Volume 05 / Issue 04 / December 2017
Page 24
boa.ac.uk
JTO Features
The HIP QIP Scaling Up Programme Lianne Brkic The hip fracture quality improvement programme (HIP QIP) Scaling Up Improvement Programme is a safety collaborative across six UK NHS hospital trusts. The aim is to improve safety and care for patients with hip fracture using a multidisciplinary pathway. The programme commenced in September 2016 and the aim is to save 100 lives by December 2018. The programme is funded by The Health Foundation and led by Northumbria Healthcare NHS Foundation Trust. The team is partnered with the British Orthopaedic Association, Royal College of Physicians (RCP) and the Academic Health Science Network for the North East and Cumbria. High quality, safe care requires the coordinated effort of a multidisciplinary team, and the implementation of best practice, evidence-based care. A key component of the programme is funding a nutritional assistant for 12 months, as evidence suggests that prioritising nutrition in patients with a hip fracture reduces the acute hospital death rate¹.
Lianne Brkic
HIP QIP also requires the establishment of a multidisciplinary audit framework. The care includes patient experience monitoring, the number of fascia Iliaca blocks given in the Emergency Department and the undertaking of surgery within 36 hours. A root cause analysis is undertaken of any deaths.
The NHS trusts involved in the programme are: l Gloucestershire Hospitals
NHS Foundation Trust
l Great Western Hospitals
NHS Foundation Trust
l South Tees Hospitals
NHS Foundation Trust
l Weston Area Health NHS Trust
Overall, the collaborative follow the Institute for Healthcare Improvement Breakthrough Series Collaborative approach. The teams come together over five learning events to review the evidence supporting best care, exchange ideas and identify any potential for improvement. Between learning events (“action periods”), teams test and implement changes in their local settings and collect data to measure the impact of the changes. Person-centred care lies at the heart of this work. The patient leaders programme, based at Northumbria Healthcare, trains and supports the patient leaders. The outcome of the programme is being evaluated by the RCP and Dr Winifred Tadd.
l NHS Greater Glasgow and Clyde l Northumbria Healthcare
NHS Foundation Trust.
Programme approach The programme was launched at each NHS site with a multidisciplinary peer review, coordinated by the BOA. Coordinating this review was complex, but it provided a more detailed understanding of the context and challenges at each site. This allowed recommendations to be made, which in turn informed local improvements. This review was highly valued at each of the sites.
What has been achieved so far? The multidisciplinary teams are enthusiastic and engaged in the project. They are innovative which helps deliver solutions locally. The Trust have come together for three learning events to date. We were joined by our evaluation partners, members of the BOA and the Health Foundation. The NHS teams, retain ownership of the events and report their progress, learn teaching skills, share ideas and learning.