Bright Ideas in Health Awards Winners & Finalists 2019

1st place: Blood Borne Virus (BBV) Test

Falls are the most common cause of death from injury in the over 65s, accounting for 40% of ambulance call outs. Despite this, falls are not always dealt with in the most appropriate way, which can result in problems for the health and social care system. The pilot Project provides a truly collaborative approach to the problem, avoiding unnecessary hospital admissions and ensuring that patients are safe to remain at home, reducing pressure on both A and E departments and ambulance services.

The Innovators…

Joanna Donnelly, Occupational Therapist

Philippa Ellison-Rothwell, Occupational Therapist

Tripta Rathour, Occupational Therapist

Lesley Carr, Rapid Response Team Lead

Helen Kleiser, Falls Co-ordinator

David Puddy, Nikki Main, and Rob Livermore, Paramedics

Dan Haworth, Consultant Paramedic
North East Ambulance Service NHS Foundation Trust

Lead Organisation: Gateshead Health NHS Foundation Trust

2nd place - Cardiac Arrest Reduction Strategy

Cardiac arrests in hospital are normally attended by a cardiac arrest team of skilled individuals who have received appropriate training to ensure that they know how to respond.  Despite this, the survival rate is low, and it has remained so for the last fifty years.  The aim of the Project is to reduce the incidence of cardiac arrest calls within the Trust, thereby improving patient outcome and experience.  The Project began with a change in title from a ‘Resuscitation Service’ to a ‘Cardiac Arrest Prevention (CAP) Team’, in recognition of the fact that resuscitation often means that it is too late.  The focus of the CAP Team is the prevention of avoidable harm, to achieve the best possible outcomes for patients accessing healthcare in the Trust.

The Innovators:

Lisa Ward, Early Detection and Resuscitation Lead Nurse

Claire Stocks, Early Detection and Resuscitation Matron

The Cardiac Arrest Prevention Team, County Durham and Darlington NHS Foundation Trust

Lead organisation: County Durham and Darlington NHS Foundation Trust

Community Nursing Sepsis Screening and Action Tool

Sepsis in the community is a significant problem, and there is a need for improved focus upon the early recognition and escalation of patients who are suspected to have the condition.  The Screening and Action Tool, which can be carried to patients’ homes by healthcare professionals in the community, as well as being used within clinics, assists with the recognition of the early symptoms of sepsis.  It facilitates quick action, addresses the keys questions to ask, and presents an escalation plan to follow if sepsis is suspected.

The Innovator:

Dorathy Oparaeche, Community Staff Nurse, Northumbria Healthcare NHS Foundation Trust

Lead organisation: Northumbria Healthcare NHS Foundation Trust

Avoiding Falls Level of Observation Assessment Tool

The number of frail older people in hospital who are at risk of falling is increasing year on year.  This not only presents a significant safety issue, but also necessitates an unsustainable increase in resource in terms of one to one care.  AFLOAT (Avoiding Falls Level of Observation Assessment Tool) was developed by the team, with the aim of supporting ward nursing teams in the observation of patients at risk of falling.  Staff use AFLOAT to help them to decide the appropriate level of observation for the patient, and in this way, staff are made to feel more supported, without service users feeling that the observations are overly intrusive.

The Innovators:

David Dawson, Falls and Frailty Matron

Elaine Henderson, Director of Nursing

Dr Andrew Richardson, Falls Clinical Lead

Pippa Whitelaw, Gary Maltby, Shona Stafford Johnson, Doreen Hendrie and Joanne Turnbull,

Falls Specialist Nurses

Melanie Davidson, and Angela Dodds, Ward Managers

Lead organisation: Northumbria Healthcare NHS Foundation Trust in collaboration with NHS Improvement Falls Collaborative

1st place - The KidzMed Project – Teaching Children to Swallow Tablet Medication

Families can become frustrated with liquid medicines, which often have short expiry dates, require refrigeration, are difficult to obtain from local pharmacies, can cause dental decay, and can be unpalatable.  Moreover, liquid medications can be difficult to dose and can also vary in concentration.  Tablet medications are safer, more convenient, and less expensive than liquid, yet children and young people (CYP) often remain on liquid medication due to habit and reluctance to convert.  The aim of the Project is to teach CYP on long term medication how to take tablet medication as an alternative to liquid medication.  An interactive training package has been developed, aiming to achieve a successful conversion rate and increase confidence.

The Innovators:

Yincent Tse, Consultant Paediatric Nephrologist

Nicola Vasey, Lead Paediatric Pharmacist

Ailsa Pickering, Senior Sister in Paediatric Infectious Disease

Emma Lim, Consultant in Paediatric Infectious Disease

The Children and Young People’s Kidney Team, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Lead organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust in collaboration with Great North Children’s Foundation

2nd place - Prevention and Detection of Type 2 Diabetes in Primary Care 

Type 2 Diabetes is a widespread disease, contributing to high levels of morbidity and mortality, as well as leading to high healthcare costs. However, there is strong evidence to indicate that Type 2 Diabetes can be prevented or delayed with inexpensive and simple lifestyle interventions. There are guidelines to assist with the identification of Type 2 Diabetes, but these can be complex.  The prevalence of the condition in Derwentside is high, and a general framework has been created, which allows healthcare organisations to integrate a new process into existing workflows, thereby facilitating the prevention and detection of Type 2 Diabetes.

The Innovator:

Dr Gareth Forbes, GP, Derwentside Healthcare Ltd The Newcastle upon Tyne Hospitals NHS Foundation Trust, in collaboration with Public Health Durham County Council, NHS North Durham CCG, NHS England, County Durham Integrated Diabetes Board, North of England Commissioning Support Unit (NECS)

Telemedicine Home Visiting Service to Ease GP Workload and Workforce Pressures – North Cumbria CCG

It is estimated that 10% of contact with GPs takes place in patients’ homes, and with growing proportions of older people, coupled with a rise in the prevalence of chronic diseases in the elderly population, the demand for home visits is projected to increase.  There is therefore a need to make changes to the way that care is delivered, to ensure that precious resources are utilised in the best possible way. A new service has been developed, which facilitates a more efficient home visiting service for GP practices, allowing more patients to be seen, and at a lower cost than the current approaches available.

The Innovators:

Dr Stephen Katebe, General Practitioner, NHS North Cumbria CCG

Dr Omobolaji Iji, Co-Founder, Tekihealth Solutions

Adrian Smith, Head of Health Solutions, Satellite Applications Catapult

Lead organisation: Derwentside Healthcare Ltd, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Implementation of Direct Carbapenemase Producing Enterobacteriaceae PCR screening for Peri-Operative ICCU patients

Enterobacteriaceae are a group of bacteria which can cause potentially life-threatening infections.  Although Carbapenems are broad spectrum antibiotics that are typically used for treating serious or life-threatening infections, Carbapenemase Producing Enterobacteriaceae (CPE) produce enzymes that allow them to destroy Carbapenem antibiotics.  This is a major healthcare concern, because as well as expressing Carbapenem resistance, CPE are also frequently resistant to most other groups of antibiotics.  The team are exploring the use of rapid testing techniques for CPE in order to reduce infections and improve the patient experience overall.

The Innovators:

Dr Caroline MacFie, Consultant in Intensive Care and Anaesthetics

Caroline Cullerton, Infection Prevention and Control Healthcare Scientist

Dr Kathy Walton, Consultant Microbiologist

Michelle Permain, Advanced Biomedical Scientist

Dr Lucia Pareja-Cebrian, Director, Infection Prevention and Control

Anita Mcguire, Senior Sister, Ward 37, ICCU, Freeman Hospital

Jennifer Collins, Microbiology and Virology Laboratory Manager

Lead organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

Sponsored by The Centre for Process Innovation

1st place - Improvements in Mandibular Reconstruction

Following radiotherapy for head and neck cancer, a small cohort of patients can develop osteoradionecrosis (ORN) in the mandible, which is a condition initiated by an injury to the bone.  The current standard of care is symptom management, but in cases where the symptoms become unmanageable, the standard of care is mandibular resection and reconstruction.  A new and collaborative approach has been developed, which aims to minimise surgical failure rate and to improve the process of mandibular reconstruction.

The Innovators:

Nick West, Lead Clinical Scientist

Nick Willis, Practice Lead Specialist Dosimetrist

Shahid Iqbal, Consultant Clinical Oncologist

Northern Centre for Cancer Care

James Adams, Maxillofacial Surgeon

Matthew Kennedy, Maxillofacial Surgeon

Dental Services Directorate, The Newcastle upon Tyne Hospitals NHS Foundation Trust

2nd place - Managing Unusual Sensory Experiences in Psychosis 

It is common for people with Psychosis to report having unusual experiences such as hallucinations, which can lead to distress and social isolation. Whilst treatments such as Cognitive Behavioural Therapy (CBT) can help, they are not widely available. A new approach, MUSE (Managing Unusual Sensory Experiences), has been developed, which draws upon the latest understanding of hallucinations. The treatment is of shorter duration than CBT, and it can be provided in an engaging way using digital technology by a broad range of staff working in mental health settings to enable people to better understand and manage their experiences.

The Innovator: Dr Robert Dudley, Professional Lead for the Psychosis Pathway Newcastle and Gateshead Localities, Trustwide lead for Psychological Therapies for Psychosis and Consultant Clinical Psychologist, on behalf of the MUSE Research Group

PED E-resuscitation Tool (PET) – South Tyneside and Sunderland NHS Foundation Trust

Critically unwell and injured children are brought to the Paediatric Emergency Department (PED) resuscitation room for life saving care, and although the staff are very highly trained, the PED resuscitation room is a high stress, time pressured, and very noisy, environment.  This can make the performance of the clinical team more difficult by increasing their cognitive load, and by impairing communication between team members.  The PED E-resuscitation Tool (PET) aims to optimise performance in the Paediatric Emergency Department (PED) resuscitation room, improving patient care and supporting healthcare professionals in the process.

