Quality report 2021-2022

The improvement in both pressure ulcers and moisture associated skin damage were achieved by: • Implementing a new risk assessment tool PURPOSE-T (Pressure ulcer risk primary or secondary assessment Tool) which assess the risk in real terms than using the scoring is introduced. This was successfully implemented in practice on the 22 nd of June 2021. • Ongoing teaching on prevention of medical device related pressure ulcer and use of soft silicone under the oxygen tubing is introduced and ongoing. • Provide ongoing training for the Link Nurses to disseminate the action plan on the ward regularly. Last Link nurses study day was on 16 th 24 th March 2022. • Review of the CODE standard for Pressure ulcer management updated with evidence-based practice to ensure sustainability of quality care delivery. • Developed E-learning and uploaded to Learning zone under School of Oncology to access for all levels of staff (AHP). • Developed educational videos on how to complete aSSKINg bundle, Purpose-T reducing pressure from devices and uploaded to HIVE and circulated to the wards to form part of new staff induction. 2. Improving patient safety and experience during a national pandemic through the use of digital technology Introduction During the Covid pandemic several initiatives have completed or have started at The Christie to contribute towards improving patient safety and experience through the use of digital technology. Patient Entertainment System – a new patient entertainment system from a company called ‘wifi sparks’ was implemented. The system gives patients access to Movies, TV and national newspapers through a tablet device. The project also introduced a guest wi-fi service. Bleeps – a bleeps project is in the final stages of implementation. The project improves patient safety, replacing a legacy crash bleep service with a bleep ‘app’ that can be used on any mobile phone. The project is anticipated to result in an improved response to emergency bleep calls. Attend Anywhere – The Christie, along with other trusts in Greater Manchester, have renewed the licence for the remote consultation software ‘Attend Anywhere’. The renewal is for a two-year period. Digital Services CCIO’s are looking to introduce an initiative to increase the number of virtual appointments using the software. Future Developments The Christie have been successful in securing multi-year funding from the NHS unified tech fund. The funding totals over £4.5M across several workstreams. There are three funded workstreams: • Teaching on Skin changes at the end of life. Current Initiatives of note include:

• Patient Communications • Electronic Medications • Electronic Referral

• Patient Communications

Pain Point Themes

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