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title="Health Innovation Wessex" href="https://www.slideshare.net/WessexAHSN">Health Innovation Wessex</a><button type="button" class="FollowButton_root__FxpBi Author_follow__Lw4TS FollowButton_follow__d_6u5">Follow</button></div><div class="description Description_root__kt4uq Description_clamped__PaV_1"><div class="Description_wrapper__hYE9_" data-cy="document-description"><p>Wessex Academic Health Science Network (AHSN) is a member organization that connects NHS, academic, local government, third sector, and industry organizations in Wessex. The AHSN works to improve health and create economic growth through supporting innovation, research, and collaboration across sectors. In 2015/2016, the AHSN made progress on quality improvement programs, innovations, and economic initiatives. It also collaborated with other AHSNs on various programs of national importance.<button type="button" class="Button_root__i1yp0 Button_primary__K25Gq Button_text__ZT_3O Button_small__sqsEx Description_less__BvWbY Description_hidden__a9QZJ" data-testid="button" aria-label="Read less"><span>Read less</span></button></p></div><button type="button" class="Button_root__i1yp0 Button_primary__K25Gq Button_text__ZT_3O Button_small__sqsEx Description_more__ChrRK" data-testid="button" aria-label="Read more" data-cy="read-more-button"><span>Read more</span></button></div><div class="actions Actions_root__00yIC"><div class="Tooltip_triggerWrapper___S2HG"><button type="button" class="Button_root__i1yp0 Button_secondary__hHiHI Button_text__ZT_3O Button_small__sqsEx Button_icon__1C4qi like-button unliked" data-testid="button" aria-label="Like" data-favorited="false" data-cy="like-button"><span class="Icon_root__AjZyv" style="--size:24px"><span class="Icon_icon__4zzsG" 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class="MetadataToolbar_underline__QQn0C"></div></div></div><div class="player Player_root__L1AmF"><div id="new-player" class="vertical-player VerticalPlayer_root__K8_YS" data-slideshow-id="64399105"><div><div id="slide1" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-0" alt="2015/ 2016 Improving health and creating wealth in Wessex Wessex Academic Health Science Network Annual Review 2015/2016 @WessexAHSN wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="eager" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-1-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-1-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-1-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-1-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide2" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-1" alt="The Board Members and stakeholders Fiona Driscoll Chair, Wessex AHSN Richard Samuel Commissioning Member Chief Officer at Fareham & Gosport CCG and South Eastern Hampshire CCG Tony Horne University Member Project Director for the Faculty of Science at the University of Portsmouth Fiona Dalton Provider Member Chief Executive Officer at University Hospital Southampton NHS Foundation Trust Tim Thurston Commissioning Member Innovation Lead at West Hampshire CCG Phil Richardson Commissioning Member Director of Design at Dorset CCG Bill Gillespie Chief Executive, Wessex AHSN Iain Cameron University Member Professor of Obstetrics & Gynaecology and Dean of the Faculty of Medicine at the University of Southampton Karen Baker Provider Member Chief Executive Officer at Isle of Wight NHS Trust Alex Whitfield Provider Member Chief Operating Officer at Solent NHS Trust Tony Spotswood Provider Member Chief Executive at Royal Bournemouth & Christchurch NHS Foundation Trust NHS Trust Members Dorset County Hospital NHS Foundation Trust Dorset Healthcare University NHS Foundation Trust Hampshire Hospitals NHS Foundation Trust Isle of Wight NHS Trust Poole Hospital NHS Foundation Trust Portsmouth Hospitals NHS Trust Salisbury NHS Foundation Trust Solent NHS Trust Southern Health NHS Foundation Trust The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust University Hospital Southampton NHS Foundation Trust Member Universities Bournemouth University Southampton Solent University University of Portsmouth University of Southampton University of Winchester Clinical Commissioning Group Members Dorset CCG Fareham and Gosport CCG Isle of Wight CCG North Hampshire CCG North East Hampshire and Farnham CCG Portsmouth CCG South Eastern Hampshire CCG Southampton City CCG West Hampshire CCG Wiltshire CCG Stakeholders Clinical Research Network Health Education England (Wessex) NIHR CLAHRC Wessex Industry NHS England Wessex Area Team Strategic Clinical Networks Local authorities Third sector organisations 2 @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-2-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-2-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-2-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-2-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide3" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-2" alt="The leadership team Fiona Driscoll, Chair Fiona specialises in designing transformation strategies and operational plans to deliver successful outcomes across the public, private and third sectors. In the public sector, her work includes advice and support to Ministers and senior civil servants on cross-cutting programmes on efficiency, delivery, policy reform and IT strategy. Andy Burroughs, Director of Wealth and Enterprise Andy has 25 years’ experience in a variety of sales and marketing roles operating across the public and private sector, and most recently was Director of Business Development at Tamar Science Park in Plymouth. Before that he was Director of Business Development at Ipswich Hospital NHS Trust and spent 10 years at Microsoft. Dave Meehan, Director for Partnerships and Deputy CEO Dave has worked in the Wessex NHS for almost 40 years and held board positions for 20 years including Director and Managing Director of Clinical Services, Strategy, Service Improvement, Performance Management, Communications and Engagement. Caroline Powell, Director, Centre for Implementation Science Caroline is based at the University of Southampton, working with all Wessex partners. Her career spans medical research, health services audit and improvement and senior management roles in the public and third sector. Bill Gillespie, Chief Executive Bill is an experienced health manager who has worked at board level in health organisations in the UK and overseas for The last 15 years. Since returning to the UK in 2014, Bill has fulfilled a number of consultancy roles including support to the London Health Commission, South West London and St George’s Mental Health Trust, Katie Piper Foundation (health charity) and as Interim Regional Director of Specialised Commissioning for NHS England South, before starting with Wessex AHSN in January 2016. 3wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-3-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-3-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-3-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-3-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide4" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-3" alt="4 @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-4-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-4-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-4-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-4-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide5" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-4" alt="Wessex Academic Health Science Network (AHSN) is a member organisation. Our twenty-six members work with each other and with a broad range of stakeholders to support the creation of well-being and wealth in Wessex through making innovation happen at speed and scale. Our remit is clear: we connect NHS and academic organisations, local authorities, the third sector and industry. We help create the right conditions to facilitate change across whole health and social care economies, with a clear and consistent focus on citizens, service users and patients. As well as transforming services through innovation, we play an important role in generating economic growth. We enable companies to grow, and create jobs by supporting the NHS and industry to engage productively; and by meeting the health needs of our populations, we help people stay well and in work. This report highlights our progress across our major quality improvement programmes, innovation and wealth initiatives. It also outlines where we have worked closely with other AHSNs: a way of working which will benefit people across Wessex and beyond. We are fully aligned with NHS England’s Five Year Forward View and have a new business plan, which takes us to March 2018. At a time when policy makers are showing renewed interest in system change, Wessex AHSN is in a strong position to support our members on this journey. Our work does not belong to a small organisation called ‘Wessex AHSN’ but to the wider network which develops and delivers it. Behind each project sits multi-disciplinary and multi-partner, cross-sector collaborations that have one thing in common: they can imagine a better future for the patients and population of Wessex, and they have the determination to help bring that future about. This report demonstrates the depth and breadth of our work – not just across Wessex, but also our collaborations to address issues of national importance. 2015-16 was a very successful year for Wessex AHSN, and we look forward to delivering more innovation throughout 2016-17. 5 Fiona Driscoll Chair, Wessex AHSN Bill Gillespie Chief Executive, Wessex AHSN wessexahsn.org.uk Foreword " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-5-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-5-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-5-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-5-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide6" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-5" alt="How we are working with other AHSNs 6 Wessex AHSN is adopting the following programmes from other areas: Wessex AHSN is collaborating with other AHSNs in the following areas: Programme area Details Atrial Fibrillation Discussions with West of England AHSN regarding their similar project; aim to use their learning, particularly in relation to the New Medicines Service. Patient Safety Collaborative Considering adoption of West of England Shine Emergency Department (ED) checklist. Mental Health Utilised learning from Yorkshire and Humber AHSN’s Bradford Toolkit for improving physical health outcomes of people with severe mental illness. Shared their experiences and achievements with our local teams and applied learning to our Early Intervention in Psychosis programme to speed up progress. Medicines Optimisation Local adoption of the work of the PRECEPT project by West of England AHSN on administration of magnesium sulfate during premature labour. Complementary project on the purchase and use of safer magnesium sulfate products. Wealth programme Adopted a workshop on energy and sustainability from Oxford AHSN (April 2016). Programme area Details Nutrition Joint commissioning of a Hydration Toolkit with Kent Surrey Sussex (KSS) AHSN, following initial work by Dr Sarah O’Callaghan in North East Hampshire and Farnham Clinical Commissioning Group (CCG). KSS extending this work across their area. Toolkit to be shared more widely via our website as part of our Nutrition in Older People programme; collaborative working with voluntary sector organisations and local universities working in this field. Evaluation partner for AHSN NENC Healthcall project; providing advice and direction on the project evaluation and data analysis support. iSPACE dementia programme in primary care KSS AHSN rolling out significant elements of our iSPACE programme. They have also adopted and modified the audit tool to create different levels of accreditation (bronze, silver, gold). Sharing a webinar programme with Oxford AHSN to maximise reach. Atrial Fibrillation Working with UCL Partners to develop a community pharmacy competency package in collaboration with the Royal Pharmaceutical Society. Member of Atrial Fibrillation Association (AF) collaborative group, led by Yorkshire and Humber AHSN utilising its Innovation Exchange to share information (the group includes Atrial Fibrillation Association/Heart Arrhythmia Alliance). @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-6-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-6-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-6-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-6-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide7" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-6" alt="7 Wessex AHSN is actively promoting the work of other AHSNs, including work of NHS Innovation Acceleration (NIA) fellows in the following areas: Programme area Details Patient Safety Collaborative Sharing events and tools from other AHSNs via email with our network of project managers across Wessex. Mental Health Sharing programmes from other AHSNs with our stakeholders including Birmingham Rapid Assessment, Interface & Discharge (RAID) model, Liverpool Memory Box Dementia work and East Midlands AHSN Advance Planning for People with Bipolar Disorder. Medicines Optimisation Promotion of West of England AHSN work on administration of magnesium sulfate during premature labour. Wealth programme Actively promoting meetings and events hosted by other AHSNs, e.g. Assisted Living Action Network (ALAN) through our website and newsletters. Patient Safety Collaborative Wessex AHSN is part of the following collaboratives/clusters: Mental Health Collaborative – Wessex, West of England, KSS, South West and Oxford Mental Health Cluster – multiple AHSNs Emergency Laparotomy Collaborative – Wessex, West of England, KSS Patient Safety Collaborative Medicines Safety Cluster – multiple AHSNs Patient Safety Collaborative Sepsis Cluster – multiple AHSNs Patient Safety Collaborative Discharge Cluster – multiple AHSNs Joint procurement/development of a software platform (LIFE) with multiple AHSNs (approx. 10) to provide project documentation, extranet file sharing and network connectivity functionality at organisation, AHSN and national levels. Mental Health Collaborating with Imperial College Health Partners on psychosis pathway development. Sharing learning, challenges and solutions. Comparing outputs in similar areas (e.g. patient and carer experience/pathway design) to understand application to wider geography. Linking with Oxford AHSN on their Early Intervention in Psychosis Preparedness Programme (South of England), enabling access to information and support across Wessex to support achievement of the new Mental Health Access and Waiting Time Standards for Psychosis. Medicines Optimisation Lead for National AHSN Medicines Optimisation (MO) network with regular forums/meetings and subgroups on polypharmacy, AF and transfers of care which provide opportunities for information sharing. Development of national core data set for electronic referrals to community pharmacy with AHSN North East & North Cumbria, which has been shared for comment with all AHSN MO programmes and endorsed by Royal Pharmaceutical Society and National MO Network. Leading the development of polypharmacy comparators in collaboration with NHS Business Services Authority and Royal Pharmaceutical Society, with view to sharing outputs with National AHSN MO group and agreeing national datasets. Redesign of patient leaflet on Repeat Dispensing with Pharmaceutical Services Negotiating Committee (PSNC). Sharing work on insulin with Oxford AHSN. Wealth programme Driving Innovation through Collaboration event with AstraZeneca, DigitasLBi and other southern AHSNs. Working closely with other AHSNs through Directors of Wealth meetings. wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-7-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-7-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-7-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-7-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide8" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-7" alt="Wessex Life Science Cluster (WLSC) The WLSC is committed to supporting the health and life science industry across Hampshire, the Isle of Wight, Dorset and south Wiltshire. During 2015, we launched the Wessex Life Science Cluster, comprising over 200 research active companies from across Wessex. Events, market briefings and export opportunities are available to members and a weekly podcast explores current funding opportunities. Where requests meet with our funding criteria, we have also provided seed funding to pump prime research with clear commercial potential. Our support for three projects in 2015 has so far resulted in further inward investment to Wessex of £3.9M, including a substantial amount of foreign direct investment from the US for work on Ebola vaccines, and significant investment from the Medical Research Council for work on Meningitis vaccines. To encourage innovative start-ups out of our hospitals and laboratories, our Health Innovation Programme (HIP), run in partnership with SETsquared, gives commercial mentoring, business planning advice and pitch-practice. In 2015, this three-day course attracted six entrepreneurs, three of whom have gone on to establish successful start-ups. In 2016, a further nine entrepreneurs benefited from the course. We closely monitor their progress, and providing ongoing support and assistance. Over 1,000hours of support 8 @WessexAHSN Find out more about the team at www.wessexlifescience.co.uk, on @WessexLifeSci or email info@wessexlifescience.net " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-8-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-8-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-8-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-8-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide9" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-8" alt="9 Inward investment of £3.9m Search wessex.org.uk/videos for improving wealth film We advise companies on their value proposition, business plans, funding strategy and understanding the NHS as a market place. We’ve provided over 1,000 hours of support, including 300 hours of 1:1 industry mentoring. wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-9-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-9-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-9-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-9-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide10" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-9" alt="Orthopaedic programme: better treatment across Wessex through innovation and research This programme is improving orthopaedic outcomes for patients through research, commercial development and wealth creation. The focus is on delivering innovative orthopaedic and rehabilitation treatments which prolong and improve quality of life; promote independent living and reduce the burden of musculoskeletal degeneration. An initial £100K AHSN investment has meant industry- funded projects have started immediately, seeking research and development support using the new OrthoLab equipment and facilities at Bournemouth University. These new facilities have been funded from a successful Dorset Local Enterprise Partnership (LEP) local growth fund bid for £700k supported by the AHSN, and were fully operational by late spring 2016. The AHSN has also funded an expert OrthoLab technician who will help industry, the NHS and wider health sector, and academia, to access and operate the equipment within the OrthoLab. Wessex AHSN has partnered with the Institute for Life Sciences (IfLS) at the University of Southampton to support and deliver FortisNet across Wessex. In January 2016, nearly 70 leading clinicians, academics and industry experts working in the field of orthopaedics, prosthetics and assistive technologies gathered in Hampshire to launch the initiative. The aim is to develop a hub of expertise that will connect regional and national excellence in clinical practice, academic research and enterprise. Working with end users, FortisNet and its partners will work to create an effective pipeline of product development for stronger, active bodies. FortisNet is a unique, collaborative, interdisciplinary network in hard (bone and teeth) and soft (skin, muscle, cartilage) tissue that aims to develop a regional specialisation in musculoskeletal health. It should also create jobs, attract new business and retain skilled graduates locally. 