The Innovators:

Dr Chris McKie, Consultant in Paediatric Emergency Medicine

Dr Niall Mullen, Consultant in Paediatric Emergency Medicine

Tom Harris, ED Pharmacist

Kay Metcalf, PED Sister

Beki Stanford, PED Sister

Teresa Fortune, Innovation Manager

Dr Imran Ahmed, Deputy Director of Research and Innovation, Devices and Digital Technology

South Tyneside and Sunderland NHS Foundation Trust

Andy Greener, Managing Director (and Team), KOMODO Digital

Professor Barry Hebbron, Senior Lecturer

Omar Al-Janabi, Innovation Manager

Teesside University

Lead organisation: Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust

AMBLor – Prognosis of Early Stage Cutaneous Melanoma

Melanoma is the most deadly of all skin cancers.  Globally, there are approximately 232,000 new cases of melanoma diagnosed annually, which places enormous pressure upon healthcare systems.  Risk of disease progression is currently assessed based upon histological features of the tumour, however some tumours categorised as low risk will nevertheless go on to develop metastasis.  The AMBLor test has been developed, which provides an accurate prognosis of disease progression.  The test fits into the current diagnostic pathway for melanoma, and reduces the psychological burden on patients, as well as reducing costs associated with unnecessary patient surveillance.

The Innovators:

Dr Marie Labus, BDM, Newcastle University and CEO of AMLo Biosciences Limited

In collaboration with:

Professor Penny Lovat, Professor of Cellular Dermatology and Oncology, Newcastle University

Dr Rob Ellis, Consultant Dermatologist, South Tees Hospitals NHS Foundation Trust, Honorary Clinical Senior Lecturer, Newcastle University and Chief Medical Officer of AMLo Biosciences Ltd

In collaboration with: EPSRC/MRC Molecular Pathology Node (The Newcastle upon Tyne Hospitals NHS Foundation Trust), and AMlo Biosciences Ltd

Sponsored by Diagnostics North East

1st place - Improvements in Breast Imaging

Breast screening programmes aim to detect cancers before they appear symptomatically.  Despite this, every year, there are more than 55,000 new incidences of breast cancer in the UK.  Breast screening using mammography was introduced in the UK almost thirty years ago, and it relies principally upon a difference between the density of the potential tumour and the surrounding normal breast tissue.  In view of this, in women with a higher proportion of dense tissue in the breast, it can be more difficult to detect any abnormality using mammography.  The new technique provides a more sensitive method of imaging women with dense breast tissue, improving prognosis and reducing treatment costs.

The Innovators:

Bartek Balczerski, Principal Investigator

Ian Baistow, Project Manager

Alexander Cherlin, Principal Physicist

Andrew Knapton, Detector Physicist

Ian Radley, Chief Technical Officer

Ben Cantwell, Innovation Director

Kromek Group

Tom Beale, Commercial Development Manager, Centre for Process Innovation (CPI)

Alison Bray, Clinical Scientist (Pre-reg)

Helen Elliott, Research Scientist

Nerys Forester, Consultant Radiologist

Liz Jefferson, Deputy Head of Nuclear Medicine 

Richard Peace, Consultant Clinical Scientist

George Petrides, Consultant Radiologist

Tim Powell, Clinical Scientist (Pre-reg)

Erika Ridley, Health Promotion Officer

Nidhi Sibal, Consultant Radiologist

Tracy Scott, Head of Patient Experience

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Sara Graziadio, Senior Methodologist, NIHR Newcastle MIC

Christine Armstrong, Monitoring Officer

Innovate UK

Lead organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust and Kromek

The VARIANT Trial – Feasibility Trial of Personalised Treatment of Patients with Advanced Prostate Cancer

Prostate cancer is the most common form of cancer in males, with 1 in 4 patients developing incurable metastatic disease.  Initial treatment responses are transient and further management options include either additional chemotherapy and drug based internal radiotherapy, or further hormone therapy. Clinical choices in terms of deciding which of these treatment approaches to take, mean that management can be difficult in terms of patient experience, outcomes, and economic costs to the NHS.  The VARIANT study aims to generate feasibility data confirming the clinical value of treatments in day-to day UK advanced prostate cancer clinical practice, to inform the design of a future definitive randomised controlled trial.

The Innovators:

Dr Emma Clark, Translational Research Associate and VARIANT Laboratory Lead

Mr Rakesh Heer, Joint CRUK/RCS(Eng) Clinician Scientist Fellow and Hon. Consultant Urological Surgeon (VARIANT joint CI)

Northern Institute for Cancer Research, Newcastle University

Prof John Staffurth, Director of Radiotherapy Trials and Clinical Reader in Oncology (VARIANT joint CI), Cardiff University

Denise Howell, Senior Lecturer in Epidemiological Statistics, School of Mathematics, Statistics and Physics
Newcastle University

Shriya Sharma, Clinical Trials Manager, Newcastle Clinical Trials Unit, Newcastle University

Mr John Marshall, Patient Representative

Lead organisation: Newcastle University in association with National Institute for Health Research (NIHR) and The Research Design Service (RDS North East and North Cumbria)

Measurement of Statin Concentrations

Statins are one of the most widely prescribed medication groups in the UK, and in 2016, the annual associated prescription cost was £132.8 million. An ageing population means that the likely prescription rate of statins is set to increase. However, due to a combination of side effects and negative publicity, poor adherence to statin medication is common, resulting in increased NHS expenditure due to wasted prescriptions, expensive second line treatments, and consequent cardiovascular events. An analysis method has been developed, which ensures that patients are provided with optimal treatment prior to progression to more expensive second line treatments.

The Innovators:

Elizabeth Robinson, Principal Clinical Biochemist

Dr Stewart Pattman, Consultant Chemical Pathologist

Leanne Boxshall, Senior Biomedical Scientist

Dr Nigel Brown, Consultant Clinical Scientist

Northumbria Healthcare NHS Foundation Trust

Dr Dermot Neely, Consultant Chemical Pathologist, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Nur Salwani Bakar, Post-Doctoral Research Scientist

Dr Farhad Kamali, Prof of Human and Exp Pharm

Institute of Cellular Medicine, Newcastle University

Lead organisation: Northumbria Healthcare NHS Foundation Trust

A Point of Care Device for Large Vessel Occlusion Diagnosis – POCKiT diagnostics LTD

Every year, around sixteen million patients worldwide suffer a stroke.  The most dangerous type of stroke is a large vessel occlusion, which represents 95% of strokes causing permanent disability and 80% of strokes causing death.  Currently, two types of stroke treatment centres exist, namely Primary Stroke Centres (PSCs) and Comprehensive Stroke Centres (CSCs), but treatment for large vessel occlusion only occurs at CSCs.  A rapid point of care test has been developed for the detection of large vessel occlusion, which can be used to inform the decision regarding whether the patient should be directed to either the PSC or the CSC as appropriate.

The Innovators:

Gonzalo Ladreda, Chief Executive Officer

Marcos Ladreda, Chief Scientific Officer

Edoardo Gaude, Chief Innovation Officer

POCKiT diagnostics LTD

In collaboration with:

Dr Sara Graziadio, Senior Methodologist, NIHR Newcastle MIC

Dr Christopher Price, UK Representative, EU Stroke Guidelines

Dr Lisa Shaw, Principal Research Associate, Newcastle University

Sheila Graham, CEPA Biobank Manager,

CEPA Biobank Newcastle

Julie Hart, Director of Strategic and Industry Partners, AHSN Oxford

Sponsored by Great North Care Record

1st place - Capacity Tracker – NHS North of England Commissioning Support

Choosing a care home is one of the most important life decisions that any of us may have to make.  The decision may not be out of choice, but it may be necessary when discharge from hospital to the patient’s own home is not possible. To facilitate a successful transition to a care home, it is essential that health and social care staff work together to achieve the best possible outcome.  Developed

in partnership with NHS England North, Local Authority representatives and care home providers, the Capacity Tracker allows users to conveniently identify suitable care homes and ensure that they do not stay in hospital for any longer than is necessary.

The Innovators:

Jonathan Maloney, Programme Director, North of England Commissioning Support Unit (NECS)

Supported by:

Ben Murphy, Marketing Manager

Gillian Hardy, Programme Manager

Stuart Flanagan, Delivery Manager 

North of England Commissioning Support Unit (NECS)

Harry Jennerway, Systems and Product Development Lead

Ruth Holt, Director of Nursing / Independent Care Sector Regional Lead, NHS England

Gil Ramsden, Care Sector Lead, NHS England and NHS Improvement (North)

Lizzie Hancock, Care Home Manager, Fulford Nursing Home

Dorothy Montgomerie, Local Authority Manager,

East Riding of Yorkshire Council

2nd place - Development of an Electronic Paediatric Emergency Department Asthma Assessment Tool (PEDAAT)

The UK has the highest standardised asthma mortality rate in Europe for children up to 14 years old, and many of these deaths are avoidable.  Key to addressing this issue is the identification of high risk children with asthma, and the identification of cases where clinical concerns exist, such as inadequate routine care and / or poor adherence to treatment.  The team have developed an Electronic Paediatric Emergency Department Asthma Assessment Tool (PEDAAT), to provide high quality, patient focussed care, identifying high risk children and positively impacting upon asthma mortality rates.

The Innovators:

Dr Katherine Eastham, Consultant Paediatrician

Dr Prashant Kumar, Consultant Paediatrician

Kim Coxall, Paediatric Respiratory Nurse Specialist

Dr Chris McKie, Locum Consultant in Paediatric Emergency Medicine

Mathew Poole, Senior Project Manager

IT (information Systems)

South Tyneside and Sunderland NHS Foundation Trust

Lead organisation: South Tyneside and Sunderland NHS Foundation Trust

Self Testing of Kidney Function – South Tees Hospitals NHS Foundation Trust

Patients are often required to attend Primary and Secondary healthcare services for assessment of their kidney function, when they are generally well and would not otherwise need to see a healthcare professional. Although such tests are clinically important, unnecessary clinic visits can impact negatively upon the patient experienc e, and they can also consume valuable healthcare resources. For example, avoidable clinic visits can impact upon the daily schedules of patients, disrupting employment and imposing a financial burden.  The team are developing a model for patient self-testing of kidney function at home, which is safe, and which reliably replicates the key measurements that are assessed routinely in a clinic.

The Innovators:

Jonathan Murray, Renal Consultant

Clare Allinson, Renal Advanced Nurse Practitioner / Renal Project Lead

Caroline Wroe, Renal Consultant

Alycon Walker, Research Nurse

Jennifer Robinson, Research Nurse

South Tees Hospitals NHS Foundation Trust

William Stephen Jones, IVD Methodologist

Clare Lendrum, Statistical Methodologist

Jana Suklan, IVD Methodologist

NIHR Newcastle In Vitro Diagnostics Co-operative (MIC), Newcastle University

Yitka Graham, Senior Lecturer in Public Health,

The University of Sunderland

David Forsdike, STOK Study Patient Advisor

Joanne Smithson

The Digital Doctors Surgery – Empowering Digital Patients – NHS Sunderland CCG

People in Sunderland are living longer, but they are at risk of spending their extended years in poor health as a result of high levels of poverty, deprivation and lack of opportunity, all of which influence behaviours such as poor diet, lack of exercise, smoking, and excessive alcohol use. The quality of general practice in the region is excellent, but pressures are increasing.  The team have developed a new Programme, which aims to empower patients to take control of their own health and care, supported by secure and convenient digital channels. Patients in Sunderland will be able to choose how they interact with their GP Practice, whether it is using digital technology or via a traditional face to face method.

