Twenty new projects have been selected to be part of the fourth round of the Health Foundation’s £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 August 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:

Palliative pain management programme
Lead organisation: St Joseph’s Hospice, Hackney
By adapting a hospital-based pain management programme for the hospice setting, this project aims to help palliative care patients with chronic pain to live as fully as possible, empower them to effectively manage their pain themselves. The project hopes to result in improved quality of life and reduction in the use of other services.

Integrated health: optimising strength and resilience
Lead organisation: Royal Brompton and Harefield NHS Foundation Trust
This organisational intervention involves an integrated approach to physical and psychological health among staff, patients and families. Through application of the latest advances in psychology, the project aims to increase understanding of normal psychological experiences and reduce mental health stigma. It also hopes to promote a positive, open, compassionate organisational culture that supports well-being.

Preoperative psychological assessment and management to improve pain experience following surgery
Lead organisation: Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
This innovative project involves implementing psychological support for patients who are at risk of complicated pain management or psychological problems following surgery. Through preoperative psychological assessment and management, the aim is to decrease patients’ anxiety, manage their expectations of surgery, and improve care quality and patient experience.

League of Fitness: peer-led weight management, self care and wellbeing improvement programme
Lead organisation: Tollgate Medical Centre
This project involves piloting League of Fitness (LoF), an innovative health programme focused around a team-based weight loss competition. LoF promotes weight management and exercise and improves wellbeing by establishing a fitness and healthy lifestyle league. It will also provide information, resources and peer support for engaging in physical exercise and health activities.

Using community pharmacy for asthma patients not attending yearly reviews
Lead organisation: Rosedale Surgery
Asthma patients who do not attend their annual asthma review at their GP practice still need to collect their prescriptions from their community pharmacy. This project involves testing whether the community pharmacy providing these annual reviews could improve medicine use, and reduce unplanned GP visits and hospitalisation for these patients.

NHS health call undernutrition
Lead organisation: County Durham and Darlington NHS Foundation Trust
Using digitally enabled third-sector lunch clubs, this project aims to reduce undernutrition and social isolation in hard to reach, vulnerable patients, and increase self-monitoring and self-management. The project involves a telehealth solution to remotely monitor patients. Age UK lunch clubs will also provide social interaction and a nutritious meal.

Celebrating difference: improving psychological wellbeing in children and young people with chronic physical illness
Lead organisation: Barts Health NHS Trust, The Royal London Hospital
A group intervention combining narrative therapy and therapeutic play techniques is being introduced through this project. The intervention aims to promote the psychological well-being of children and young people living with chronic physical illness by enabling them to develop stories about themselves that focus on their strengths and abilities.

'Cardiologist’s Kitchen': targeted dietary and lifestyle interventions for hypertension
Lead organisation: Royal United Hospital NHS Foundation Trust Bath
This project is focusing on patients with high blood pressure at the point of diagnosis with targeted modern dietary and lifestyle interventions; emulating successful behavioural strategies from the media and food industries. Information and engaging real-life solutions will be presented through various touch points in a recycling self-help journey

FeSTivAPPS: an app to deliver functional strength training to people after stroke
Lead organisation: Norfolk and Norwich University Hospitals NHS Foundation Trust
The most important factor in movement recovery after stroke is physical activity. This project involves developing and piloting an app that provides a prescribed exercise programme via video demonstrations, feedback and reminders. It aims to motivate stroke patients to increase the time they spend engaged in physical exercise.

Managing medically unexplained symptoms through screening, training and tailored psychological treatment
Lead organisation: 2gether NHS Foundation Trust
The aim of this project is to help people experiencing medically unexplained symptoms (MUS) to live healthier and happier lives. The project hopes to reduce medical attendance by introducing a screening tool for GPs and delivering a specialist primary care service based on a new cognitive behavioural therapy approach to MUS.

Peer-supported Open Dialogue (POD) in NHS mental health services
Lead organisation: Kent and Medway NHS and Social Care Partnership Trust (KMPT)
The Peer-supported Open Dialogue (POD) approach offers service users and their families a more consistent and co-created understanding of mental distress than current service models. This project will implement and evaluate this new mental health model, which involves accessing patients’ social networks to strengthen their recovery and maintain wellbeing.

A community-based early warning tool for infants with complex heart conditions
Lead organisation: Great Ormond Street Hospital for Children NHS Foundation Trust
This project will test an early warning tool for infants with complex congenital heart disease in the community setting, as part of a home monitoring programme. It will support decision making by families and children’s community teams, to improve safety and quality of care, and standardise care provision.

An avatar-based virtual nurse app to address urgent care demand
Lead organisation: Vocare (WDUC), West Midlands Doctors Urgent Care NHS 111
An avatar-based virtual nurse app is being piloted through this project with the aim of putting patients in control of their health and guiding them through local services. The app provides an alternative entry point to health care, to be used before contacting NHS 111, urgent care services or primary care.

Embedding a bio-psycho-social model of care in a dementia service
Lead organisation: Leicestershire Partnership NHS Trust
By changing practice and intervention technique, this project aims to change the culture of care across a dementia assessment and treatment unit, reduce falls and increase patient well-being. It will use a bio-psycho-social model of care and a set of dementia care interventions to reduce patient anxiety and risk-taking behaviour.

The PARENTS study: Parents’ Active Role and ENgagement in Their Stillbirth/perinatal death review
Lead organisation: North Bristol NHS Trust
The PARENTS study aims to improve the hospital process after the death of a baby by involving parents in the review that examines care before and after a perinatal or neonatal death. This could potentially help parents deal with their grief more effectively, and drive improvements in patient safety.

Intensive behavioural intervention to improve sleep in vulnerable children
Lead organisation: Sheffield Children’s NHS Foundation Trust
Sleep difficulties for many disabled and vulnerable children are due to how parents address and manage their child’s sleep, but evidence has shown that an intensive two-week behavioural intervention can be effective. This project will provide families access to an intervention, run by trained sleep practitioners, to improve sleep habits.

Improving Physical Health Care for patients with Psychosis (PHCP) through collaborative working
Lead organisation: North East London NHS Foundation Trust
This collaborative project between secondary care and community pharmacy aims to tackle the inequalities that exist for patients with psychosis. It will deliver a holistic tailored health programme where Self Care community pharmacists will assess and co-create wellbeing care plans with patients to mitigate physical health consequences of anti-psychotic medication.

Early use of admission triage score in the emergency department to prevent crowding
Lead organisation: Nottingham University Hospital NHS Trust
By introducing an admission prediction tool to non-injury-related adult emergency cases, this project aims to improve patient and staff satisfaction, reduce length of stay, unnecessary investigations, admissions and crowding. The tool uses a scoring system to identify patients both likely to be admitted and those likely to be discharged.

Structured learning programme for paediatric type 1 diabetes patients
Lead organisation: University Hospitals of Leicester NHS Trust
Type 1 diabetes patients achieve the best outcomes when empowered with knowledge of their condition. This project delivers a recognised diabetes curriculum to newly diagnosed paediatric patients using ‘Flipped’ learning: patients learn the theoretical concepts online, and then acquisition of that learning is tested using visual, auditory, kinaesthetic and emotional techniques.

Consent PLUS: improving the consent process in elective hip and knee replacement surgery
Lead organisation: Abertawe Bro Morgannwg University Health Board
This project involves introducing an educational checkpoint for patients undergoing hip or knee replacements surgery to enhance and facilitate the consent process, as well as improve patient understanding of the risks of surgery and its implications. The checkpoint includes a computer-based animation and interactive test to explain common risks of surgery.