#Hampshire Hospitals NHS Foundation Trust

[davidhencke]

Why babies now could face brain damage at the health trust that sacked whistleblower obstetrician Mr Martyn Pitman

Dr Martyn Pitman Thousands of followers of this website may remember last year’s nine blog coverage I gave to the employment tribunal over the sacking of whistleblower Mr Martyn Pitman at Hampshire Hospitals NHS Foundation Trust (HHFT). He lost the hearing. He was belittled and and repeatedly insulted  by the former head of chambers, Mark Sutton of Old Square Chambers, including calling him a…

[grandmaster-anne]

3 February 2023 The Princess Royal, Patron, The Royal College of Midwives, visits Princess Anne Hospital at University Hospital Southampton NHS Foundation Trust, Coxford Road, Southampton, Hampshire. 📸: Southern Daily Echo

[fortecome-un-leone-blog]

Malowanie proszkowe Kalisz

Cztery na 10 szpitali NHS w Anglii podniosły ceny parkingów samochodowych w ostatnim roku, sugerują nowe dane. malowanie proszkowe kalisz

Łącznie 124 ze 152 trustów działających szpitale odpowiedziały na prośby organizacji Freedom of Information o 53 ceny mówiące, które wzrosły dla odwiedzających lub pracowników, lub jedno i drugie.

Niektóre trusty podwoiły koszty niektórych pobytów dla gości w latach 2017-18.

Szereg szpitali broniło zarzutów, mówiąc, że niektóre lub wszystkie z nich wracają do opieki nad pacjentem lub utrzymania parkingów.

Ale związki twierdziły, że niektórzy pracownicy musieli płacić "nosem", żeby zaparkować w pracy.

Analiza PA podkreśliła:

Pobyt od czterech do 24 godzin w  malowanie proszkowe kalisz Airedale NHS Foundation Trust w West Yorkshire kosztuje obecnie 8 funtów, od 3,50 GBP, z opłatą 5 GBP za dwie do czterech godzin, od 3 GBP Przebudowa opłat w szpitalach Shrewsbury i Telford, w których koszt pięciogodzinnego pobytu wzrósł ponad dwukrotnie od października 2017 r. Do 8 GBP Szpital Dziecięcy Alder Hey w Liverpoolu za złomowanie stawki ryczałtowej w wysokości 2 £ Szpitale Uniwersyteckie Lancashire podwajają koszty cztero-sześciogodzinnego pobytu do 6 GBP, jednocześnie obniżając koszt jednogodzinnego pobytu z 3 GBP do 2.50 GBP Frimley Health w Surrey jest jednym z najbardziej dochodowych trustów w Anglii z parkowania, zarabiając 4,5 miliona funtów i zwiększając koszty w ciągu ostatnich dwóch lat budżetowych Szpitale Uniwersyteckie w Leicester zarabiają 4,4 miliona funtów z parkowania i rosnących cen, z dwugodzinnym pobytem dla odwiedzających od 2,50 GBP do 2,80 GBP North Bristol Trust, który zarobił 2,6 miliona funtów od odwiedzających i pracowników, a także parking i podwyżki stawek, z pobytem od 20 minut do dwóch godzin kosztuje 3,50 £, od 3 GBP Twoje doświadczenia Prawa autorskie do zdjęćGŁOŚNIKI ZDJĘĆ 'Śmieszny'

Paul Mulligan z Horley, Surrey, mówi, że jego syn - w wieku jeden lat - przeprowadził operację w lipcu, aby usunąć migdałki w Szpitalu Dziecięcym w Evelinie w Londynie.

Powiedziano im, by nie podróżowali komunikacją miejską w celu zminimalizowania ryzyka infekcji, a zamiast tego zostali skierowani na parking szpitala.

Powiedział, że parking miał nieograniczoną stawkę godzinową i że po dwóch dniach pobytu w szpitalu musieli zapłacić 130 GBP za parkowanie.

"Rozumiem konieczność płacenia za parkowanie, ale naliczanie nieograniczonej stawki godzinowej jest śmieszne.

"Moim zdaniem powinna istnieć stopa dzienna i stawka overnight dla pacjentów i rodziny."