The Innovators:

Paul Gibson, Head of Digital Development

Rachael Forbister, TECS Programme Manager

Lynne Thompson, Senior Project Manager

Sarah Hayden, Locality Commissioning Manager 

NHS Sunderland CCG

Dr Raj Bethapudi, GP, CCIO and Executive GP, Galleries Medical Practice and NHS Sunderland CCG

Dr John Dean, Patient Representative

Stella Harding, Change Manager, North of England Commissioning Support Unit (NECS)

Paul Weddle, Practice Manager, Millfield Medical Practice

Wendy Page, Practice Manager, Monkwearmouth Medical Centre

Anne Ruffell, Practice Manager, Ashburn Medical Centre

Victoria Grainger, Delivery Officer, NHS England and NHS Improvement

Sponsored by NIHR Clinical Research Network North East and North Cumbria and MedConnecT North

1st place - Improved Treatment of Vascular Birthmarks

Vascular birthmarks are discolourations of the skin caused by abnormal growth or formation of blood vessels.  The Trust are undertaking a study directed to the treatment of vascular birthmarks, with the aim of providing significant benefits to both patients and the NHS, with patients requiring fewer repeat treatments and achieving a faster treatment response.

The Innovators:

Mr Tobian Muir, Consultant Plastic Surgeon

Sri Murugan, Associate Specialist

Marcel Brugmans, Senior Systems Developer

Joe Millar, Research and Development Manager

South Tees Hospitals NHS Foundation Trust

IGEA Medical, Italy

Lead organisation: South Tees Hospitals NHS Foundation Trust

Application of SABR - A Radiotherapy Programme

Stereo-tactic Ablative Radiotherapy (SABR) is a state-of-the-art oncology treatment, which represents the current standard of care for early lung cancers.  The Trust are looking into the application of the treatment to specific disease areas, with the aim of providing an alternative treatment option which presents a valuable opportunity to improve patient care.

The Innovators:

Dr Ewen Shepherd, Consultant Cardiologist / Electrophysiologist

Dr Ruairidh Martin, Consultant Cardiologist / Electrophysiologist

Dr Neil Seller, Consultant Paediatric Cardiologist / Paediatric Electrophysiologist

Mr Donald Greenhaugh, Chief Cardiac Physiologist

Dr Ruth McStay, Consultant Cardiothoracic Radiologist

Dr Philip Atherton, Consultant Clinical Oncologist

Mr Neil Richmond, Consultant Clinical Scientist

Mr Christopher Walker, Consultant Clinical Scientist and Head of Radiation Medical Physics

Michele Wilkinson, Principal Dosimetrist

Karen Pilling, Therapeutic Radiographer

Rachel Brooks, Therapeutic Radiographer

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Matthew Bates, Consultant Cardiologist / Electrophysiologist

Dr Andrew Thornley, Consultant Cardiologist / Electrophysiologist

Dr Clive Peedell, Consultant Clinical Oncologist

Mr Kevin Burke, Consultant Clinical Scientist and Head of Radiotherapy Physics

Mr Jim Daniel, Consultant Clinical Scientist

Dr Nic Child, Consultant Cardiologist, Imaging

Dr Neil Maredia, Consultant Cardiologist, Imaging

Claire Huntley, Therapeutic Radiographer, Clinical Lead

Alison Blower, Therapeutic Radiographer, SABR Lead

South Tees Hospitals NHS Foundation Trust

Lead organisation: South Tees Hospitals NHS Foundation Trust and The Newcastle upon Tyne Hospitals NHS Foundation Trust

Evaluation of a Point of Care Test for Respiratory Syncytial Virus in Infants and Young Children

Respiratory viral infections (RVIs) in children impose a significant burden upon the children themselves, their families, and healthcare resources. RVIs are highly contagious, and in view of this, hospitalised children must be isolated to avoid cross-infection.  The University are evaluating the diagnostic accuracy of a point of care test for Respiratory Syncytial Virus, which is a type of RVI, under real-life NHS conditions.

The Innovators:

Dr Malcolm Brodlie, Clinical Senior Lecturer and Honorary Consultant in Paediatric Respiratory Medicine, Newcastle University and Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Joy Allen, Senior Evaluation Methodologist, National Institute for Health Research Newcastle In Vitro Diagnostics Co-operative, Newcastle University and The Newcastle upon Tyne Hospitals NHS Foundation Trust

Paediatric Research Unit Team, Great North Children’s Hospital, and Virology Team, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Katherine Eastham, Consultant Paediatrician

Dr Prashant Kumar, Consultant Paediatrician

Louise Fairlie and Research and Innovation Team

Joanne McKenna and Danielle Hardy, Ward F65 Nursing Team, Sunderland Royal Hospital, South Tyneside and Sunderland NHS Foundation Trust

Dr Andrea Gonzalez-Ciscar, Academic Foundation Doctor, Newcastle University

Pathology Centre Team, Queen Elizabeth Hospital

Gateshead Health NHS Foundation Trust

Roche Diagnostics, UK

Lead organisation: Newcastle University, The Newcastle upon Tyne Hospitals NHS Foundation Trust and South Tyneside and Sunderland NHS Foundation Trust

Sponsored by Health Education England North East

1st place - Development of Integrated Competency Hubs 

During clinical skills workshops, it became apparent that community-based staff were struggling with clinical skills training due to the geography and infrastructure of the Cumbria region, which often results in long journey times between community work bases and the two acute hospitals. In response to this, Integrated Competency Hubs have been developed, with Hub Co-coordinators matching the skills required by the community-based staff member with the relevant patient attending for treatment. In this way, staff have accessible provision for maintaining competency, which improves staff wellbeing and ultimately improves the patient experience.

The Innovators:

Debra Sargent, Clinical Education and Workplace Learning Facilitator

Sue Harper, Clinical Education

Sheena Bleasdale, Clinical Manager

Jen Riera, Ward Sister, Maryport Hospital

Cumbria Partnership NHS Foundation Trust

Lead organisation: Cumbria Partnership NHS Foundation Trust

2nd place - Paediatric Sepsis Podcasts

Despite being one of the most common causes of avoidable death and harm in children, sepsis can be difficult to recognise early, and a lack of associated educational materials for healthcare professionals was identified.  In response to this, a series of Podcasts have been developed, exploring the condition from the point of view of infectious disease consultants, microbiologists, parents, neuro-disability consultants, allergists, intensivists, and district general consultants.  As a result, healthcare professionals are more able to learn from the expertise of others, and also contribute their own knowledge to the learning of others.

The Innovators:

Dr Emma Lim, Consultant Paediatrician

Dr Monica Parker, Clinical Teaching Fellow, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Jonny Guckian, Founder and Director, Medisense, Medical Education

Mr Ian O’ Donoghue, Head of Education, Royal College of Paediatrics and Child Health

With support from

Caroline Docking, Parent expert and Director of Communications and Engagement, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Karen Horridge, Consultant Paediatrics Disability, Sunderland Royal Hospital

Dr Jethro Herberg, Senior Clinical Lecturer in Paediatric Infectious Diseases, Imperial College London

Dr Sachin Mannikar, Consultant Paediatrician, Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust

Dr Louise Michaelis, Consultant in Paediatric Allergy, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Lucia Pareja-Cebrian, Consultant Microbiologist, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Mark Peters, Consultant Paediatric Intensivist, Great Ormond Street Hospital, London

Dr Andrew Riordan, Consultant in Paediatric Infectious Diseases and Immunology, Alder Hey Hospital, Liverpool

The Royal College of Paediatrics and Child Health with support from Health Education England Innovation Grant

Lead organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

F|Docs – Innovative Training for Foundation Doctors – Medics. Academy

After completion of medical school in the UK, foundation doctors enter a two-year Foundation Programme, which consists of six placements in different specialties. The aim of the Foundation Programme is to provide foundation doctors with the skills to safely work within all areas, which they will take forward for the rest of their careers. Foundation Programme teaching is mainly delivered through classroom teaching, and as a result, foundation doctors can sometimes struggle to attend due to other clinical commitments.  F|Docs is an online package of interactive teaching materials specifically designed to meet the educational needs of foundation doctors.

The Innovators:

Dr Emma Cox, Chief Product Officer and Emergency Medicine Trainee 

Dr Johann Malawana, CEO and Founder

Professor Derek Gallen, Chief Education Officer

Adil Sharif, Key Account Manager

Mateusz Gidaszewski, Head of Design and User Experience

Charlie Dixon, Senior Illustrator

Tiziana Ruiu, Illustrator and Animator

Nick Galbusera, Product Architect

Matteo Morandini, Web Developer

Dr Solomon Kumal-Uddin, Clinical Product Manager and Paediatric Emergency Medicine Consultant

Dr Christopher Ellis, Clinical Product Manager and Psychiatry Trainee

Dr Vidushi Golash, Clinical Product Manager

Ophthalmology Trainee

Medics. Academy

Simulation as Part of Shadowing to Increase Preparedness

Foundation doctors often feedback that they do not have sufficient opportunity to spend time on the wards during the shadowing period which forms a vital part of their training. The aim of the Project is to increase preparedness for ward work by simulation, ensuring immersion in the ward environment.  Acute scenarios are developed, which enable the foundation doctors to simulate routine tasks and clinical care, but in a realistic way and in a realistic timeframe, introducing them to important tasks such as the procedures that they will typically use in day to day practice.

The Innovator:

Dr Leigh Simmonds, Consultant in Emergency Medicine, County Durham and Darlington NHS Foundation Trust

Lead organisation: County Durham and Darlington NHS Foundation Trust

An Online Programme of Interactive Allergy Education

Allergic disorders are becoming increasingly prevalent and more complex. Whilst early recognition and management is key, there is a need to improve training in healthcare groups, particularly in view of the fact that a wide variety of healthcare professionals encounter patients with allergy in their day to day practice.  A Programme of allergy education has been developed, which is designed to address the practice needs of specific clinical groups, facilitating direct interaction with experts in the field to discuss case management and improve patient care as a result.

