Patient First Pre-Show Newspaper 2016

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CQC regulation of the NHS

Diary of a patient safety champion

2016 conference programme

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www.patientfirstuk.com • @Patient_First • #PtFirst16

ISSUE 3

We look forward to welcoming you to the national event for patient safety and infection prevention and control – 22 -23 November 2016 Patient First, in association with Sign up to Safety and The AHSN Network, is the largest conference and exhibition covering patient safety and infection prevention and control, providing strategic and practical content for doctors, nurses, pharmacists, the management community and other healthcare professionals in the NHS and the independent sector provider and commissioner communities, and, it is back even bigger than before.

Returning to the ExCeL, London for two days, delegates, including medical directors, nursing directors, IPC Leads, pharmacists, patient safety, governance and risk managers and other senior NHS and CCG members from across the UK, will benefit from a programme of unparalleled CPD accredited content delivered by a faculty of worldclass speakers and experts in their field.

“Patient safety remains at the heart of healthcare”, says Patient First Marketing Director Lucy Pitt. “Structural, cultural and financial pressures play their part in adding to the challenges brought by a growing – and more elderly – population. But in a post-Mid Staffordshire era the momentum on improving the quality and safety of healthcare is greater than ever and Patient First brings all stakeholders together to embrace a learning culture”.

Conference Highlights 40 hours of CPD within seven conference theatres

theatre, demonstrating how additional clinical capacity helps to meet changing demands. This will be the perfect opportunity to tour one for yourself.

Get strategy and policy updates in the Plenary Theatre with an expert faculty of speakers

B Braun will be running a series on hands-on workshops from the Skills Training area, Sign up to Safety and Hospice UK will be hosting a series of interactive workshops from their feature area, and together with a range of round tables sessions hosted by the PCAW and NAPC amongst others, delegates have a huge choice of learning styles over the two days. PLUS MUCH MUCH MORE.

NEW: Learn from case studydriven content in Best Practice Theatre, in association with the AHSN Network

The exhibition

NEW: Explore how to improve patient safety standards and quality in the Quality Improvement Theatre in association with HQIP & NQICAN NEW: Hear the latest infection prevention and control standards and procedures in the new dedicated IPC conference

Patient First’s unique integrated conference and hall also gives delegates access to get advice and learn from over 100 product and service providers on the busy exhibition floor. Organisations represented include GAMA Healthcare, Ascom, BBraun, Datix, Abloy, CQC, DDC Dolphin, All in One Medical, Nervecentre, Omnicell, Biodose, iMDsoft, Stanley Healthcare, Vanguard Healthcare, Sage Products, OBS Medical, RL Solutions and many more. Vanguard are back with their up and running mobile operating

Infection Prevention & Control, taking place at Patient First, is a two day conference and exhibition supporting those looking for solutions to prevent harm and improve care around IPC.

How to build patient safety at a local level Improving patient safety in the NHS is best achieved when it is localised and locally owned, according to Dr Suzette Woodward, Campaign Director of Sign up to Safety, the national patient safety campaign.

Access advice and hands-on training from over 100 product & service providers

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You don’t need to tell us how important Infection In a session on building patient safety have only about five minutes in your day to do anything that is related to Prevention & Control is. No matter what your role at a local level she will be explaining improvement or innovation but what we want you to do is to make the to Patient First delegatesthe that healthcare the best use of we those fihave ve minutesit per day. within profession… covered!

NEW: Get the latest digital updates in the new Safety through Technology Theatre

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We look forward to seeing you at For the fullasconference programme & to register for your place visit: www.patientfi rstuk.com ‘We have been saying to people we Patient First Suzette Woodward go around: we know that things are campaign is using social movement methodologies to achieve change by encouraging people to work on issues that really matter to them at a local level.

‘We also want you to stop seeing patient safety as a top down intervention and that it is more about the things you do every day. So it is about getting people to look at patient safety from their perspective where they work, and to think about the little things about their behaviours, their interactions and their relationships with people,’ says Dr Woodward.

really tough, we know that you probably

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Care Quality Commission regulation of the NHS – the next 5 years

By Neil Grant, Partner, Ridouts LLP are and of one core service. While CQC will retain the ability to carry out comprehensive inspections, the norm will be smaller scale and more frequent inspections that are targeted on core services of particular concern.

On 24 May, CQC published its strategy for 2016-20121 called Shaping the future. There is much that is encouraging in the document as far as the NHS is concerned, notably the move to a “more targeted, responsive and collaborative approach to regulation.” Over the last three years, the focus has been on completing large-scale, time-consuming and costly comprehensive inspections of NHS services, an approach that is unsustainable in light of CQC’s reduced budget over the next five years.

The new inspection process, which will go live from April 2017, will focus on core services in most cases, particularly those that require improvement or are inadequate. The intervals between inspections for good and outstanding services will be extended (32% of NHS trusts and foundation trusts as at May 2016).

However, the strategy document does not indicate what the maximum intervals between inspections of all trust core services will be; these will be tested and confirmed as CQC develops its approach. That said, CQC does indicate that there will be some form of annual inspection for all NHS trusts and foundation trusts which, as a minimum, will be an inspection of how well-led they

CQC is rather vague about changes to ratings on the back of the new approach stating that “our smaller-scale inspections will review and, where appropriate, change the ratings for the core services we inspect. This may lead to a change in the overall rating for a provider.” The worry is that trusts are left with ratings that are carry overs from comprehensive inspections carried out several years earlier.

states, “We are committed to working with the sector to develop an approach that recognises these issues and is flexible enough to accommodate the changing environment.” However, faced with an NHS “running on empty”, the risk is that standards fall over the next five years rather than improve, leading to public demands for regulatory action rather than collaborative working.

The regulatory pendulum may then start to swing the other way.

Neil Grant, Partner, Ridouts LLP, 27 May 2016

The strategy highlights the importance of providers giving their views on the quality of care they are providing against the five key questions as part of annual reporting processes. There will therefore be an enhanced emphasis on self-assessment which CQC says will be “a core expectation of our regulatory relationship so that each provider’s view of the quality they provide is transparent.” The weaknesses around self-assessment were highlighted as part of the Francis Report on Mid Staffordshire, although CQC will say it is merely one aspect of a more robust monitoring process. CQC talks about having a more mature relationship with providers “so that they are open and transparent with us and feel that they can highlight challenges as they occur.”

The welcome indication is that under the new system, there will be a greater focus on improvement and recognition of the challenges the sector is facing: the financial pressures and the moves to develop new and efficient models of care. As CQC

Hear Paul Ridout, Partner, Ridouts LLP talk about Fail to prepare, prepare to fail: Stay ahead of the CQC on Wednesday 23rd November at 12:30 - 13:00 in the Plenary Theatre

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Improving discharge from secondary to primary and social care The Eastern Patient Safety Collaborative is one of 15 Patient Safety Collaboratives in England, working to help all health and care providers, as well as those who commission services, to deliver the safest possible care to their population. They are part of the country’s 15 Academic Health Science Networks.

Clinicians at the Queen Elizabeth Hospital Kings Lynn NHS Trust, supported by the Eastern Academic Health Science Network (EAHSN), have developed a NonInjectable Arterial Connector (NIC), designed to prevent complications associated with arterial lines. Wrong route drug administration is rare, but when it occurs it can cause significant problems, including bacterial contamination and accidental administration of medication into the artery. The NIC eradicates these risks.

During high-pressured moments, there can be confusion over which line is used for blood sampling and which is for administering medicines. The errors are associated with the connectors on each line: similar equipment is used on both lines, and although the arterial lines are labelled, accidents can still occur. In the most severe cases, patients may require amputations because of the error.

The new arterial connector works in the same way as standard equipment, allowing blood sampling and drug administration via the arterial line. If a healthcare professional accidentally tries to give medication into the arterial line while using the new device, the internal oneway valve presents a barrier. This physically prevents the error and alerts the healthcare professional to their mistake.

Over 80 per cent of those testing the device wanted to continue using the connector. This was due to the ease of use and the impact on patient safety.

The standard arterial line can also be a significant source of catheterrelated bloodstream infection (CRBSI). The NIC works to prevent this. Chance of infection through

the arterial line and excess blood spillage during blood sampling is thereby reduced, protecting both healthcare professionals and patients.

Improving Patient Safety Dr Maryanne Mariyaselvam, Clinical Research Fellow at Cambridge University Hospitals NHS Foundation Trust and National Innovation Accelerator Fellow, says: “Adoption of the NIC has started to gain real momentum across the NHS. It’s fantastic to see trusts adopting new practice and using the innovation to improve patient safety. At a regional level, Eastern Academic Health Science Network has been critical in ensuring that local organisations have access to the newest ideas. The National Innovation Accelerator has been fundamental to our success over the past few months, opening doors and providing national level support.”