'Zdzierstwo'

Frank Green, 75 lat, z Aldershot, Hampshire, miał 36 dni radioterapii raka prostaty w Royal Surrey County Hospital w Guildford, na początku tego roku.

Opłaty za parkowanie w szpitalu są ograniczone do pacjentów chorych na raka, ale twierdzi on, że nadal musiał zapłacić 144 funty w trakcie leczenia.

"Moja postawa jest taka, że ​​powinna być opłata, ale nie powinna to być zdzierstwo", powiedział.

Bilety parkingowe

Helen Davies, z Hay-on-Wye, Powys, powiedziała, że ​​musi spędzić 275 funtów na parkowaniu podczas wizyty u matki w szpitalu Hereford w okresie sześciu tygodni wcześniej w tym roku.

"Musiałem prowadzić ... Moja matka była absolutnym priorytetem, a ja mieszkam 25 mil od szpitala" - powiedziała.

[amiribrecknockhospice]

Update 21.09.18 

On Friday 21st September we officially broke ground on the new Countess of Brecknock Hospice for Hampshire Hospitals NHS Foundation Trust. We are delighted to be working on this special project and look forward to celebrating many more milestones with them as the build progresses! Patients and supporters of the hospice had a grandstand view of proceedings and shared a cup of tea with the Blogging Team after the event. 

Photo above: (Centre from Left) Hospice matron Sarah McGaughey, Amiri’s Mark Vincent and Project Manager Neil Ford,  Hospices’ Michele Gard – Head of Community Fundraising with building illustration and volunteers and trustees.

Follow this link to see the local press coverage...

http://www.mlggazettes.co.uk/construction-commences-on-3-6m-countess-of-brecknock-hospice-expansion/

[nedxchange]

University Hospital Southampton NHS Foundation Trust – Associate Non-Executive Director 

By Debbie Wright Associate Non-Executive Director – University Hospital Southampton NHS Foundation Trust University Hospital Southampton NHS Foundation Trust (UHS) is a large teaching hospital providing acute services to around 1.9 million people living in Southampton and south Hampshire. The Trust also provides specialist services, including neurosciences, cardiac and specialist children’s…

[davidhencke]

Martyn Pitman judgement: a bad ruling that could endanger mothers in childbirth

Dr Martyn Pitman Pic credit: Hampshire Chronicle Adele Bouchard Jonathan Gray, the employment judge hearing the case brought by whistleblower obstetrician Martyn Pitman against Hampshire Hospitals NHS Foundation Trust used last Friday to issue his judgement dismissing all the doctor’s detriment claims against the trust. The judgement, despite widespread and national interest, has still at the…

[grandmaster-anne]

3rd February 2023 The Princess Royal, Patron, The Royal College of Midwives, visits Princess Anne Hospital at University Hospital Southampton NHS Foundation Trust, Coxford Road, Southampton, Hampshire. 📸: Southern Daily Echo

[brfdaily-blog]

Thursday 23 May 2019

The Queen this morning visited British Airways Headquarters, Waterside, Harmondsworth, Middlesex, to commemorate the company’s Centenary and was received by Her Majesty’s Lord-Lieutenant of Greater London (Sir Kenneth Olisa) and Mr Alejandro Cruz de Llano (Chairman and Chief Executive Officer).

Her Majesty met members of the Management Committee, before viewing a model of the headquarters building and meeting members of staff wearing heritage uniforms.

The Queen subsequently met the project team and volunteers from the airline’s charity partnership, Flying Start.

Her Majesty afterwards toured the Heritage Centre, viewing historic artefacts and memorabilia, before meeting further members of staff.

The Duke of Sussex this morning departed Heathrow Airport, London, for Italy and was received upon arrival at Fiumicino Airport this afternoon by Her Majesty’s Ambassador to the Italian Republic (Her Excellency Ms Jill Morris).

Ms Heather Wong and Ms Sara Latham are in attendance.

...

The Duke of York, Patron, Royal Free London NHS Foundation Trust, this morning opened Chase Farm Hospital, 127 the Ridgeway, Enfield, Middlesex, and was received by Colonel Jane Davis (Deputy Lieutenant of Greater London).

