Implementation of the TRAK intervention to enable e-rehab for knee conditions: a web-based intervention suite to support self-management in rehabilitation

Wales
Musculoskeletal conditions are extremely common, accounting for 30% of GP consultations. Knee conditions are the most common and can significantly affect mobility and quality of life. A team at Cardiff and Vale University Health Board has developed TRAK – an application suite that provides a pati...

North of England back pain pathway

North east England
The North of England back pain pathway aims to improve the management of patients with low back pain and radicular pain (sciatica) in the North East of England and Cumbria, building on an earlier pilot in South Tees funded by the local Academic Health Science Network. The project will implement a...

Improving the reliability and accuracy of medicine reconciliation and polypharmacy medication reviews in an orthopaedic ward

Scotland
Led by Dumfries and Galloway Royal Infirmary, this project aims to improve reliability in medicines reconciliation on discharge and achieve a 50% reduction in prescribing errors. The work will identify weaknesses in the existing patient risk assessment and prescribing system, and develop interven...

Virtual follow up of hip and knee replacement patients

South west England
Led by Royal Cornwall Hospital Trust, this project focused on the follow up recommended at one, five and every subsequent five years following hip and knee replacement surgery. The project used a web-based system that collects Patient Reported Outcome Measures (PROMs) on symptoms such as pain and...

Community-based, consultant-led one-stop-shop for carpal tunnel syndrome patients

London
Run by a team from the Central London Community Service, from June 2014 until August 2015, this project is piloting a one-stop-shop for carpal tunnel syndrome (CTS) at Edgware Community Hospital, for patients referred by GPs in Barnet, north London. The project is comparing a community-based, mul...

Creating exceptional patient experience in hip fracture care

Wales
Run by Aneurin Bevan Health Board in Gwent, Wales, this project is improving standards of care for hip fracture patients at Royal Gwent Hospital, with a vision to become best in class. The team were particularly focused on the elements of care which mattered most to their patients an used a new p...

Hiro Tanaka, GenerationQ fellow

Wales
Hiro is a consultant orthopaedic surgeon at Royal Gwent Hospital in Newport and a member of the Aneurin Bevan Continuous Improvement (ABCi) division at Aneurin Bevan Local Health Board in Wales. His role in the ABCi team focuses on engaging clinical leaders in quality improvement. After gradua...

Treatment of frozen shoulder in a primary care setting

London
Led by Central London Community Healthcare, this project aimed to speed up the treatment pathway for frozen shoulder, reduce the number of health care appointments needed and provide more cost-effective care. The team introduced a new service where specially-trained physiotherapists provided guid...

Pre-operative assessment of patients undergoing elective surgery

Midlands
Led by Royal Orthopaedic Hospital NHS Foundation Trust, this project aimed to develop a safer and more efficient system for assessing patients and identifying potential problems prior to elective surgery. The project team designed a computer-based patient interview process for the pre-operative m...