The NIC was also selected for the National Innovation Accelerator (NIA) programme for rapid and wide-scale distribution across the NHS following independent analysis demonstrating the cost saving for the health system.

The NIC has been found to save time and costs by reducing the average number of process steps required to take a blood gas sample. It has also been found to reduce costs of associated arterial line errors, and costs of catheterrelated bloodstream infection.

Since inception the EAHSN has prioritised patient safety, initially establishing clinical study groups (CSGs); from which the NIC project originated. They conducted the implementation study which highlighted the successful adoption of the NIC into clinical practice.

eahsn.org.

The Best Practice programme at Patient First is supported by the full AHSN network. View the programme on page 7.

Patient safety is achieved by embedding good practice over many years Achieving an excellent rating for patient safety from the Care Quality Commission involves at least a decade of work embedding systems and a culture that ensures people regard safety and quality as the drivers of service change.

‘We have done a lot of work in particular using patient feedback, not just as markers of when things go wrong, but also to find out what patients think of the service they received.

That has been one of the most powerful tools we've used to improve patient safety. We get this data down to clinical teams, ward and individual consultant level to enable people to really focus on the patient experience because that tells you more about the quality of your service than any other measure.’

Mr Evans says they also have a culture of constant learning and valuing lessons from mistakes and making sure they never happen again.

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Mr Evans became chief executive in November 2015 having been the trust’s medical director and a practising consultant obstetrician.

ke

01332 986 330 contact@j24resourcing.co.uk • www.j24resourcing.co.uk

Mr Evans, whose trust was awarded an ‘outstanding’ rating last year says: ‘You can't fake a CQC assessment because they have to see evidence of embedded good practice and consistent use of data over a period of time before they will give you a tick.’

‘As chief executive it’s my job to know exactly what's going on. I make sure I am visible by getting out and about and there is a system where Dave Evans people can come and talk to me if they have got a concern. In my early days as medical director I used to get notes pushed under my door anonymously.

That doesn’t happen anymore because in Northumbria we have created a culture where people know who they can go and talk to if they want to raise a concern.

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This is advice David Evans, Chief Executive of Northumbria Healthcare NHS Foundation Trust will be sharing with delegates at the Patient First Show.

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Delivering Excellence in Health and Social Care Our recruitment process entails: • Identity Checks • Safeguarding (Disclosure and Barring Service (DBS), Enhanced Disclosure) • Right to Work • Work Health Assessments (SEQOHS) • Employment History and Reference Checks • Professional Face-to-Face Interview

‘People in the NHS come to work to do a good job so we have got to support them with systems and structures which allow them to do that, and there are safety issues, it’s our job as a trust to be responsive and help things to change.’

Mr Evans will be speaking in the chief executive’s panel discussion Along with Andrew Foster, chief executive of Wrightington, Wigan and Leigh NHS Trust and Jacqueline Docherty, chief executive of London North West Healthcare NHS Trust.

Patient First UK

4

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The top ten significant incident reports in emergency medicine Themes identified as the 10 most commonly reported clinically significant incident reports in Emergency Medicine Clinical incidents reported regarding care provided in the Emergency Department (ED) are submitted to the National Reporting and Learning System. This data is then made available to the Royal College of Emergency Medicine every 6 months. An in-depth review of the

incident reports has enabled the RCEM to identify themes and develop a safety alert and podcast programme.

Between January and July 2015, 61,449 incidents were reported by Emergency Department staff or about the care given

by Emergency Department Staff.

The Top Ten themes of clinically significant incidents: 1) Missed serious pathology in elderly patients presenting with abdominal pain.

3) Missed neck of femur fractureeither no x ray considered when patient has collapsed and fallen due to an obvious medical problem, or x ray interpreted as normal but occult hip fracture not considered 4) Missed cervical spine fracture in elderly patients with falls, often having had a CT head 5) Failure to recognise clinical deterioration Either in the corridor/queue

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Patient in ED after being referred to the specialty team

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Prior to transfer to ward

6) Failure to administer regular medication (eg for epilepsy, diabetes and parkinsons) when the patient is in the ED for prolonged period 7) Treatment for hyperkalaemia both prescription and administration (confusion with prescription for DKA) •

50 Units actrapid in 50mls of 50% dextrose

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50 units in 50 mls sodium chloride

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Correct prescription, incorrect preparation

 Continued from page 1 The campaign works to achieve behavioural change by encouraging people to focus on a step change approach to patient safety by building one small thing on another so that they don’t feel change is unachievable. ‘If people make small changes, over time they become sustainable and make a much bigger difference. It is about the breadth and depth of what we do not just the odd intervention, says Dr Woodward.

The campaign also encourages people to think about the way they relate to each other as this is at the heart of an effective patient safety culture. ‘It’s about helping people to listen more effectively, allowing people the time to speak and share their concerns, and then genuinely getting to the bottom of what is going on and responding appropriately proportionately and effectively. This is how we can really make a difference in patient safety,’ says Dr Woodward.

Speaking alongside Dr Woodward in this session will be Penny Perreira, Assistant Director (Quality) the Health Foundation Who will be talking about Q, an initiative connecting people with improvement expertise across the UK and Dr Rosie Benneyworth, Managing Director of the South West Academic Science Network, who will be talking about Patient Safety Collaboratives.

Networking drinks reception at the main Patient First catering area

2) Missed aortic dissection

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How to build patient safety at a local level

Patient First will be hosting a free drinks reception for all delegates and would like to invite you to join us.

The reception gathers together like-minded forward-thinking members of the profession and industry in a relaxed atmosphere, providing a valuable networking opportunity between delegates, speakers and exhibitors. Share insightful conversations with your peers on the events of the first day as well as larger developments in the industry.

Tuesday 22nd November 17:30 - 18:30

GAMA Healthcare

8) Failure to recognise stroke symptoms and appropriately escalate for consideration of thrombolysis 9) Administration of penicillin containing drugs to patients with documented penicillin allergy 10) Failure to acknowledge and act on abnormal test results By identifying these ten most commonly reported incidents, the RCEM aims to help healthcare professionals improve patient care, improve patient safety and reduce harm across the board.

By Dr Emma Redfern, Dr Adrian Boyle, Sam McIntyre

WE LOOK FORWARD TO SEEING YOU AT PATIENT FIRST

GAMA Healthcare are the market leader in infection prevention and control solutions.

Our range of Clinell, Carell and Cleanall products combine innovative technology with ease of use, providing the professional healthcare industry with the most effective options available.

With GAMA’s range of cleaning and disinfectant wipes, cloths, patient wipes and Easyclean accessories, we have become the largest wipe supplier to the NHS. We do not only offer an incredible range of quality products but also superior aftercare support. This includes our revolutionary tablet-based Training Package and auditing software, bespoke on-site training delivered by our team of experienced IPC nurse trainers, and custom literature to assist with environmental cleaning compliance. GAMA also offer free dispensers to ensure your wipes

are conveniently located at the point of use.

With our ethos of high quality products, verified science, cost effectiveness and extensive after sales support, we have established ourselves as the premium choice for infection prevention professionals.

Come and visit the GAMA team on stand K70 to see how we can support you. www.gamahealthcare.com T: 020 7993 0030 E: info@gamahealthcare.com

This is a quality event. I work in geriatrics so I see all different conditions. I can update my knowledge here from the various talks and stands and pick of loads of information.

Gona Abdulla, Speciality Doctor, Queens Hospital

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Patient First UK

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Why don’t we talk about safety? Diary of a patient safety champion in primary care…

New beginnings

The only way is up

Starting my job as a salaried GP at Tadley Medical Partnership last summer, I was excited about sharing my knowledge about patient safety with my new work colleagues. Fresh from completing a quality improvement fellowship with a focus on patient safety, I was a self-declared ‘expert’ on the topic and it wasn’t long before I was asked to be patient safety lead for the surgery.

Not to be defeated, I have gone back to the drawing board to draft a revised set of safety pledges. I am aiming to create a single page that describes the safety vision of our surgery using the five safety pledges. Further detail about the pledges will be put into our safety improvement plan. I will work with practice staff to create pledges that we share; and I will of course be seeking the approval of our PPG before publishing the pledges on our website!

Fantastic! An opportunity to create my vision of General Practice leading the way in patient safety; but where to begin…

Right place, right time I was lucky to find myself in the fortuitous position of being able to team up with a couple of like-minded colleagues from other practices within Wessex, along with the dedicated team behind the Wessex Academic Health Science Network (AHSN) Patient Safety Collaborative. With the Sign up to Safety campaign acting as a baseline, we devised a plan to develop a safety framework for general practice, using our own surgeries to test out and showcase our ideas.