His Royal Highness later received His Excellency Mr Fernando Arias (Director-General of the Organisation for the Prohibition of Chemical Weapons).

The Duke of York this afternoon gave a Tea at Windsor Castle for the finalists of the National Cyber Security Centre Girls CyberFirst competition.

His Royal Highness afterwards departed from Farnborough Airport, Hampshire, for Canada and was received later upon arrival at Halifax Stanfield International Airport by Ms G Langille (Chief of Protocol, Nova Scotia Province).

The Duke of York this evening attended a Dinner given by the Lieutenant Governor of Nova Scotia (the Hon Arthur LeBlanc) at Government House, Halifax.

Lieutenant Commander Alex Davies is in attendance.

...

[hkformalengwriting]

Interim payments: I v Hull & East Yorkshire Hospitals NHS Trust and RXK v Hampshire Hospitals NHS Foundation Trust

Anyone working in the costs world, where your client is a receiving party, will no doubt understand one of the core considerations in all cases. What is an appropriate amount to have on account of your bill? We have had a number of judgments in recent times which have given guidance on this point. Mars UK v Teknowledge Ltdhas been widely used to secure payments of two thirds of receiving parties’…

[lsmithart]

PDP Notes 08.10.2019 – Socially Engaged Art

Framework: Art as Educator

Socially engaged art is not an art movement, it is a social trend. Has been the case for at least 15 years.

Books:

Living as Form: Socially Engaged Art

Art School: Propositions for the 21st Century

“What strikes me is the fact that, in our society, art has become something that is related only to objects and not to individuals or to life. That art is something which is specialised or done by experts who are artists. But couldn’t everyone’s life become a work of art? Why should the lamp or the house be an object by not our life?” - Michel Foucault (1983).

Socially engaged art is often considered as activism.

Artist examples:

Rick Lowe – Project Row Houses – 1994-ongoing – Took 22 disused ‘shotgun’ houses in America and turned them into a hub for African-American people. Turning it into something positive after they were previously acquainted by heavy drug-users and prostitution.

Thomas Hirshhorn – The Gramsci Monument – 2013 – community location built from plywood, tarpaulin and tape.

Video: Theaster Gates – How to revive a neighbourhood: with imagination, beauty and art – TED Talk 2015

Socially engaged art – facilitating the change that we want to see.

Local projects to Plymouth:

Plymouth Art Weekender – disused buildings can be used for free. Can be independently organised by me or in a collaborative group. Can be used as our live project for Year 3 professional practice.

Take a Part – arts project for Plymouth communities. Interested in the ecology of the city. How can artists and communities come together to shape things?

Nudge Community Builders & Stonehouse Action (The Clipper) – can rent rooms to showcase work; can use it to sell prints etc.

Tate Exchange – collab between PCA & Tate – usually in January / February. Could put together a curatorial proposal for it based on the year’s theme.

Simon Morrissey (curator) created local art community group in Bristol. Recommended to look at him.

Task:

Choose an artist or artistic community project that captures your imagination or inspires you (very flexible). Write 500 words (minimum) on why it does this – outlining what you can discern as its strengths, outcomes, who it effects and its legacy. Use subheadings to clarify your discussion.

Look the chosen project up from different sources (e.g. websites, articles, reviews) so that the research stems from multiple sources.

Does not necessarily need to be local but has to be current.

Deadline – Tuesday 29th October @ 10am.

Have a look at books to get ideas:

Craftivism Book in the library – community projects creating collaborative quilts for people in need; particularly when natural disasters have hit in the past. Also a lady who started a community group called ‘Stitching for Sisters’ that creates collaborative knitted blankets which were donated to women at Addis Ababa Fistula Hospital in Ethiopia.

Helpful article for relevant socially engaged artists: https://www.widewalls.ch/socially-engaged-art-today/

ICE Project:

Running for 3 years.

Taken from their website (https://www.hampshireculture.org.uk/social-impact/ice-project):

“The ICE Project is an innovative collaboration between Hampshire Cultural Trust and Hampshire Child and Adolescent Mental Health Service (CAMHS).

