The Health Foundation has selected twenty new projects to be part of the third 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 April 2016. 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 selection of these projects is currently subject to contracts being finalised with the lead organisation of each project.
The twenty projects are:
Carer skills training (iCASK) to bridge hospital to home care for young people with anorexia nervosa
Lead organisation: South London and Maudsley NHS Foundation Trust
Hospital admissions for anorexia nervosa are increasing. Relapse following discharge is common and mortality post-discharge high. This project involves using emotional coaching and behaviour change strategies (the iCASK programme) with patients and their carers, to give them the skills to manage eating disorder behaviours at home.
Electronic Partner Notification (ePN) of sexually transmitted infection
Lead organisation: Chelsea and Westminster Hospital NHS Foundation Trust
This project aims to improve partner notification outcomes across three sexual health clinics by offering patients diagnosed with a sexually transmitted infection access to ePN – a web based text messaging programme which automates much of the process of notifying sexual contacts of their potential exposure, so they can access testing and treatment.
A service-wide response for patients in Yorkshire following a fall
Lead organisation: Yorkshire Ambulance Service NHS Trust
Demand on the Yorkshire Ambulance Service (YAS) in relation to falls is extremely high. This project will involve radically transforming how the YAS responds to patients who have fallen across the whole Yorkshire region. Through partnership working this will help ensure that patients get the most appropriate and timely care, using bespoke telephone triage assessment tools and video conferencing
Segmenting within general practice: personalising care for patient sub-groups
Lead organisation: Valentine Health Partnership
Tailoring care for sub-groups of patients who are frequent users of general practice or who have gaps in the care they receive could improve clinical outcomes, patient experience and practice efficiency. This project will use data analysis to identify patient populations with similar care needs and design interventions tailored for them.
Improving quality of life in children with faecal incontinence and constipation
Lead organisation: Barts Health NHS Trust
This project will create a patient centred service for infants, children and adolescents with faecal incontinence and constipation. By offering a comprehensive assessment, including many of the psychological, physical and physiological components of the condition, the service will be able to target treatment and optimise quality of life for these patients.
Mobile technology health solutions for patients with severe mental illness: a feasibility pilot RCT
Lead organisation: East London NHS Foundation Trust
Current mental health care does not sufficiently provide flexible and responsive arrangements for the routine and urgent care needs of people with severe mental illness. This trial will implement and evaluate a community care intervention that uses an interactive text messaging system to foster self-management and timely communication between patients and clinicians.
Coordinated co-response to immediate life threatening emergencies in adults in remote and rural Scotland
Lead organisation: Scottish Ambulance Service
Immediate life threatening emergencies are the Scottish Ambulance Service’s (SAS) highest priority call but a timely response can be challenging, especially in remote and rural areas of the country. This project will implement and evaluate a formalised coordinated co-response to such calls between SAS and the Scottish Fire and Rescue Service.
Evaluation of a wearable wireless patch for vital signs monitoring after major surgery
Lead organisation: Leeds Teaching Hospital NHS Trust
Early recognition of postoperative complications in patients who have had major surgery is crucial in reducing morbidity and preventing long term disability. This project will test the effectiveness of a new monitoring system whereby a wearable patch continuously monitors vital signs and transmits results wirelessly, alerting staff to potential patient deterioration.
Direct patient access to investigation for suspected upper gastrointestinal malignancy
Lead organisation: Cowgill Medical Practice
This project will evaluate a process in which patients can directly access investigation for suspected upper gastrointestinal malignancy, using an electronic form with clinical questions. The electronic triage then refers the patient for investigation or to a specialist clinic, if required, bypassing the need for an initial GP appointment.
Pilot of a spinal specialist-led patient self-referral clinic in the GP setting
Lead organisation: Royal Free London NHS Foundation Trust
There is evidence that early appropriate management of spinal conditions shortens the patient pathway, improves outcomes and increases patient satisfaction. This project involves placing spinal specialists in a GP surgery and allowing patients to self-refer to the clinic, shortening the patient journey to diagnosis, management and treatment.