I presented the plan to some of my clinical colleagues at my surgery and was given the go-ahead to proceed. The vibe was good. As a well-regarded surgery amongst our patients and a recent CQC inspection that had graded our surgery as good, the opportunity to become a ‘Model Safety Practice’ was really the icing-on-the-cake.

Having learnt the importance of patient engagement during my QI fellowship (and having failed miserably on this during my last project), I was determined to make this the centrepoint of this work. Using a contact that I had made through the AHSN, I contacted our Patient Participation Group (PPG) chair and I was delighted to find that he shared my enthusiasm for the project.

I decided to present the idea to the PPG so I set about the task of writing our safety pledges. Feeling confident, I took my pledges to the meeting – surely the patients would share my vision for safety?

I wasn’t expecting this…

The long fall back down to earth The PPG meeting did not go as well as I thought it would. My safety pledges were far too long and contained managerial language that did not connect with the patients or practice staff who were present at the meeting.

I learnt some valuable lessons that night:

Where are we now?

I have started some work on assessing the safety culture at our surgery using the SafeQuest patient safety climate questionnaire. I have also started to review our process of reporting and analysing significant events. We currently only meet every 2-3 months to discuss these and attendance is usually only the doctors. I am keen to change the title of these meetings to ‘Safety Meetings’ and involve members of our staff from all departments to encourage system-wide learning with a focus on improving safety.

Our biggest barrier is time, or lack of. It is no secret that our workload is exponentially increasing in volume and complexity. At a time when a focus on safety is more important than ever, it often feels impossible to find time to spend on improvement work – even if the outcome may lead to safer and more efficient care.

The elephant in the room So, why don’t we talk about safety?

Despite having a highly professional and compassionate health care team, we still don’t routinely talk about safety.

I believe that safety is implied in all that we do, after all, as healthcare professionals our founding values lie in the provision of safe care to our patients. Challenging those values creates vulnerability and feels uncomfortable, especially if we feel helpless in efforts to make improvements.

Sign up to safety Our sign up to safety campaign is going to be focused on starting those conversations about safety – bringing them into our everyday rhetoric so that talking and thinking about safety becomes the norm.

Our next steps: 1. Finalise and publish our pledges 2. Review the results of the patient safety culture questionnaire

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Engage a few key staff members

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Create a narrative to describe the vision

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Use a common language that everybody can understand

3. Create a regular safety meeting with multi-disciplinary team members

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Keep the pledges simple

4. Identify 1 or 2 risk areas to focus on improving

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Make the pledges positive and achievable.

5. Create our safety improvement plan and pledge to review its progress in all relevant practice meetings.

We are extremely lucky to have a very proactive and supportive PPG. They are proud of the service that the surgery offers and therefore there appeared to be an element of surprise that we would need to be creating safety pledges.

A reflection during the meeting raised the point that patients expect us to already be doing this kind of thing anyway.

There was also concern about putting the pledges in the public domain as they could have the potential to undermine confidence in the service, or in the worst-case scenario, be used against the surgery in a complaint.

Our Sign up to Safety campaign has now begun and I will look forward to sharing our next chapter as the story unfolds.

About Datix Datix has been a global pioneer in the field of patient safety over the past three decades and today is the leading provider of software for patient safety, risk management and incident reporting for the healthcare sector.

Datix aims to build and promote a culture of safety within healthcare organisations, recruiting professionals who are passionate about improving healthcare and championing technological innovation. Datix continually invests in its software and services, maintaining a leadership position at the forefront of the worldwide patient safety movement.

Datix is focused on the health and social care sector. Its customers include public and private hospitals, primary care providers, GP surgeries, mental health and ambulance service providers. Within the UK this includes more than 75% of the National Health Service. Internationally the Datix client base is growing rapidly and includes large scale deployments in the USA and Canada as well as customers in Europe, Australia and the Middle East. Datix has offices in London, Chicago and Washington DC, with partners in the Middle East, Australia and New Zealand.

Visit us on stand K31

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MetaVision SafeTrack offers smart decision support options that synthesise information from multiple sources and flag patients at risk of deterioration. The system provides smart alerts for sepsis and AKI, based on NICE guidelines, which prompt clinicians to take action. Tools for screening and assessments make it easier to check for conditions such as venous thromboembolism (VTE) and calculate scores such as MUST and GCS. Hospitals can create additional alerts or screening forms for any condition they define.

Visit us on stand J30

This show has been a great opportunity to spread the word about our new framework. Most of the people attending are working in frontline services and they’re able to come here and take something away with them. Meetings like this give people who don’t usually engage with theory the chance to take something practical back to their work.

Isabel del Arbol Stewart, Programme Manager, The Health Foundation

By Helen Prince, GP, Tadley Medical Partnership

www.patientfirstuk.com

5

@Patient_First #PtFirst16

Patient First UK

THE CONFERENCE Plenary Theatre Time

Tuesday 22nd November Theatre chaired by: Dr James Kingsland OBE, President, NAPC

09:00 09:30

Quality as a driver for change – from seven day services and new models of care, to leadership, culture and efficiency

11:25 11:55

12:00 12:30

13:30 14:10

Infection Prevention & Control Theatre 1 Time

Tuesday 22nd November

09:00 09:45

Antimicrobial resistance: it’s as bad as they say it is Professor John Watson, Deputy Chief Medical Officer, Department of Health

09:55 10:40

The growing dangers around CPE Jon Otter, Epidemiologist, Imperial College Healthcare London NHS Trust

AMR: Antibiotic prescribing in acute settings Philip Howard, Consultant Pharmacist, Leeds Teaching Hospitals and Chair, Consultant Pharmacists Group, NHS England

11:20 11:55

Engaging senior management around IPC Tricia Hart, IPS Patron & Foundation Trust Chief Executive (Retired)

Penny Perreira, Assistant Director (Quality), Health Foundation

15:45 16:25

The case for antimicrobial copper Professor Bill Keevil, Professor of Environmental Healthcare, University of Southampton

12:05 12:45

Tracey Radcliffe, Clinical Governance Lead Nurse, OneTogether Partnership

Unleashing the power of volunteering and reducing pressures on the NHS

16:35 17:30

Integrating the goals for IPC, patient safety and quality: ensuring clarity and alignment

14:30 15:05

Dr Ron Daniels, CEO, UK Sepsis Trust and Global Sepsis Alliance an Clinical Adviser, NHS England

Time

Wednesday 23rd November

16:10 16:45

Pat Cattini, Lead Nurse/ Deputy Director Infection Prevention and Control, Royal Marsden NHS FT

09:00 09:50

Whole healthcare approach to infection prevention & control Carole Clive, Nurse Consultant Infection Prevention and Control, Worcestershire Health and Care NHS Trust Susie Singleton, RGN PgDiP MSc, Nurse Consultant, Public Health England Dr Raheelah Ahmad, Health Management Programme Lead, Faculty of Medicine, Imperial College London

16:55 17:25

Mark Robinson, Pharmacist, The Medicines Management Partnership

Time

Wednesday 23rd November

Dr Rosie Benneyworth, Managing Director, South West AHSN Academic Science Network

David McCullough, Chief Executive, Royal Voluntary Service Dr Allison Smith, Head of Strategy & Development, Royal Voluntary Service The next step in patient safety?

James Titcombe, Patient Safety Specialist, Datix Jonathan Hazan, Director, Datix

Session delivered by Jim Mackey, Chief Executive, NHS Improvement

Samantha Jones, Director, New Care Models programme, Five Year Forward View Sarah Bickerstaffe, Interim Director of Policy & strategy, Care Quality Commission

Simon Wright, Chief Executive, Shrewsbury & Telford Hospitals NHS Trust Sara Turle, Patient Champion, Barking, Havering & Redbridge University Hospitals NHS Trust

Chief Executives’ panel discussion

Dave Evans, Chief Executive, Northumbria Healthcare NHS FT

10:00 10:40

Deep wound infections Professor Tim Briggs, National Director for Clinical Quality and Efficiency for the NHS and Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital

11:20 11:50

IPC and antimicrobial stewardship: Training for HCPs, the public and patient engagement to tackle AMR Mohammed Sadak, Clinical Lead and Programme Manager, Antimicrobial Resistance and Sepsis, Health Education England Aliya Rajah, Professional Training and Public Engagement Coordinator - Antimicrobial Resistance Programme, Public Health England

12:10 12:40

NHS Clinical Evaluation Team update Liam Horkan, Clinical Specialist Lead, National Clinical Evaluation Team (Clinical Procurement Nurse Specialist, Colchester Hospital University NHS Foundation Trust Clare Johnstone, Clinical Specialist Lead, National Clinical Evaluation Team (Head of Infection Prevention and Medical Devices, Central London Community Healthcare NHS Trust)