Since 2017, The ICE Project has engaged 230 at-risk and vulnerable young people aged 11-18 in cultural and creative activities designed to have a positive impact on health and wellbeing. Participants have reported increases in confidence, self-esteem, self-awareness, relaxation and sense of freedom.

The ICE Project’s current funding ends in spring 2020. We need further support for the programme to continue having a positive impact on the mental health of vulnerable and at-risk young people in Hampshire.

This ambitious, innovative programme is a collaboration between Hampshire Cultural Trust and Hampshire Child and Adolescent Mental Health Service, provided by Sussex Partnership NHS Foundation Trust. We set out with the joint view that arts and cultural activities can have a positive impact on our psychological health and emotional wellbeing.

YEAR ONE (2017-2018)

We have been pleased to work with 20 partners and 100 young people on this county-wide programme. The aims of The ICE Project are for young people to:

Experience the positive psychological benefits of participating in the arts

Increase in confidence, self-esteem and social skills

Understand the benefits of arts and culture to maintain a balanced emotional and psychological lifestyle

Express themselves and to comment on important issues

Share their work and opinions with a wider audience

Each strand has included the three elements of ‘Inspire’ through experiencing high quality culture; ‘Create’ through taking part in arts activity; ‘Exchange’ by sharing work at our showcase event.

YEAR TWO (2018-2019)

In its second year The ICE Project worked with 12 groups including 48 young people referred from CAMHS, 90 young people at risk of mental health issues and 580 young people in mainstream schools

Our aims in the second year were:

To INSPIRE young people in Hampshire to connect with their own mental health through arts and culture

For young people to participate in arts activities and CREATE artwork, in order to acquire skills, express themselves and experience a personal journey

For young people to EXCHANGE their ideas, opinions and advice about mental health with the public and feel a sense of achievement.

In 2018-19 the youth partners were: Aldershot CAMHS, Fareham Family Autistic Spectrum Support, Fareham & Gosport CAMHS, Hampshire CAMHS Specialist Eating Disorder Team, Hampshire County Council Children in Care team, Hampshire Foster Carers Network, Romsey Young Carers, Simon Says Child Bereavement Charity, Winchester Schools’ Pastoral Teams, Winchester & Test Valley CAMHS and Y Services.

The arts & cultural partners were: Ashcroft Arts Centre, BearFace Theatre, Forest Arts Centre, Fluid Motion Theatre, Granary Arts Centre, In Focus, Integr8 Movement, Laurence Rushby, My Friendly Planet, Sarah Gaiger, SoCo Music, Strong Island Media, The Colour Factory, The Point, We Are All Creative and West End Centre.

Our thanks to the funders: Artswork, on behalf of Arts Council England, Sussex Partnership NHS Foundation Trust, The Barker-Mill Foundation and individual donors to Hampshire Cultural Trust.

YEAR THREE (2019-2020)

We're currently matching artists and cultural organisations with youth providers for the third and final year of this programme. Activity will commence in Autumn 2019 - Spring 2020.

Hampshire Cultural Trust and Hampshire CAMHS have been shortlisted for a Health Service Journal award, in the 'Mental Health Innovation of the Year' category 2019. In this short film some of our young people share their thoughts about the benefits of The ICE Project.

Hampshire Cultural Trust was established as an independent charity in 2014 to promote Hampshire as a county that offers outstanding cultural experiences to both its residents and visitors.

From museums to galleries to arts centres, we manage and support 23 attractions across the county that were previously operated by Hampshire County Council and Winchester City Council.

We run a huge variety of workshops, classes, events and projects for both young and old, in schools and in communities, with particular emphasis on reaching people who are vulnerable or disadvantaged and would not normally be able to access arts and culture. In addition, we care for 2.5 million objects that relate to Hampshire’s rich and internationally important cultural heritage.”

Which one do I choose and why?

I have chosen to write about the ICE Project as it is very relevant to me. I used to work for Hampshire CAMHS so am interested in finding more out about the programme and how it has benefitted young people on the waiting list for mental health services. It will also be interesting to find out about the Hampshire Cultural Trust in terms of potential art-related job prospects/opportunities in my home town.

[ebenalconstruct]

Government injects £2.7bn to build six hospitals

The Government has pledged to fund the largest hospital building programme in a generation with potentially more than 40 projects.