10 Successful Local Growth Fund Bid for £700k @WessexAHSN ORIBUResearch Institute Orthopaedic Bournemouth University Search wessex.org.uk/videos for ORI film " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-10-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-10-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-10-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-10-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide11" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-10" alt="Digital Health programme: looking to healthcare of the future NHS England’s Five Year Forward View outlines the commitment to harness the information revolution. In response, the National Information Board (NIB) has set ambitious targets to enable digital technology and data to transform health and care, improve quality and reduce the current cost of health and care services. Over the past year, the AHSN has been working alongside member organisations to support the advancement of their digital transformation programmes, including the development of digital roadmaps and the publication of a Wessex-wide Interoperability Charter. We have also been working with stakeholders to review the use of the current shared care records within Wessex, and assess the content of undergraduate courses to determine the role technology could play in students’ learning. Following the success of a Wessex-wide Big Data event in April 2016 attended by approx 200 delegates, we will now turn our focus to working with our partners to show how we can use the wealth of data at our fingertips to improve the health and well-being of our local populations. 11wessexahsn.org.uk Search wessex.org.uk/videos for big data film " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-11-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-11-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-11-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-11-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide12" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-11" alt="Mental Health: Wessex TRIumPH – improving psychosis care through faster access to assessment and treatment Together with Southern Health NHS Foundation Trust, we have co-produced and implemented a best practice psychosis care pathway (TRIumPH – Treatment and Recovery In PsycHosis). The pathway outlines ambitious evidence-based standards for treatment, and specific timeframes for the delivery of care. Frontline staff report how beneficial having a clear pathway of care is to guiding their practice, and how useful it is for communicating expected standards throughout teams. Achievements in 2015/16: • Consensus across Hampshire on a best practice psychosis pathway • Implementation within four Early Intervention in Psychosis (EIP) teams throughout the region, covering a population of 1.3 million • Over 300 people have entered the pathway since June 2015 • Our most recent data shows that 66% of people are being assessed within seven days, and 96% within two weeks (from a baseline of 36% and 59%) • We’re cutting inequality and variation across Wessex. For example, increasing numbers of people are receiving a NICE compliant physical health assessment, working towards reducing the 15-20 year mortality gap for those experiencing a severe mental illness 66%patients assessed within seven days 96%patients assessed within two weeks 12 @WessexAHSN Search wessex.org.uk/videos for psychosis film " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-12-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-12-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-12-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-12-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide13" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-12" alt="Dementia: supporting Wessex GPs to improve dementia care The dementia workstream had a very successful year. From an initial target of 40, the programme is supporting 120 GP surgeries across Wessex to become dementia friendly. 24 surgeries have been accredited, with the others working towards this. So far, surgeries have implemented: • Clear signposting in and out of the consulting rooms • Pictorial signs to key facilities such as the toilets • Photographs of staff on consulting room doors • Inviting carers to the surgery to meet other carers and share knowledge and experiences • Inviting local voluntary organisations to hold clinics in the surgery to raise awareness of dementia and caring • People living with dementia and their carers doing ‘mystery shopping’ surgery evaluations • Increased attendance at patient participation group meetings, with up to five times the usual number of people keen to learn more about dementia For hospitals, the acute care development programme has resulted in a final report and a resource toolkit. Three dementia champion conferences were extremely successful and a model for holding these conferences has been developed. Supporting 120 GP surgeries 24 accredited surgeries 13wessexahsn.org.uk Search wessex.org.uk/videos for ispace dementia " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-13-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-13-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-13-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-13-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide14" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-13" alt="Respiratory: improving lung health across Wessex This programme has improved lung health, and supported related research, commercial development and wealth creation during 2015/16. The focus has been on delivering interventions which prolong life, improve quality of life, promote independent living and reduce the burden of respiratory disease. Through our innovative testing and piloting of tools, techniques and service redesign we have: • Improved early accurate diagnosis of respiratory disease for over 1,000 patients • Increased effective self-management and patient education for over 3,000 patients • Improved access to, and use of, pulmonary rehabilitation for 100 patients • Reduced inequalities and variation in patient services across Wessex • Improved patient experience of care for over 3,000 patients, one of whom shared her experiences on BBC Radio Solent • Improved patients’ quality of life as measured by quality-adjusted life years (QALYs) for over 3,000 patients • Improved access to specialist services across all of Wessex, and improved skills and practices of healthcare professionals through mentorships clinics throughout both primary and secondary care • Developed effective service pathways for respiratory care, one of which has grown into MISSION ABC and is now incorporated into an NHS England Vanguard site. We have also generated opportunities for patients to take part in research and clinical trials for new asthma and Chronic Obstructive Pulmonary Disease (COPD) drugs and technologies. Winner! of the Value and Improvement in Use of Diagnostics category at the HSJ Value in Healthcare Awards Improved early diagnosis of respiratory disease for over 1,000 patients Improved patient quality of life as measured by QALYs for over 3,000 patients 14 @WessexAHSN Search wessex.org.uk/videos for mission copd film " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-14-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-14-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-14-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-14-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide15" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-14" alt="Nutrition: tackling undernutrition in older people This programme aims to be a catalyst for good nutritional care in the community including screening, prevention and treatment of undernutrition. At present, almost 80,000 older people in Wessex are undernourished, with 93% of these living at home. Tackling undernutrition in older people, across both health and social care, is important for the individual and the NHS. The cost of care for an undernourished person is 2-3 times greater than for those who are well-nourished, due to increased hospital admissions, increased length of stay, increased dependency and care needs, greater number of GP visits and prescriptions. In 2015/16: • In our initial pilots (Purbeck and Eastleigh), 900 older people have been screened, with 24% found to be at risk of undernutrition. Helping these people not only improves their health, but could also save the health system £288k. The programme is now extending these pilots to other areas of Dorset; and looking at new screening approaches in Hampshire • 254 health and social care professionals trained, plus awareness sessions held for voluntary sector and general public • A nutrition toolkit has been published to support other organisations in implementing good nutritional care initiatives: generic care pathways for good nutritional care in the community; evaluation framework; awareness leaflet (over 1,500 views) and posters; and training packages for health, social care, and voluntary sector workers • 120 people attended the successful conference run in September 2015, ’Perspectives on Malnutrition’ 19wessexahsn.org.uk 900 older people have been screened Potential cost avoidance of £288k 15wessexahsn.org.uk Search wessex.org.uk/videos for nutritional care " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-15-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-15-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-15-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-15-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide16" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-15" alt="16 Accelerator Fund projects in 2015/2016 The AHSN has continued to review and support our Accelerator Fund projects over the past year: • Ongoing development of an innovative decision aid tool (HEADMAT™) for GPs to improve management of headaches (at West Hampshire CCG) • Establishment of a regional frozen faecal donor bank to treat recurrent Clostridium Difficile Infections (CDI) (at Portsmouth Hospitals NHS Trust) – see case study • Significant progress on development of a virtual reality hip replacement simulator which is now ready for clinical testing (at Bournemouth University) • At least 30 individuals with learning disabilities benefiting from ‘Life beyond Services’ and the associated Best Buddies scheme (at Southern Health NHS Foundation Trust) • Application of an electronic prescribing solution for at least 40 children with leukaemia resulting in fewer prescribing errors, improved patient safety and experience (at University Hospital Southampton NHS Foundation Trust and associated centres) • Piloting and ongoing evaluation of WebGP for online consultations in GP practices and in the southern Vanguard sites; over 150 online consultations have taken place. Recommendations from a focus group and interviews with staff involved with the WebGP pilot will be included in a report to be shared with other GP practices • Ongoing development of MicroGuide decision support software to improve medicines optimisation in the treatment of patients with infection and reduce antibiotic resistance (at University Hospital Southampton NHS Foundation Trust) • Over 1000 people with diabetes have participated in conversations about foot care to prevent complications. The ‘scratch card’ scheme has been provided by 27 community pharmacies; 12% of patients referred on for further investigation (at West Hampshire CCG) • Eleven volunteer ‘signposters’ have helped people in Gosport to access voluntary and community services in Gosport, extending to three more surgeries in the coming year (NHS Fareham Gosport CCG and Gosport Voluntary Action) • Ongoing development of ‘Neuravatar’, a virtual assistant to help diagnosis of neurological problems (at Royal Bournemouth Christchurch Hospitals NHS Foundation Trust, Poole Hospital NHS Foundation Trust and Bournemouth University) @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-16-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-16-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-16-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-16-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide17" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-16" alt="17 Case study: tackling C-Diff infections in Wessex Clostridium Difficile infections (CDI) are common. Approximately 5% of people carry C.difficile in their gut, and are therefore at risk of developing CDI if the balance of bacteria gut is disrupted. CDI is a major cause of morbidity and mortality, contributing to prolonged hospital stays. • CDI becomes chronic infection in approximately 22% of cases, with limited effective, cost effective treatment available for this cohort • It is the cause of death in around 2,500 patients annually in England and Wales and is a contributing factor in a further 3,200 deaths • The one year all-cause mortality rate for CDI is 37% and the costs for each CDI case are between £5,000 and £10,000. Faecal Microbiota Transplantation (FMT) involves inserting screened faecal matter from a healthy donor into a recipient with CDI, into the small intestine. Restoring the balance of bacteria within the gut tackles, and cures, CDI. Wessex AHSN has supported the development of a regional frozen faecal donor bank to support effective treatment of recurrent CDI at Portsmouth Hospitals NHS Trust. The bank is being used by several hospitals across the Wessex patch. • Since July 2015, 23 patients have received a FMT with positive outcomes to date, pending formal evaluation • The FMT bank intends to treat 30 patients within a year of operation, with an expected cure rate of 94% compared to 31% for standard CDI therapy Given mortality rates of alternative treatment options, the project is expected to save nine lives per year. In the coming year, we will continue to support and develop the partnership. An economic evaluation is underway to establish the full potential for FMT to save lives and NHS resources if scaled beyond Wessex. wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-17-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-17-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-17-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-17-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide18" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-17" alt="Reducing Harm from Alcohol: helping Wessex know its numbers In 2015/16: • The first Alcohol Related Liver Disease (ARLD) project started at Hampshire Hospitals NHS Foundation Trust. Screening for alcohol use has increased from 2.5% to 42% of all patients attending the Acute Medical Unit • Know Your Numbers (KYN) at University Hospital Southampton NHS Foundation Trust has seen an increase in staff knowledge of alcohol units from 2.5% to 70% in those who received the KYN training (200 people) • We developed Drink Informed educational materials for professionals and patients • We developed regional alcohol admission data to assist commissioners with easy-to-use data to help improve services • We created a regional network of alcohol leads within six acute hospital trusts across Wessex, providing vital data on 25,000 admissions to develop and plan services to meet patient need • Soberistas – we researched this innovative social network for women which addresses problematic drinking. More than 60% of participants surveyed have had a drinking problem for over 10 years, and 50% of those surveyed live with children. Forty-five percent stopped drinking or maintained abstinence since joining the site. We produced a series of videos to draw attention to home drinking issues and Soberistas support; they have been viewed nearly 1500 times. The AHSN’s involvement meant that Soberistas is now listed on the high- profile NHS Choices website. Alcohol screening increased from 2.5% from to 42% 18 60% of survey participants have had an alcohol problem for over 10 years 45% stopped or abstained from drinking since joining Soberistas @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-18-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-18-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-18-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-18-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide19" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-18" alt="Over the next two years, the Alcohol Related Liver Disease (ARLD) pathway piloted at Hampshire Hospitals NHS Foundation Trust will be spread across Wessex to reduce dependence on NHS services, and cut the mortality rate for high-risk drinking adults wessexahsn.org.uk 19 Search wessex.org.uk/videos for reducing alcohol harm " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-19-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-19-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-19-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-19-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide20" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-19" alt="Wessex Primary Care Project: helping GP surgeries’ workforce Across the UK, demands on general practice are increasing annually yet the extent of growth in activity is rarely documented. The workforce is also falling below demand: fewer young doctors are becoming GPs whilst many existing GPs are reducing hours, retiring early or leaving the profession. This project started in September 2015 to identify the impact across Wessex and to recommend how capacity may be improved. The project will also assess how other clinical professionals could work within general practice and alleviate increasing demand for GP services. To date, we have: • Established a baseline of the Wessex primary care workforce, estimated current demand and modelled future demand • Developed recommendations for recruitment and retention of GP trainees. Final year trainees are being surveyed to establish their intentions for the next five years • Surveyed GPs to identify a potential additional workforce, showing that 35% of GP appointments could be undertaken by a different clinical professional • Researched availability of this workforce • Identified different workforce models in use across the UK and compiled data ready for analysis. Documented these models and their effectiveness using a scalable cost-benefit analysis tool • Shared draft reports and survey results with Wessex Clinical Senate and Health Education England Wessex Mental Health Taskforce: helping to recruit and retain mental health staff In common with the rest of the UK, the Wessex region is experiencing challenges in both the recruitment and retention of mental health staff. Trusts report a shortfall of 135 Full-Time Equivalent nursing posts across the region. Nationally, 18% of psychiatry doctor core training posts are unfilled, and psychiatry has the highest training drop-out rate of any medical speciality. Our Mental Health Taskforce project was established to research and develop solutions to overcome and/or impact on these shortfalls with an overall project aim of increasing recruitment and retention across Wessex. In 2015-16, the Taskforce has seen the development of an Associates Programme which improves the skills of participants and starts projects which will benefit the employing organisation; and at the same time, improves recruitment and retention. One of the projects within the programme is leading to a review of out of hours competency, with additional work to support the development, and confidence levels, of mental health staff. 