The Health Foundation has selected twenty-two new projects to be part of the fifth round of its £1.5 million innovation programme, Innovating for Improvement.
Innovating for Improvement aims to improve health care delivery and/or the way people manage their own health care by testing and developing innovative ideas and approaches and putting them into practice.
The selected projects will be led by clinical teams and will develop their innovative ideas and approaches, put them into practice and gather evidence about how their innovation improves quality.
The programme will run for 15 months, including a recommended set up phase starting in January 2017. Each team will receive up to £75,000 of funding to support the implementation and measurement of their project.
The innovative ideas will be tested in health care settings around the around the UK including primary and community care, secondary care, and mental health services.
The Health Foundation has supported over 180 innovation projects as part of its Shine and Innovating for Improvement programmes.
The selection of these projects is currently subject to contracts being finalised with the lead organisation of each project.
The twenty-two projects are:
Delivering an Acute Bundle of Care for Intracerebral Haemorrhage (ABC-ICH) in Greater Manchester
Lead organisation: Salford Royal NHS Foundation Trust
With clear evidence that anticoagulation reversal and rapid lowering of blood pressure can improve outcomes for patients with acute intracerebral haemorrhage (bleeding in the brain), this project will introduce an evidence-based care bundle and a redesigned care pathway to achieve a significant reduction in patient death and disability.
Relational Coordination to improve inter-team dynamics in two pathways of care
Lead organisation: Cumbria Clinical Commissioning Group
Relational Coordination measures the quality of relationships and communication involved in the coordination of work processes. This project will use a Relational Coordination survey to evaluate the current inter-team dynamics of two pathways of care – cancer and mental health – and work to improve performance and clinical outcomes.
The PROMPT system: an innovation in perioperative care
Lead organisation: Imperial College Healthcare NHS Trust
There is a growing body of evidence to suggest that prehabilitation and enhanced recovery for cancer surgery patients can improve postoperative outcomes. This project will roll out the Perioperative RemOte Monitoring of PaTients (PROMPT) system. PROMPT enables a real-time interface between patients and clinicians, facilitating supported self-management and proactive health monitoring.
Patient Aligned Care Team (PACT) to support patient need in rural Wales and Shropshire
Lead organisation: Shropshire Doctors Cooperative Ltd
This project based in rural Wales and Shropshire involves a new way of working through a Patient Aligned Care Team (PACT) and new technology. It aims to increase access to primary care for the rural population, reduce referrals to secondary care, increase point of care testing and improve patient experience.
Operative vaginal birth simulation training for junior obstetricians
Lead organisation: North Bristol NHS Trust
There is currently no structured training for trainee obstetricians in operative vaginal birth (OVB). This project will implement and evaluate an innovative package of structured OVB simulation training with faculties of local obstetricians, and will also validate a formal evaluation methodology for simulation-based training courses for practical skills in obstetrics.
Using telehealth to deliver pharmaceutical care in remote and rural locations
Lead organisation: NHS Highland Pharmacy Team
A primary care project taking place in three remote and rural dispensing GP practices in the Scottish Highlands, this innovation involves testing the use of telehealth to improve patient access to pharmaceutical care. Different types of telehealth will be tested, with centrally based pharmacists to provide advice and prescribe medicines.
My Medical Record for inflammatory bowel disease patients
Lead organisation: University Hospital Southampton NHS Foundation Trust
This innovative project aims to transform the delivery of care for patients with inflammatory bowel disease using an online supported self-management system, My Medical Record. The system will provide disease information, access to results and diagnostic tools, and advice from specialist nurses, with the aim of replacing traditional outpatient follow up.
Delivering speech and language therapy through telemedicine to adults who stammer
Lead organisation: Airedale NHS Foundation Trust
Speech and language therapy services for adults who stammer vary greatly across the country, with many people having no access to local services. This project will increase access to these services through a telemedicine based treatment intervention which aims to equip these people with long-term strategies to effectively manage their stammer.
Person-centred arts and culture to improve wellbeing
Lead organisation: South Devon and Torbay Clinical Commissioning Group
Community-based participatory arts will be used in this innovative project to improve the physical and mental wellbeing of patients with chronic obstructive pulmonary disease and children with lower level mental health problems. A series of 12-week arts and culture programmes will be created that include dance, youth theatre and singing.
A self-management digital platform for children and young people with ADHD
Lead organisation: Oxleas NHS Foundation Trust
A digital platform for children with attention deficit hyperactivity disorder (ADHD) and their families will be developed through this project, with the aim of improving quality of care and self-management. Schools and GPs will also be able to access the electronic record, in order to improve collaboration and communication.