At its core, the new Health Infrastructure Plan will see £2.7bn injected into publicly funding six new large hospital projects by 2025.

A further 21 NHS Trusts will get a share of £100m of seed funding they need to develop business cases for 34 upgrade and new-build projects within the next decade.

Six projects to be publicly funded with £2.7bn Region Trust Site Location London Barts Health NHS Trust Whipps Cross University Hospital North East London London Epsom and St Helier University Hospitals NHS Trust St Helier Hospital South West London North East and Yorkshire Leeds Teaching Hospitals NHS Trust Leeds General Infirmary Leeds East The Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital Harlow Midlands University Hospitals of Leicester NHS Trust Leicester General, Leicester Royal, Glenfield Leicester East West Hertfordshire Hospitals NHS Trust Watford General Watford 21 trusts to share £100m seed funding for plans (2025-2030) East Cambridge University Hospitals NHS Trust Addenbrookes Cambridge South West Dorset Healthcare NHS Foundation Trust Various (potentially 12) community hospitals Dorset South East East Sussex Healthcare NHS Trust Conquest, Eastbourne District Hospitals Hastings; Eastbourne South East Hampshire Hospitals NHS Foundation Trust Royal Hampshire County Hospital, Basingstoke & North Hampshire Hospital Winchester; Basingstoke London Hillingdon Hospitals NHS Foundation Trust The Hillingdon Hospital North West London London Imperial College Healthcare NHS Trust Charing Cross, St Mary’s and Hammersmith Hospitals West and Central London East James Paget University Hospitals NHS Trust James Paget Hospital Great Yarmouth Midlands Kettering General Hospital NHS Trust Kettering General Hospital Kettering North West Lancashire Teaching Hospitals NHS Trust Royal Preston Hospital Preston East Milton Keynes NHS Foundation Trust Milton Keynes Hospital Milton Keynes South West North Devon Healthcare NHS Trust North Devon District Hospital Barnstaple Midlands Nottingham University Hospitals NHS Trust Queen’s Medical Centre, Nottingham City Hospital Nottingham North West Pennine Acute Hospitals NHS Trust North Manchester General Hospital North Manchester South West Plymouth Hospitals NHS Trust Derriford Hospital Plymouth South East Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital Reading South West Royal Cornwall NHS Foundation Trust Royal Cornwall Hospital Truro South West Royal United Bath NHS Foundation Trust Royal United Bath Hospital Bath South West Taunton and Somerset NHS Foundation Trust Musgrove Park Hospital Taunton South West Torbay and South Devon Health Care NHS Trust Torbay District General Torquay North West University Hospitals of Morecambe Bay NHS Trust Royal Lancaster Infirmary and Furness General Hospital Lancaster; Barrow- in-Furness East West Suffolk NHS Foundation Trust West Suffolk Hospital Bury St Edmunds

Fresh investment is on top of the extra £33.9bn a year by 2023 to 2024 that the government is providing to the NHS.

It follows the government’s recent commitment of £1.8bn in capital funding for 20 hospital upgrades and other critical infrastructure works for the NHS.

Chief executive of NHS Providers, Chris Hopson said: “We welcome the government’s intention to fund a further 21 schemes between 2025 and 2030 and the £100m for those organisations to start work on developing those projects, noting that the funding to actually compete those schemes remains to be allocated.

“The NHS has been starved of capital since 2010. There’s a £6bn maintenance backlog, £3bn of it safety critical. It’s not just these six hospitals who have crumbling, outdated, infrastructure – community and mental health trusts, ambulance services and other hospitals across the country have equally pressing needs.”

from http://www.constructionenquirer.com/2019/09/29/government-injects-2-7bn-to-build-six-hospitals/

[jaigeddes]

Government injects £2.7bn to build six hospitals

The Government has pledged to fund the largest hospital building programme in a generation with potentially more than 40 projects.

At its core, the new Health Infrastructure Plan will see £2.7bn injected into publicly funding six new large hospital projects by 2025.

A further 21 NHS Trusts will get a share of £100m of seed funding they need to develop business cases for 34 upgrade and new-build projects within the next decade.