20 @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-20-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-20-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-20-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-20-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide21" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-20" alt="Wessex Genomics Medicine Centre celebrates a very successful first year Wessex AHSN supports NHS England’s personalised medicine agenda through close collaboration with the 100,000 Genomes Project, led locally by the Wessex NHS Genomic Medicine Centre (GMC) at University Hospital Southampton NHS Foundation Trust (UHS). Over the past year, the GMC has established a ‘next generation sequencing’ platform at UHS for rapid diagnosis and confirmation of cancers and rare diseases, a platform which, in turn, has received over £1m in grants for equipment. Over 300 patients have come forward for the 100,000 genomes project over the past year. This number is set to rise rapidly in the coming year as the AHSN has brought other hospitals into the project as Local Delivery Partners. In 2016-17, we look forward to the first results coming back to patients from the 100,000 genomes project, which will undoubtedly have a huge impact on their diagnosis and treatment. 21wessexahsn.org.uk To find out more about the Wessex NHS Genomics Medicine Centre, or to take part, please email genomicsrd@uhs.nhs.uk @WessexGMC #Genomes100K or visit uhs.nhs.uk/WessexGMC Search wessex.org.uk/videos for 100000 genomes " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-21-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-21-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-21-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-21-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide22" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-21" alt="Medicines Optimisation (MO): helping people get the most from their medicines This programme works with CCGs, trusts, patients, pharmacists and the pharmaceutical industry to achieve two key objectives: increasing use of services known to help patients get more from their medicines, and improving medication safety by addressing avoidable errors. In 2015/16: • A drive to increase the uptake of PINCER: an evidence-based audit tool which helps GPs to identify patients at risk of clinically-significant medication errors. Wessex is now the highest-performing AHSN in using this NICE- backed intervention, with 49% of practices in Wessex having downloaded the audit. Pharmaceutical company Boehringer Ingelheim funded and supported our Action Learning Sets and training events to increase the use of PINCER and also PRIMIS audits in primary care. • Medicines Optimisation on Transfer from Hospital (MOTE): Following ground-breaking work in the Isle of Wight and Newcastle, Dorset County Hospital has referred over 100 patients to their community pharmacy for a medication use review. This, and other work across the patch, has helped Wessex to become the third highest AHSN for percentage of pharmacies delivering Medicines Use Review services (85%) and fifth highest for the New Medicines Service. • Our work to increase the uptake of repeat dispensing across Wessex continues with over half a million more prescriptions delivered this way than last year, contributing to savings of over £275,000. This is more convenient for patients, with increased efficiency for GPs and pharmacists working together to manage the (growing) workload for repeat medicines. Our modelling shows that if we replace 80% of all repeat prescriptions with Electronic Prescribing, we would release 61 whole-time equivalent GPs across Wessex. • Our Magnesium Sulfate safety bulletin has been shared nationally, and is driving change across the patch with five out of seven Wessex hospital trusts now using the safer preparation. Magnesium sulfate is used in obstetrics to treat eclamptic seizures and to protect the brain of babies born before 30 weeks gestation. The magnesium sulfate preparation used required dilution which is both complex and risky. We developed a bulletin to raise awareness of the issues and have worked to ensure a safer ‘ready to use’ product is available. • Our aim to increase self-administration of insulin by some patients in hospital has led to the development of a toolkit to support hospital trusts in making this challenging medication safety change. • Our collaborative work with pharmaceutical partners shows what can be achieved when the NHS and the pharmaceutical industry work together for the benefit of patients. 22 @WessexAHSN Use of Repeat Dispensing has the potential to release practice time equivalent to 61 full time GPs across Wessex Repeat Dispensing contributed to £275k " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-22-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-22-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-22-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-22-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide23" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-22" alt="Spotlight on: Clare Howard, Wessex Clinical Lead for medicines optimisation What inspired you to work with the AHSN? I had been involved in the development of the national medicines optimisation strategy, but for me, there’s something very exciting about working locally to actually deliver demonstrable improvements in the services that patients get to help them use the medicines or in putting new processes in place to make the taking of medicines safer for patients. What is the clinical need for the work? Prescribing a medicine or medicines remains the most frequent intervention made by the NHS. Getting the most from medicines for both patients and the NHS is becoming increasingly important. Evidence shows us that between 30 and 50% of medicines prescribed for long-term conditions are not taken as intended. Many, many people take medicines and the number of medicines that each person takes is increasing. Between 2003 and 2013 the average number of prescription items per year for any one person increased from 13 to 19. So it’s vital patients get the right medicines, they understand how to use them safely and effectively, and that they know where to go for support. What’s been the most challenging aspect? At the start when AHSNs were relatively new organisations, I think some local organisations perhaps weren’t sure what the AHSN was and what it was aiming to do. However, through our fabulous Professional Advisory Group and by working with pharmacy organisations across the patch, that isn’t an issue now, and we have had great support from local hospitals, CCGs and pharmacy organisations as well as the pharmaceutical Industry. We have two wonderful patients on our group who challenge us and support us in equal measure. It’s a team effort! What are you proudest of? I’m proud that the national performance data shows strong improvement in our region’s medicines optimisation. But for me, the best moments have been when local GPs or pharmacists or people working in CCGs and hospitals have approached us to help with their work and we have been able to help and support them to make good projects work well. What’s in store for 2016/17? We have ambitious goals to drive up the levels of Repeat Dispensing, New Medicines Service and Medicines use Reviews across the patch. We will also have some hard work to do to make transfer of care i.e. when patients move between care setting (such as going into hospital and then back home) much safer and less confusing for patients. Changes to patients medicines can cause all kinds of confusion and issues when the patient gets home. We want Wessex to lead the way in helping patients when they get home to understand their medicines and know where to get help. 23wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-23-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-23-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-23-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-23-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide24" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-23" alt="Atrial Fibrillation (AF): reducing stroke across Wessex Over the past year, the programme has seen fantastic engagement and results from using anticoagulants in Atrial Fibrillation. Two stakeholder and 30 further education and training events have created a network; and the programme has delivered a 67% increase in anticoagulant prescribing across Wessex, with 60% of providers showing a reduction in stroke plus a 17% reduction in the variation in exception reporting. In the West Hampshire CCG area, supported by the AHSN, 51 practices were enabled to use PRIMIS audit tools to identify at-risk patients. The AHSN also helped to introduce WatchBP devices, which help to detect possible AF more accurately than using a person’s wrist pulse. This demonstrated a reduction of 47 strokes in eight months, saving the NHS an estimated £2m. This work was shortlisted for a HSJ Value in Healthcare award, and it won a Quality in Anticoagulation award for the development of nurse-led anticoagulation services with Salisbury NHS Foundation Trust. In addition, 67% of patients reviewed by the specialist outreach service report a positive influence on their care. The team has also built strong links with pharmaceutical industry and the Royal Pharmaceutical Society for future projects. 24 67% increase in anticoagulant prescribing across Wessex 60% of providers showing a reduction in stroke Winner! of the Quality in Anticoagulation award for the development of nurse-led anticoagulation services with Salisbury NHS Foundation Trust @WessexAHSN Search wessex.org.uk/videos for atrial fibrillation " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-24-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-24-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-24-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-24-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide25" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-24" alt="25 Spreading healthcare innovation across Wessex So we are able to spread the innovations outlined in this Annual Review at scale and pace across Wessex and beyond, a dedicated team was established in November 2015 to support our programmes in spread and scaling up activities. Some examples of this work are: • Development of an evidence based, systematic approach to help innovators accelerate spread and adoption of best practice. The guidelines contain advice on how to evaluate, how to prepare for scaling up, how to assess potential and opportunities, plus network and communication and engagement planning • Modelling the health and wealth benefits of our high impact programmes to identify the opportunities for our members and others, including working with the Vanguards on deployment, evaluation and spread of new models of care • Submission of a joint test bed proposal with Oxford AHSN. Whilst unsuccessful, the proposed innovation in respiratory care will be piloted in South East Hampshire in 2016/2017 • Collaboration with other AHSNs to share learning and ideas on new pathway development (e.g. in mental health), toolkit development (e.g. in nutrition), patient safety initiatives, evaluation frameworks for medicines use, and to spread our dementia intervention in primary care. These collaborations have involved at least ten other AHSNs and at least 20 different projects. A support package for spread will form part of our pledge to large-scale system change through the Sustainability Transformation Plans (STPs) and Vanguards’ new models of care in 2016/2017. wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-25-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-25-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-25-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-25-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide26" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-25" alt="26 The Centre for Implementation Science (CIS) Based at the University of Southampton, the CIS brings together cross-disciplinary skills and expertise from across the five Wessex universities to support the AHSN and its quality improvement programmes, including: • New models of primary care consultations: Evaluation of how online systems may be used to improve patient access to care, reduce primary care workload and improve patient satisfaction • CIS has supported Vanguard sites across Wessex develop their plans for evaluation, including establishing a network group to share approaches and best practice • Leading the Vanguard Evaluation Steering Group, working with sites across Wessex to support the formation of New Care Models. This work has a regional focus with potential for national application • Alcohol: production of an interactive dashboard for alcohol related indicators for each local authority area and CCG in Wessex. Development and delivery of alcohol related liver disease (ARLD) data packs detailing the local baseline; development of Wessex-wide ARLD admission data pack to stimulate local adoption of treatment pathways • Analysing and visualising national data to provide the local picture from the patients’ perspective • Supporting the evaluation of undernutrition projects, providing evidence in an area where limited data exists. This includes quality of life measures and assessment of service utilisation • Using data analysis and visualisation to identify and scope needs • Respiratory case finding and screening for patients with Chronic Obstructive Pulmonary Disease: Evaluation conducted and presented by CIS with additional input from University of Portsmouth. Other respiratory service evaluations to incorporate staff and patient feedback and cost benefit analysis The team has also created an interactive data dashboard and dedicated database for Trusts this year with initial work focused upon reducing harm from alcohol, with scope to apply this expertise to the other quality improvement programmes and priority NHS areas. Created using data at both national and local levels, the CIS built a sophisticated picture of health in the region over the past year; giving decision-makers valuable service modelling tools to help meet future health challenges. The development of an Endoscopy Service Planning Tool and a Colorectal Cancer Diagnostic Pathway has brought together patient journey data to help providers plan improvements and accommodate the projected increase in demand for endoscopy services. Our system modelling has identified how endoscopy suites can increase capacity by up to 10% and reduce patient waiting times. The team’s Wessex-wide model can outline the capacity and demand of all diagnostic services for cancer pathways, giving providers the opportunity to identify areas where improvements to the patient experience and service efficiencies can be made. @WessexAHSN Find out more about the CIS team at www.southampton.ac.uk/wessexcis, on @WessexCIS or call (023) 8059 7845 " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-26-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-26-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-26-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-26-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide27" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-26" alt="27 “I would like to thank the CIS team for their huge contribution to our demand and capacity planning work in cancer diagnostics during the past year. Without their knowledge, enthusiasm and good humour, we would not have been able to make as much progress in understanding how to plan for the future of endoscopy services in Wessex.” Matthew Hayes, Clinical Director SCN Cancer, NHS England (Wessex) wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-27-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-27-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-27-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-27-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide28" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-27" alt="Wessex Patient Safety Collaborative (PSC) Wessex Patient Safety Collaborative (PSC) supports capacity and capability building in patient safety and quality improvement by networking, connecting and sharing across the region, in alignment with the national Sign up to Safety campaign. Sepsis and Transfers Collaborative: In 2015/16, the PSC focused on the topics of sepsis and transfers of care, using the Institute for Healthcare Improvement Series (BTS) methodology. Twenty-two teams from 13 organisations took part in Learning Events throughout the year, with over 200 people participating. Improvement teams developed their quality improvement knowledge and skills to support each other and spread good practice. Between events, teams used the Model for Improvement (including Plan, Do, Study, Act cycles) to test small changes in practice and at the close of the Collaborative showcased their achievements. Other PSC projects include the Emergency Laparotomy Collaborative, a two-year project that aims to save 1000 lives across three AHSNs using a care bundle approach to surgical care. Teams from eight hospitals in Wessex are engaged and review their progress using outcome data. The PSC is also supporting primary care to develop a model safety practice framework. To further support improvement in Wessex the Patient Safety Support Fund was launched in early 2016 and has allocated over £30k to 13 patient safety projects across six organisations. Recognising the importance of medicines safety the PSC leads the Medicine Safety Cluster which provides a national forum for information exchange, learning and accelerated adoption and spread. Working with patients and partners the PSC actively promoted patient involvement in developing ARISE, a toolkit to support patient engagement in service development. To support leaders and boards, workshops on Human Factors and Ergonomics were delivered across Wessex. Finally the Wessex Community of Safety and Improvement Practice (CSIP) was launched to provide further opportunity to connect, share and learn. Together with HEE (Wessex) the PSC hosted the inaugural Wessex CSIP conference, focusing on patient safety, attended by 240 staff and patients. The community is supported by LIFE, a networking platform, to help individuals and teams manage, deliver and share their improvement projects and resources across Wessex and the wider AHSN network. 