The Innovators:

Neil Davidson, Allergy eLearning Deputy Module Lead / Associate Clinical Lecturer / Consultant General Paediatrician

Gill Vance, Allergy e-Learning Module Lead / Senior Clinical Lecturer in Medical Education / Honorary Consultant in Paediatric Allergy

Louise Michaelis, Consultant and Associate Lecturer in Paediatric Immunology and Allergy

James Gardner, Paediatric Allergy Consultant Nurse

Matt Thomas, Honorary Senior Clinical Lecturer / Paediatric Respiratory Consultant

Sally Hails, Nurse Specialist Children’s Respiratory Medicine

Mike McKean, Consultant in Respiratory Paediatrics and Clinical Director

Great North Children’s Hospital

Ashley Reynolds, E-learning Technologist, FMS Graduate School, Newcastle University

Helen Bourne, Consultant Immunologist

Suzy Leech, Consultant Dermatologist

Royal Victoria Infirmary, Newcastle upon Tyne

Paul Whitaker, Consultant in Respiratory Medicine,

Leeds Teaching Hospitals NHS Trust

Lead organisation: Newcastle University

Sponsored by Newcastle University

1st place - Ian Dove

Ian has worked with the Trust since 2008, first as Service Transformation Lead Officer, and then later on as Business Development Manager. Throughout this time, he has championed digital health, provided mentorship and guidance to the wider Innovation Team, and has driven forward local Projects, working tirelessly in the development of innovation at the Trust.  His experience and insight have been crucial to the successful implementation of innovation throughout the Trust.

Business Development Manager, County Durham and Darlington NHS Foundation Trust

The Sensational Thinking Project – The Newcastle upon Tyne Hospitals NHS Foundation Trust

Sensory processing differences significantly affect participation in daily activities, including access to education, and they are prevalent in around 95% of children with Autism Spectrum Disorder (ASD). Alice Gair, a Paediatric Occupational Therapist, and the wider Children's Community Occupational Therapy Service, have nurtured the Sensational Thinking Project, which aims to improve the service provision for children affected by sensory processing differences, and their families.

Alice Gair, Paediatric Occupational Therapist and NHS England Clinical Entrepreneur, and the Newcastle Community Occupational Therapy Team

The Newcastle upon Tyne Hospitals NHS Foundation Trust with the support of Boyes, Elite Embroidery, Alphaset and Little Lucy’s Photoshoots

Transition from Paediatric to Adult Care – A Co-produced Patient Experience Project: The Newcastle upon Tyne Hospitals NHS Foundation Trust

Neil Davidson, a Consultant Paediatrician, is the founder and medical lead of the Young Person's Advisory Group North England (YPAGne). The Group includes young people from the region, who meet each month at the Great North Children's Hospital and work together to improve research projects involving children and young people.  They integrate the voice of young people into the research process, and their passion and drive are an inspiration to all.

Dr Neil Davidson, YPAGne Founder and Medical Lead / Consultant Paediatrician

Joanne Ball, YPAGne and Engagement Co-ordinator

Dr Alex Battersby, Consultant Paediatrician

Clare Simmister, Paediatric Research Team Lead

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Hayley, Keshav, Mogtasid, Lucy, May, Holly, Abdel, Jessica, Jonathon and Nikhita - Members of YPAGne

Robbie Bain, Medical Student

Adam Wallace, Medical Student

Newcastle University

The Acute Stroke Unit – Ward E58 Sunderland Royal Hospital – South Tyneside and Sunderland NHS Foundation Trust

As well as delivering care to patients who have suffered a stroke, Deborah Hindmarsh, Ward Manager, and the wider team at The Acute Stroke Unit at the Sunderland Royal Hospital, are integral in nurturing a culture of innovation and quality improvement within the Trust.  Continually striving to improve patient care, Deborah and the team work hard to deliver the best possible care for every patient by ‘thinking outside the box’ in order to meet their needs.

Ward E58 Sunderland Royal Hospital

South Tyneside and Sunderland NHS Foundation Trust

Bright Ideas in Health Awards Winners & Finalists 2018

Winner: Blood Borne Virus (BBV) Test

Late diagnoses of BBVs such as HIV and Hepatitis remain high in the UK despite national guidelines and other efforts to increase testing amongst those at risk of infection. Around 40% of new HIV diagnoses nationally, and over 50% in some parts of the North East region in particular, are diagnosed late, leading to increased morbidity and mortality.

There is sometimes reluctance amongst GPs to offer BBV tests, due to misconceptions around the process of consent and a lack of appreciation of the risk factors of the patient. The team have developed a system that enables busy clinicians to make decisions regarding BBV testing in real time.

The Innovators…

Dr. David Chadwick, Consultant in Infectious Diseases, South Tees Hospitals NHS Foundation Trust

Dr. Gareth Forbes, General Practitioner, Leadgate Surgery, Consett

Prof Paul Van Schaik, Professor of Psychology, Teesside University

Lead Organisation: South Tees Hospitals NHS Foundation Trust

 

Point of Care Test for Sepsis

Sepsis is a life-threatening illness caused by a systemic reaction to an infection. Cytokines released into the blood, in response to infection, can induce widespread inflammation leading to an abnormal cardiovascular response and in the worst cases, septic shock with multi-organ failure. Sepsis can arise unpredictably and progress rapidly and it is a leading cause of avoidable death, claiming around 44,000 lives in the UK each year.

Early diagnosis is therefore vitally important to reduce mortality and reduce the costs associated with treating patients. The team have developed a low-cost point-of-care diagnostic test for the early detection of sepsis, which can be used in a variety of Primary, Secondary and Tertiary care sites, and which is simple to perform and highly sensitive.

The Innovators

Zulfiqur Ali, Director, Healthcare Innovation Partnership, Teesside University and Director, Anasyst Ltd

Roger Duggan, Director, Anasyst

Barry Warden, Design and Development Manager, Wideblue Ltd

Russell Overend, Managing Director, Wideblue Ltd

Simon Scott, Research Fellow, Teesside University

Harish Datta, Consultant Chemical Pathologist, South Tees Hospitals NHS Foundation Trust

Andrew Eggert, Senior Clinical Scientist, South Tees Hospitals NHS Foundation Trust

Sara Graziadio, Senior Clinical Methodologist, NIHR Newcastle MIC, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Lead Organisation: Teesside University

 

Prognostic Test for Early Stage Cutaneous Melanoma

Melanoma is a skin cancer which has an increasing worldwide incidence, being the fifth most common cancer in the UK, and remaining as the leading cause of cancer-related death in 20-35 year olds. At present, once surgically removed from the skin, the chance of the disease spreading to other parts of the body can only be approximately predicted.

In patients with seemingly low risk disease, there is still up to an approximately 10% chance of dying from the disease, resulting in a rigorous follow up for all patients, which puts enormous strain upon healthcare resources. The team have developed a prognostic test which identifies those individuals at specific risk, thereby offering increased clinical and radiological surveillance, as well as earlier access to potentially life-saving drugs.

The Innovators

Dr. Marie Labus,CEO AMLo Biosciences Ltd and Business Development Manager, Newcastle University

Professor Penny Lovat,CSO AMLo Biosciences Ltd and Professor of Cellular Dermatology and Oncology

Dr. Rob Ellis, CMO, AMLo Biosciences Ltd and Consultant Dermatologist, County Durham and Darlington NHS Foundation Trust

Dr. Ashleigh McConnell, Senior Scientist, AMLo Biosciences Ltd

Lead Organisation: Newcastle University

 

Improved Tourniquet

Tourniquets are used routinely in medical environments to temporarily stop the flow of blood through a vein or artery of a patient. Typically, tourniquets incorporate a tight strap, and it can sometimes be the case, particularly in a busy hospital setting, that the strap can be accidentally left in place on the patient for longer than is ideal, since their removal is reliant upon the memory of the clinician.

This can lead to discomfort for the patient, and sometimes harm. The team have developed a solution which is simple and easy to use, meets infection control requirements, and which has a positive impact upon patient safety outcomes and the overall patient experience, being designed to prevent the strap from being mistakenly left on the limb of the patient for too long.

The Innovators

Tony Wilson, Commercial and Innovation Lead, North Tees and Hartlepool NHS Foundation Trust

Mark B Jessup, Managing Director, Surgical Dynamics Ltd

Dr. David W Borowski, Consultant General and Colorectal Surgeon, North Tees and Hartlepool NHS Foundation Trust and Honorary Clinical Senior Lecturer, Newcastle University (Tees Base Unit)

Lead Organisation: North Tees and Hartlepool NHS Foundation Trust

 

Videofluoroscopy Access

A videofluoroscopy examination uses X-rays or fluoroscopy to evaluate the ability of a patient to swallow safely and effectively. The examination requires the patient to sit still in an appropriate feeding position and be imaged from a lateral projection viewpoint.

A recording is made of the dynamic swallowing, helping clinicians to assess any problems with swallowing and recommend more efficient and safer ways of eating and drinking. Whilst the standard accessories are satisfactory for the examination of adults, there are shortcomings in the process for examining younger patients. The team have developed an accessory that enables infants and babies to be safely and securely located, and maintained in a comfortable and still position, to enable the examination to be properly carried out.

The Innovators

Wendy Wright, Superintendent Radiographer

Charlotte Buswell, Paediatric Speech and Language Therapist

Simon Richardson, Head of Mechanical Engineering

Stuart Duffy, Senior Clinical Technologist

Tony McCormack, Business Development Manager

Lead Organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

 

CareScan+

It is estimated that adverse events, which are unintended injuries caused by medical management rather than disease, lead to an additional three million NHS bed days each year. The detrimental impact of this upon those affected is clear, and the associated cost to the NHS is high. In response to this, the Scan4Safety initiative led by the Department of Health and Social Care was set up to enable the delivery of better patient care, improved clinical productivity, and improved supply chain efficiency.

The team have developed CareScan+, which is a system to assist in the delivery of the milestones for Scan4Safety, helping to deliver safer and more efficient patient care, as well as facilitating the capture of information and its sharing between healthcare providers.

The Innovators

Jane Hawkes MCIPS, Assistant Director Procurement and Supplies and Scan4Safety Programme Lead, North Tees and Hartlepool Solutions LLP

Tony Naylor, Associate Director of ICT and Scan4Safety Informatics Lead, North Tees and Hartlepool NHS Foundation Trust

Lead Organisation: North Tees and Hartlepool NHS Foundation Trust

First Prize: ReCoCo, The Recovery College Collective

Individuals with mental health difficulties can often feel like they are disconnected, and current mental health services can perpetuate this by being unable to bring people together, thereby preventing the individuals from empowering themselves and learning from others.