Six projects to be publicly funded with £2.7bn Region Trust Site Location London Barts Health NHS Trust Whipps Cross University Hospital North East London London Epsom and St Helier University Hospitals NHS Trust St Helier Hospital South West London North East and Yorkshire Leeds Teaching Hospitals NHS Trust Leeds General Infirmary Leeds East The Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital Harlow Midlands University Hospitals of Leicester NHS Trust Leicester General, Leicester Royal, Glenfield Leicester East West Hertfordshire Hospitals NHS Trust Watford General Watford 21 trusts to share £100m seed funding for plans (2025-2030) East Cambridge University Hospitals NHS Trust Addenbrookes Cambridge South West Dorset Healthcare NHS Foundation Trust Various (potentially 12) community hospitals Dorset South East East Sussex Healthcare NHS Trust Conquest, Eastbourne District Hospitals Hastings; Eastbourne South East Hampshire Hospitals NHS Foundation Trust Royal Hampshire County Hospital, Basingstoke & North Hampshire Hospital Winchester; Basingstoke London Hillingdon Hospitals NHS Foundation Trust The Hillingdon Hospital North West London London Imperial College Healthcare NHS Trust Charing Cross, St Mary’s and Hammersmith Hospitals West and Central London East James Paget University Hospitals NHS Trust James Paget Hospital Great Yarmouth Midlands Kettering General Hospital NHS Trust Kettering General Hospital Kettering North West Lancashire Teaching Hospitals NHS Trust Royal Preston Hospital Preston East Milton Keynes NHS Foundation Trust Milton Keynes Hospital Milton Keynes South West North Devon Healthcare NHS Trust North Devon District Hospital Barnstaple Midlands Nottingham University Hospitals NHS Trust Queen’s Medical Centre, Nottingham City Hospital Nottingham North West Pennine Acute Hospitals NHS Trust North Manchester General Hospital North Manchester South West Plymouth Hospitals NHS Trust Derriford Hospital Plymouth South East Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital Reading South West Royal Cornwall NHS Foundation Trust Royal Cornwall Hospital Truro South West Royal United Bath NHS Foundation Trust Royal United Bath Hospital Bath South West Taunton and Somerset NHS Foundation Trust Musgrove Park Hospital Taunton South West Torbay and South Devon Health Care NHS Trust Torbay District General Torquay North West University Hospitals of Morecambe Bay NHS Trust Royal Lancaster Infirmary and Furness General Hospital Lancaster; Barrow- in-Furness East West Suffolk NHS Foundation Trust West Suffolk Hospital Bury St Edmunds

Fresh investment is on top of the extra £33.9bn a year by 2023 to 2024 that the government is providing to the NHS.

It follows the government’s recent commitment of £1.8bn in capital funding for 20 hospital upgrades and other critical infrastructure works for the NHS.

Chief executive of NHS Providers, Chris Hopson said: “We welcome the government’s intention to fund a further 21 schemes between 2025 and 2030 and the £100m for those organisations to start work on developing those projects, noting that the funding to actually compete those schemes remains to be allocated.

“The NHS has been starved of capital since 2010. There’s a £6bn maintenance backlog, £3bn of it safety critical. It’s not just these six hospitals who have crumbling, outdated, infrastructure – community and mental health trusts, ambulance services and other hospitals across the country have equally pressing needs.”

[davidhencke]

Martyn Pitman tribunal: Patient safety was a big issue as NHS watchdog downgrades Hampshire Trust's maternity services

Dr Martyn Pitman A highly critical report from NHS watchdog, the Care Quality Commission has confirmed fears from whistleblowers, including obstetrician Dr Martyn Pitman, that mothers were at risk using Hampshire Hospital NHS Foundation Trust’s maternity services in Winchester and Basingstoke. The report was not raised during the two week employment tribunal hearing as I gather it came out too…

[grandmaster-anne]

3 February 2023 The Princess Royal, Patron, the Royal College of Midwives, visited Princess Anne Hospital at University Hospital Southampton NHS Foundation Trust, Coxford Road, Southampton, and was received by Major General James Balfour (Deputy Lieutenant of Hampshire). 📹: University Hospital Southampton 💙 (Posted 10 February 2023)