13:40 14:15

Safe hands or big brother? Using real-time locating technology to improve patient safety Clare Nash, SafeHands Programme Manager, The Royal Wolverhampton NHS Trust Neil Jarvis, Ward Manager, Respiratory Medicine, The Royal Wolverhampton NHS Trust

14:25 15:00

NHS Clinical Evaluation Team update Liam Horkan, Clinical Specialist Lead, National Clinical Evaluation Team (Clinical Procurement Nurse Specialist, Colchester Hospital University NHS Foundation Trust Clare Johnstone, Clinical Specialist Lead, National Clinical Evaluation Team (Head of Infection Prevention and Medical Devices, Central London Community Healthcare NHS Trust)

15:20 15:50

NHS Clinical Evaluation Team update Liam Horkan, Clinical Specialist Lead, National Clinical Evaluation Team (Clinical Procurement Nurse Specialist, Colchester Hospital University NHS Foundation Trust Clare Johnstone, Clinical Specialist Lead, National Clinical Evaluation Team (Head of Infection Prevention and Medical Devices, Central London Community Healthcare NHS Trust)

Jacqueline Docherty DBE, Chief Executive, London West Healthcare NHS Trust Andrew Foster CBE, Chief Executive, Wrightington, Wigan & Leigh NHS FT Tricia Hart, Foundation Trust Chief Executive (Retired)

Time

09:55 10:40

All Party Parliamentary Group inquiry into the effectiveness of infection procedures in the NHS: zero tolerance, patient information; mandatory reporting; vascular access devices

Andrea Jenkyns MP, Chair, All Party Parliamentary Group on Patient Safety and Trustee, MRSA Action UK Katherine Murphy, Chief Executive, The Patients Association

11:20 11:55 12:05 12:50 13:45 14:25 14:35 15:10 15:45 16:30

Water safety - legionella and pseudomonas

Dr Michael Weinbren, Chesterfield Royal Hospital NHS FT Breaking the chain of infection with antimicrobial copper

Mark Tur, Technical Consultant, Copper Development Association Delly Dickson, Service Redesign Manager, East Sussex Healthcare NHS Trust Acute healthcare environment - cleanliness and flow

Liz Jones, Head of Patient Environment, Department of Health Implementing the latest Government ambitions about gram negative bacteria in the whole health economy

Susie Singleton, RGN PgDiP MSc, Nurse Consultant, Public Health England When the CQC inspector calls

Zoë Nixon, Inspector, Care Quality Commission

Quality Improvement Theatre:

16:30 17:30

Charlie Davie, Managing Director of UCL Partners, Academic Health Science Network

Quality Improvement Theatre:

Time

Wednesday 23rd November

Professor Sir Mike Richards, Chief Inspector of Hospitals, CQC

Time

Tuesday 22nd November

09:00 09:15

Professor Danny Keenan

Candour, transparency and whistleblowing

09:00 09:15

Chair’s welcome Professor Danny Keenan

09:15 10:15

09:15 10:15

Local improvement following national audit – UK Inflammatory Bowel Disease Audit Susan Murray, Programme Manager, UK Inflammatory Bowel Disease Audit, Royal College of Physicians Jessica Watts, Programme Coordinator, UK Inflammatory Bowel Disease Audit, Royal College of Physicians Dr Monica Bose, Consultant Gastoenterologist, Princess Alexandra Hospital Trust

10:30 12:00

10:30 12:00

COP – intelligent transparency in action Steven Holmberg, Medical Director, Brighton & Sussex University Hospitals NHS Trust Dr Kieran Mullan, COP Clinical Lead, Clinical Outcomes Publication Graham Cooper, President, Society of Cardiothoracic Surgeons

13:30 14:45

12:00 13:00

Technology and QI –surmounting challenges, showcasing success Jo Martin, Interim Chief Medical Officer, Barts Health NHS Trust

13:30 14:30

Dynamic data for improvement – breaking new ground with audit data Dr Benjamin Bray, Public Health Academic Clinical Fellow, UCL Dr Mark Wilkinson, Professor of Orthopaedics at the University of Sheffield and Honorary Consultant Orthopaedic Surgeon, Sheffield Teaching Hospitals

Can dashboards really drive better care for the NHS?

Effectively combining primary and secondary care data for QI

Evolving national patient safety strategy

Dr Matt Fogarty, Director of Patient Safety, NHS Improvement

CQC inspection: Protecting patients and encouraging improvement

Cathy James OBE, Chief Executive, Public Concern at Work Rob Webster, Chief Executive, South West Yorkshire Partnership NHS FT

Fail to prepare, prepare to fail: Stay ahead of the CQC

Paul Ridout, Partner, Ridouts LLP

Learning and improving from mortality reviews

Kevin Stewart, Clinical Director, Clinical Effectiveness and Evaluation Unit, Royal College of Physicians Michael McCooe, Clinical Leadership Fellow, Yorkshire & Humber AHSN Improvement Academy Dr Helen Hogan, Senior Lecturer in Public Health, Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine

15:30 16:30

Linking pre-operative antiseptic use to surgical site infections

Dr Marc Farr, Founder of Beautiful Data and Director of Information, East Kent University Hospitals

Dr Umesh Prabhu, Medical Director, Wrightington, Wigan & Leigh NHS FT

13:45 14:35

Infection prevention in cancer care - a perfect storm

15:30 16:15

Wednesday 23rd November

Dr Henrietta Hughes, National Guardian for the NHS

12:30 13:00

Effectiveness of antibiotics in treating sepsis: research update

Tuesday 22nd November

Helené Donnelly, Ambassador for Cultural Change, Staffordshire and Stoke on Trent Partnership NHS Trust 11:20 12:20

10:00 10:45

OneTogether to reduce surgical site infection

Time

Theatre chaired by: David Fillingham, Chief Executive, Advancing Quality Alliance 09:00 09:45

Theatre chaired by: Dr Ron Daniels, CEO, UK Sepsis Trust and Global Sepsis Alliance an Clinical Adviser, NHS England

13:40 14:20

Dr Suzette Woodward, National Campaign Director, Sign up to Safety

Matthew Hopkins, Chief Executive, Barking, Havering & Redbridge University Hospitals NHS Trust

16:30 17:30

Tuesday 22nd November

Surgical site infections: how are we going to reduce them?

Professor Judith Tanner, Professor of Adult Nursing, University of Nottingham

Safe care is efficient care: Progress and strategic learning from the VMI programme 15:30 16:15

Time

AMR: Primary care antibiotic prescribing Professor Cliodna McNulty, Head, Primary Care Unit, Public Health England Alastair Monk, Medicines Optimisation Pharmacist, North of England Commissioning Support

11:20 11:55

New care models: what they mean for safety 14:20 15:20

Infection Prevention & Control Theatre 2

10:05 10:50

Philip Dunne, Minister of State at the Department of Health Building patient safety capacity at a local level

09:55 10:45

Gain over 40 hours of CPD by attending Patient First

Learning from claims

Denise Chaffer, Director of Safety and Learning, NHS Litigation Authority (NHS LA)

14:35 15:20

Local improvement following national audit - Chronic Obstructive Pulmonary Disease (COPD) Prof Mike Roberts, Clinical Lead, National COPD Audit Programme Dr Imran Aziz, Consultant for Respiratory Medicine, Royal Albert Edward Infirmary (Wrightington, Wigan and Leigh NHS Foundation Trust)

12:00 13:00

Chair’s welcome

Effective hospital-level local reporters/ ambassadors to drive QI

Dr Marisa Mason, Director, NCEPOD (National Confidential Enquiry into Patient Outcome and Death) Clinicians and QI staff – creating effective partnerships

Carl Walker, Chair of NQICAN, National Quality Improvement and Clinical Audit Network Data quality – the current landscape and meeting challenges head on

Matthew Porteous, Chair of NJR’s Regional Clinical Coordinators Sub Committee Local improvement following national audit: National Emergency Laparotomy audit (NELA)

Dr Dave Murray, National Clinical Lead, National Emergency Laparotomy audit (NELA) Dr Sarah Hare, Consultant Anaesthetist, Medway Hospital

15:00 16:00 16:00 17:00 17:00 17:15

Integration for QI: cross pathway and inter-organisational collaboration

Neil Bayman, Consultant Clinical Oncologist, The Christie NHS Foundation Trust Clinical Outcomes Publication – the five year plan for individual, team and unit-based data publication

Kieran Mullan, HQIP clinical lead, Clinical Outcomes Publication Chairman closing remarks

Kieran Mullan, HQIP clinical lead, Clinical Outcomes Publication

www.patientfirstuk.com

www.patientfirstuk.com

7

THE CONFERENCE Best Practice Theatre Time

Tuesday 22nd November

09:00 09:30

Plenary Overflow What can Cognitive Behavioural Therapy do for patient consultations?