Improving diagnosis of serious illness through out-of-hours bedside blood tests
Lead organisation: Oxford Health NHS Trust
Older patients with frailty are frequently seen in their homes by out-of-hours clinicians, but detecting serious illness is difficult without blood tests. This project involves equipping out-of-hours clinicians with bedside finger-prick blood testing devices, and evaluating whether this reduces unnecessary hospital admissions and improves identification of patients at high risk
Using continence promotion measures to improve continence in care homes
Lead organisation: NHS Lanarkshire
There is increasing demand for continence products throughout NHS Scotland, but research shows that interventions to promote continence can reduce containment product usage. This project involves developing and testing a continence care bundle, including continence promotion measures, in a care home, and aims to improve continence and reduce product usage. The project will also hope to improve patient experience and will look at any impacts the bundle has on associated harms that are related to incontinence such as pressure damage, Urinary Tract Infections and falls.
Enhanced Recovery App (ER-App): using data to improve perioperative quality in elective surgery
Lead organisation: University College London Hospitals NHS Foundation Trust
Enhanced Recovery (ER) pathways offer huge potential to improve patients’ lives after surgery. This project involves assessing the efficacy of a digital quality improvement intervention in upper gastrointestinal surgery, using the ER App to make data entry simple, improve communication of patient progress and give teams real time data on their performance.
A nurse-led approach to personalised, coordinated, multidisciplinary care in new haemodialysis patients
Lead organisation: The Royal Liverpool and Broadgreen University Hospitals NHS Trust
Commencing haemodialysis is a time of significant risk, and patients experience high levels of physical and psychological distress. This project will involve testing a nurse led pathway that will provide coordinated, personalised treatment, with the aim of reducing the 90-day mortality rate of patients starting haemodialysis by 30% over 12 months.
Building professional networks in local communities to improve wellbeing outcomes in alcohol and drug services
Lead organisation: Sheffield Health and Social Care NHS Foundation Trust
There is growing evidence of the importance of creating coalitions between professionals and communities, to increase community participation of vulnerable populations and improve their wellbeing. This project involves improving frontline professionals’ capacity to support community engagement and increasing their active participation in local communities, beginning with alcohol and drug workers.
A mobile phone app to improve self-management in young people with arthritis
Lead organisation: Great Ormond Street Hospital for Children NHS Foundation Trust
Adverse outcomes from arthritis starting in childhood can be prevented with effective treatment, but this depends on adolescents effectively engaging with healthcare and self-managing. This project involves the use of a smartphone app for these young people that encourages self-management and medicine adherence, and improves communication with their healthcare professional.
Harnessing the potential of patients to reduce harm using safety briefings
Lead organisation: Salford Royal NHS Foundation Trust and Haelo
Safety briefings delivered to the person at risk to provide knowledge and demonstrate safe behaviours are commonly used in high risk industries and sport. This project involves testing whether safety briefings can reduce avoidable harm in patients going into hospital for elective surgery, by providing knowledge to trigger behaviour change.
Supporting shared decision-making with option grids in child mental health
Lead organisation: Tavistock and Portman NHS Foundation Trust
Shared decision making has been highlighted as a priority for child and adolescent mental health, but implementation remains problematic. This project will involve developing and implementing ‘option grid’ decision aids to support choice in a population health system that integrates health, social care and education, considering a wider range of options for care.
Rapid access to complex pulmonary investigation days: the RAPID programme in early stage lung cancer
Lead organisation: University Hospital of South Manchester NHS Foundation Trust
Early diagnosis of lung cancer can increase survival rates and improve patient outcomes. The RAPID programme is an innovative, patient focused approach that involves rapid access to diagnostic and staging investigations, physiological assessment, and pathological diagnosis; reducing the time to treatment decision from 30 days to a maximum of seven days.
Developing community pharmacies to support medication monitoring in children and young people attending CAMHS ADHD clinic
Lead organisation: Sussex Partnership NHS Foundation Trust
Children and young people who are prescribed medication for attention deficit hyperactivity disorder (ADHD) need regular monitoring of their height, weight, blood pressure and pulse. This project involves training local community pharmacists to carry out physical monitoring of children on psychotropic medications to support timely and effective care delivery.