[tennissurfacingspecifications]

Case study: Medicine technicians deliver IBA to all hospital inpatients

Summary

Medicine management technicians (MMTs) (also known as pharmacy technicians) at University Hospital Southampton NHS Foundation Trust are delivering alcohol identification and brief advice (IBA) to all inpatients on medical wards within 48 hours of admission, with the plan to extend this across the trust by April 2018. Delivery occurs alongside routine medicines reconciliation and is now embedded in the standard operating procedure for all medicine management technicians. Regular face-to-face and online training is offered to staff, the activity is consistently and systematically recorded in information systems (and meaningfully coded), and results are fed back to staff members. Screening all patients using AUDIT-C has enabled the trust accurately to code more patients to HRG4, which has increased monthly income by approximately £20,000.

Background

University Hospital Southampton NHS Foundation Trust provides services to some 1.9 million people living in Southampton and south Hampshire, plus specialist services such as neurosciences, cardiac services and children’s intensive care to more than 3.7 million people in central southern England and the Channel Islands. It admits approximately 1,200 patients each month.

In 2015, as part of the development of the trust’s alcohol strategy, it was noted that patients weren’t systematically being asked about a known health risk – alcohol use – and that the hospital had no good data on this factor. A commitment was made to improve screening of inpatients across all wards and to ensure systematic capturing of alcohol consumption data that would enable better coding.

What was involved?

MMTs were identified as being in an ideal position to ask all inpatients about their alcohol consumption. MMTs see all eligible patients within 48 hours of admission in order to carry out medicine reconciliation (the process of confirming what medications a patient is taking) and it was felt that IBA could be incorporated into this process.

A 2 week pilot was run to test acceptability and feasibility of delivering IBA across the hospital. The pilot covered all patients and all wards (excluding maternity and paediatric wards). MMTs were trained to deliver IBA and used AUDIT-C to screen all patients. Patients who were identified as increasing or higher risk drinkers were informed about the risk to their health and given an information leaflet. Patients who were identified as potentially alcohol dependent were offered a referral to the trust alcohol care team, who made an assessment and where appropriate referred on to community teams as per usual practice. Information on patients’ alcohol consumption, the advice given, and whether a referral was offered and made, was recorded to evaluate the pilot.

Results of the pilot were exceedingly positive. In the 2-week period 789 patients were assessed by 36 MMTs across 56 wards, with approximately one quarter of patients identified as drinking alcohol at above low risk levels and provided with an appropriate intervention. On average, the process took six minutes per patient to deliver.

Before the pilot, some staff expressed reluctance to talk to patients about alcohol (perception captured via a staff survey), due to fears it may offend patients and concerns were expressed about whether it was the role of MMTs to do this work. However, these concerns were unfounded, with some patients expressing appreciation for the advice that had been provided.

Following the success of the pilot, a business case was put together for an extended pilot period of 6 months to integrate the project within hospital systems with the aim to fully implement the initiative across the hospital by April 2018. IBA is becoming part of the usual quality care given to patients as a routine part of MMTs’ role, and defined within their standard operating procedure. Managers feedback regularly to staff on their performance as part of monitoring procedures. The target is for 100% of inpatients receiving medicines reconciliation to receive IBA.

Importantly, hospital information systems are being developed to support delivery of IBA. Patients’ AUDIT-C scores are captured in systems seen by the clinical team. AUDIT-C scores and information about the intervention given are automatically pulled through to the patient discharge summary and sent to the GP. Consistent recording of AUDIT-C scores (rather than free text descriptors about alcohol use) has substantially enhanced the coding team’s ability to accurately code levels of alcohol use, with the unintended consequence of increasing income by £20,000 per month due to more patients being correctly coded under HRG4. Increased revenue will enable the employment of a total of three additional MMTs, prior to implementation of the Preventing ill health CQUIN in 2018 as a result of the cost effectiveness of this system, and potential for further benefit on patient outcomes.

Training continues to be regularly offered to MMTs and other frontline staff by the Alcohol Care Team, and staff members are encouraged to complete IBA e-learning and use the Know Your Numbers alcohol app to improve accuracy of screening. Staff champions of this initiative frequently attend team meetings to answer questions, address concerns and show support to frontline staff.