09:50 10:35

11:15 11:55

12:10 12:50

Dan White, Specialist Clinical Pharmacist Oxford Health NHS Foundation Trust; Clinical Support Officer Medicines Optimisation Clinical Network, Oxford Academic Health Science Network

15:40 16:20

16:50 17:20

09:55 10:35

10:35 11:05

Leadership, teamwork, communication: Foundation of Safety Programme

Ronke Akerele, Director of Programmes, Change & Performance Management, Imperial College Health Partners Implementing self-administration of insulin in hospital a toolkit for change

11:20 11:55

12:00 12:40

09:50 10:30

11:15 11:45

Cheryl Crocker, Regional Lead EMAHSN PSC; Honorary Associate Professor, University Of Nottingham, East Midlands Academic Health Science Network

13:40 14:20

13:40 14:20

14:30 15:10

15:30 16:15

Ann Slee, ePrescribing Lead, Digital Technology, NHS England Dr Wai Keong Wong, Consultant Haematologist, University College London Hospitals NHS FT

Time

10:15 10:45

Engineering patient safety: Finding cost savings through effective technology implementation

Helen Meese, CEng MIMechE, Head of Healthcare, Institution of Mechanical Engineers

Acute Kidney Injury – Kent Surrey Sussex, the improvement journey so far

Tuesday 22nd November Can single parameter track and trigger systems improve patient safety by #MakingEveryBreathCount ?

Mr. Myles Murray, Founder & CEO of PMD Solutions

How embracing real-time patient feedback boosts morale of clinicians 11:00 11:30

Neil Bacon, Founder and CEO, iWantGreatCare Clare Rees, Paediatric Surgeon , Great Ormond Street Hospital for Children NHS Foundation Trust

From reporting to surveillance – patient safety in real time

Peter Askew, VP, UK and EMEA, RL Solutions

Observational study: Profile of nursing time and impact on care hours

11:45 12:15

Jeff Goulding, Assistant Director of Human Factors, Aintree Hospital NHS Foundation Trust

14:00 14:30

Hot issues in patient safety delivered by Ridouts

Linnea Fogelmark, Solution Workflow & Design Expert, Ascom

Advancing patient safety science through technology

Manisha Shah, Executive Director/Vice President Clinical Services & Patient Safety, Clinical Services Department, HCA Healthcare UK Incident investigations – identifying “hidden” human factors affecting performance

“The deteriorating Patient - What about Bobby?”

Deborah Evans, Managing Director, West of England AHSN

14:35 15:10

Innovations for safety: SBRI Healthcare and AHSNs

Karen Livingstone, National Director of SBRI Healthcare & Director of Eastern AHSN

14:40 15:20

Stephen Webb FRCA FFICM , Consultant in Anaesthesia and Intensive, Care Papworth NHS Foundation Trust

15:30 16:00

Social media and HCPs: how can its use improve treatment, advise politics and predict crises

16:10 16:50

National safety standard for invasive procedures – learnings from Barts Health

Time

Wednesday 23rd November

10:00 10:30

Session delivered by nervecentre

Dan Cohen, Chief Medical Officer, Datix Ltd (UK) and Datix Inc (USA)

Jo Wookey, AKI Improvement Manager, KSS PSC/AHSN Ed Kingdon, KSS AKI Clinical Lead, KSS PSC/AHSN Sailing the seventh ‘C’ – Confidence builds and maintains personal resilience, a vital aid to patient safety

15:20 15:50

Session delivered by iMDsoft

Trevor Dale, Managing Director, Atrainability Ltd

Wednesday 23rd November Engagement in improvement programmes – factors to maximise impact and sustainability

09:20 09:50

Discharge, transfers and transitions of care: work of the PSC cluster

The role of the CIO and CCIO in patient safety

Professor Keith McNeil, CCIO, NHS England (invited)

GS1 barcoding standards – delivering enhanced patient safety and financial control through reduced clinical variation and improved clinical productivity

Cheryl Crocker, Regional Lead EMAHSN PSC; Honorary Associate Professor, University Of Nottingham, East Midlands Academic Health Science Network

09:55 10:35

Jo Pendray, Improvement Lead, South West Academic Health Science Network Dr Matt Hill, Consultant Anaesthetist, Plymouth Hospitals NHS Trust; Regional Patient Safety Lead, South West Academic Health Science Network Harnessing flexible infrastructure to support the Five Year Forward View

Stuart Lloyd, Director, Lloyds Healthcare Solutions Limited Steve Peak, Sales and Business Development Director, Vanguard Healthcare Solutions Safety in care homes

Cheryl Crocker, Regional Lead EMAHSN PSC; Honorary Associate Professor, University Of Nottingham, East Midlands Academic Health Science Network Best practice in theatres

Dawn Scott, CEO, AfPP Mona Guckian Fisher, President, AfPP

Glen Hodgson, Head of Healthcare, GS1 UK Keith Jones, Clinical Director for Surgery, Derby Teaching Hospitals NHS Foundation Trust Kevin Downs, Director of Finance and Performance, Derby Teaching Hospitals NHS Foundation Trust

11:10 11:50

12:00 12:40

Daniel Ghinn, CEO and Founder, CREATION

Wednesday 23rd November

Kate Hall, Director of Capability Development, UCLPartners Mirza Lalani, Research Assistant Primary Care and Population Health, UCL

Culture and score surveys 12:05 12:50

Digital Future of the NHS – What the Wachter review means for patient safety

Katherine Joel, Senior Project Manager, Health Innovation Network

Time Time

Tuesday 22nd November

Presentation Theatre:

Building capacity and capability in healthcare human factors

Vicky Rowse, Programme Manager Medicines Optimisation , Wessex Academic Health Science Network

Communities of practice: changing perceptions of change

14:30 15:10

Time

Lindsey Roberts, Medicines Optimisation Clinical Network Manager, Oxford Academic Health Science Network

Melissa Rowse, Quality Improvement Consultant, Eli Lilly

13:50 14:20

Patient Safety Through Technology Theatre

10:45 11:15

Success stories from the Nursing Technology Fund and the Integrated Digital Care Technology Fund

Dr Paul Rice, Head of Technology Strategy, Strategic Systems and Technology, Patients and Information, NHS England

11:30 12:00

Digital behaviour change: using technology to support prevention and improve management of conditions

Session delivered by University of Nottingham

Disruptive technologies vs patient safety

Mo Rahman DipClinPharm MSc(SEng) MGPhC MRPharmS CSO(NHS), Solution Director, Promatica Ltd Dr Zak Rahman MBChB MD FRCS, Managing Director, Promatica Ltd

The patient’s experience: “Homeward Bound”

Ian Pocock, Director of Service Design, Transform UK

13:50 14:30

Session delivered by PMD Solutions

12:15 13:15

15:35 16:20

NHS Five Year Forward View – progress of the Test Bed sites evaluating the real world impact of new technologies for better care and better value

15:20 15:50

Lesley Goodburn Homeward Bound is a play about love, relationships, empathy and compassion at end of life. It takes you on a journey with Seth and Lesley Goodburn through terminal pancreatic cancer until Seth’s death just 33 short and heart-breaking days after his diagnosis.

Leap into the light (changing the very nature of the care sector)

Jeanette Phillips, CEO, Flexicare UK Ltd

WE LOOK FORWARD TO SEEING YOU AT PATIENT FIRST www.patientfirstuk.com

@Patient_First #PtFirst16

Patient First UK

8

www.patientfirstuk.com

WORKSHOPS & FEATURES Less telling, more listening: The art of good conversation in the Sign up to Safety Campaign Kitchen Across the two days of Patient First, Sign up to Safety will be holding a series of conversations to try and understand more about what people who work in health and social care actually experience when trying to keep people safer.

Tuesday 22nd November & Wednesday 23rd November We want people to talk about... what it takes to make care safer We want people to talk about... what happens when things go wrong

We want people to about talk about what they know about keeping people safer, listen to what others are saying and try and develop a deeper understanding about what they have observed in these conversations. Anyone is welcome to come and join in.

We want people to talk about... what happens we things go right

Hospice UK are hosting two Hospice UK workshops on Tuesday 22nd November from 10am All hospice staff with an interest in IPC are invited to come and meet colleagues at 10am on Tuesday 22 November.

Time

Tuesday 22nd November

Discussions will take place on stand L82, located near to the Plenary Theatre.

The Future of Medication Safety Integrated Solutions It is far too easy to make an error when programming an infusion pump, just as easy as dialling the wrong number on a telephone keypad, and the consequences of an extra zero or a misplaced decimal point in the infusion rate can be catastrophic” (Upton, 2007).

09:10 09:40

Steven Bailey, RN BSc (Hons), Medication Safety Specialist, B. Braun Medical Ltd.

There are over 190,000 medication errors reported each year to the NRLS. It is thought that this figure represents around only 10% of the errors that actually occur (MHRA, 2014). Most UK Trusts have infusion devices with Drug Error Reduction Software capability but do not utilise this key safety feature.

