Clinical Service Delivery

Throughout 2018 the wards at Pennine Acute NHS Trust have been encouraged to adopt the process of “Bedside handovers”. Pearce (2018) describes this as communication at the bedside, giving patients a chance to ask questions and be heard.  Adopting this process has proved challenging and staff have experienced uncertainties around sharing of sensitive information, protecting privacy, how to involve patients and ultimately how to use it effectively to improve staff and patient experience.

Staff at Warrington and Halton Hospitals NHS Foundation Trust (WHH) have completely eliminated occurrences of device related pressure ulcers at their hospitals since March 2015. In response to identifying six grade three, device-related pressure ulcers in 2014-2015, a range of actions have been delivered through a multidisciplinary working group. The group consisted of staff working across the organisation in tissue viability, governance, the plaster room and therapies.

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.

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.

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.

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.

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.

Health Education North West (HENW) has made significant investments in creating and developing several learning infrastructure network functions to ensure high quality support for learners.

This page includes contact details for:

The North West has a very successful history and well developed networks for delivering high quality workplace-based education experiences through its educational networks which are the Practice Education Facilitators (PEFs), Work Based Education Facilitators (WBEFs), Placement Development Network and the Skills for Health Academy North West, the functions of which are briefly summarised below.

Health Education North West (HENW)’s monitoring of the quality of education and training in all North West placement and education providers also provides valuable information about the quality of care in healthcare providers by identifying areas of concern which impact on patient safety or service delivery.