised and well managed. Over a 6 month intervention period the project demonstrated a 23% reduction in the length of stay of noon-elective colorectal patients over the age of 70 without significant change in readmissions or mortality.
  • Fellow: Dr Edward Hewertson, Wessex Geriatric Medicine Trainee
  • Fellowship programme: Individual QI Fellowship, 2015-16
  • For more information please contact: edwardhewertson@doctors.org.uk

 

Project Title: Why the Wait? Changing attitudes and culture to ensure timely discharge within older persons medicine (Link to poster)

  • Location of Project: RBCH
  • Summary:  Improvement of the patient journey at the Royal Bournemouth Hospital, ensuring that our frail patients are seen by the right person at the right time, in the right place for the right length of time. The project commenced on ward 4, a general Geriatrics inpatient ward at the Trust.
  • Fellow: Dr Tom Bartlett, Wessex Geriatric Medicine Trainee
  • Fellowship programme: Individual QI Fellowship, 2015-16
  • For more information please contact: qualityimprovement.WX@hee.nhs.uk

 

Project Title: Improving the recognition and management of older people with frailty in acute care (Link to poster)

  • Location of Project: PHT
  • Summary:  This improvement work focused on the implementation of an identification tool for older people with frailty who present to the Emergency Department (ED).  A frailty syndrome approach was taken for identification.  Prior to the improvement work there had been no routine frailty identification screen.  Between June and August 2016 85% of those aged 75 years and older were screened. The purpose of this was to lead to improvements in the management and outcomes for patients with frailty.  Subsequent initial comprehensive assessment was achieved by a frailty team in 34% of those who were identified as positive between June and August 2016.  The conversion rate for presentation at ED to an admission was reduced following the intervention.
  • Fellow: Dr Claire Spice, Consultant Geriatrician, PHT
  • Fellowship programme: Individual QI Fellowship, 2015-16
  • For more information please contact: claire.spice@porthosp.nhs.uk

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