10:50 11:20

Steven Bailey, RN BSc (Hons), Medication Safety Specialist, B. Braun Medical Ltd.

In this forum we will examine the past, the present and the future of safer medication delivery via infusion devices. We will look at systems in use to help identify active failures within a Trusts medicines management workflows and to encourage system based approaches, in line with a learning and educational culture.

14:30 15:00

Only 15 seats available per session. Simply register for Patient First and then book onto a medical skills training with Steven Bailey online at www.patientfirstuk.com/ bbraun

“Infection prevention and control is more than dealing with C.diff and MRSA - it is a core element of practice, intrinsic to high quality patient care.”

The future of medication safety - integrated solutions 10:00 The future of medication safety - integrated solutions

Steven Bailey, RN BSc (Hons), Medication Safety Specialist, B. Braun Medical Ltd.

In January 2014 Hospice UK (HUK) launched the Inpatient Unit Quality Metrics benchmarking project focusing on three core patient safety metrics; level of harm from falls, pressure ulcers and medication errors. Two years on we have 110 hospices now participating. The true value of this project is the opportunity it affords hospices to share with each other areas local challenges and successes. We are identifying a range of exemplars of great practice for wider learning across the sector. If you are a member we do hope you will come and join us for the afternoon of Tuesday 22 November.

Workshop 2. Infection prevention & Control Community of Practice

The future of medication safety - integrated solutions

Rick Catlin, Expert lead for the IPC Community of Practice (CoP).

Delivering infection prevention and control (IPC) can be challenging – keeping up to speed with latest research, policies and EU directives and how they impact on the hospice environment. To this end HUK support as vibrant community of practice.

The CoPs four key priorities are: • providing training and updates on topical and relevant IPC issues

15:30 16:00

The future of medication safety - integrated solutions

Steven Bailey, RN BSc (Hons), Medication Safety Specialist, B. Braun Medical Ltd. The future of medication safety - integrated solutions

• providing support and advice to IPC leads • developing e-learning resources • building a hospice IPC community by offering peer learning and advice

Steven Bailey, RN BSc (Hons), Medication Safety Specialist, B. Braun Medical Ltd.

References: Upton, D. 2006. Recognise and tackle intravenous infusion risk. International Hospital Reference Book 2006/2007 MHRA. Improving Medication Error Incident Reporting and Learning 2014:

Sessions will be held in the skills training area

Patient First Poster Zone We've selected frontline project experiences on implementing patient safety improvements worth sharing. Attendees will be able to see them in Abstract Poster format and speak to those who went through the projects themselves that resulted in improved outcomes.

As part of our commitment to deliver more relevant and practical content at Patient First we’re offering healthcare professionals the opportunity to share in the best practice of others through the new Poster Zone and Best Practice presentation theatre.

Posters will cover themes including: •

Building patient safety capacity at a local level

•

Culture, candour & transparency

•

Infection prevention & control

•

Improving safety through technology

•

Strategy and leadership

•

Medicines safety

•

Emergency care

•

Training and education

•

Integration and commissioning

•

Enhancing patient experience

Posters will cover: •

Identification and assessment of a problem or situation

•

The new strategy this work has led to

•

What you did to investigate further or resolve

•

The results achieved to date and planned next steps

www.patientfirstuk.com

10:00

Tuesday 22nd November & Wednesday 23rd November

Time

13:00 13:30

Workshop 1. Patient Safety Quality metrics for hospice inpatient Unit Project Group

@Patient_First #PtFirst16

Please register your place at www.patientfirstuk.com/hospice

PMD Solutions is developing innovative and patient friendly technologies to support health providers early prevention model of patient care Respiratory rate has been shown to be a sensitive and early indicator of patient deterioration ahead of any other vital sign. It is hypnotised that continuous monitoring of a patient’s RR, post Intensive care discharge or admission via Emergency Departments, can help identify those patients requiring early intervention. If a simple, wireless, and continuous respiratory rate monitor was available, how might it support and improve patient outcomes in your clinical setting.

Abstracts will be peer reviewed by clinical professionals and graded on scientific evidence of the value of RR as an early indicator of deterioration, displayed understanding of clinical workflow and how continuous RR can be integrated, and references for work cited.

Head to stand M30

Patient First UK

www.patientfirstuk.com

9

THE EXHIBITION IPC Theatre One

H90 I98

Solemates

3

Speakers’ & Press Lounge

Airin Space

4

I75

3

3

3

3

3

4

6 I65

THROUGH TO ACUTE & GENERAL MEDICINE

OVER 120 EXHIBITO RS!

2

I64

3

Turun

3

Who Are You Ltd

DDC Dolphin

3 3 2

I58

I50 CFG Law

3

2

3

4

3

I55

Sage Prod

Medetrax

3

4

4

2 3 3

I40

Ridouts LLP

3 3

J57

3

I34

6

3

I36

Skins UK

3

Hill Rom

4

Transform

3

I22

2

NCEP OD

I20

Ascom UK

6

2

K41

CME Med

Edwards Lifesciences

2

4

3

3 3

2

4

4

2 2

L72

The Q Initiative L62 Hotboard by

Ward-Hendry

6

K42 K40 Visensia Focus Game Ltd Safety Index

2

3 3

K56

L70 BOTT Ltd

Abloy

Compass Associat

3

3

3 3

6 2

2

3 6

M41

Endur ID

M30

3 3 3 3

3

3

3

2

Patient Safety

6

M58

M53

Morse Watch

2

AOPP

N36

3

Liv Uni

Health Enterp.

East

CQC

N40

3

3

3

2

3

N34

PCAW

N50

3

3 3

M52 Surrey Uni

N70 N60

4

M50 NHS Lit. Auth.

2

4

M60

3 3

2

The AHSN & Patient Safety Collaboratives Best Practice Theatre

Keele Uni

N39 RINICARE

N38

1

2

LSHTM

N37

TLE

N32

3

3

Nott Uni

3

6

PMD Solutions

4

3

N30 Hetikal

N26

2 Ultramed

M35

B. Braun Medical

4

3

Quality Improvement Theatre

3

3 3

Mobile Operating Theatre

4

3 3

Collaberative SBRI Healthcare

2

Microsoft RES

M72

M61 RFID Discovery M62

M43

3

4

4

3 3

Attrainability Strata Health RES

M42

Saf. App Draeger RIV System

M44

3

L51 Team 24

B.D. Beckton Dickinson

M40

Catering Area

2

2

JAC Computer Services

6

3

4 4

Teal Task Force

M81 Redwing

3

4

L50

L52

Nerve Centre

M80

M70

Catering Area

4

3

3

3

3

Promatica Digital Solutions

6

M20

J22

6

L71 Pull Clean

4 HQIP

3

6

J20

J24 RES

Feature Area

Whit NHS

3

iMDsoft

J21

3

GAMA

6

3

M82

Ethy Pharm

2

3

Feature Area

6

3 3

K31

J42

3

Rocialle RES

3

3

M83

3

Imprivata UK Ltd

3

2

3 3

2

Royal Voluntary Service

L85

4

K71

Datix Ltd

UV Light

2

I21

3

4

Patient Track Ltd

J30

8

I30

4

3

K54

Skills Training

I32

3

3

3

A-Team

2

3 3

K45

CSM

4

Stanley Healthcare

J40

2

3

3

6

N93

N91

Omnicell

L80

Orve-care

L60

6

3

6

I42

J50

Healthier Judg. Indx

Bio-Rite

K70

4

3

K84

2

2

J74 Pentland Keyb’d Medical Co.

3 3

IWGC

I48

4

3

I63

I62

4

N90

Walter Medical

K87

Medipal

6

Eco Intnl.

Holdings

4

3 3

Biodose

J72

3

K80

3

I70

4

3 3

J60

All In One Medical

6

K85

Antimicrobial Copper

3

I77

Stanbridge

H74

4

3

K93

Flexi Care

6

6

K88

RL Solutions

3

DiffXdoesit

Plenary Theatre

K92

Medical Indicators

J91

3

6

I80

K91

IC Net (Baxter)

6

2

H78

J90

Halyard Health

4

MED

2

I90

Presentation Theatre

H80

IPC Theatre Two

ATTENTIO N: ONLY 9 STANDS REMAINI NG!

3

4

3

3

2

Static System

3 M22

Living Safely

2

M21

3

N25

NHS Digital RES

3

2

N22

Safety Through Technology Theatre

RCEM

N21

Viva

N20 RCP

6

Please note: This will evolve over the coming weeks.