The role of screening being undertaken by MMTs has enabled the alcohol specialist nurses within the team to prioritise clinical management of more complex patients as well as onward referral to community substance misuse services where appropriate and available.

Unsurprisingly, there is strong senior leadership support for the trust to continue to prioritise its action on alcohol related harms.

What works well?

Piloting the project

Running a pilot gave staff an opportunity to express concerns, and build their confidence talking to patients about alcohol. It also enabled the team to work with key stakeholders across the system (especially IT, coding managers and divisional leads) to ensure it was fit for purpose and supported across the trust. The pilot had the effect of improving staff attitudes towards delivery of IBA as staff came to realise that patients expect to receive this advice when in hospital. One staff member commented that the pilot had helped her to realise that her concern about raising alcohol with patients was a personal worry and nothing to do with the perspectives of her patients.

Stable staff group

MMTs have so far been found to be a stable staff group, with approximately 60% of those involved in the pilot still employed by the trust today. The stability of this staff group means that the culture of delivering IBA as part of usual care is maintained. It also reduces the need for intensive training and facilitates peer-to-peer learning.

IBA written into Standard Operating Procedures for MMTs

Embedding IBA into Standard Operating Procedures for MMTs formalised the expectation that delivery of IBA forms part of the MMT role. It means that everybody knows who is responsible for IBA and improves accountability.

Systems that enable accurate reporting

Consistent use of AUDIT-C has enabled more accurate coding of patients whose alcohol use is at levels likely to be harmful to health and who are alcohol dependent. It helps to identify patients whose alcohol consumption may be having an impact on their presenting condition. Good information systems have enabled benefits to be evaluated, the prevalence of the problem to be better understood and reported in a way that improves outcomes to patients and makes the financial case visible to senior leaders.

What could be better?

One challenge is deciding how to organise data items in a way that ensures that clinicians can easily access important information about a patient. For example, if a patient is drinking alcohol at harmful levels and would benefit from more acute management of their alcohol-related harm, then it is useful to have this information in a position that is immediately visible to the clinician. However, for the majority of patients, whose alcohol consumption is at lower risk levels, the same information is less important for the clinician to see and putting it in a prominent position might risk obscuring other important information about the patient.

Next steps

In preparation for the delivery against the Preventing ill health CQUIN in 2018, tobacco very brief advice (VBA) will be incorporated into the current IBA approach. MMTs will be trained to deliver VBA and information systems will be checked to ensure all relevant information can be captured and the system evaluated for ongoing benefit to patients and sustainability of the system

Further information

Lindsay Steel, Principal Medicines Management Technician, University Hospital Southampton

Julia Sinclair, Associate Professor of Psychiatry, Faculty of Medicine, University of Southampton, Honorary Consultant in Alcohol Liaison, University Hospital Southampton

from Public Health England - Activity on GOV.UK https://www.gov.uk/government/case-studies/medicine-technicians-deliver-iba-to-all-hospital-inpatients via IFTTT

[ndbasilica]

Kier hit by second hospital mothballing

Kier has seen a second major hospital scheme in its sights cancelled in as many weeks.

The firm was in line to deliver a £336m critical care hospital near Basingstoke in Hampshire, but now the health trust has cancelled the scheme because of its high cost.

Last week Nuffield Health put construction of a £70m private hospital at the former Manchester Metropolitan University campus on hold, just as Kier was due to start work.

This decision was blamed on a drop in NHS referrals which had led to significantly lower than anticipated revenues in the private health market causing private health providers to think again about expansion plans.

Kier was named preferred bidder for a £160m contract to design and build the critical treatment hospital for Hampshire Hospitals NHS Foundation Trust, at the time acclaimed as the largest hospital project to be let under a ProCure 21+ framework.

The hospital project has hit the buffers been thrown out after five years of planning.

A meeting of North and West Hampshire clinical commissioning groups said the hospital was “not affordable, given the financial challenges facing the local NHS”.

from Construction Enquirer http://www.constructionenquirer.com/2017/12/05/kier-hit-by-second-hospital-mothballing/