The Recovery College Collective have recognised that equipping people who have already suffered from distress, with the skills and the support to cathartically help others, is an effective, efficient and sustainable approach to increasing and maintaining wellbeing. The Collective delivers an entirely peer led alternative to traditional mental health services that puts opportunity and connection at its foundation, also offering free, peer led training to third sector and statutory organisations on the basis of equipping the wider mental health workforce with the skills, assurance and validation that enhances their practice.

The Innovators:

Angela Glascott, Recovery College Coordinator and Co-Creator ReCoCo and Northumberland, Tyne and Wear NHS
Foundation Trust

Alisdair Cameron, Launchpad Coordinator and Recovery College Co-Creator, ReCoCo and Launchpad

Lead Organisation: Northumberland, Tyne and Wear NHS Foundation Trust

 

Second Prize: Changing Health, Transform Programme

3.6 million people in the UK have now been diagnosed with Type 2 Diabetes, and current trends indicate that this figure is only set to rise, with Diabetes UK estimating the number of Type 2 Diabetes diagnoses to reach five million by 2035-2036.

Aside from the significant individual burden, Type 2 Diabetes represents the single largest cost to the NHS, consuming 10% of the total NHS budget. However, research indicates that Type 2 Diabetes is preventable and even reversible in most patients, if they make changes to their lifestyle. The Changing Health, Transform Programme empowers patients with Type 2 Diabetes to better manage their condition, providing them with an improved understanding of how their condition affects their health and, crucially, helps them to make a healthier diet and increased physical activity a permanent part of their everyday life.

Programme to Optimise Chemotherapy Administration to Neonates and Children
It can be particularly difficult to treat certain groups of children who are suffering from cancer, including very young infants and children with poor kidney function, due to differences in the way that drugs are broken down and cleared from the body.

As a result, clinicians often have to make difficult decisions about the dose of the drug to be administered, with limited scientific information to help them decide. This can mean that patients are at risk of not getting enough of the drug or getting too much. The team have developed a system for allowing the precise exposure of the individual patient to the drug to be calculated, thereby providing an additional tool for the clinical team to help them make informed decisions regarding the continued treatment of the patient.
The Innovators
Professor Gareth Veal, Professor of Cancer Pharmacology, Newcastle University

Professor Deborah Tweddle, Professor of Paediatric Oncology, Newcastle University and The Newcastle upon Tyne Hospitals NHS Foundation Trust

Lisa Price, Paediatric Oncology Research Sister, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Melanie Griffin, Senior Research Technician, Newcastle University

Lead Organisations: Newcastle University and The Newcastle upon Tyne Hospitals NHS Foundation Trust

 

Together in a Crisis Service

In 2016, the Newcastle Gateshead ‘Deciding Together’ consultation highlighted the requirement to improve local urgent care to those experiencing a mental health need. In particular, those in genuine crisis, for example on account of family relationships, social isolation, housing, finances, or substance misuse, were not always getting the support they needed.

In response to this, the Together in a Crisis service was developed, providing non-clinical, practical, and emotional support to people who are in need. The service, commissioned by NHS Newcastle Gateshead CCG, is provided through a close partnership between four local organisations with considerable expertise in helping people with these diverse needs.

The Innovators

Brendan Hill, Chief Executive

Scott Vigurs, Director of Services

Julia Perry, Head of Community and Wellbeing Services

Beverley Cappi, ‘Together in a Crisis’ Team Lead, Mental Health Concern

In collaboration with Changing Lives, Citizens Advice Newcastle, and Home Group

Lead Organisation: An organisation Commissioned by NHS Newcastle Gateshead CCG

Community Admiral Nurse Service - Improving the Care of Dementia Patients

Dementia sufferers, their families and carers often do not receive adequate care and support in the community following their diagnosis, leading to a breakdown in the care of those affected by dementia. There is often a lack of understanding of what opportunities exist in the community in the form of practical, social, emotional or financial support, and carers can often feel stressed and uninformed, which can have an adverse impact on both the lives of the person they are caring for and on their own health and wellbeing. The role of the Community Admiral Nurse Service is to support, both practically and emotionally, people in both the pre-diagnostic stage and in the post-diagnostic stage, helping them to understand dementia and access the appropriate help and support, as well as helping to develop a care plan tailored to their specific needs.

The Innovators

Fraser Quin, CEO, Dementia Matters

Joe Costello, Lead Admiral Nurse, Dementia Matters

Judy Mattison, Admiral Nurse, Dementia Matters

Bill McGregor, Alistair Wilson and Heather Parker, Dementia Guides

Julie Allen, Strategic Business Development Manager, Dementia UK

Bob Cochrane, North East Business Development Manager, Dementia UK

In collaboration with: Health, social and third sector organisations; Primary Care Services Newcastle; Memory Assessment and Management Service Newcastle; Newcastle City Council; The Newcastle upon Tyne Hospitals NHS Foundation Trust, Alzheimer’s Society Newcastle and Northumberland; Carers UK (Newcastle Carer Centre, Northumberland Carers); Newcastle University; Northumbria University and Marie Curie

Lead Organisation: An organisation Commissioned by Newcastle Gateshead CCG

A Clinical Education and Training Programme for Care Homes

Many care home residents are living with complex co-morbidities and as they get older, their health needs inevitably increase, reflected in an increasing number of emergency hospital admissions from care homes. This often results in extended stays in hospital, which could be averted with earlier identification and intervention.

A solution to this has been the commissioning of a Clinical Education and Training Programme for Care Homes, directed towards staff, and known as the North Tees and Hartlepool Education Alliance. The Programme is aimed at improving their knowledge and confidence, enabling them to make informed decisions concerning the health of residents.

The Innovator

Paula Swindale, Head of Commissioning and Strategy, NHS Hartlepool and Stockton-on-Tees CCG

In Collaboration with: The Education and Organisational Development Department within North Tees and Hartlepool NHS Foundation Trust, but also involves: - Tees, Esk and Wear Valleys NHS Foundation Trust; Alice House Hospice, Hartlepool; the Falls Service, Stockton-on-Tees; and Hartlepool Local Authorities.

Lead Organisation: NHS Hartlepool and Stockton-on-Tees CCG in partnership with North Tees and Hartlepool Education Alliance

Improving the Efficiency of Moving and Handling Training

A normal working day for many members of staff in the NHS, involves the moving and handling of patients. Previously, all patient handlers had to attend a full day training session covering all the main moving and handling task elements, at the commencement of their employment. They were then required to periodically attend shorter training sessions, usually involving several patient moving and handling topics delivered to mixed groups of staff.

Unfortunately, all of the topics were not always relevant to some of the patient handlers; for example, repositioning in bed with slide sheets and lateral transfer is not relevant to all NHS staff. The team have developed a new training Programme, making the moving and handling of patients more flexible, effective and efficient, as well as a ‘Good Practice Guide’ for staff.

The Innovators

Diane Hindson, Lynn Pattison, Dave Metcalfe, Back Care Advisors

Daniel David, Senior Back Care Advisor, County Durham and Darlington NHS Foundation Trust Learning and Organisational Development, County Durham and Darlington NHS Foundation Trust

Lead Organisation: County Durham and Darlington NHS Foundation Trust in collaboration with Learning and Organisational Development

Winner: The Pop-Up Hospital - Team from the Great North Children’s Hospital

The Pop-Up Hospital was a recreated hospital ward forming part of the Great Exhibition of the North, which provided children and the general public with the opportunity to experience what it is like to be a patient at the Great North Children’s Hospital (GNCH). It was designed by children and staff and allowed visitors to have a fun, educational experience, so that if they had to visit the GNCH in the future, it might be less frightening and more positive.

Children could take part in activities such as trying out crutches, dressing up as doctors, investigating a 3D virtual body, and even building their own airways from toilet rolls. The entire Pop-Up Hospital was set up and delivered without any extra funding, being based simply upon goodwill and belief, as well as the support and enthusiasm of staff at the GNCH and a team of forty volunteers, all of whom gave up their spare time to run it.

The Innovators:

Julie Anderson, GNCH Research and Innovations Manager

Emma Lim, Paediatric Consultant

Sarah Dickson, Administrative Support

Nicola Metcalfe, Volunteer

Alison Haigh, Volunteer Services / Personal Touch Coordinator

Matt Briggs, Sunderland University Virtual Reality, Medical Illustrator

Lead Organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

 

The Innovation Team at City Hospitals Sunderland NHS Foundation Trust

The Innovation Department at City Hospitals Sunderland NHS Foundation Trust was established in 2015. The Director, Deputy Directors and Innovation Scouts undertake their innovation roles alongside their busy Trust roles, striving to promote an innovation culture across the Trust.

Their goal was to identify and address unmet needs in the healthcare sector, improving the patient experience and patient care, as well as contributing to the financial wellbeing of the Trust by identifying both cost efficiencies and generating revenues. Moreover, since July 2018, every idea that is submitted to the Trust for assessment is put forward for acknowledgement by the Chief Executive Officer Ken Bremner through the Excellence Reporting System, with innovators receiving a personal letter of thanks. Each idea submitted is valued and acknowledged, and feedback is provided irrespective of its complexity or potential for an innovative outcome.

The Innovators

Kim Hinshaw, (Consultant Obs and Gynae) Director of Innovation (Team Lead)

Imran Ahmed, (Consultant Neonates ) Deputy Director of Innovation (Device and Digital)

Deepali Varma, (Consultant Opthalmology) Deputy Director of Innovation (Service Improvement and Clinical Pathways)

Charlotte Fox, Innovation Manager

Katherine Ashby, Innovation Administration Assistant

The members of staff below are Innovation Scouts above and beyond their ‘day jobs’ 
Ruth Raynor, Head of Service, Speech and Language Therapy; Helen Nesbitt, Senior Nurse Workforce and Role Development; Andrew Knight, Head of Medical Physics; Dave Bramley, Consultant in Emergency Medicine; Ala Mohammed, Consultant in Emergency Medicine; Claire Dodds, Facilities  - City Hospitals Sunderland NHS Foundation Trust

 

Development of an Online Resource to Support Paediatric Asthma Care in the North

Asthma is the most common lung disease in the UK, and asthma deaths are amongst the highest in Europe. The ‘National Review of Asthma Deaths’ published in 2014 highlighted that simple interventions known to improve asthma outcomes, were not being carried out. Children continue to die from asthma, and these potentially avoidable factors can impact significantly upon their deaths.