MEET OVER 3,500+ HEALTHCARE PROFESSIONALS AT PATIENT FIRST 2016

For stand and sponsorship opportunities contact Rizwan Khan on 0207 348 5264 or email riz.khan@closerstillmedia.com www.patientfirstuk.com

@Patient_First #PtFirst16

Patient First UK

10

www.patientfirstuk.com

Meet some of our exhibitors RIDOUTS LLP

DATIX LTD

RADICALOGIC TECHNOLOGIES INC

Ridouts LLP is a law firm built upon talent and experience for the single purpose of being the best provider of legal services to the health and social care sector.  With over 100 years combined experience the breadth and depth of experience makes us the obvious choice for providers.

Datix patient safety and risk management software enables healthcare organisations to spot trends as events occur, prioritise risks, and put in place corrective actions to reduce adverse events.

RL Solutions is a global company that designs comprehensive healthcare software for patient feedback, incident reporting, risk management, infection surveillance and claims management. With over 1,500 clients including healthcare networks, hospitals and long-term care facilities, we pride ourselves on the long-lasting relationships we create.

Visit us on stand J52

Datix has 30 years proven experience supporting healthcare providers worldwide in building a culture that drives excellence in patient safety.

Visit us on stand I80

Visit us on stand K31

ATRAINABILITY LTD Atrainability is recognised as one of the leading providers of Human Factors Training for critical teams including Health and Social Care, Ambulance Service, Fire Service, and Aviation.

To date we have trained over 25,000 professionals. What is Human Factors and what impact does our Atrainability courses have?

Visit us on stand M70

Eco International Holdings Ltd bring you a new level of surface treatment covering all your touch points. We are setting the standard in the application method using the latest unrivalled technology and next generation solutions; enabling you to maintain germ-free environments effortlessly.

Visit us on stand M90

ENDUR ID Positive Patient ID – Greater Choice for Harm Free Care Endur ID supplies a broad range of NPSA compliant patient identification wristband products as well as GS1 UK certified barcode solutions helping hospitals to comply with current and forthcoming legislation and requirements such as the NHS eProcurement Strategy and ISB 1077.

B. BRAUN MEDICAL UK LTD

Come and visit our stand for information on our ready to use drugs and our Aseptic Pharmacy manufacturing facility. This fully GMP compliant unit ensures we offer products in the area of pre-filled syringes and elastomerics.

Visit us on stand M35

CME MEDICAL We believe in making clinical practice safer and more efficient. Our heritage is in developing specialist medical infusion devices and support that improve patient care in hospital, in the community and at home.

Visit us in our Mobile Operating Theatre

PATIENTRACK LTD

Visit us on stand M44

In recent years, B.Braun’s focus has been aimed at working in partnership with customers to Support Safer Medication.

Vanguard Healthcare operates the world’s largest fleet of mobile clinical units, supplying the NHS and other healthcare providers across the UK & Europe with additional clinical capacity on-demand. We can also offer a range of equipment and staffing options to support our state-of-the-art facilities.

Visit us on stand I70

AVANTEC HEALTHCARE LTD Every year a hospital will spend tens of millions of pounds on medicines.

Omnicell offer a range of advanced but simple-to-use automated dispensing systems that control what is used, automate re-ordering, reduce stock levels and save staff time whilst enabling the hospital to improve patient safety, clinical governance and patient care.

VANGUARD

ECO INTERNATIONAL HOLDINGS LTD

JAC-PHARMACY JAC provides a software platform that supports medicines management including pharmacy stock control, e-prescribing and medicines administration as a single integrated solution covering most specialities including chemotherapy. JAC’s users account for around half of all NHS hospitals in the UK as well as regional systems in Northern Ireland, South Africa and Norway.

Visit us on stand L50

Patientrack is an award winning, always-on, active safety and communication system proven to deliver safe care. It provides healthcare professionals with fast, real-time access to: • Accurate vital signs capture and electronic charts • Information for early identification of deteriorating patients • Alerting to enable appropriate care planning • Visibility of EWS Visit us on stand K45

PUBLIC CONCERN AT WORK Public Concern at Work, the whistleblowing charity, has extensive experience of working with the NHS and provides independent advice to those concerned about malpractice or wrongdoing in the workplace.

It also supports organisations in embedding and spreading best practice whistleblowing arrangements through training, consultancy and subscriptions.

Visit us on stand N70

MORSE WATCHMANS UK LTD ABLOY UK LTD

T: 01253 206700 | F: 01253 896648 customersupport@cmemedical.co.uk | cmemedical.co.uk

Morse Watchmans is a leading US manufacturer of security management systems. Our KeyWatcher is the ultimate tool for key control. Keys & other assets are housed in a secure, alarmed environment. Provides total accountability from anywhere on your network. The modular design allows for extensive customisation & expandability.

Abloy will be promoting its security solution Protec2 CLIQ which provides audit trails on medicine cabinet cylinders and padlocks, and gives the ability to remove lost or stolen keys from the system. Abloy will also be exhibiting Traka 21 key cabinets and its OPTIMA system for stockrooms and storerooms.

Visit us on stand K41

Visit us on stand M58

Visit us on stand J22

We consistently explore new ways to support healthcare professionals with our pioneering approach to developing medical technology products, services and training.

Kincraig Business Park, Kincraig Road, Blackpool, FY2 0PJ

www.patientfirstuk.com

@Patient_First #PtFirst16

Patient First UK

www.patientfirstuk.com

ROYAL VOLUNTARY SERVICE Royal Voluntary Service is a charity that enriches the lives of more than 100,000 older people and their families across Britain by providing vital support in the home, in hospital and in the community. Through these services our volunteers help older people stay happy, healthy and independent.

Visit us on stand N80

STANLEY HEALTHCARE As a recognised leader in the healthcare and senior living markets, STANLEY Healthcare strives to: • • • •

Ensure safety and security Improve patient and resident experiences Optimise workflow Increase operational efficiency

More than 17,000 hospitals and senior living communities use STANLEY Healthcare solutions worldwide.

Visit us on stand J50

SAGE PRODUCTS For 45 years, Sage Products has been a leading developer of innovative products used to prevent hospital-acquired conditions such as infections, skin breakdown, and healthcare worker injury.

Visit us on stand I55

SIGN UP TO SAFETY Sign up to Safety is harnessing the commitment of staff to make care safer.

A patient safety campaign, it is one of a set of national initiatives to help the NHS improve the safety of patient care. Collectively and cumulatively these initiatives aim to reduce avoidable harm by 50% and support the ambition to save 6,000 lives. Sign up to Safety is for everybody, in every part of the NHS whether you work in primary, secondary or tertiary care; whether you work in acute, mental health, learning disabilities, ambulance or community care settings; whether you work in a national body or a general practice. We are united by our common goal; to continually striven to make the care we give our patients as safe as possible.

Visit us on stand L82

ULTRAMED Ultramed provides pioneering health technology for people.

NERVECENTRE SOFTWARE LTD Nervecentre Software uniquely provides a whole hospital platform that can deliver electronic observations, handover, task management and clinical assessments; and allows governance and escalation management to be added to any hospital process.

Visit us on stand K54

HEALTH ENTERPRISE EAST Health Enterprise East delivers technology advisory services and innovation management to industry and the NHS, helping to address the challenges faced along the product development pathway. Our experienced team works with NHS organisations nationally and medtech globally, we are a trusted partner in realising innovation.

Visit us on stand N60

THE AHSN NETWORK • At the helm of England’s 15 Patient Safety Collaboratives.

• Enabling system wide improvements and encouraging a culture of safety.

• Working with local teams across local health economies to bring safety solutions up from grass roots.

• Using our networks and connections to enable rapid spread and adoption.

Combining clinical NHS executive experience alongside international design expertise, it provides elegant patient focused solutions to common problems.

• Working across higher and further education, NHS commissioners and providers, local authorities, industry, patients, service users, carers.

Visit us on stand N26

Visit us on stand M60

WE LOOK FORWARD TO SEEING YOU AT PATIENT FIRST www.patientfirstuk.com

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Health Foundation join Patient First to promote and recruit for the Q initiative Q is an initiative, led by the Health Foundation and supported and co-funded by NHS Improvement, connecting people skilled in improvement across the UK. Q is a diverse and growing community of people with experience and understanding of improvement, committed to working collaboratively to improve the quality of health and care across the UK. “We are really excited to be a part of Patient First 2016 and the opportunity to tell people more about the Q initiative. Together with some of our members, we will be showcasing Q, and talking about how others can get involved”, Penny Pereira at Health Foundation.

“Patient safety remains at the heart of healthcare”, says Marketing Director Lucy Pitt.

“Structural, cultural and financial pressures play their part in adding to the challenges brought by a growing – and more elderly – population. But in a post-Mid Staffordshire era the momentum on improving the quality and safety of healthcare is greater than ever and Patient First brings all stakeholders together to embrace a learning culture”.

