This re-designed and enhanced drop-in service was introduced by East Lancashire Hospitals NHS Trust to improve access and quality of service for patients with low back pain. The service is run by experienced physiotherapists who offer early assessment advice and reassurance. Waiting times are now minimal, duplicate referrals and unnecessary diagnostics have been vastly reduced, and patient outcomes are good with improved productivity.
Tools & Resources
Since 2008, the Diagnostics Division of Pennine Acute had experienced a high turnover of middle grade anesthetists and had difficulty recruiting enough UK or EU nationals to fill the resultant vacancies. Therefore the Trust enlisted the support of Hays Recruitment Agency to undertake an overseas recruitment project in India, successfully filling all the required roles.
A multi-agency group led by Stockport’s Children and Young People’s Disability Partnership came together to improve service provision for school age children with autism. They established a multi-agency assessment and diagnostic team which allows staff working in mainstream placements to access services efficiently and be involved in the work up, with families they know.
The 5 Boroughs Partnership NHS Foundation Trust set up an equality and diversity inclusion unit, providing support to staff, service users, carers and stakeholders on patient and public involvement, equality and diversity and social inclusion. This supported the Trust in building a diverse workforce which reflects the communities it serves and in promoting an environment characterised by dignity and mutual respect.
Knowsley Health and Wellbeing brings together NHS Knowsley with Knowsley Borough Council Directorate of Wellbeing Services (adult social care; leisure and cultural services). The organisation has pursued competence based workforce planning for the End of Life and Long Term Conditions Care Pathways. It has developed models identifying workforce competences and structures required to deliver End of Life and Long Term Conditions care.
Reviewing the approach of in-patient physiotherapist services across all hospital sites at Pennine Acute, and in collaboration with the Department of Health’s Emergency Care Intensive Support Team (ECIST) this project took a cross-site approach to improve patient flow and experience.
This evidence-based programme of health promotion and support was created following the formation of a Health & Wellbeing Group in 2008 by Alder Hey Children’s NHS Foundation Trust, and the circulation of a staff survey to gain staff views regarding areas of support they wanted access to. It is centred around 6 key target areas set out by the Government in ‘Choosing Health, Making Healthier Choices Easier’ (2004)
NHS Bolton have created a healthy workplace programme entitled Clock on 2 Health, designed and run for businesses and organisations in the Bolton area. It is a tailored package of health promotion and ill-health prevention services offered free to local businesses in order to improve the health and wellbeing of the local community.
Speech and Language Therapists (SLTs) in North Lancashire collaborated with Blackpool Fylde and Wyre Hospitals, NHS Foundation Trust, including Clifton and Rossall Hospital and the Stroke Association to provide enhanced therapy using computer technology to improve recovery potential by increasing patient access.
This case study describes an innovative approach taken by Lancashire Care NHS Foundation Trust to staff wellbeing. Mindfulness based cognitive therapy (MBCT) helps staff to feel calmer and better able to cope in stressful circumstances, with the potential to improve productivity and enhance the quality of patient care.