270 CSIP members 28 £30k given to 13 patient safety projects @WessexAHSN “The most important single change in the NHS… would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.” Don Berwick, A promise to learn – a commitment to act (2013) Search wessex.org.uk/videos for emergency laparotomy " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-28-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-28-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-28-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-28-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide29" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-28" alt="Spotlight on: Professor Jane Reid, Clinical Lead for Wessex Patient Safety Collaborative and Regional Lead for Sign up to Safety (south) What inspired you to work with the Wessex AHSN? I have been engaged in ‘safety’ on a national and international platform for many years, so the opportunity to bring that experience, and to influence, grow and learn more on my local patch was an absolute gift. Since I started with the AHSN, it has been a true privilege. What is the clinical need for the work? We have to make a significant advance on safety improvement through the application of safety and implementation science. We need to equip frontline staff (on whom the quality of care ultimately depends) with the skills and knowledge to tackle harm, and a fair and just culture. How do you think the AHSN’s work will benefit patients? Wessex AHSN is promoting innovation, learning and best practice through spread, adoption and sustainable patient outcomes, and care experiences are being positively impacted. What’s been the most challenging aspect? Making sure reach and penetration is being achieved across the Wessex footprint. All NHS organisations are working within significant financial constraints - and the PSC provides a fantastic ‘offer’ - but our impact is dependent on many people being released to engage and work with us. What are you proudest of? Assuring a strong patient voice and influence in our work. 29wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-29-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-29-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-29-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-29-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide30" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-29" alt="The AHSN national footprint 30 North East and North Cumbria Yorkshire and Humber East Midlands Eastern UCL Partners Health Innovation Network Kent Surrey Sussex Wessex South West West of England West Midlands Greater Manchester Innovation Agency Oxford Imperial College Health Partners Note: East Lancashire Hospitals NHS Trust sits with Greater Manchester @WessexAHSN " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-30-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-30-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-30-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-30-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide31" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-30" alt="About the AHSNs AHSNs are flexible regional organisations. We have a small staff base but use our extended networks across regions to achieve great impacts for our partners. Our impact rests in our ability to bring people, resources and organisations together quickly, delivering benefits that could not be achieved without these connections. Each AHSN works within its own geographical area to develop projects and programmes which reflect the diversity of our local populations and healthcare challenges. However, we all share the following priorities: Promoting economic growth: fostering opportunities for industry to work effectively with the NHS. Diffusing innovation: creating the right environment, and supporting collaboration across boundaries, to adopt and spread innovation at pace and scale. Improving patient safety: using our knowledge, expertise and networks to bring together patients, healthcare staff and partners to determine priorities and develop and implement solutions. Optimising medicine use: ensuring that medication is used to its maximum benefit – improving safety and making efficient use of NHS resources. Improving quality and reducing variation: by spreading best practice, we increase productivity and reduce variation, which should improve patient outcomes. Putting research into practice: our strong links with academia mean we are uniquely placed to support the translation of research into clinical practice. Collaborating on national programmes: our unified programmes focus on delivery of the SBRI Healthcare initiative supporting small-to-medium enterprises, the NHS Innovation Accelerator, Patient Safety Collaboratives and medicines optimisation. Our licence from NHS England sets our four broad objectives: • Focus on the needs of patients and local populations • Build a culture of partnership and collaboration • Speed up adoption of innovation into practice to improve clinical outcomes and patient experience • Create wealth through co-development, testing, evaluation and early adoption More information can be found the AHSNs can be found on the AHSN Network website at www.ahsnnetwork.com 31wessexahsn.org.uk " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-31-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-31-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-31-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-31-320.jpg" sizes="100vw"/></div></div></div><div><div id="slide32" class="VerticalSlide_root__jU_9r slide-item" style="aspect-ratio:595 / 842" data-cy="slide-container"><div class="VerticalSlideImage_root__64KSA"><img id="slide-image-31" alt="2015/ 2016 @WessexAHSN wessexahsn.org.uk Find us: " class="vertical-slide-image VerticalSlideImage_image__VtE4p" data-testid="vertical-slide-image" loading="lazy" srcSet="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-32-320.jpg 320w, https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-32-638.jpg 638w, https://image.slidesharecdn.com/annualreport2016print-160726142222/75/Wessex-AHSN-Annual-Review-2015-16-32-2048.jpg 2048w" src="https://image.slidesharecdn.com/annualreport2016print-160726142222/85/Wessex-AHSN-Annual-Review-2015-16-32-320.jpg" sizes="100vw"/></div></div></div></div></div></div><div class="RelatedContent_root__29Np1"><div class="RelatedContent_wrapper__riU7l"><h2 class="Heading_heading__3MAvZ Heading_h2__f9yvs RelatedContent_title__QUhpL">More Related Content</h2><div></div><div></div><div id="between-recs-ad-1-container" class="freestar-ad-container FreestarAdContainer_root__qPPC_" style="--fallback-aspect-ratio:undefined / undefined"><div><div class="" id="between-recs-ad-1"></div></div></div><div></div><div id="between-recs-ad-2-container" class="freestar-ad-container FreestarAdContainer_root__qPPC_" style="--fallback-aspect-ratio:undefined / undefined"><div><div class="" id="between-recs-ad-2"></div></div></div><div></div><div></div></div></div><div class="Transcript_root__Vrf6Q"><h2 class="Transcript_title__YgAka"><span class="Icon_root__AjZyv" style="--size:24px"><span class="Icon_icon__4zzsG" style="mask-image:url(https://public.slidesharecdn.com/_next/static/media/file.5db1ba24.svg);background-color:currentColor"></span><span class="sr-only"></span></span>Wessex AHSN Annual Review 2015-16</h2><div><ul class="Transcript_list__faItj"><div><li>1. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#1">2015/ 2016 Improving health and creating </a> wealth in Wessex Wessex Academic Health Science Network Annual Review 2015/2016 @WessexAHSN wessexahsn.org.uk </li></div><div><li>2. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#2">The Board Members and </a> stakeholders Fiona Driscoll Chair, Wessex AHSN Richard Samuel Commissioning Member Chief Officer at Fareham & Gosport CCG and South Eastern Hampshire CCG Tony Horne University Member Project Director for the Faculty of Science at the University of Portsmouth Fiona Dalton Provider Member Chief Executive Officer at University Hospital Southampton NHS Foundation Trust Tim Thurston Commissioning Member Innovation Lead at West Hampshire CCG Phil Richardson Commissioning Member Director of Design at Dorset CCG Bill Gillespie Chief Executive, Wessex AHSN Iain Cameron University Member Professor of Obstetrics & Gynaecology and Dean of the Faculty of Medicine at the University of Southampton Karen Baker Provider Member Chief Executive Officer at Isle of Wight NHS Trust Alex Whitfield Provider Member Chief Operating Officer at Solent NHS Trust Tony Spotswood Provider Member Chief Executive at Royal Bournemouth & Christchurch NHS Foundation Trust NHS Trust Members Dorset County Hospital NHS Foundation Trust Dorset Healthcare University NHS Foundation Trust Hampshire Hospitals NHS Foundation Trust Isle of Wight NHS Trust Poole Hospital NHS Foundation Trust Portsmouth Hospitals NHS Trust Salisbury NHS Foundation Trust Solent NHS Trust Southern Health NHS Foundation Trust The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust University Hospital Southampton NHS Foundation Trust Member Universities Bournemouth University Southampton Solent University University of Portsmouth University of Southampton University of Winchester Clinical Commissioning Group Members Dorset CCG Fareham and Gosport CCG Isle of Wight CCG North Hampshire CCG North East Hampshire and Farnham CCG Portsmouth CCG South Eastern Hampshire CCG Southampton City CCG West Hampshire CCG Wiltshire CCG Stakeholders Clinical Research Network Health Education England (Wessex) NIHR CLAHRC Wessex Industry NHS England Wessex Area Team Strategic Clinical Networks Local authorities Third sector organisations 2 @WessexAHSN </li></div><div><li>3. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#3">The leadership team Fiona </a> Driscoll, Chair Fiona specialises in designing transformation strategies and operational plans to deliver successful outcomes across the public, private and third sectors. In the public sector, her work includes advice and support to Ministers and senior civil servants on cross-cutting programmes on efficiency, delivery, policy reform and IT strategy. Andy Burroughs, Director of Wealth and Enterprise Andy has 25 years’ experience in a variety of sales and marketing roles operating across the public and private sector, and most recently was Director of Business Development at Tamar Science Park in Plymouth. Before that he was Director of Business Development at Ipswich Hospital NHS Trust and spent 10 years at Microsoft. Dave Meehan, Director for Partnerships and Deputy CEO Dave has worked in the Wessex NHS for almost 40 years and held board positions for 20 years including Director and Managing Director of Clinical Services, Strategy, Service Improvement, Performance Management, Communications and Engagement. Caroline Powell, Director, Centre for Implementation Science Caroline is based at the University of Southampton, working with all Wessex partners. Her career spans medical research, health services audit and improvement and senior management roles in the public and third sector. Bill Gillespie, Chief Executive Bill is an experienced health manager who has worked at board level in health organisations in the UK and overseas for The last 15 years. Since returning to the UK in 2014, Bill has fulfilled a number of consultancy roles including support to the London Health Commission, South West London and St George’s Mental Health Trust, Katie Piper Foundation (health charity) and as Interim Regional Director of Specialised Commissioning for NHS England South, before starting with Wessex AHSN in January 2016. 3wessexahsn.org.uk </li></div><div><li>4. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#4">4 @WessexAHSN </a></li></div><div><li>5. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#5">Wessex Academic Health </a> Science Network (AHSN) is a member organisation. Our twenty-six members work with each other and with a broad range of stakeholders to support the creation of well-being and wealth in Wessex through making innovation happen at speed and scale. Our remit is clear: we connect NHS and academic organisations, local authorities, the third sector and industry. We help create the right conditions to facilitate change across whole health and social care economies, with a clear and consistent focus on citizens, service users and patients. As well as transforming services through innovation, we play an important role in generating economic growth. We enable companies to grow, and create jobs by supporting the NHS and industry to engage productively; and by meeting the health needs of our populations, we help people stay well and in work. This report highlights our progress across our major quality improvement programmes, innovation and wealth initiatives. It also outlines where we have worked closely with other AHSNs: a way of working which will benefit people across Wessex and beyond. We are fully aligned with NHS England’s Five Year Forward View and have a new business plan, which takes us to March 2018. At a time when policy makers are showing renewed interest in system change, Wessex AHSN is in a strong position to support our members on this journey. Our work does not belong to a small organisation called ‘Wessex AHSN’ but to the wider network which develops and delivers it. Behind each project sits multi-disciplinary and multi-partner, cross-sector collaborations that have one thing in common: they can imagine a better future for the patients and population of Wessex, and they have the determination to help bring that future about. This report demonstrates the depth and breadth of our work – not just across Wessex, but also our collaborations to address issues of national importance. 2015-16 was a very successful year for Wessex AHSN, and we look forward to delivering more innovation throughout 2016-17. 5 Fiona Driscoll Chair, Wessex AHSN Bill Gillespie Chief Executive, Wessex AHSN wessexahsn.org.uk Foreword </li></div><div><li>6. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#6">How we are </a> working with other AHSNs 6 Wessex AHSN is adopting the following programmes from other areas: Wessex AHSN is collaborating with other AHSNs in the following areas: Programme area Details Atrial Fibrillation Discussions with West of England AHSN regarding their similar project; aim to use their learning, particularly in relation to the New Medicines Service. Patient Safety Collaborative Considering adoption of West of England Shine Emergency Department (ED) checklist. Mental Health Utilised learning from Yorkshire and Humber AHSN’s Bradford Toolkit for improving physical health outcomes of people with severe mental illness. Shared their experiences and achievements with our local teams and applied learning to our Early Intervention in Psychosis programme to speed up progress. Medicines Optimisation Local adoption of the work of the PRECEPT project by West of England AHSN on administration of magnesium sulfate during premature labour. Complementary project on the purchase and use of safer magnesium sulfate products. Wealth programme Adopted a workshop on energy and sustainability from Oxford AHSN (April 2016). Programme area Details Nutrition Joint commissioning of a Hydration Toolkit with Kent Surrey Sussex (KSS) AHSN, following initial work by Dr Sarah O’Callaghan in North East Hampshire and Farnham Clinical Commissioning Group (CCG). KSS extending this work across their area. Toolkit to be shared more widely via our website as part of our Nutrition in Older People programme; collaborative working with voluntary sector organisations and local universities working in this field. Evaluation partner for AHSN NENC Healthcall project; providing advice and direction on the project evaluation and data analysis support. iSPACE dementia programme in primary care KSS AHSN rolling out significant elements of our iSPACE programme. They have also adopted and modified the audit tool to create different levels of accreditation (bronze, silver, gold). Sharing a webinar programme with Oxford AHSN to maximise reach. Atrial Fibrillation Working with UCL Partners to develop a community pharmacy competency package in collaboration with the Royal Pharmaceutical Society. Member of Atrial Fibrillation Association (AF) collaborative group, led by Yorkshire and Humber AHSN utilising its Innovation Exchange to share information (the group includes Atrial Fibrillation Association/Heart Arrhythmia Alliance). @WessexAHSN </li></div><div><li>7. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#7">7 Wessex AHSN is </a> actively promoting the work of other AHSNs, including work of NHS Innovation Acceleration (NIA) fellows in the following areas: Programme area Details Patient Safety Collaborative Sharing events and tools from other AHSNs via email with our network of project managers across Wessex. Mental Health Sharing programmes from other AHSNs with our stakeholders including Birmingham Rapid Assessment, Interface & Discharge (RAID) model, Liverpool Memory Box Dementia work and East Midlands AHSN Advance Planning for People with Bipolar Disorder. Medicines Optimisation Promotion of West of England AHSN work on administration of magnesium sulfate during premature labour. Wealth programme Actively promoting meetings and events hosted by other AHSNs, e.g. Assisted Living Action Network (ALAN) through our website and newsletters. Patient Safety Collaborative Wessex AHSN is part of the following collaboratives/clusters: Mental Health Collaborative – Wessex, West of England, KSS, South West and Oxford Mental Health Cluster – multiple AHSNs Emergency Laparotomy Collaborative – Wessex, West of England, KSS Patient Safety Collaborative Medicines Safety Cluster – multiple AHSNs Patient Safety Collaborative Sepsis Cluster – multiple AHSNs Patient Safety Collaborative Discharge Cluster – multiple AHSNs Joint procurement/development of a software platform (LIFE) with multiple AHSNs (approx. 10) to provide project documentation, extranet file sharing and network connectivity functionality at organisation, AHSN and national levels. Mental Health Collaborating with Imperial College Health Partners on psychosis pathway development. Sharing learning, challenges and solutions. Comparing outputs in similar areas (e.g. patient and carer experience/pathway design) to understand application to wider geography. Linking with Oxford AHSN on their Early Intervention in Psychosis Preparedness Programme (South of England), enabling access to information and support across Wessex to support achievement of the new Mental Health Access and Waiting Time Standards for Psychosis. Medicines Optimisation Lead for National AHSN Medicines Optimisation (MO) network with regular forums/meetings and subgroups on polypharmacy, AF and transfers of care which provide opportunities for information sharing. Development of national core data set for electronic referrals to community pharmacy with AHSN North East & North Cumbria, which has been shared for comment with all AHSN MO programmes and endorsed by Royal Pharmaceutical Society and National MO Network. Leading the development of polypharmacy comparators in collaboration with NHS Business Services Authority and Royal Pharmaceutical Society, with view to sharing outputs with National AHSN MO group and agreeing national datasets. Redesign of patient leaflet on Repeat Dispensing with Pharmaceutical Services Negotiating Committee (PSNC). Sharing work on insulin with Oxford AHSN. Wealth programme Driving Innovation through Collaboration event with AstraZeneca, DigitasLBi and other southern AHSNs. Working closely with other AHSNs through Directors of Wealth meetings. wessexahsn.org.uk </li></div><div><li>8. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#8">Wessex Life Science </a> Cluster (WLSC) The WLSC is committed to supporting the health and life science industry across Hampshire, the Isle of Wight, Dorset and south Wiltshire. During 2015, we launched the Wessex Life Science Cluster, comprising over 200 research active companies from across Wessex. Events, market briefings and export opportunities are available to members and a weekly podcast explores current funding opportunities. Where requests meet with our funding criteria, we have also provided seed funding to pump prime research with clear commercial potential. Our support for three projects in 2015 has so far resulted in further inward investment to Wessex of £3.9M, including a substantial amount of foreign direct investment from the US for work on Ebola vaccines, and significant investment from the Medical Research Council for work on Meningitis vaccines. To encourage innovative start-ups out of our hospitals and laboratories, our Health Innovation Programme (HIP), run in partnership with SETsquared, gives commercial mentoring, business planning advice and pitch-practice. In 2015, this three-day course attracted six entrepreneurs, three of whom have gone on to establish successful start-ups. In 2016, a further nine entrepreneurs benefited from the course. We closely monitor their progress, and providing ongoing support and assistance. Over 1,000hours of support 8 @WessexAHSN Find out more about the team at www.wessexlifescience.co.uk, on @WessexLifeSci or email info@wessexlifescience.net </li></div><div><li>9. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#9">9 Inward investment of £3.9m Search wessex.org.uk/videos for </a> improving wealth film We advise companies on their value proposition, business plans, funding strategy and understanding the NHS as a market place. We’ve provided over 1,000 hours of support, including 300 hours of 1:1 industry mentoring. wessexahsn.org.uk </li></div><div><li>10. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#10">Orthopaedic programme: better treatment </a> across Wessex through innovation and research This programme is improving orthopaedic outcomes for patients through research, commercial development and wealth creation. The focus is on delivering innovative orthopaedic and rehabilitation treatments which prolong and improve quality of life; promote independent living and reduce the burden of musculoskeletal degeneration. An initial £100K AHSN investment has meant industry- funded projects have started immediately, seeking research and development support using the new OrthoLab equipment and facilities at Bournemouth University. These new facilities have been funded from a successful Dorset Local Enterprise Partnership (LEP) local growth fund bid for £700k supported by the AHSN, and were fully operational by late spring 2016. The AHSN has also funded an expert OrthoLab technician who will help industry, the NHS and wider health sector, and academia, to access and operate the equipment within the OrthoLab. Wessex AHSN has partnered with the Institute for Life Sciences (IfLS) at the University of Southampton to support and deliver FortisNet across Wessex. In January 2016, nearly 70 leading clinicians, academics and industry experts working in the field of orthopaedics, prosthetics and assistive technologies gathered in Hampshire to launch the initiative. The aim is to develop a hub of expertise that will connect regional and national excellence in clinical practice, academic research and enterprise. Working with end users, FortisNet and its partners will work to create an effective pipeline of product development for stronger, active bodies. FortisNet is a unique, collaborative, interdisciplinary network in hard (bone and teeth) and soft (skin, muscle, cartilage) tissue that aims to develop a regional specialisation in musculoskeletal health. It should also create jobs, attract new business and retain skilled graduates locally. 10 Successful Local Growth Fund Bid for £700k @WessexAHSN ORIBUResearch Institute Orthopaedic Bournemouth University Search wessex.org.uk/videos for ORI film </li></div><div><li>11. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#11">Digital Health programme: looking </a> to healthcare of the future NHS England’s Five Year Forward View outlines the commitment to harness the information revolution. In response, the National Information Board (NIB) has set ambitious targets to enable digital technology and data to transform health and care, improve quality and reduce the current cost of health and care services. Over the past year, the AHSN has been working alongside member organisations to support the advancement of their digital transformation programmes, including the development of digital roadmaps and the publication of a Wessex-wide Interoperability Charter. We have also been working with stakeholders to review the use of the current shared care records within Wessex, and assess the content of undergraduate courses to determine the role technology could play in students’ learning. Following the success of a Wessex-wide Big Data event in April 2016 attended by approx 200 delegates, we will now turn our focus to working with our partners to show how we can use the wealth of data at our fingertips to improve the health and well-being of our local populations. 11wessexahsn.org.uk Search wessex.org.uk/videos for big data film </li></div><div><li>12. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#12">Mental Health: Wessex </a> TRIumPH – improving psychosis care through faster access to assessment and treatment Together with Southern Health NHS Foundation Trust, we have co-produced and implemented a best practice psychosis care pathway (TRIumPH – Treatment and Recovery In PsycHosis). The pathway outlines ambitious evidence-based standards for treatment, and specific timeframes for the delivery of care. Frontline staff report how beneficial having a clear pathway of care is to guiding their practice, and how useful it is for communicating expected standards throughout teams. Achievements in 2015/16: • Consensus across Hampshire on a best practice psychosis pathway • Implementation within four Early Intervention in Psychosis (EIP) teams throughout the region, covering a population of 1.3 million • Over 300 people have entered the pathway since June 2015 • Our most recent data shows that 66% of people are being assessed within seven days, and 96% within two weeks (from a baseline of 36% and 59%) • We’re cutting inequality and variation across Wessex. For example, increasing numbers of people are receiving a NICE compliant physical health assessment, working towards reducing the 15-20 year mortality gap for those experiencing a severe mental illness 66%patients assessed within seven days 96%patients assessed within two weeks 12 @WessexAHSN Search wessex.org.uk/videos for psychosis film </li></div><div><li>13. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#13">Dementia: supporting Wessex </a> GPs to improve dementia care The dementia workstream had a very successful year. From an initial target of 40, the programme is supporting 120 GP surgeries across Wessex to become dementia friendly. 24 surgeries have been accredited, with the others working towards this. So far, surgeries have implemented: • Clear signposting in and out of the consulting rooms • Pictorial signs to key facilities such as the toilets • Photographs of staff on consulting room doors • Inviting carers to the surgery to meet other carers and share knowledge and experiences • Inviting local voluntary organisations to hold clinics in the surgery to raise awareness of dementia and caring • People living with dementia and their carers doing ‘mystery shopping’ surgery evaluations • Increased attendance at patient participation group meetings, with up to five times the usual number of people keen to learn more about dementia For hospitals, the acute care development programme has resulted in a final report and a resource toolkit. Three dementia champion conferences were extremely successful and a model for holding these conferences has been developed. Supporting 120 GP surgeries 24 accredited surgeries 13wessexahsn.org.uk Search wessex.org.uk/videos for ispace dementia </li></div><div><li>14. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#14">Respiratory: improving lung </a> health across Wessex This programme has improved lung health, and supported related research, commercial development and wealth creation during 2015/16. The focus has been on delivering interventions which prolong life, improve quality of life, promote independent living and reduce the burden of respiratory disease. Through our innovative testing and piloting of tools, techniques and service redesign we have: • Improved early accurate diagnosis of respiratory disease for over 1,000 patients • Increased effective self-management and patient education for over 3,000 patients • Improved access to, and use of, pulmonary rehabilitation for 100 patients • Reduced inequalities and variation in patient services across Wessex • Improved patient experience of care for over 3,000 patients, one of whom shared her experiences on BBC Radio Solent • Improved patients’ quality of life as measured by quality-adjusted life years (QALYs) for over 3,000 patients • Improved access to specialist services across all of Wessex, and improved skills and practices of healthcare professionals through mentorships clinics throughout both primary and secondary care • Developed effective service pathways for respiratory care, one of which has grown into MISSION ABC and is now incorporated into an NHS England Vanguard site. We have also generated opportunities for patients to take part in research and clinical trials for new asthma and Chronic Obstructive Pulmonary Disease (COPD) drugs and technologies. Winner! of the Value and Improvement in Use of Diagnostics category at the HSJ Value in Healthcare Awards Improved early diagnosis of respiratory disease for over 1,000 patients Improved patient quality of life as measured by QALYs for over 3,000 patients 14 @WessexAHSN Search wessex.org.uk/videos for mission copd film </li></div><div><li>15. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#15">Nutrition: tackling undernutrition </a> in older people This programme aims to be a catalyst for good nutritional care in the community including screening, prevention and treatment of undernutrition. At present, almost 80,000 older people in Wessex are undernourished, with 93% of these living at home. Tackling undernutrition in older people, across both health and social care, is important for the individual and the NHS. The cost of care for an undernourished person is 2-3 times greater than for those who are well-nourished, due to increased hospital admissions, increased length of stay, increased dependency and care needs, greater number of GP visits and prescriptions. In 2015/16: • In our initial pilots (Purbeck and Eastleigh), 900 older people have been screened, with 24% found to be at risk of undernutrition. Helping these people not only improves their health, but could also save the health system £288k. The programme is now extending these pilots to other areas of Dorset; and looking at new screening approaches in Hampshire • 254 health and social care professionals trained, plus awareness sessions held for voluntary sector and general public • A nutrition toolkit has been published to support other organisations in implementing good nutritional care initiatives: generic care pathways for good nutritional care in the community; evaluation framework; awareness leaflet (over 1,500 views) and posters; and training packages for health, social care, and voluntary sector workers • 120 people attended the successful conference run in September 2015, ’Perspectives on Malnutrition’ 19wessexahsn.org.uk 900 older people have been screened Potential cost avoidance of £288k 15wessexahsn.org.uk Search wessex.org.uk/videos for nutritional care </li></div><div><li>16. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#16">16 Accelerator Fund projects </a> in 2015/2016 The AHSN has continued to review and support our Accelerator Fund projects over the past year: • Ongoing development of an innovative decision aid tool (HEADMAT™) for GPs to improve management of headaches (at West Hampshire CCG) • Establishment of a regional frozen faecal donor bank to treat recurrent Clostridium Difficile Infections (CDI) (at Portsmouth Hospitals NHS Trust) – see case study • Significant progress on development of a virtual reality hip replacement simulator which is now ready for clinical testing (at Bournemouth University) • At least 30 individuals with learning disabilities benefiting from ‘Life beyond Services’ and the associated Best Buddies scheme (at Southern Health NHS Foundation Trust) • Application of an electronic prescribing solution for at least 40 children with leukaemia resulting in fewer prescribing errors, improved patient safety and experience (at University Hospital Southampton NHS Foundation Trust and associated centres) • Piloting and ongoing evaluation of WebGP for online consultations in GP practices and in the southern Vanguard sites; over 150 online consultations have taken place. Recommendations from a focus group and interviews with staff involved with the WebGP pilot will be included in a report to be shared with other GP practices • Ongoing development of MicroGuide decision support software to improve medicines optimisation in the treatment of patients with infection and reduce antibiotic resistance (at University Hospital Southampton NHS Foundation Trust) • Over 1000 people with diabetes have participated in conversations about foot care to prevent complications. The ‘scratch card’ scheme has been provided by 27 community pharmacies; 12% of patients referred on for further investigation (at West Hampshire CCG) • Eleven volunteer ‘signposters’ have helped people in Gosport to access voluntary and community services in Gosport, extending to three more surgeries in the coming year (NHS Fareham Gosport CCG and Gosport Voluntary Action) • Ongoing development of ‘Neuravatar’, a virtual assistant to help diagnosis of neurological problems (at Royal Bournemouth Christchurch Hospitals NHS Foundation Trust, Poole Hospital NHS Foundation Trust and Bournemouth University) @WessexAHSN </li></div><div><li>17. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#17">17 Case study: tackling </a> C-Diff infections in Wessex Clostridium Difficile infections (CDI) are common. Approximately 5% of people carry C.difficile in their gut, and are therefore at risk of developing CDI if the balance of bacteria gut is disrupted. CDI is a major cause of morbidity and mortality, contributing to prolonged hospital stays. • CDI becomes chronic infection in approximately 22% of cases, with limited effective, cost effective treatment available for this cohort • It is the cause of death in around 2,500 patients annually in England and Wales and is a contributing factor in a further 3,200 deaths • The one year all-cause mortality rate for CDI is 37% and the costs for each CDI case are between £5,000 and £10,000. Faecal Microbiota Transplantation (FMT) involves inserting screened faecal matter from a healthy donor into a recipient with CDI, into the small intestine. Restoring the balance of bacteria within the gut tackles, and cures, CDI. Wessex AHSN has supported the development of a regional frozen faecal donor bank to support effective treatment of recurrent CDI at Portsmouth Hospitals NHS Trust. The bank is being used by several hospitals across the Wessex patch. • Since July 2015, 23 patients have received a FMT with positive outcomes to date, pending formal evaluation • The FMT bank intends to treat 30 patients within a year of operation, with an expected cure rate of 94% compared to 31% for standard CDI therapy Given mortality rates of alternative treatment options, the project is expected to save nine lives per year. In the coming year, we will continue to support and develop the partnership. An economic evaluation is underway to establish the full potential for FMT to save lives and NHS resources if scaled beyond Wessex. wessexahsn.org.uk </li></div><div><li>18. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#18">Reducing Harm from </a> Alcohol: helping Wessex know its numbers In 2015/16: • The first Alcohol Related Liver Disease (ARLD) project started at Hampshire Hospitals NHS Foundation Trust. Screening for alcohol use has increased from 2.5% to 42% of all patients attending the Acute Medical Unit • Know Your Numbers (KYN) at University Hospital Southampton NHS Foundation Trust has seen an increase in staff knowledge of alcohol units from 2.5% to 70% in those who received the KYN training (200 people) • We developed Drink Informed educational materials for professionals and patients • We developed regional alcohol admission data to assist commissioners with easy-to-use data to help improve services • We created a regional network of alcohol leads within six acute hospital trusts across Wessex, providing vital data on 25,000 admissions to develop and plan services to meet patient need • Soberistas – we researched this innovative social network for women which addresses problematic drinking. More than 60% of participants surveyed have had a drinking problem for over 10 years, and 50% of those surveyed live with children. Forty-five percent stopped drinking or maintained abstinence since joining the site. We produced a series of videos to draw attention to home drinking issues and Soberistas support; they have been viewed nearly 1500 times. The AHSN’s involvement meant that Soberistas is now listed on the high- profile NHS Choices website. Alcohol screening increased from 2.5% from to 42% 18 60% of survey participants have had an alcohol problem for over 10 years 45% stopped or abstained from drinking since joining Soberistas @WessexAHSN </li></div><div><li>19. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#19">Over the next </a> two years, the Alcohol Related Liver Disease (ARLD) pathway piloted at Hampshire Hospitals NHS Foundation Trust will be spread across Wessex to reduce dependence on NHS services, and cut the mortality rate for high-risk drinking adults wessexahsn.org.uk 19 Search wessex.org.uk/videos for reducing alcohol harm </li></div><div><li>20. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#20">Wessex Primary Care </a> Project: helping GP surgeries’ workforce Across the UK, demands on general practice are increasing annually yet the extent of growth in activity is rarely documented. The workforce is also falling below demand: fewer young doctors are becoming GPs whilst many existing GPs are reducing hours, retiring early or leaving the profession. This project started in September 2015 to identify the impact across Wessex and to recommend how capacity may be improved. The project will also assess how other clinical professionals could work within general practice and alleviate increasing demand for GP services. To date, we have: • Established a baseline of the Wessex primary care workforce, estimated current demand and modelled future demand • Developed recommendations for recruitment and retention of GP trainees. Final year trainees are being surveyed to establish their intentions for the next five years • Surveyed GPs to identify a potential additional workforce, showing that 35% of GP appointments could be undertaken by a different clinical professional • Researched availability of this workforce • Identified different workforce models in use across the UK and compiled data ready for analysis. Documented these models and their effectiveness using a scalable cost-benefit analysis tool • Shared draft reports and survey results with Wessex Clinical Senate and Health Education England Wessex Mental Health Taskforce: helping to recruit and retain mental health staff In common with the rest of the UK, the Wessex region is experiencing challenges in both the recruitment and retention of mental health staff. Trusts report a shortfall of 135 Full-Time Equivalent nursing posts across the region. Nationally, 18% of psychiatry doctor core training posts are unfilled, and psychiatry has the highest training drop-out rate of any medical speciality. Our Mental Health Taskforce project was established to research and develop solutions to overcome and/or impact on these shortfalls with an overall project aim of increasing recruitment and retention across Wessex. In 2015-16, the Taskforce has seen the development of an Associates Programme which improves the skills of participants and starts projects which will benefit the employing organisation; and at the same time, improves recruitment and retention. One of the projects within the programme is leading to a review of out of hours competency, with additional work to support the development, and confidence levels, of mental health staff. 20 @WessexAHSN </li></div><div><li>21. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#21">Wessex Genomics Medicine </a> Centre celebrates a very successful first year Wessex AHSN supports NHS England’s personalised medicine agenda through close collaboration with the 100,000 Genomes Project, led locally by the Wessex NHS Genomic Medicine Centre (GMC) at University Hospital Southampton NHS Foundation Trust (UHS). Over the past year, the GMC has established a ‘next generation sequencing’ platform at UHS for rapid diagnosis and confirmation of cancers and rare diseases, a platform which, in turn, has received over £1m in grants for equipment. Over 300 patients have come forward for the 100,000 genomes project over the past year. This number is set to rise rapidly in the coming year as the AHSN has brought other hospitals into the project as Local Delivery Partners. In 2016-17, we look forward to the first results coming back to patients from the 100,000 genomes project, which will undoubtedly have a huge impact on their diagnosis and treatment. 21wessexahsn.org.uk To find out more about the Wessex NHS Genomics Medicine Centre, or to take part, please email genomicsrd@uhs.nhs.uk @WessexGMC #Genomes100K or visit uhs.nhs.uk/WessexGMC Search wessex.org.uk/videos for 100000 genomes </li></div><div><li>22. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#22">Medicines Optimisation (MO): </a> helping people get the most from their medicines This programme works with CCGs, trusts, patients, pharmacists and the pharmaceutical industry to achieve two key objectives: increasing use of services known to help patients get more from their medicines, and improving medication safety by addressing avoidable errors. In 2015/16: • A drive to increase the uptake of PINCER: an evidence-based audit tool which helps GPs to identify patients at risk of clinically-significant medication errors. Wessex is now the highest-performing AHSN in using this NICE- backed intervention, with 49% of practices in Wessex having downloaded the audit. Pharmaceutical company Boehringer Ingelheim funded and supported our Action Learning Sets and training events to increase the use of PINCER and also PRIMIS audits in primary care. • Medicines Optimisation on Transfer from Hospital (MOTE): Following ground-breaking work in the Isle of Wight and Newcastle, Dorset County Hospital has referred over 100 patients to their community pharmacy for a medication use review. This, and other work across the patch, has helped Wessex to become the third highest AHSN for percentage of pharmacies delivering Medicines Use Review services (85%) and fifth highest for the New Medicines Service. • Our work to increase the uptake of repeat dispensing across Wessex continues with over half a million more prescriptions delivered this way than last year, contributing to savings of over £275,000. This is more convenient for patients, with increased efficiency for GPs and pharmacists working together to manage the (growing) workload for repeat medicines. Our modelling shows that if we replace 80% of all repeat prescriptions with Electronic Prescribing, we would release 61 whole-time equivalent GPs across Wessex. • Our Magnesium Sulfate safety bulletin has been shared nationally, and is driving change across the patch with five out of seven Wessex hospital trusts now using the safer preparation. Magnesium sulfate is used in obstetrics to treat eclamptic seizures and to protect the brain of babies born before 30 weeks gestation. The magnesium sulfate preparation used required dilution which is both complex and risky. We developed a bulletin to raise awareness of the issues and have worked to ensure a safer ‘ready to use’ product is available. • Our aim to increase self-administration of insulin by some patients in hospital has led to the development of a toolkit to support hospital trusts in making this challenging medication safety change. • Our collaborative work with pharmaceutical partners shows what can be achieved when the NHS and the pharmaceutical industry work together for the benefit of patients. 22 @WessexAHSN Use of Repeat Dispensing has the potential to release practice time equivalent to 61 full time GPs across Wessex Repeat Dispensing contributed to £275k </li></div><div><li>23. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#23">Spotlight on: Clare Howard, Wessex </a> Clinical Lead for medicines optimisation What inspired you to work with the AHSN? I had been involved in the development of the national medicines optimisation strategy, but for me, there’s something very exciting about working locally to actually deliver demonstrable improvements in the services that patients get to help them use the medicines or in putting new processes in place to make the taking of medicines safer for patients. What is the clinical need for the work? Prescribing a medicine or medicines remains the most frequent intervention made by the NHS. Getting the most from medicines for both patients and the NHS is becoming increasingly important. Evidence shows us that between 30 and 50% of medicines prescribed for long-term conditions are not taken as intended. Many, many people take medicines and the number of medicines that each person takes is increasing. Between 2003 and 2013 the average number of prescription items per year for any one person increased from 13 to 19. So it’s vital patients get the right medicines, they understand how to use them safely and effectively, and that they know where to go for support. What’s been the most challenging aspect? At the start when AHSNs were relatively new organisations, I think some local organisations perhaps weren’t sure what the AHSN was and what it was aiming to do. However, through our fabulous Professional Advisory Group and by working with pharmacy organisations across the patch, that isn’t an issue now, and we have had great support from local hospitals, CCGs and pharmacy organisations as well as the pharmaceutical Industry. We have two wonderful patients on our group who challenge us and support us in equal measure. It’s a team effort! What are you proudest of? I’m proud that the national performance data shows strong improvement in our region’s medicines optimisation. But for me, the best moments have been when local GPs or pharmacists or people working in CCGs and hospitals have approached us to help with their work and we have been able to help and support them to make good projects work well. What’s in store for 2016/17? We have ambitious goals to drive up the levels of Repeat Dispensing, New Medicines Service and Medicines use Reviews across the patch. We will also have some hard work to do to make transfer of care i.e. when patients move between care setting (such as going into hospital and then back home) much safer and less confusing for patients. Changes to patients medicines can cause all kinds of confusion and issues when the patient gets home. We want Wessex to lead the way in helping patients when they get home to understand their medicines and know where to get help. 23wessexahsn.org.uk </li></div><div><li>24. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#24">Atrial Fibrillation (AF): reducing </a> stroke across Wessex Over the past year, the programme has seen fantastic engagement and results from using anticoagulants in Atrial Fibrillation. Two stakeholder and 30 further education and training events have created a network; and the programme has delivered a 67% increase in anticoagulant prescribing across Wessex, with 60% of providers showing a reduction in stroke plus a 17% reduction in the variation in exception reporting. In the West Hampshire CCG area, supported by the AHSN, 51 practices were enabled to use PRIMIS audit tools to identify at-risk patients. The AHSN also helped to introduce WatchBP devices, which help to detect possible AF more accurately than using a person’s wrist pulse. This demonstrated a reduction of 47 strokes in eight months, saving the NHS an estimated £2m. This work was shortlisted for a HSJ Value in Healthcare award, and it won a Quality in Anticoagulation award for the development of nurse-led anticoagulation services with Salisbury NHS Foundation Trust. In addition, 67% of patients reviewed by the specialist outreach service report a positive influence on their care. The team has also built strong links with pharmaceutical industry and the Royal Pharmaceutical Society for future projects. 24 67% increase in anticoagulant prescribing across Wessex 60% of providers showing a reduction in stroke Winner! of the Quality in Anticoagulation award for the development of nurse-led anticoagulation services with Salisbury NHS Foundation Trust @WessexAHSN Search wessex.org.uk/videos for atrial fibrillation </li></div><div><li>25. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#25">25 Spreading healthcare innovation across </a> Wessex So we are able to spread the innovations outlined in this Annual Review at scale and pace across Wessex and beyond, a dedicated team was established in November 2015 to support our programmes in spread and scaling up activities. Some examples of this work are: • Development of an evidence based, systematic approach to help innovators accelerate spread and adoption of best practice. The guidelines contain advice on how to evaluate, how to prepare for scaling up, how to assess potential and opportunities, plus network and communication and engagement planning • Modelling the health and wealth benefits of our high impact programmes to identify the opportunities for our members and others, including working with the Vanguards on deployment, evaluation and spread of new models of care • Submission of a joint test bed proposal with Oxford AHSN. Whilst unsuccessful, the proposed innovation in respiratory care will be piloted in South East Hampshire in 2016/2017 • Collaboration with other AHSNs to share learning and ideas on new pathway development (e.g. in mental health), toolkit development (e.g. in nutrition), patient safety initiatives, evaluation frameworks for medicines use, and to spread our dementia intervention in primary care. These collaborations have involved at least ten other AHSNs and at least 20 different projects. A support package for spread will form part of our pledge to large-scale system change through the Sustainability Transformation Plans (STPs) and Vanguards’ new models of care in 2016/2017. wessexahsn.org.uk </li></div><div><li>26. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#26">26 The Centre for </a> Implementation Science (CIS) Based at the University of Southampton, the CIS brings together cross-disciplinary skills and expertise from across the five Wessex universities to support the AHSN and its quality improvement programmes, including: • New models of primary care consultations: Evaluation of how online systems may be used to improve patient access to care, reduce primary care workload and improve patient satisfaction • CIS has supported Vanguard sites across Wessex develop their plans for evaluation, including establishing a network group to share approaches and best practice • Leading the Vanguard Evaluation Steering Group, working with sites across Wessex to support the formation of New Care Models. This work has a regional focus with potential for national application • Alcohol: production of an interactive dashboard for alcohol related indicators for each local authority area and CCG in Wessex. Development and delivery of alcohol related liver disease (ARLD) data packs detailing the local baseline; development of Wessex-wide ARLD admission data pack to stimulate local adoption of treatment pathways • Analysing and visualising national data to provide the local picture from the patients’ perspective • Supporting the evaluation of undernutrition projects, providing evidence in an area where limited data exists. This includes quality of life measures and assessment of service utilisation • Using data analysis and visualisation to identify and scope needs • Respiratory case finding and screening for patients with Chronic Obstructive Pulmonary Disease: Evaluation conducted and presented by CIS with additional input from University of Portsmouth. Other respiratory service evaluations to incorporate staff and patient feedback and cost benefit analysis The team has also created an interactive data dashboard and dedicated database for Trusts this year with initial work focused upon reducing harm from alcohol, with scope to apply this expertise to the other quality improvement programmes and priority NHS areas. Created using data at both national and local levels, the CIS built a sophisticated picture of health in the region over the past year; giving decision-makers valuable service modelling tools to help meet future health challenges. The development of an Endoscopy Service Planning Tool and a Colorectal Cancer Diagnostic Pathway has brought together patient journey data to help providers plan improvements and accommodate the projected increase in demand for endoscopy services. Our system modelling has identified how endoscopy suites can increase capacity by up to 10% and reduce patient waiting times. The team’s Wessex-wide model can outline the capacity and demand of all diagnostic services for cancer pathways, giving providers the opportunity to identify areas where improvements to the patient experience and service efficiencies can be made. @WessexAHSN Find out more about the CIS team at www.southampton.ac.uk/wessexcis, on @WessexCIS or call (023) 8059 7845 </li></div><div><li>27. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#27">27 “I would like </a> to thank the CIS team for their huge contribution to our demand and capacity planning work in cancer diagnostics during the past year. Without their knowledge, enthusiasm and good humour, we would not have been able to make as much progress in understanding how to plan for the future of endoscopy services in Wessex.” Matthew Hayes, Clinical Director SCN Cancer, NHS England (Wessex) wessexahsn.org.uk </li></div><div><li>28. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#28">Wessex Patient Safety </a> Collaborative (PSC) Wessex Patient Safety Collaborative (PSC) supports capacity and capability building in patient safety and quality improvement by networking, connecting and sharing across the region, in alignment with the national Sign up to Safety campaign. Sepsis and Transfers Collaborative: In 2015/16, the PSC focused on the topics of sepsis and transfers of care, using the Institute for Healthcare Improvement Series (BTS) methodology. Twenty-two teams from 13 organisations took part in Learning Events throughout the year, with over 200 people participating. Improvement teams developed their quality improvement knowledge and skills to support each other and spread good practice. Between events, teams used the Model for Improvement (including Plan, Do, Study, Act cycles) to test small changes in practice and at the close of the Collaborative showcased their achievements. Other PSC projects include the Emergency Laparotomy Collaborative, a two-year project that aims to save 1000 lives across three AHSNs using a care bundle approach to surgical care. Teams from eight hospitals in Wessex are engaged and review their progress using outcome data. The PSC is also supporting primary care to develop a model safety practice framework. To further support improvement in Wessex the Patient Safety Support Fund was launched in early 2016 and has allocated over £30k to 13 patient safety projects across six organisations. Recognising the importance of medicines safety the PSC leads the Medicine Safety Cluster which provides a national forum for information exchange, learning and accelerated adoption and spread. Working with patients and partners the PSC actively promoted patient involvement in developing ARISE, a toolkit to support patient engagement in service development. To support leaders and boards, workshops on Human Factors and Ergonomics were delivered across Wessex. Finally the Wessex Community of Safety and Improvement Practice (CSIP) was launched to provide further opportunity to connect, share and learn. Together with HEE (Wessex) the PSC hosted the inaugural Wessex CSIP conference, focusing on patient safety, attended by 240 staff and patients. The community is supported by LIFE, a networking platform, to help individuals and teams manage, deliver and share their improvement projects and resources across Wessex and the wider AHSN network. 270 CSIP members 28 £30k given to 13 patient safety projects @WessexAHSN “The most important single change in the NHS… would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.” Don Berwick, A promise to learn – a commitment to act (2013) Search wessex.org.uk/videos for emergency laparotomy </li></div><div><li>29. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#29">Spotlight on: Professor Jane </a> Reid, Clinical Lead for Wessex Patient Safety Collaborative and Regional Lead for Sign up to Safety (south) What inspired you to work with the Wessex AHSN? I have been engaged in ‘safety’ on a national and international platform for many years, so the opportunity to bring that experience, and to influence, grow and learn more on my local patch was an absolute gift. Since I started with the AHSN, it has been a true privilege. What is the clinical need for the work? We have to make a significant advance on safety improvement through the application of safety and implementation science. We need to equip frontline staff (on whom the quality of care ultimately depends) with the skills and knowledge to tackle harm, and a fair and just culture. How do you think the AHSN’s work will benefit patients? Wessex AHSN is promoting innovation, learning and best practice through spread, adoption and sustainable patient outcomes, and care experiences are being positively impacted. What’s been the most challenging aspect? Making sure reach and penetration is being achieved across the Wessex footprint. All NHS organisations are working within significant financial constraints - and the PSC provides a fantastic ‘offer’ - but our impact is dependent on many people being released to engage and work with us. What are you proudest of? Assuring a strong patient voice and influence in our work. 29wessexahsn.org.uk </li></div><div><li>30. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#30">The AHSN national </a> footprint 30 North East and North Cumbria Yorkshire and Humber East Midlands Eastern UCL Partners Health Innovation Network Kent Surrey Sussex Wessex South West West of England West Midlands Greater Manchester Innovation Agency Oxford Imperial College Health Partners Note: East Lancashire Hospitals NHS Trust sits with Greater Manchester @WessexAHSN </li></div><div><li>31. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#31">About the AHSNs AHSNs </a> are flexible regional organisations. We have a small staff base but use our extended networks across regions to achieve great impacts for our partners. Our impact rests in our ability to bring people, resources and organisations together quickly, delivering benefits that could not be achieved without these connections. Each AHSN works within its own geographical area to develop projects and programmes which reflect the diversity of our local populations and healthcare challenges. However, we all share the following priorities: Promoting economic growth: fostering opportunities for industry to work effectively with the NHS. Diffusing innovation: creating the right environment, and supporting collaboration across boundaries, to adopt and spread innovation at pace and scale. Improving patient safety: using our knowledge, expertise and networks to bring together patients, healthcare staff and partners to determine priorities and develop and implement solutions. Optimising medicine use: ensuring that medication is used to its maximum benefit – improving safety and making efficient use of NHS resources. Improving quality and reducing variation: by spreading best practice, we increase productivity and reduce variation, which should improve patient outcomes. Putting research into practice: our strong links with academia mean we are uniquely placed to support the translation of research into clinical practice. Collaborating on national programmes: our unified programmes focus on delivery of the SBRI Healthcare initiative supporting small-to-medium enterprises, the NHS Innovation Accelerator, Patient Safety Collaboratives and medicines optimisation. Our licence from NHS England sets our four broad objectives: • Focus on the needs of patients and local populations • Build a culture of partnership and collaboration • Speed up adoption of innovation into practice to improve clinical outcomes and patient experience • Create wealth through co-development, testing, evaluation and early adoption More information can be found the AHSNs can be found on the AHSN Network website at www.ahsnnetwork.com 31wessexahsn.org.uk </li></div><div><li>32. <a class="Transcript_link__MLbGS" href="https://www.slideshare.net/slideshow/wessex-ahsn-annual-review-201516/64399105#32">2015/ 2016 @WessexAHSN wessexahsn.org.uk Find us: </a></li></div></ul></div></div><div class="actions-menu-container ActionsMenu_root__4k507" data-cy="actions-menu-mobile"><div class="Tooltip_triggerWrapper___S2HG"><button type="button" class="Button_root__i1yp0 Button_secondary__hHiHI Button_text__ZT_3O Button_small__sqsEx Button_icon__1C4qi save-button" data-testid="button" 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The global market for kidney failure treatments continues to evolve, driven by an aging population, increasing prevalence of chronic kidney disease (CKD), and advancements in medical devices and therapies.\nThis article explores the latest advancements in acute kidney injury treatment market, highlights key market trends, and examines the challenges and opportunities shaping this critical healthcare sector.\n________________________________________\n","tags":["acute kidney injury treatment"],"url":"https://www.slideshare.net/slideshow/life-saving-treatments-for-kidney-failure-advancements-and-market-trends/273580068","userLogin":"ganeshdukare428","userName":"ganeshdukare428","viewCount":37},{"algorithmId":"4","displayTitle":"DEFINITION, CLASSIFICATION, PROPERTIES AND IDENTIFICATION TESTS FOR TANNINS.pptx","isSavedByCurrentUser":false,"pageCount":12,"score":0,"slideshowId":"273650237","sourceName":"LATEST","strippedTitle":"definition-classification-properties-and-identification-tests-for-tannins-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/tannins-241127151732-42aff6db-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Tannins are complex organic, non-nitrogenous, polyphenolic compounds of large molecular weight.\nThese are an important group of secondary plant metabolites that were originally used in the leather production industry in the tanning of animal hides and skin.\n\n","tags":["pharmacognosy","tannins","secondary metabolites"],"url":"https://www.slideshare.net/slideshow/definition-classification-properties-and-identification-tests-for-tannins-pptx/273650237","userLogin":"HODDPharmacy","userName":"HODDPharmacy","viewCount":191},{"algorithmId":"4","displayTitle":"12. QA \u0026 QC Conventional and Digital Radiography by Ravindra Kumar .pptx","isSavedByCurrentUser":false,"pageCount":127,"score":0,"slideshowId":"273756090","sourceName":"LATEST","strippedTitle":"12-qa-qc-conventional-and-digital-radiography-by-ravindra-kumar-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/12-241201171907-c06d004c-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Radiology's contribution to better diagnosis and treatments is evident. In parallel, efforts were oriented towards improving and controlling equipment. \nThe importance of quality assurance (QA) of diagnostic X-ray equipment is well recognized. Application of QA program is very important when optimization of image quality and reduction of patient exposure is desired.\nQuality Assurance (QA) of medical diagnostic x-ray equipment means systematic actions necessary to provide adequate confidence to the end-user(s) that a medical diagnostic x-ray equipment will perform satisfactory in compliance with safety standards specified by the Competent Authority. \nThe goal of QA Program is to ensure the accuracy of the diagnosis. The purpose of Quality assurance and Quality control is to\n1.\tMinimize the radiation dose to the patient \n2.\tIncreasing the life span of the equipment \n3.\tProvide maximum good quality images.\nThe Quality Control (QC) is a central part of QA program, which deals with Equipment Maintenance and Monitoring. \n1. Responsibility\n2. Evaluations \n3. Purchase specifications \n4. Standards for Image Quality\n5. Monitoring and Maintenance\n6. Training \n 7. Committee\n8. Records \n9. Manual\n10. Review.\nQA in Digital Radiography: Digital radiography systems have replaced traditional analogue or screen-film systems.\nCR System: CR technology uses an indirect conversion process using a two-stage technique.\nDR System: Direct-conversion detectors have an X-ray photoconductor, such as amorphous selenium (a-Se), that converts directly at only one stage X-ray photons into electric charges.\nIndirect-conversion systems use a two-stage technique for conversion. They have a scintillator, such as caesium iodide (CsI) that converts X-rays into visible light at the first stage. \n\nQuality Assurance Test in CR System :\nA. Daily Tests :\nImage Artifact Test\nReader Reboot\nImage Reader Visual Check\nInspection \u0026 Cleaning\nB. Quarterly Tests :\nLaser Jitter Test\nImaging Plate Cleaning\nRetake Image analysis\n\nC. Annual Test :\nIP Dark Noise Test\nUniformity Test.\n\nRegulatory Bodies for Equipment Standards :\n*The Bureau of Indian Standards (BIS) is the national Standards Body of India working under the Ministry of Consumer Affairs, Food \u0026 Public Distribution, Government of India. \nThese include representatives of various interests such as consumers, regulatory and other Government bodies, industry, scientists, technologists, testing organizations and consultants. \nThe manufacturers of diagnostic x-ray machines in the country are directed that each make/model of x-ray unit manufactured by them shall bear certification mark of the BIS issued by BIS.\n\nDigital radiography systems have been replacing the screen film system.\nDigital radiology requires some specific training to benefit of this new technique.\nImage quality and diagnostic information are closely related to patient dose. \nQuality assurance programs are essential in digital radiology due to the risk of increase.","tags":["qc and qa","conventional radiography","digital radiography"],"url":"https://www.slideshare.net/slideshow/12-qa-qc-conventional-and-digital-radiography-by-ravindra-kumar-pptx/273756090","userLogin":"RaviKumar415061","userName":"Ravindra Kumar","viewCount":9},{"algorithmId":"4","displayTitle":"11. USG AND ITS ADVANCEMENTS by Ravindra Kumar.pptx","isSavedByCurrentUser":false,"pageCount":107,"score":0,"slideshowId":"273735150","sourceName":"LATEST","strippedTitle":"11-usg-and-its-advancements-by-ravindra-kumar-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/11-241130150110-12f33fad-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Ultrasonography (USG) has undergone massive transformation in the last few decades and today plays a crucial role in the practice of most medical domains. \nAdvances in ultrasound technology include enhanced spatial, vascular and contrast resolution and various therapeutic options. \nNew transducers and emerging imaging allow real-time acquisition of large fields of view and even three-dimensional volumetric data. \nIn sonography, transducer, is the central component, which is responsible for both, generation of ultrasound beam and detection of returning echoes.\nHISTORY:Medical Ultrasound was developed after world war 2 from SONAR (Sound Navigation and Ranging) . \nOne of the first medical application was demonstrated by Dr George D Ludwig at Naval Medical Research institute, Maryland in 1947-1949. \nProperties of Ultrasound\nA Transducer is a device that convert one form of energy in to another form. In this case ultrasound transducer converts electric energy into mechanical energy and vice versa.\nIn diagnostic ultrasound, transducer serve two functions:\nIt converts the electric energy provided by the transmitter to the acoustic pulses directed in to the patient.\nThe transducer also serves as the receiver for reflected echoes, converting weak pressure changes into electric signals for processing. The application of an electric field or pressure changes their physical dimensions, and vice versa.\nThis is called the Piezoelectric effect.\nAdvancement in Transducer:1.Intracavitary Transducer and \n2. Intravascular Transducer.\nUltrasound gel is a type of conductive Medium.\nIt is placed on the patient’s skin at the beginning of the ultrasound examination.\nAir \u0026 other gases also impede sound waves, so to prevent the formation of air bubbles b/w the transducer \u0026 the patient’s skin gel is used.\nSince the time of invention ultrasonic image display has undergone several changes, these modes are:\nA-mode\nM-mode\nB-mode or grey-scale imaging\nUSG ARTIFACTS: Propagation-related (artifacts associated with multiple echoes) includes reverberation, comet tail, ring down, sidelobe and mirror image artifacts.\nDoppler The Doppler effect was first proposed by Christian Doppler, an Austrian physicist, in 1843.\n According to this effect, if there is relative motion between an object and an observer (receiver), the frequency of sound waves perceived by the observer (receiver) is different from that emitted/reflected by the object.\nThe information provided by a Doppler examination includes tpresence or absence of blood flow, direction of blood flow, type of blood flow (arterial high resistance/ venous, presence and quantification of arterial stenosis, etc.\nThe shifted frequency can be used to determine the relative velocity and the direction of these moving tissues. This effect is known as the Doppler principle.\nCWD: This is the simplest type of Doppler device that continuously both transmit and receive ultrasound.\nUltrasound technology continues to improve.","tags":["tharapeutic use of usg","scientific use of usg","doppler"],"url":"https://www.slideshare.net/slideshow/11-usg-and-its-advancements-by-ravindra-kumar-pptx/273735150","userLogin":"RaviKumar415061","userName":"Ravindra Kumar","viewCount":24},{"algorithmId":"4","displayTitle":"Essential Care of Newborn at Birth general ppt.pptx","isSavedByCurrentUser":false,"pageCount":22,"score":0,"slideshowId":"273563875","sourceName":"LATEST","strippedTitle":"essential-care-of-newborn-at-birth-general-ppt-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/essentialcareofnewbornatbirthgeneralppt-241124175031-7628f8b6-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Essential care of newborn","tags":[],"url":"https://www.slideshare.net/slideshow/essential-care-of-newborn-at-birth-general-ppt-pptx/273563875","userLogin":"savitasingh511973","userName":"savitasingh511973","viewCount":91},{"algorithmId":"4","displayTitle":"critical care seminar ppt with detailed exp","isSavedByCurrentUser":false,"pageCount":50,"score":0,"slideshowId":"273617669","sourceName":"LATEST","strippedTitle":"critical-care-seminar-ppt-with-detailed-exp","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/pptmine-241126143146-2e91f67d-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"critical care","tags":[],"url":"https://www.slideshare.net/slideshow/critical-care-seminar-ppt-with-detailed-exp/273617669","userLogin":"jinsigeorge","userName":"Soum Geo","viewCount":17},{"algorithmId":"4","displayTitle":"Dossier and Common Technical Document (CTD)","isSavedByCurrentUser":false,"pageCount":19,"score":0,"slideshowId":"273700015","sourceName":"LATEST","strippedTitle":"dossier-and-common-technical-document-ctd","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/dossierandctd-241129044207-b7220815-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"A dossier refers to a comprehensive collection of documents submitted to a regulatory authority to demonstrate that a product, such as a pharmaceutical drug, medical device, or cosmetic, meets the necessary requirements for approval. This may include data on safety, efficacy, quality, manufacturing processes, labeling, and compliance with applicable regulations.","tags":[],"url":"https://www.slideshare.net/slideshow/dossier-and-common-technical-document-ctd/273700015","userLogin":"bindiyachauhan87","userName":"Dr. Bindiya Chauhan","viewCount":64},{"algorithmId":"4","displayTitle":"00001: Perforator flaps of leg presentation to explain the basics. Share the ...","isSavedByCurrentUser":false,"pageCount":73,"score":0,"slideshowId":"273563695","sourceName":"LATEST","strippedTitle":"00001-perforator-flaps-of-leg-presentation-to-explain-the-basics-share-the-knowledge-motive-of-life","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/00001perforatorflapsofleg-241124173617-f8ed8f67-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Share the knowledge: Basics of Humanity\nHar Har Mahadev","tags":[],"url":"https://www.slideshare.net/slideshow/00001-perforator-flaps-of-leg-presentation-to-explain-the-basics-share-the-knowledge-motive-of-life/273563695","userLogin":"ShivamBeniwal3","userName":"Dr Shivam Beniwal","viewCount":86},{"algorithmId":"4","displayTitle":"Artificial Intelligence in Healthcare: Transforming the Practice of Medicine","isSavedByCurrentUser":false,"pageCount":9,"score":0,"slideshowId":"273673788","sourceName":"LATEST","strippedTitle":"artificial-intelligence-in-healthcare-transforming-the-practice-of-medicine","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/artificial-intelligence-in-healt-241128095225-cbce5e37-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Artificial Intelligence (AI) is rapidly transforming the healthcare industry, reshaping the way medical professionals diagnose, treat, and manage patient care. From advanced diagnostic tools to personalized treatment plans, AI is revolutionizing every aspect of healthcare, offering new opportunities for efficiency, accuracy, and better outcomes. With the ability to analyze vast amounts of data in real time, AI has the potential to drive innovation in ways that were previously unimaginable, benefiting both healthcare providers and patients alike. This presentation will explore the various ways in which AI is being integrated into healthcare systems and its profound impact on the practice of medicine.\n\nAI-Driven Diagnostics: Enhancing Accuracy and Speed\nOne of the most significant applications of AI in healthcare is its ability to assist in medical diagnostics. AI algorithms, particularly in the form of machine learning (ML) and deep learning (DL), are being used to analyze medical images, such as X-rays, CT scans, and MRIs, with incredible precision. AI systems can detect abnormalities or conditions (like tumors, fractures, or infections) that might be missed by the human eye, leading to earlier diagnoses and better patient outcomes. This technology is not only improving diagnostic accuracy but also speeding up the process, allowing for quicker decision-making and more timely interventions.\n\nAI-powered diagnostic tools can also be used in pathology, genomics, and lab testing. AI systems are helping clinicians identify patterns in patient data to predict conditions such as cancer, cardiovascular disease, and diabetes. By analyzing genomic data, AI is facilitating personalized medicine, where treatments are tailored to the individual patient based on their genetic makeup, medical history, and lifestyle factors.\n\nPersonalized Treatment and Precision Medicine\nAI is enabling a shift towards personalized treatment and precision medicine, where healthcare is tailored to the specific needs of each patient. By processing vast amounts of patient data, including electronic health records (EHRs), genetic data, and lifestyle factors, AI algorithms can help clinicians determine the most effective treatment options. This not only improves the likelihood of success but also reduces adverse effects and minimizes unnecessary treatments.\n\nFor instance, AI can assist in predicting how a patient will respond to specific medications, helping doctors select the right drug at the right dose. In oncology, AI is being used to create personalized cancer treatment plans, considering the unique genetic characteristics of each tumor. Additionally, AI can monitor patients in real-time, making adjustments to treatment protocols based on their evolving conditions, and alerting healthcare providers when intervention is needed.","tags":["health","healthcare","mental health"],"url":"https://www.slideshare.net/slideshow/artificial-intelligence-in-healthcare-transforming-the-practice-of-medicine/273673788","userLogin":"akshatp4","userName":"Shriffle Technologies","viewCount":43},{"algorithmId":"4","displayTitle":"Pharmacy Pioneers 5 Most Influential Chief Pharmacy Officers in Florida.pdf","isSavedByCurrentUser":false,"pageCount":15,"score":0,"slideshowId":"273578103","sourceName":"LATEST","strippedTitle":"pharmacy-pioneers-5-most-influential-chief-pharmacy-officers-in-florida-pdf","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/pharmacypioneers5mostinfluentialchiefpharmacyofficersinflorida-241125075947-684170e3-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"In this edition of Insights Care, Pharmacy Pioneers: 5 Most Influential Chief Pharmacy Officers in Florida, you will discover Most Influential Chief Pharmacy Officers\n","tags":["#bestonlinehealthcaremagazine","#healthcareinnovationmagazines","#onlinehealthcaremagazine"],"url":"https://www.slideshare.net/slideshow/pharmacy-pioneers-5-most-influential-chief-pharmacy-officers-in-florida-pdf/273578103","userLogin":"insightscare","userName":"insightscare","viewCount":10},{"algorithmId":"4","displayTitle":"Reimagining Pharmacy Operations with Advanced EHR and EMR Integration.pdf","isSavedByCurrentUser":false,"pageCount":11,"score":0,"slideshowId":"273612930","sourceName":"LATEST","strippedTitle":"reimagining-pharmacy-operations-with-advanced-ehr-and-emr-integration-pdf","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/reimaginingpharmacyoperationswithadvancedehrandemrintegration-241126111729-392b0101-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Revolutionize the way pharmacies work with cutting-edge EHR and EMR systems!