The Bright Idea...

Dialogue and Action in Acute Childhood Illness

Patient safety requires an honest and open dialogue, but this can be extremely difficult in situations where the focus is an acutely ill child, in view of the increased anxiety of healthcare professionals, parents, and the patient themselves. In response to this, The Newcastle Upon Tyne Hospitals NHS Foundation Trust have created the RESILIENCE Programme (Recognition rEsponse and Structure, achieving heaLthy children in thE North Cumbrian communitiEs), which is a platform spanning organisations and parents in the North East and North Cumbria region, to improve the recognition and management of serious childhood illness, such as paediatric sepsis and asthma. This facilitates everyone being able to contribute their view, removing those barriers which would ordinarily get in the way of caring for the sick child.

The Innovators...

Dr. Rachel Agbeko, Consultant in Paediatric Intensive Care
Great North Children’s Hospital, The Newcastle upon Tyne Hospitals
NHS Foundation Trust

In collaboration with:
Vocare, NHS Northumberland Clinical Commissioning Group, NHS Newcastle Gateshead Clinical Commissioning Group, Newcastle University, Sunderland Royal Hospital, James Cook University Hospital, Clarity Informatics, North East Quality Observatory Service (NEQOS), North East Children’s Transport And Retrieval (NECTAR), Northumbria Specialist Emergency Care Hospital, Queen Elizabeth Hospital, Gateshead, West Cumberland Hospital, Whitehaven, Cumberland Infirmary, Carlisle, Darlington Memorial Hospital, University Hospital of North Durham, University Hospital of North Tees, South Tyneside District Hospital, North East Ambulance Service NHS Foundation Trust

The Bright Idea...

Mental Health Pathways

The team at North East Ambulance Service NHS Foundation Trust identified that a specific pathway for patients suffering from mental ill health can result in the patient being advised to attend their local A and E department for mental health crisis assessment, whereupon they wait and usually self-discharge without undergoing an assessment. In response to this, the team have facilitated the streamlining of access for patients to mental health services and the support of local Emergency Departments with the management of their demand pressures. This was achieved by triaging the call from the patient and passing the call seamlessly to a single point of access in the Mental Health Trust who can then transfer the patient to the appropriate team without necessitating a visit to A and E. This brings the mental health professional closer to the patient at the point of the NHS 111 telephone call, ultimately improving the patient experience.

The Innovators...

Maureen Gordon, Head of Patient Safety
Alison Kimber, Clinical Services Manager
Gillian Mac Arthur, Emergency Operations Centre Manager
Gillian Meddis, Clinical Nurse Advisor
North East Ambulance Service NHS Foundation Trust

In collaboration with:
Fiona Kilburn, Clinical Services Manager, Crisis Teams
Northumberland Tyne and Wear NHS Foundation Trust

Debbie Wright, Clinical Services Manager, Crisis Teams
Tees, Esk and Wear Valleys Mental NHS Foundation Trust

The Bright Idea...

Reducing Patient Harm Associated with Acute Kidney Injury

Acute Kidney Injury (AKI) is a syndrome of abrupt kidney dysfunction that commonly complicates acute illness and independently worsens patient outcomes. AKI is considered a Patient Safety Thermometer, since its presence usually indicates that a patient’s condition is deteriorating. This is common in unwell surgical patients, and yet avoidable patient harm associated with AKI is often under-recognised by surgical teams across the country. South Tees Hospitals NHS Foundation Trust have developed a sustainable “AKI Aware” Programme across the organisation, with the aim of limiting patient safety risks associated with AKI on surgical units. The Programme involves an inclusive approach, utilising the delivery of workshops to promote the uptake and correct use of the AKI guidelines.

The Innovators…

Dr. Jonathan Murray, Renal Consultant
Clare Allinson, Renal Advanced Nurse Practitioner
Ruth James, Director of Quality
Mr Tony Roberts, Deputy Director (Clinical Effectiveness)
South Tees Hospitals NHS Foundation Trust

Dr. Mark Ratnarajah, Managing Director (UK)
CRAB Clinical Informatics Limited