The Health Foundation & Q Initiative will be exhibiting on stand L60 alongside over 100 other product and service suppliers and recommend professionals make use of their advisors and supporting information available over the two days. The Health Foundation will also join the panel debate ‘Building patient safety capacity at a local level’ taking place in the Plenary Theatre on Tuesday 22nd November.

Alongside the exhibition delegates can access keynote sessions in the Plenary Theatre, learn about technological developments to support patient safety in the Safety through Technology theatre, and attend a full conference programme geared towards Infection Prevention & Control in two new dedicated conference theatres.

THE UNIVERSITY OF NOTTINGHAM “ Wo r l d - c l a s s r e s e a r c h doesn’t happen by accident. It happens at The University of Nottingham because we put research excellence at the heart of what we do.

The size and scope of global challenges pose critical questions which academics research to directly impact the lives of all. By grouping our Research Priority Areas around fi ve Global Research Themes we can use creative interdisciplinary approaches to deliver worldclass research on a global scale.”

UV LIGHT TECHNOLOGY

We are a UK manufacturer providing UV light solutions which combine performance and safety, delivered by our team of specialists who work with our customers to optimize their process and minimize the risk. Your UV light solution should provide the necessary UV wavelength range, intensity and beam spread for your process. Our specialist team are happy to recommend the best solution to optimize the effectiveness, efficiency and safety of your process.

Visit us on stand J40

Visit us on stand N32

IWANTGREATCARE

BIO-RITE

iWantGreatCare harnesses detailed patient experience to transform the quality and outcomes of healthcare. Continuous, realtime collection, monitoring and analysis of quantitative and qualitative patient feedback builds staff morale, enhances public trust, and acts as a ‘smoke-detector’ across healthcare systems - as well as providing a revalidation solution for clinicians.

As a group, Bio-Rite has over 40 years’ experience in decontamination and infection control management.

We provide area decontamination, equipment recycling which enables beds and mobility apparatus to be decontaminated safely and effectively, in addition to a mattress decontamination service that complies with all infection control guidelines.

Visit us on stand N26

Visit us on stand N26

@Patient_First #PtFirst16

Patient First UK

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www.patientfirstuk.com

Three key strategies for ensuring your organisation is top of the patient safety ratings

By Andrew Foster, Chief Executive of Wrightington, Wigan and Leigh NHS Foundation Trust Sp ea r ke

Through data: The board receives data on a monthly basis about infections, mortality, falls, pressure ulcers and sepsis.

The figures give the board hard facts to be compared to the NHS average and the trust’s past performance.

By collecting stories: The board is given regular reports about patient experiences gathered through complaints, incidents where things that have gone wrong and serious untoward incidents. This gives the board a qualitative feel for what it feels like to be a patient.

By implementing systems: The trust has a reactive system. This involves reporting incidents to Datix, investigating them, developing action plans and reporting feedback to the people who reported the incidents.

The trust analyses unexpected deaths. Around 1200 clinical staff are sent reports every Monday of on average 12 to 15 unexpected deaths that occurred the previous week. A small team trawls through the case notes of these patients to determine what factors caused the deaths such as drug error, whether the patient was

Mr Foster says the weekly unexpected deaths analysis, which they have been doing for around six or seven years, has been a particularly powerful and sophisticated patient safety tool for his organisation.

‘We produce an annual report now which compiles the 10 most common areas of preventable harm compiled from those weekly reports which we have now been doing now for six or seven years. The email discussions provide additional anecdotal analysis of the data. We are then able to deploy the capacity required to deal with any patient safety issues,’ he explains.

Mr Foster developed a personal interest in quality improvement after working at the Department of Health with Don Berwick, the American patient safety guru. Every year he sends delegations from the trust to Institute for Healthcare Improvement conferences in the US. It was from one of these conferences that a consultant returned with the idea of introducing the weekly patient deaths analysis system.

Mr Foster will be elaborating on these ideas at Patient First In the chief executive’s panel discussion along with David Evans, Chief Executive of Northumbria Healthcare NHS Foundation Trust and Jacqueline Docherty, chief executive of London North West Healthcare NHS Trust.

Early Warning System for Incidents NHS Trusts experience many events in the normal cause of operations. Serious incidents are investigated, but the vast majority are filed and forgotten. They sit in a dusty database that goes unused.

Our algorithms mine those data records which are lying fallow, search out patterns, and report trends and projections.

We discover the hot spots that need attention, as well as the areas of best practice.

Raven gives Trusts the toolkit needed to improve patient safety and to enhance the quality of patient care.

Redwing Business Intelligence is a Crown Commercial Supplier and a Registered Data Controller.

This is the view of Rob Webster, Chief Executive of South West Yorkshire Partnership NHS Trust and former head of the NHS Confederation.

r

Andrew Foster, Chief Executive, Wrighton, Wigan and Leigh NHS Foundation Trust

on the right specialty ward or whether there were any delays in the treatment etc. This then generates email discussions among the clinicians involved about whether the harm was preventable.

NHS organisations that want to ensure they have a culture of candour and transparency, where whistleblowers feel confident about raising concerns, must first establish the right ethos and tone at the top. ke ea Sp

Andrew Foster, chief executive of Wrightington, Wigan and Leigh NHS Foundation Trust, says his board receives assurance that his organisation is safe in three ways:

An open and transparent culture starts at the top

Rob Webster

“As a Trust Chief Executive I have to do and say the right thing to create an open culture where people feel that if they raise concerns they will be celebrated and won’t be censored,” he says.

But this also means that those people who are system leaders in the Department of Health and arm’s length bodies must also behave in a way which drives in open culture of learning, with no fear or bullying.

Regulation also plays a role in supporting this culture so, for example, when the Care Quality Commission looks at the staff survey they should be able to see whether there is any bullying and whether staff feel confident about raising concerns.

“However what is most important is recruiting the right kind people to be chief executives, directors and board members of NHS organisations and making sure that they are value-based people who will support an open culture. Then it is important that those organisations have the right policies and procedures in place,” he says.

Mr Wester adds that this is already the case in many NHS organisations: “The fact that 1 ½

million incidents are logged by staff every year in the NHS shows that staff feel confident about logging issues and that when they do somebody will do something about it. Also the NHS staff survey shows that more than 90% of staff know how to raise issues and feel confident that they will be listened to.”

Mr Webster’s top tips for creating an open culture are: •

It’s always the right thing to do the right thing and, however tough it is, if you believe that somebody is dangerous or something is risky then it is not wrong to say so.

•

It is important to create a culture in the NHS where whistleblowing is celebrated, not censored.

•

The voices of patients, staff, service users, and families provide NHS organisations with some of the best insight and intelligence and should never be ignored.

Mr Webster is speaking at Patient First In a debate on Candour, transparency and whistleblowing along with Helene Donnelly, Ambassador for Cultural Change, Staffordshire and Stoke on Trent Partnership NHS Trust, Cathy James, Chief Executive of Public Concern at Work, Dr Umesh Prabhu, Medical Director of Wrightington, Wigan and Leigh NHS Foundation Trust and Henrietta Hughes, National Guardian, Freedom to Speak Up, Care Quality Commission.

Innovation, Sustainability and Growth; Vanguard’s Continually Improving Mobile Facilities Vanguard Healthcare’s mobile facilities provide safe clinical environments which assist trusts in providing exceptional patient care. As well as consistently providing units and clinical services which assist healthcare providers across the UK and Europe, Vanguard also endeavours to establish continual improvement; demonstrated by its continually expanding fleet.

Vanguard’s current fleet includes 26 Theatres, 3 Endoscopy Units, 1 Day Surgery, 8 Wards and 2 Clinics. Despite already holding the title of the world’s largest fleet of mobile clinical units, a further 4 theatres are currently being built to further expand the fleet. The introduction of a ‘first of its kind’ 24 Hour Ward Unit, which is the 39th unit in Vanguard’s ever growing mobile fleet, is the first Vanguard Unit with the capacity for inpatient stay The new ward is an emblem for Vanguard’s

commitment to innovation, demonstrating its dedication to continual growth and improvement which allows the company to provide an exceptional patient experience. The ward comes with an array of unique features, which include touch screen monitors, shower facilities with wheelchair access, ambient mood-lighting and modified windows to offer increased privacy to inpatients. All of these especial characteristics enhance the patient experience with elevated comfort and ambience; the ward’s revised layout and design also maximises space and workflow.

Vanguard is committed to growing its fleet over the coming years, striving to satisfy an increase in demand for its facilities both in the UK and abroad.

Visit the mobile operating unit at the back of the hall.

Redwing supplies services to NHS Trusts via the Government G-Cloud and Digital Outcomes Frameworks. Raven is listed on G-Cloud 7. www.redwing-bi.com

www.patientfirstuk.com

@Patient_First #PtFirst16

Patient First UK