In order to address this, the team developed the BeatAsthma online resource, to help health professionals to standardise care across the region and to help families and patients to understand and self-manage their disease. The resources have been adopted by most of the hospitals in the region, and have resulted from absolute dedication from the team, on top of a busy clinical workload, being driven by a desire to improve practice in paediatric asthma care.

The Innovators

Dr. Jennifer Townshend, Editor in Chief, Consultant Paediatrician, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Sister Sally Hails, Nurse Specialist Children’s Respiratory, The Newcastle upon Tyne Hospitals NHS Foundation Trust

In collaboration with: The Newcastle upon Tyne Hospitals NHS Foundation Trust; City Hospitals Sunderland NHS Foundation Trust; County Durham and Darlington NHS Foundation Trust; The Grove Surgery, Newcastle upon Tyne and Patient and Public involvement 

Winner: Pressure Area Care - Spreading the Knowledge

The tissue viability nursing team at North Cumbria University Hospitals NHS Trust were set the challenge of reducing the number of incidences of hospital acquired pressure sores by 50%, and in response to this, the team visited wards and provided education to staff. However, despite their efforts and an overall downward trend, the numbers were still variable. The tissue viability nursing team then joined forces with the Cumbria Learning and Improvement Collaborative (CLIC) to take part in a ‘Rapid Process Improvement Workshop’ at West Cumberland Hospital, which involved the training of staff, as well as the development of a pressure care information sheet for visitors and a credit card-sized tool for relatives and staff.

The tissue viability nurses, staff and patients have all worked together to spread ideas surrounding improved pressure care, both within the Trust and into the wider health and social care system in the North Cumbria region.

The Innovators:

Fiona Kelly, Laura Nunn, Lynsey Harper and Jane Leech, Tissue Viability Nurses, North Cumbria University Hospitals NHS Trust

Lead Organisation: North Cumbria University Hospitals NHS Trust

 

Improving Patient Safety with the AMBER Care Bundle, Deciding Right and Advance Care Planning

Patients who have an uncertain recovery due to underlying frailty or disease burden are often inappropriately readmitted into Secondary Care due to a lack of appropriate care planning or poor communication. Whilst there is guidance available, it is rarely used as part of a collaborative approach that allows for greater planning and improved patient experience.

The AMBER Care Bundle is a tool that is used to improve outcomes and care delivery for patients, and by linking its use with greater Advance Care Planning, such as the Deciding Right approach, a better transition from Secondary to Primary Care is supported, whilst ensuring that clinical decisions about resuscitation and the future wishes of the patient and their family, including preferred place of death, are addressed earlier in the illness of the patient.

The Innovators

John Sheridan, Macmillan Lead Nurse, End of Life Care

Caroline Mitchell, Macmillan Associate Clinical Nurse Specialist

Julie Parkes, Associate Director

Julie Gillon, Chief Executive

National AMBER Care Bundle Team, Guys and St. Thomas NHS Foundation Trust

Lead Organisation: North Tees and Hartlepool NHS Foundation Trust

 

Safety Checklists to Reduce Post-Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis Rates

Pancreatic disease continues to be one of the most complex gastrointestinal procedures carrying the highest risk of complications including Pancreatitis.

In 2013, the team modified the WHO Safer Surgical Checklist to incorporate a number of key ERCP safety features including use of rectal NSAIDs and antibiotic prophylaxis, discussion of antiplatelet/ anticoagulants, and discussion of the planned ERCP procedure and equipment required. After initial piloting, it was agreed that use of the Checklist should become mandatory prior to all ERCPs in the Trust. The Checklist standardises care between consultants and frees up capacity to enable them to focus upon the ERCP procedure itself.

The Innovators

Darren Craig, Dr. John Greenaway, Dr. Debasis Majumdar, Dr. Vikramjit Mitra, Consultant Gastroenterologists

Martin Fletcher, Endoscopy Manager

Lead Organisation: South Tees Hospitals NHS Foundation Trust

Leading Collaborations to Deliver Practice-Changing Research 

Adenoma Detection Rate (ADR) is an important marker of high-quality colonoscopy, and low ADR correlates with higher post-colonoscopy colorectal cancer. South Tyneside NHS Foundation Trust led a ground-breaking research collaboration aimed at developing world leading, practice-changing endoscopy research. 

Two trials were managed and delivered by the Trust and their academic partners North Wales Organisation for Randomised Trials in Health, and Newcastle University, and as a direct result, it was announced by NHS England that the Endocuff Vision, a single use disposable device designed to enhance colonoscopy developed by ARC Medical Design Limited, would be fast tracked for use in the NHS. The highly successful collaboration facilitated research delivery at unprecedented pace and scale, delivering two of the largest endoscopy randomised controlled trials seen in the literature internationally.

The Innovators:

Professor Colin Rees, Professor of Gastroenterology, Newcastle University and R&D Director, South Tyneside NHS Foundation Trust

Claire Livingstone, Research and Development Manager, South Tyneside NHS Foundation Trust

Clive Stokes, Trial Manager, South Tyneside NHS Foundation Trust

Martin Walls, Research Fellow, South Tyneside NHS Foundation Trust

Linda Sharp, Professor of Cancer Epidemiology, Newcastle University

Mark Hull, Professor of Molecular Gastroenterology, University of Leeds

In collaboration with: ARC Medical and NWORTH, North Wales Organisation for Randomised Trials in Health

Lead Organisation: South Tyneside NHS Foundation Trust

 

Rob Pickard Impact Legacy

Urinary Tract Infection (UTI) is the most frequently encountered complication from self-catheterisation. The Antibiotic Treatment for Intermittent Bladder Catheterisation (AnTIC) trial was designed to ascertain whether patients who self-catheterise and who suffer from repeated urinary tract infections (UTIs) benefit from taking continuous daily low dose antibiotics. The main outcome of the trial was that for patients who self-catheterise, daily low dose antibiotics are effective in reducing the incidence of UTIs. 

A stricture is a narrowing of the passage through which men pass urine and it is a common cause of difficulty in passing urine. The OPEN trial compared the two possible ways of treating this condition, namely a keyhole procedure or a more complicated surgical procedure. The main outcome was the relative effectiveness of the two procedures in the control of UTIs. 

These studies were both designed with support from the NIHR Research Design Service North East and the NIHR Clinical Research Network North East and North Cumbria, and they were managed through the Newcastle Clinical Trials Unit. Professor Pickard was an advocate for Patient and Public Involvement and Engagement throughout the research process, ensuring that the views of patients were embedded in the design of the study. The studies are a fitting legacy to Professor Pickard and both were designed to answer the important questions being asked by patients and the clinicians who treat them. 

The Innovators

Professor Rob Pickard, Consultant Urologist, The Newcastle upon Tyne Hospitals NHS Foundation Trust 

Lead Organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust  

 

Improving the Utility of Quantitative MRI in Children and Young People with Juvenile Idiopathic Arthritis

Juvenile Idiopathic Arthritis (JIA) is the most common chronic rheumatic disease of childhood, with poorly controlled disease resulting in a high frequency of joint damage and joint replacement surgery in later life. There is a growing evidence base supporting the importance of early aggressive interventions during episodes of disease flare. MRI has great potential as a quantitative assessment tool, but the use of MRI in JIA has been modest, due to the difficulties of scanning children. 

The team carried out a pilot study, in which it was demonstrated that MRI has potential as a sensitive disease assessment tool in JIA. The team are now developing a large-scale research project to demonstrate that it is possible to minimise the duration of the MRI scanning that is required, to make MRI even more feasible. 

The Innovators

Dr. Flora McErlane, Consultant Paediatric Rheumatologist, Great North Children’s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust and Associate Clinical Lecturer, Institute of Cellular Medicine, Newcastle University 

Dr. Kieren Hollingsworth, Senior Lecturer in Magnetic Resonance Physics, Institute of Cellular Medicine, Newcastle University 

Dr. Joshua Bennett, Specialty Trainee in Paediatrics, Northern Deanery 

Lead Organisation: The Newcastle upon Tyne Hospitals NHS Foundation Trust

Bright Ideas in Health Awards Winners & Finalists 2017

Winner: Laboratory Sample Storage

Gateshead Health NHS Foundation Trust alone receives around 10,000 samples for analysis per day into their pathology department, with the samples typically arriving in many different types of tubes. Processing these samples can be inefficient and time consuming. City Hospitals Sunderland NHS Foundation Trust, in conjunction with Gateshead Health NHS Foundation Trust, have developed an Improved Laboratory Sample Storage System, which vastly improves the efficiency of the process and reduces costs.

The Innovators…

Andrew Turner, Lean Innovator
Charlotte Fox, Innovation Manager
City Hospitals Sunderland NHS Foundation Trust

Chris Charlton, Pathology Service Manager
Tracey Chrystal, Pathology Quality & Service Improvement Manager
South of Tyne Clinical Pathology Services, Gateshead Health NHS Foundation Trust

Runner up: Device for the Detection of Peripheral Arterial Disease

Peripheral Arterial Disease (PAD) is a widespread and chronic condition that is associated with subsequent and more severe cardiovascular conditions. In the UK alone, PAD affects around 20% of people over the age of 60, and worldwide it affects around 250 million people. Early detection however, can facilitate preventative treatment. Current NICE guidance is to use the Ankle Brachial Pressure Index (ABPI) Test for point of care diagnostics, but this can be difficult to perform and accordingly it is under-utilised in Primary Care. The PAD Detection Device, which was developed by Newcastle Upon Tyne Hospitals NHS Foundation Trust, is low cost, simple and easy to use, and allows for rapid detection of PAD in a Primary Care setting.

The Innovators...

Dr. John Allen, Lead Clinical Scientist
Tony McCormack, Business Development Manager
Professor Gerry Stansby, Consultant Vascular Surgeon
Dr. Andrew Sims, Head of Medical Physics and Clinical Engineering
Dr. Tom Beale, Clinical Scientist
Jim Wightman, Research Scientist
The Newcastle upon Tyne Hospitals NHS Foundation Trust

Professor Scott Wilkes, Professor of General Practice and Primary Care
University of Sunderland

Dr. Shona Haining, Head of Research and Evidence
North of England Commissioning Support (NECS)

Jan Lecouturier, Senior Research Associate
Newcastle University

Professor Luke Vale, Health Foundation Chair in Health Economics
Newcastle University

Runner up: Care Home Digital Tablet - Transforming Healthcare in Care Homes

The number of care home residents who are referred to A and E unnecessarily places a huge burden upon the NHS, and this can be worsened as a result of care home staff sometimes being unsure about the health issues of the residents and so calling 999 as a precautionary measure to deal with it. Sunderland Clinical Commissioning Group have developed a Care Home Digital Tablet, which is a simple, cost effective, and easy to use tool that can be used by care home staff and residents, empowering the care homes to take better care of their residents and detect early deterioration, ensuring that the correct care is provided at the correct time.

