MEDICINE WRAP
Date: May 2025
THINGS YOU NEED TO KNOW MONTHLY
Congratulations to...
Congratulations to Ward 15 and Ward 22 Short Stay, who have achieved the Trust target of 70% in supporting patients to get out of bed in the month of March.
Encouraging patients to sit out in a chair for mealtimes each day will reduce their risk of becoming deconditioned and encourage and promote further mobility and independence.
A big welcome to all of the Healthcare Support Worker Apprentices who have joined the team recently
Learning
Attention all Educational Supervisors. We have a CPD event on Neurodiversity and Differential attainment in May.
Save some CPD time for June as we have some training days on maintaining sexual safety in a clinical environment coming up. (Dates to be confirmed)
Diabetic patient?
HAVE YOU CONSIDERED CHARCOT’S FOOT?
UEC Transformation Programme
Ward 26 has undertaken its “SHOP Perfect Fortnight” with a focus on the prioritisation of sick patients and those who may be ready for discharge as well as effective communication of outcomes of ward rounds and afternoon huddles. This is part of a rolling programme to support the SHOP model across all Medicine wards.
A test of change is taking place on the Medical Escalation ward at PRH to roll out Criteria Led Discharge. The process will facilitate nurse-led discharges for patients pre-identified by doctors should those patients meet a set criteria.
A revised Medicine Behaviour Framework aligning with the existing Trust values. The framework outlines expectations of how staff treat each other and was initially developed within a workstream with feedback invited via focus groups. The framework will be published and shared across Medicine soon.
Key messages
SaTH Leadership Programmes are now back up and running. These courses provide an opportunity to improve leadership skills, embrace change and enhance personal and team wellbeing.
See LMS for further details or the Leadership & Development intranet page for details on what the programmes and courses include.
Usually presents acutely (but can rarely present over months) with a hot, red, swollen foot, sometimes after minor trauma. Three quarters of patients have pain which can vary from negligible to severe.
Beware: it can happen in patients who have recently been diagnosed with type 2 diabetes but who already have neuropathy due to longstanding hyperglycaemia.
You must consider it as weight-bearing will cause permanent deformity!
If in doubt: advise the patient not to weight bear and refer to the Diabetic Hot Foot Clinic by either phoning 07843 505015 (during office hours) or emailing sath.dfc@nhs.net (inbox is checked Monday to Friday 9am to 12 pm).
https://www.nice.org.uk/guidance/ng19/chapter/Recom mendations#charcot-arthropathy
And finally
Congratulations to Ward 11 who have recently completed their SHOP “Perfect Fortnight”. Thanks to great teamwork, the ward discharged a larger proportion of their patients earlier in the day and improved on action planning via their logbook and afternoon huddles
Do you have something you’d like to see included in the MedWrap?
Email your suggestion to sath.medwrap@nhs.net