Psycho-social interventions to improve self-management of long-term conditions
Lead organisation: First Contact Clinical
This project will redesign primary care long-term condition management, incorporating psycho-social interventions to encourage active and effective self-care and improve quality of life. It is aimed at those patients in South Tyneside who require the most support to achieve self-care, and who have the most to gain.
A nurse led intervention to identify and manage patients with alcohol related brain injury
Lead organisation: Royal Liverpool and Broadgreen University Hospitals NHS Trust
This project will implement a new pathway of care that aims to identify patients with alcohol related brain injury (ARBI) at an early stage. Led by the specialist alcohol nursing team, it will enable timely intervention with a personalised package of care intended to improve cognitive function and rehabilitation.
Reaching out to fathers: enhancing engagement in the perinatal period
Lead organisation: Home-Start Oldham, Stockport and Tameside
Fathers are often overlooked during the perinatal period – this project aims to develop new ways of engaging and supporting them. Through home visits, support groups and ‘father friendly’ resources, trained volunteers will encourage fathers to get involved and improve their knowledge of parent–infant relationships, child development and parents’ mental health.
Introducing a local care network population health model in Greenwich
Lead organisation: Greenwich Clinical Commissioning Group
This ‘test and learn’ project introduces an integrated, tiered service to prevent ill health and improve wellbeing at a population level in Greenwich. It will aim to scale up and coordinate access to social and healthy behaviour change support, resulting in physical and mental health improvements and reduced unnecessary GP visits.
Self-management support intervention for older people with frailty
Lead organisation: Trust Primary Care Limited
This project aims to test whether a self-management support intervention (SMS) helps older people living with mild frailty to self-manage their health and wellbeing, and rely less on health care resources. Volunteers will work in partnership with primary care to investigate the barriers and enablers to implementing an SMS intervention with this patient group.
Sing and Say: web based language stimulation activities for children with craniofacial anomalies
Lead organisation: Oxford Craniofacial Unit
Sing and Say is an interactive web based application featuring music and videos aimed at children with craniofacial anomalies and delayed language development. This innovative project will be used by parents in the home environment to stimulate language learning for children with limited access to speech and language therapy services.
Positive Reporting and Appreciative Inquiry in Sepsis (PRAISe)
Lead organisation: Birmingham Children's Hospital
This project tackles sepsis management and antibiotic stewardship in paediatric intensive care. Using a modified form of Appreciative Inquiry to generate novel insights from frontline clinicians, the project is designed to influence clinicians’ behaviour through positive reinforcement, share learning, promote good practice, and ensure appropriate antibiotic prescribing, management and review.
Integrating primary, community and social care services within an extended primary care team
Lead organisation: Southern Health NHS Foundation Trust
This transformational project addresses duplication and fragmented working across primary, community and social care by integrating services within an extended primary care team. The aim is to improve service delivery and quality of life by ensuring that patients see the right person, in the right place, at the right time.
Carer Skills Passports for carers of children and young people with complex long-term conditions
Lead organisation: Alder Hey Children's Hospital
The Carer Skills Passport project provides quality assured, standardised training for paid and unpaid carers of children with complex healthcare needs. Through an integrated competency based training model, transferrable across all care settings, it aims to develop a safe, effective, flexible workforce that provides person-centred care in the most appropriate setting.
Working together: creating collaborative care in residential care homes
Lead organisation: Altogether Better
This pioneering approach aims to improve the quality of health and care services for people living in residential care. It brings together primary care teams, care home staff and volunteer health champions to develop a model of ‘collaborative care’, enhancing quality of life and health outcomes for people living in care homes.
‘See what I see’: remote clinical assessment for people in care homes using head mounted technology
Lead organisation: Eastbourne Hailsham and Seaford Clinical Commissioning Group
This project involves care home workers using head mounted technology to have two way communication in real time with GPs. Benefits include shorter waiting times, reduced hospital admissions and improved quality of care for patients, while GPs enjoy increased capacity as they can conduct clinical assessments without leaving their practices.
Systematic, evidence-based medication reviews for older people with frailty
Lead organisation: Harrogate and Rural Districts Clinical Commissioning Group
This project aims to reduce inappropriate prescribing, medication errors and health care utilisation for older people with frailty. This will be achieved by bringing together primary care teams to undertake collaborative patient safety and quality improvement training, and supporting them to develop their own interventions based around established protocols for deprescribing.