The Innovators...

Rachael Forbister, TECS Programme Manager
Jeannie Henderson, Service Reform Manager
NHS Sunderland Clinical Commissioning Group

Jason Lewins, Support Officer
Tyne and Wear Care Alliance

In collaboration with:
Solcom Ltd, Tyne and Wear Care Alliance, Sunderland City Council, South Tyneside NHS Foundation Trust, City Hospitals Sunderland NHS Foundation Trust, The University of Sunderland, Sunderland Care and Support, Care Home Representatives (The Croft, Dairy Lane Care Centre and Washington Grange)

Winner: MOSAIC Honeycomb Seamless Care Model

Allergy is now considered a modern epidemic with around 20% of the population suffering from hay fever and around 10% of the population suffering from asthma. Despite this however, there is a lack of training in allergies in medical school undergraduate programmes, and subsequently a lack of training in Primary and Secondary Care. In response to this, the Department of Health set up regional allergy centres nationwide, for which The Newcastle Upon Tyne Hospitals NHS Foundation Trust was nominated as a Centre of Excellence. Facilities are provided for the diagnosis of complex cases and training in allergy is provided for specialist trainees, GPs, nurses, schools and allied health, to provide a truly seamless care model.

The Innovators...

Dr. Louise Michaelis, Consultant Paediatrician in Immunology and Allergy

Dr. Gillian Vance, Clinical Senior Lecturer/Honorary Consultant in Paediatric Allergy
James Gardner, Nurse Consultant in Paediatric Allergy
Anne McDonnell and Julie Pentland, Allergy Nurse Specialists
James Callaghan, Head of Nutrition and Dietetics
Dr. Mike McKean, Clinical Director
Jane Melvin, Directorate Manager and Jo Fell, Deputy
Directorate Manager
Great North Children’s Hospital, The Newcastle upon Tyne Hospitals
NHS Foundation Trust

Dr. Sachin Mannikar, Consultant Paediatrician
Queen Elizabeth Hospital, Gateshead

Jonathan McCutcheon, Manager
Dr. Paul Netts and Dr. Sian Williams, General Practitioner Specialists in Paediatric Allergy
Benfield Park Medical Group

Helen Byworth, Assistant Director of Contracting and Performance
Royal Victoria Infirmary

Runner up: Rib Attack Enhanced Recovery Pathway

Chest wall injuries are associated with significant morbidity and mortality, often going undiagnosed. All hospitals are observing an increase in the number of older patients with severe chest trauma resulting from simple falls, and this will increase even further as a result of the demographic changes in the population. Moreover a third of patients suffering from chest wall injuries will experience significant respiratory compromise and infection. The team at County Durham and Darlington NHS Foundation Trust have developed a new technique for administering pain relief in patients admitted to wards with rib or sternal fractures who are unable to breathe comfortably or cope with conventional analgesia. The technique has been in operation for the last eight months and it is proving to be very successful, now being identified as standard practice within the Trust.

The Innovators…

Dr. Baskar Manickam and Dr. Jambulingam, Consultant Anaesthetists
Susie Cairney, Acute Pain Sister
Annona Laverick, Acute Pain Nurse
County Durham and Darlington NHS Foundation Trust

Dr. Duncan Lee Hamilton, Consultant Anaesthetist, James Cook University Hospital, Honorary Senior Lecturer, University of Durham

Runner up: Pathway of Care

Older people living with frailty can have complex needs that can be challenging to address. Accordingly, the recognition and appropriate management of those living with frailty in care homes carries a risk of unmet health needs. Understanding this, as a Care Home Vanguard Programme, Newcastle Gateshead Clinical Commissioning Group realised the importance of clinical engagement in order to positively influence care delivery through the development of robust care pathways. They have developed a solid team, known as the Pathway of Care (PoC) Team, who strive to make a difference to the lives of older people living in care homes, adopting the mantra ‘get it right for older people and you can get it right for everyone’.

The Innovators...

Lesley Bainbridge, Lead Nurse Care Home Vanguard Programme
NHS Newcastle Gateshead Clinical Commissioning Group

In collaboration with:
The Pathway of Care Team, Newcastle Gateshead CCG’s clinical engagement forum where staff significantly experienced in the care of older people come together and make a positive difference to the lives of older people and their families; right across the spectrum of need and care.

Winner: GP Direct Booking Via NHS111

A pilot has been established by the North East Urgent and Emergency Care Vanguard in conjunction with North East Ambulance Service NHS Foundation Trust to implement direct GP booking in the North East region, and this was part of a wider Programme of work with GPs to improve the integration of Primary Care with urgent care provision. The pilot facilitated the process of electronic booking of GP appointments via NHS 111 directly into the diary of the registered GP of the patient, without the requirement for any follow up calls, providing a streamlined and positive patient journey. The Trust are now developing the service to further improve engagement with GPs and stakeholders, to drive the service forward and continue to benefit patient care.

The Innovators…

Lee Henderson, Relationship Manager
Mark Hunter, Section Manager
North East Ambulance Service NHS Foundation Trust

Diane Nielsen, Programme Manager
North East and North Cumbria Urgent and Emergency Care Network

Nicola Murray, IT Training Lead
North of England Commissioning Support

EMIS Health and Black Pear Software

Runner up: No More 'People in Suits'

The team at NHS Newcastle Gateshead Clinical Commissioning Group has consulted with older people who have indicated that they can feel dissatisfied when ‘people in suits’ tell them what they should or should not be doing in terms of their health. In response to this, the team have worked in conjunction with the North of England Mental Health Development Unit (NEMHDU) to develop a self-care Programme that supports older people with better understanding how to access support services and then sharing the information with other older people. The Programme aims to help older people to improve their own health and wellbeing, as well as helping them to gain the skills and confidence to connect to their community to enable them to share information with their own networks.

The Innovators...

Caroline Kavanagh, Programme Manager
Lindsay Pearson, PPI and Public Engagement Lead,
NHS Newcastle Gateshead Clinical Commissioning Group

Paul Johnson, Director
North of England Mental Health Development Unit (NEMHDU)

Marilyn Young, Lynne Davison, John Ruffley and Pat Frazer, Volunteers

In collaboration with:
Age UK Gateshead

Runner up: Introduction of School-Based Diabetes Clinic

Living with diabetes during adolescence can be difficult, with peer pressure and risk taking resulting in it being a vulnerable time in the life of the patient. High DNA rates at diabetes clinics are a problem, and this can significantly negatively impact upon the health of the young person. The Newcastle Upon Tyne Hospitals NHS Foundation Trust have carried out a pilot programme to look at taking diabetes clinics to the patients themselves, working with school leaders to set up a safe and confidential space to see the patients during school time. Attending clinic in this way means that the young people can more easily express their real feelings about diabetes, and they can be more actively involved in the management of their condition.

The Innovators...

Yolanda Alins Sahun, Paediatrician
Kerry Camara, Paediatric Specialist Nurse and Educator
Dr. Jason Gane, Consultant Paediatrician
Dr. Daniel Schenck, Consultant Paediatrician and Lead for
Paediatric Diabetes
Dr. Yincent Tse, Consultant Paediatric Nephrologist and Lead for Quality Improvement
The Newcastle upon Tyne Hospitals NHS Foundation Trust

Winner: 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

Runner up: 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:
Kerry Dockerty, Caroline Wild and Kathleen Burn,
Parents
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

Runner up: 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

Winner: Improved Test for Bladder Cancer

Each year in Europe, there are over 150,000 bladder cancer diagnoses, around 10,000 of which are in the UK alone. With the highest lifetime treatment costs per patient of all cancers, the high incidence of bladder cancer and a recurrence rate of 65% in the first two years, places an enormous burden upon healthcare systems across Europe.

Cytoscopy, a costly surgical technique, is currently considered to be the gold-standard diagnostic tool for bladder cancer. Despite this, up to 30% of cancers are missed at the initial cystoscopy stage, and the technique is very uncomfortable for the patient, with a high risk of infection. The team at Sunderland Clinical Commissioning Group have developed a test for bladder cancer diagnosis which is accurate and simple to execute, without subjecting the patient to the discomfort of an invasive test.

The Innovators...

Nadia Whittley, CEO
Arquer Diagnostics Ltd.

Stuart McCracken, Consultant Urologist and Sue Asterling, Urology Nurse Sunderland Royal Hospital

Jo Cresswell, Consultant Urologist, Dawn Watson and Claire Proctor, Urology Research Nurses
James Cook University Hospital

Mr. Jaswant Mom, Consultant Urologist,
Cumberland Infirmary and West Cumberland Hospital

Grace Fryer, Research Practitioner
Cumberland Infirmary

Hannah Crowther, Research Practitioner and team
West Cumberland Hospital

Mr Tim Dudderidge, Consultant Urological Surgeon
University Hospitals Southampton NHS Foundation Trust

Mr Ghulam Nabi, Consultant and Senior Clinical Lecturer in
Surgical Uro-oncology

Ninewells Hospital, NHS Tayside

Mr. David Hrouda, Consultant Urologist
Charing Cross Hospital, Imperial College Healthcare NHS Trust

Runner up: Central Venous Line Fall-Out Prevention in Renal Patients

Approximately 12,500 adult haemodialysis patients in the UK are fitted with a central venous catheter (CVC), but accidental line fall out occurs in around 20% of these patients at an average cost to the NHS of £3,000 for every incidence. Led by City Hospitals Sunderland NHS Foundation Trust, a collaboration between patients, The National Institute of Health Research Clinical Research Network: North East and North Cumbria (NIHR CRN NENC), MedConnecT North, NIHR Devices for Dignity HTC, TITCH (Technology Innovation Transforming Child Health), and Tookie Limited, has resulted in the development of a solution to prevent CVC fall out, which discretely and comfortably maintains the CVC safely in place whilst ensuring that the patient can lead a life more normal. The patient’s quality of life is improved, and the mechanisms which enable the efficient delivery of their treatment are made more efficient.

The Innovators...

Stephen Tooke, Commercial Director
David Axon, CEO
Tookie Ltd

Dr. Saeed Ahmed, Consultant Interventional Nephrologist
Dr. Rachel Davison, Consultant in Renal Medicine
Debbie Sweeney, Vascular Access Specialist Nurse
Paul Corrigan, Research Nurse
City Hospitals Sunderland NHS Foundation Trust

Mark Taylor, MedCoNecTNorth
NIHR Clinical Research Network, North East and North Cumbria

Runner up: Structured Digital Prescriptions for Orthotics

Prescribing custom orthotics is a complex procedure and one that to date has been carried out using traditional pen and paper. This approach can lead to incorrect prescriptions, or prescriptions that are missing vital data. These errors and omissions lead to delays in treatment as well as increasing costs as a result of the processing of corrections. The team at Peacocks has developed an innovative piece of software which results in accurate repeatability, improved patient experience, cost savings, and a reduction in errors.

The Innovators…

David Stevens, Managing Director
Mark Turner, Commercial Director
Peter Fullarton, Head of Information Technology
Cameron Hall, Orthotic Clinical Lead
Peacocks Medical Group

Winner: National Renal Complement Therapeutics Centre

Atypical Haemolytic Uraemic Syndrome (aHUS) is an inherited kidney disease, for which until recently there was no cure. The disease often results in end stage kidney failure and patients can face a lifetime of dialysis as a result, with a kidney transplant not being an option since the disease would typically recur in the new kidney. A collaborative team formed by scientists at Newcastle University and clinicians at the Freeman Hospital Renal Unit, undertook ground breaking genetic research which has ultimately resulted in the development of a treatment which prevents the patients from being confined to a lifetime on dialysis, effectively revolutionising patient care. Patients have always been a critical part of this research, and their time and donation of blood samples has allowed the team to successfully define the basis of the disease.

The Innovators...

Jalibani Ndebele, National aHUS Service Manager
The Newcastle upon Tyne Hospitals NHS Foundation Trust

Professor David Kavanagh, Professor of Complement Therapeutics, Honorary Consultant Nephrologist
Professor Neil Sheerin, Professor of Nephrology
Dr. Sally Johnson, Consultant Paediatric Nephrologist
Edwin Wong, Consultant Nephrologist
Angela Watt and Jo Stout, Specialist Nurses
Helen Nicholl, Senior Medical Secretary
National Renal Complement Centre

In collaboration with:
Newcastle University, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Renal and Paediatrics Directorate and Northern Genetics Service

Runner up: Limbal Stem Cell Therapy

It is a well-known fact that visual loss is universally feared, with concerns of losing sight being almost double that of contracting heart disease (63% vs 37% of those between the ages of 50 and 64). The cornea is the clear window at the front of the eye and its clarity is vital for the transmission of light to the back of the eye, enabling visual perception. Limbal Stem Cell Deficiency (LSCD) is a clinical entity which causes chronic inflammation, scarring, persistent epithelial defects and neovascularisation of the cornea, and ultimately it is painful and causes blindness, with patients requiring long term follow up for intensive treatment. A novel approach to the treatment of LSCD has been developed by The Newcastle Upon Tyne Hospitals NHS Foundation Trust in conjunction with Newcastle University, which can successfully reverse LCSD in the treated eye, to significantly and positively impact upon the quality of life of the patient.

The Innovators...

Professor Francisco C Figueiredo, MD, PhD, FRCOphth,
Professor of Ophthalmology
Newcastle University and The Newcastle upon Tyne Hospitals
NHS Foundation Trust

Professor Majlinda Lako, PhD, Professor of Stem Cell Sciences, Institute of Genetic Medicine
International Centre for Life, Newcastle University

Professor Anne Dickinson, PhD, Professor of Marrow Transplant Biology, Haematological Sciences and Director
Newcastle Cellular Therapies Facilities, Newcastle University

Russell Watkins, Assistant Director Business Innovation and Improvement
The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr. Finn Willingham, Newcastle Therapeutics Project Manager
The Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University

NHS Blood and Transplant, Bristol University, Royal Hallamshire Hospital, Sheffield, Flinders University, Australia

Runner up: Delivery of Research Awareness to Service Users, Carers and Staff

Publicising and promoting research to staff within the Trust and keeping them informed about how they can get involved, has always been an important aspect of the work being carried out by the R and D Team at Tees, Esk and Wear Valleys NHS Foundation Trust. However, it was recognised that there is a gap in the delivery of this information, in that service users and carers were not being provided with the same opportunities to engage in research when compared with staff, since they do not normally receive the same bespoke presentations at clinical meetings or receive updates via the staff bulletin. In response to this, the team developed a research awareness course, which informs service users and carers regarding the reasons for research and the different types of research being carried out, highlighting opportunities for involvement.

The Innovators…

Laura Jackson, Patient and Public Involvement Volunteer
Jess Williams, Recovery Expert by Experience
Sarah Daniel, Research Manager
Jacqueline Harvey, Research Secretary
Tees, Esk and Wear Valleys NHS Foundation Trust

In collaboration with:
Joanne King, Operations Manager, Arch Recovery College

Winner: Falls Prevention Training

Falls-related injuries can particularly affect the frail elderly, with 30% of people aged 65 and older, and 50% of people aged 80 and older, falling at least once a year. Falls have an extremely negative effect upon quality of life, causing distress, pain, loss of confidence, loss of independence, and even mortality. Moreover, falls are estimated to cost the NHS nationally more than £2.3 billion per year. The North East Ambulance Service NHS Foundation Trust have delivered the Falls Initial Response Skills Training (FIRST) Programme to 414 staff from 115 care homes in the North East, with the aim of improving the experience of older people in care homes who have had a fall. The Programme was designed to improve skills and confidence in staff, and ensure that older people receive the best possible care.

The Innovators...

Elaine McDonald, Head of Workforce Development, Strategy & Transformation & OD Directorate
Alan Jobson, Training Development Officer
Paul Huddleston, Lead Trainer
John Mole, Key Account Manager
Anthony Brockbank, Commercial Trainer Officer
Malcolm Leech and Andrew Taylor, Commercial Training Officers
North East Ambulance Service NHS Foundation Trust

 

 

Runner up: North Tees and Hartlepool Education Alliance

The majority of care home residents are living with complex co-morbidities and as these residents become older, their healthcare needs inevitably increase. There are an increasing number of hospital admissions from care homes for conditions such as urinary tract infections, pneumonia, respiratory infections, femur fractures, chronic obstructive pulmonary disease and heart failure, which places additional pressure upon Secondary Care that could potentially be alleviated by earlier identification and intervention. Hartlepool and Stockton Clinical Commissioning Group have implemented a collaborative combined education Programme involving four organisations, which empowers staff to make confident and informed decisions around the care of residents, resulting in a reduction of avoidable admissions into hospital, and enhancing the experience of the residents.

The Innovators...

Sarah Hodgson, Education Delivery Lead
Karen Hampshire, Clinical Education
Andy Cotton, Education Administration Support Officer
Lynn Morgan, Senior Clinical Matron
North Tees and Hartlepool NHS Foundation Trust

Paula Swindale, Head of Commissioning & Strategy
Dr. Helen Murray, Clinical Lead
NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group 

Paul Whittingham, Commissioning Manager
Judith McGuinness, Senior Communication Officer
Gabby Caswell, Senior Commissioning Support Officer
North of England Commissioning Support

Catherine Buller, Debbie Clarkson, and Janine Ruston-Taylor, Falls Assessment Co-ordinators
Sue Reay, Transformation Team
Rob Papworth, Strategic Development Manager, Adult Services
Stockton on Tees Borough Council

Lindsey Thornhill, Nurse Practitioner
Amanda Arnold, Education Facilitator
Alice House Hospice

Emma Thompson, Service Manager
Matt Dawkin, Higher Assistant Psychologist
Laura Catermole and Neil Petty, Advanced Nurse Practitioners
Kellyann Facchini and Julia Taylor, Community Psychiatric Nurse
Tees, Esk and Wear Valleys NHS Foundation Trust

Jeanette Willis, Head of Strategic Commissioning
Jill Harrison, Assistant Director, Adult Services
Jacqui Tucker, Commissioning & Contracts Manager
Hartlepool Borough Council

Runner up: Evaluation of Training in Obsetric Emergencies – ‘SimMom®

Multidisciplinary teams in all obstetric units may have to deal with rare but potentially life-threatening emergencies, which may place the mother and the fetus at serious risk. These can include major bleeding, profound collapse, significantly high blood pressure, failed intubation during anaesthesia, and difficulties with the birth itself. The relative rarity of these events means that developing the appropriate skills to manage these emergencies can be difficult for both teams and individuals. City Hospitals Sunderland NHS Foundation Trust have developed, in conjunction with The University of Sunderland, an innovative, multi-disciplinary team training Programme focussing upon the management of acute obstetric emergencies, concentrating on developing skills relating to human factors as well as other non-technical skills.

The Innovators…

Representing the South of Tyne SimMom® Maternity
Training Collaborative:

Mr Kim Hinshaw, Consultant Obstetrician and Director of
Research and Innovation

Denise Mace, Senior Midwifery Lead (Multi-professional training)
City Hospitals Sunderland NHS Foundation Trust

Alison Rutherford, Technical Support Team Manager (Healthcare)
Michael Collins, Senior Lecturer in Clinical Skills
University of Sunderland

Bright Ideas in Health Awards Winners & Finalists 2016

Innovative Technology or Device

i-M98XWXT-L

Winner:

Improved IVF Procedure Egg Collection

Name:
Professor Alison Murdoch

Organisation:
The Newcastle upon Tyne Hospitals NHS Foundation Trust

Service Improvement 2016

i-zLDs7XB-L

Winner:

Recovery Focussed Care Transfer (ReFleCT)

Name:
Dr. Coleen Mercer-Quinn

Organisation:
Tees, Esk and Wear Valleys NHS Foundation Trust

Innovation in Primary Care 2016

i-wqxQMQz-L

Winner:

Social Prescribing for Long-Term Conditions, Embedded in Primary Care

Name:
Tara Case

Organisation:
Ways to Wellness

SME Innovation in Healthcare Category 2016 (sponsored by Onyx Health) 2016

i-NzvqgbS-L

Winner:

‘Pelviva’ device designed to re-educate weak pelvic floor muscles for treatment of urinary incontinence in women

Organisation:
Femeda

Patient and Public Involvement Category 2016 (sponsored by the Clinical Research Network North East and North Cumbria)

i-T96P5dB-L

Winner:

Practice Champions

Organisation:
NHS Newcastle Gateshead Clinical Commissioning Group

© 2021 Bright Ideas In Health Awards

For enquiries, please contact sarah.black@ahsn-nenc.org.uk