\n\nHere's how this game-changing integration is transforming healthcare\n\n💊 Error-Free Prescriptions: Minimize errors and enhance patient safety.\n\n📊 Real-Time Data Access:\nMake informed decisions with up-to-date patient records.\n\n⚙️ Automated Workflows:\nSave time and boost operational efficiency.\n\n🤝 Seamless Collaboration:\nConnect effortlessly with healthcare teams for unified care.\n\n❤️ Enhanced Patient Satisfaction:\nDeliver personalized, fast, and reliable service.\n\n✅ Stay Compliant:\nMeet healthcare regulations with ease.\n\n🚀 Step into the future of pharmacy operations and unlock new possibilities for patient care.","tags":["#pharmacyinnovation 💊"],"url":"https://www.slideshare.net/slideshow/reimagining-pharmacy-operations-with-advanced-ehr-and-emr-integration-pdf/273612930","userLogin":"social60","userName":"Healthray Technologies Pvt. Ltd.","viewCount":79},{"algorithmId":"4","displayTitle":"Preeclampsia.pptx PRESENTED BY : MS. ANKITA LAL, ASSISTANT PROFESSOR, MANGALA...","isSavedByCurrentUser":false,"pageCount":20,"score":0,"slideshowId":"273611573","sourceName":"LATEST","strippedTitle":"preeclampsia-pptx-presented-by-ms-ankita-lal-assistant-professor-mangalayatan-university","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/preeclampsia-241126102714-c2194e6f-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Preeclampsia is one high blood pressure (hypertension) disorder that can occur during pregnancy. Other disorders can happen, too: Gestational hypertension is high blood pressure that begins after 20 weeks without problems in the kidneys or other organs. Some women with gestational hypertension may develop preeclampsia. Preeclampsia is one high blood pressure (hypertension) disorder that can occur during pregnancy. Other disorders can happen, too:\n\nGestational hypertension is high blood pressure that begins after 20 weeks without problems in the kidneys or other organs. Some women with gestational hypertension may develop preeclampsia.\nChronic hypertension is high blood pressure that was present before pregnancy or that occurs before 20 weeks of pregnancy. High blood pressure that continues more than three months after a pregnancy also is called chronic hypertension.\nChronic hypertension with superimposed preeclampsia occurs in women diagnosed with chronic high blood pressure before pregnancy, who then develop worsening high blood pressure and protein in the urine or other health complications during pregnancy.Risk factors\nConditions that are linked to a higher risk of preeclampsia include:\n\nPreeclampsia in a previous pregnancy\nBeing pregnant with more than one baby\nChronic high blood pressure (hypertension)\nType 1 or type 2 diabetes before pregnancy\nKidney disease\nAutoimmune disorders\nUse of in vitro fertilization\nConditions that are associated with a moderate risk of developing preeclampsia include:\n\nFirst pregnancy with current partner\nObesity\nFamily history of preeclampsia\nMaternal age of 35 or older\nComplications in a previous pregnancy\nMore than 10 years since previous pregnancy","tags":["mangalayatan university"],"url":"https://www.slideshare.net/slideshow/preeclampsia-pptx-presented-by-ms-ankita-lal-assistant-professor-mangalayatan-university/273611573","userLogin":"PrincessLiza2","userName":"Ankita Lal","viewCount":58},{"algorithmId":"4","displayTitle":"Examination of Arteriovenous fistula for Angioacess","isSavedByCurrentUser":false,"pageCount":25,"score":0,"slideshowId":"273556439","sourceName":"LATEST","strippedTitle":"examination-of-arteriovenous-fistula-for-angioacess","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/angioacess-241124081233-d62eeec9-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"The maintenance of vascular access for hemodialysis (HD) is one of the main challenges in caring for the person with end-stage renal disease on dialysis.\nThe AVF is considered unanimously by the scientific community of excellence for vascular access for HD treatment due to their prolonged patency and fewer complications. Several methods are described for the detection of complications of AVF, physical examination, intra-access blood flow, recirculation rate, venous pressure static, and dynamic venous pressure.\n","tags":["vascular surgury","nephrology","urology"],"url":"https://www.slideshare.net/slideshow/examination-of-arteriovenous-fistula-for-angioacess/273556439","userLogin":"KhanQayyumKhan","userName":"Dr Abdul Qayyum Khan","viewCount":54},{"algorithmId":"4","displayTitle":"Unlock the Secret to Weight Loss with an Anti-Inflammatory Diet.pptx","isSavedByCurrentUser":false,"pageCount":12,"score":0,"slideshowId":"273563850","sourceName":"LATEST","strippedTitle":"unlock-the-secret-to-weight-loss-with-an-anti-inflammatory-diet-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/unlockthesecrettoweightlosswithananti-inflammatorydiet-241124174812-2eb7b7ef-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Discover the ultimate guide to prebiotic foods that nourish your gut and support digestive health. 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Elevate your nutrition with these easy-to-add prebiotic powerhouses!","tags":[],"url":"https://www.slideshare.net/slideshow/unlock-the-secret-to-weight-loss-with-an-anti-inflammatory-diet-pptx/273563850","userLogin":"VijayRathod4","userName":"Ram Arya","viewCount":33},{"algorithmId":"4","displayTitle":"A Journey to Wellness: Your Guide to Healthy Living","isSavedByCurrentUser":false,"pageCount":8,"score":0,"slideshowId":"273558907","sourceName":"LATEST","strippedTitle":"a-journey-to-wellness-your-guide-to-healthy-living","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/ajourneytowellnessyourguidetohealthyliving-241124115152-94e7df95-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Embarking on a journey to wellness is a profound step towards a healthier, happier life. It’s a commitment to making positive choices that nurture your body, mind, and spirit.","tags":["wellness","shawn younessi","health"],"url":"https://www.slideshare.net/slideshow/a-journey-to-wellness-your-guide-to-healthy-living/273558907","userLogin":"shawnyounessibrand","userName":"Shawn Younessi","viewCount":11},{"algorithmId":"4","displayTitle":"ppt for micro-organisms By Anushri Srivastava.pptx","isSavedByCurrentUser":false,"pageCount":67,"score":0,"slideshowId":"273751510","sourceName":"LATEST","strippedTitle":"ppt-for-micro-organisms-by-anushri-srivastava-pptx","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/pptformicro-organisms-241201124044-1c4dd057-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Microorganisms are organisms cant be seen with naked eye\n","tags":["microbiology","microoorganisms","archea"],"url":"https://www.slideshare.net/slideshow/ppt-for-micro-organisms-by-anushri-srivastava-pptx/273751510","userLogin":"AnushriSrivastav","userName":"AnushriSrivastav","viewCount":15},{"algorithmId":"4","displayTitle":"fertilizationimplantaionandembryology-160317030547.ppt","isSavedByCurrentUser":false,"pageCount":70,"score":0,"slideshowId":"273572461","sourceName":"LATEST","strippedTitle":"fertilizationimplantaionandembryology-160317030547-ppt","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/fertilizationimplantaionandembryology-160317030547-241125040819-edc11c48-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Fertilization and implanatation","tags":[],"url":"https://www.slideshare.net/slideshow/fertilizationimplantaionandembryology-160317030547-ppt/273572461","userLogin":"SundipCharmode1","userName":"Sundip Charmode","viewCount":20},{"algorithmId":"4","displayTitle":"Ophthalmic \u0026 ENT PCD Pharma Franchise - opdenas Lifesciences","isSavedByCurrentUser":false,"pageCount":8,"score":0,"slideshowId":"273582006","sourceName":"LATEST","strippedTitle":"ophthalmic-ent-pcd-pharma-franchise-opdenas-lifesciences","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/slidesgo-202411251103186lpa-241125110441-0e82561d-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"The Ophthalmic product market in India is a rising star in the pharmaceutical market. The increasing number of eye problems has provided a massive opportunity for the eye drop company to develop in the coming years. If you're looking to get into this lucrative business then Come and be a part of the Ophthalmic PCD Pharma Franchise with Opdenas Lifesciences.","tags":["eye drops pcd pharma","best eye drops pcd pharma","opthalmic franchise"],"url":"https://www.slideshare.net/slideshow/ophthalmic-ent-pcd-pharma-franchise-opdenas-lifesciences/273582006","userLogin":"DivyaRani883590","userName":"DivyaRani883590","viewCount":126},{"algorithmId":"4","displayTitle":"Traumatic Brain Injury Care Services | TBI Rehabilitation Hyderabad | Traumat...","isSavedByCurrentUser":false,"pageCount":1,"score":0,"slideshowId":"273734209","sourceName":"LATEST","strippedTitle":"traumatic-brain-injury-care-services-tbi-rehabilitation-hyderabad-traumatic-brain-injury-rehabilitation-d796","thumbnail":"https://cdn.slidesharecdn.com/ss_thumbnails/physiotherapyrehabilitation-241130134943-396ee12b-thumbnail.jpg?width=600\u0026height=600\u0026fit=bounds","description":"Although damaged brain tissue cannot regain its original function, other parts of the brain can be trained to take on some of its functions. 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In the public sector, her work includes advice and support to\nMinisters and senior civil servants on cross-cutting programmes on\nefficiency, delivery, policy reform and IT strategy.\nAndy Burroughs, Director of Wealth and Enterprise\nAndy has 25 years’ experience in a variety of sales and marketing roles\noperating across the public and private sector, and most recently was\nDirector of Business Development at Tamar Science Park in Plymouth.\nBefore that he was Director of Business Development at Ipswich Hospital\nNHS Trust and spent 10 years at Microsoft.\nDave Meehan, Director for Partnerships and Deputy CEO\nDave has worked in the Wessex NHS for almost 40 years and held board\npositions for 20 years including Director and Managing Director of Clinical\nServices, Strategy, Service Improvement, Performance Management,\nCommunications and Engagement.\nCaroline Powell, Director, Centre for Implementation Science\nCaroline is based at the University of Southampton, working with all\nWessex partners. Her career spans medical research, health services\naudit and improvement and senior management roles in the public and\nthird sector.\nBill Gillespie, Chief Executive\nBill is an experienced health manager who has worked at board level in\nhealth organisations in the UK and overseas for The last 15 years. Since\nreturning to the UK in 2014, Bill has fulfilled a number of consultancy roles\nincluding support to the London Health Commission, South West London\nand St George’s Mental Health Trust, Katie Piper Foundation (health charity)\nand as Interim Regional Director of Specialised Commissioning for NHS\nEngland South, before starting with Wessex AHSN in January 2016.\n3wessexahsn.org.uk\n ","4 @WessexAHSN\n ","Wessex Academic Health Science Network (AHSN) is a member\norganisation. Our twenty-six members work with each other and\nwith a broad range of stakeholders to support the creation of\nwell-being and wealth in Wessex through making innovation\nhappen at speed and scale.\nOur remit is clear: we connect NHS and academic organisations, local authorities, the third\nsector and industry. We help create the right conditions to facilitate change across whole\nhealth and social care economies, with a clear and consistent focus on citizens, service users\nand patients.\nAs well as transforming services through innovation, we play an important role in generating economic\ngrowth. We enable companies to grow, and create jobs by supporting the NHS and industry to engage\nproductively; and by meeting the health needs of our populations, we help people stay well and in work.\nThis report highlights our progress across our major quality improvement programmes, innovation and\nwealth initiatives. It also outlines where we have worked closely with other AHSNs: a way of working\nwhich will benefit people across Wessex and beyond.\nWe are fully aligned with NHS England’s Five Year Forward View and have a new business plan, which\ntakes us to March 2018. At a time when policy makers are showing renewed interest in system change,\nWessex AHSN is in a strong position to support our members on this journey.\nOur work does not belong to a small organisation called ‘Wessex AHSN’ but to the wider network\nwhich develops and delivers it. Behind each project sits multi-disciplinary and multi-partner, cross-sector\ncollaborations that have one thing in common: they can imagine a better future for the patients and\npopulation of Wessex, and they have the determination to help bring that future about. This report\ndemonstrates the depth and breadth of our work – not just across Wessex, but also our collaborations to\naddress issues of national importance.\n2015-16 was a very successful year for Wessex AHSN, and we look\nforward to delivering more innovation throughout 2016-17.\n5\nFiona Driscoll\nChair, Wessex AHSN\nBill Gillespie\nChief Executive, Wessex AHSN\nwessexahsn.org.uk\nForeword\n ","How we are working with other AHSNs\n6\nWessex AHSN is adopting the following programmes from other areas:\nWessex AHSN is collaborating with other AHSNs in the following areas:\nProgramme area Details\nAtrial Fibrillation Discussions with West of England AHSN regarding their similar project; aim to use their\nlearning, particularly in relation to the New Medicines Service.\nPatient Safety Collaborative Considering adoption of West of England Shine Emergency Department (ED) checklist.\nMental Health Utilised learning from Yorkshire and Humber AHSN’s Bradford Toolkit for improving physical\nhealth outcomes of people with severe mental illness. Shared their experiences and\nachievements with our local teams and applied learning to our Early Intervention in Psychosis\nprogramme to speed up progress.\nMedicines Optimisation Local adoption of the work of the PRECEPT project by West of England AHSN on\nadministration of magnesium sulfate during premature labour. Complementary project on the\npurchase and use of safer magnesium sulfate products.\nWealth programme Adopted a workshop on energy and sustainability from Oxford AHSN (April 2016).\nProgramme area Details\nNutrition Joint commissioning of a Hydration Toolkit with Kent Surrey Sussex (KSS) AHSN, following\ninitial work by Dr Sarah O’Callaghan in North East Hampshire and Farnham Clinical\nCommissioning Group (CCG). KSS extending this work across their area. Toolkit to be\nshared more widely via our website as part of our Nutrition in Older People programme;\ncollaborative working with voluntary sector organisations and local universities working in\nthis field.\nEvaluation partner for AHSN NENC Healthcall project; providing advice and direction on the\nproject evaluation and data analysis support.\niSPACE dementia programme\nin primary care\nKSS AHSN rolling out significant elements of our iSPACE programme. They have also adopted\nand modified the audit tool to create different levels of accreditation (bronze, silver, gold).\nSharing a webinar programme with Oxford AHSN to maximise reach.\nAtrial Fibrillation Working with UCL Partners to develop a community pharmacy competency package\nin collaboration with the Royal Pharmaceutical Society.\nMember of Atrial Fibrillation Association (AF) collaborative group, led by Yorkshire and\nHumber AHSN utilising its Innovation Exchange to share information (the group includes Atrial\nFibrillation Association/Heart Arrhythmia Alliance).\n@WessexAHSN\n ","7\nWessex AHSN is actively promoting the work of other AHSNs, including work of\nNHS Innovation Acceleration (NIA) fellows in the following areas:\nProgramme area Details\nPatient Safety Collaborative Sharing events and tools from other AHSNs via email with our network of project\nmanagers across Wessex.\nMental Health Sharing programmes from other AHSNs with our stakeholders including Birmingham\nRapid Assessment, Interface \u0026 Discharge (RAID) model, Liverpool Memory Box Dementia\nwork and East Midlands AHSN Advance Planning for People with Bipolar Disorder.\nMedicines Optimisation Promotion of West of England AHSN work on administration of magnesium sulfate\nduring premature labour.\nWealth programme Actively promoting meetings and events hosted by other AHSNs, e.g. Assisted Living\nAction Network (ALAN) through our website and newsletters.\nPatient Safety Collaborative Wessex AHSN is part of the following collaboratives/clusters:\nMental Health Collaborative – Wessex, West of England, KSS, South West and Oxford\nMental Health Cluster – multiple AHSNs\nEmergency Laparotomy Collaborative – Wessex, West of England, KSS\nPatient Safety Collaborative Medicines Safety Cluster – multiple AHSNs\nPatient Safety Collaborative Sepsis Cluster – multiple AHSNs\nPatient Safety Collaborative Discharge Cluster – multiple AHSNs\nJoint procurement/development of a software platform (LIFE) with multiple AHSNs (approx.\n10) to provide project documentation, extranet file sharing and network connectivity\nfunctionality at organisation, AHSN and national levels.\nMental Health Collaborating with Imperial College Health Partners on psychosis pathway development.\nSharing learning, challenges and solutions. Comparing outputs in similar areas (e.g. patient\nand carer experience/pathway design) to understand application to wider geography.\nLinking with Oxford AHSN on their Early Intervention in Psychosis Preparedness Programme\n(South of England), enabling access to information and support across Wessex to support\nachievement of the new Mental Health Access and Waiting Time Standards for Psychosis.\nMedicines Optimisation Lead for National AHSN Medicines Optimisation (MO) network with regular forums/meetings\nand subgroups on polypharmacy, AF and transfers of care which provide opportunities for\ninformation sharing.\nDevelopment of national core data set for electronic referrals to community pharmacy with\nAHSN North East \u0026 North Cumbria, which has been shared for comment with all AHSN MO\nprogrammes and endorsed by Royal Pharmaceutical Society and National MO Network.\nLeading the development of polypharmacy comparators in collaboration with NHS Business\nServices Authority and Royal Pharmaceutical Society, with view to sharing outputs with\nNational AHSN MO group and agreeing national datasets.\nRedesign of patient leaflet on Repeat Dispensing with Pharmaceutical Services Negotiating\nCommittee (PSNC).\nSharing work on insulin with Oxford AHSN.\nWealth programme Driving Innovation through Collaboration event with AstraZeneca, DigitasLBi and other\nsouthern AHSNs.\nWorking closely with other AHSNs through Directors of Wealth meetings.\nwessexahsn.org.uk\n ","Wessex Life Science Cluster\n(WLSC)\nThe WLSC is committed to supporting the health and life science industry across\nHampshire, the Isle of Wight, Dorset and south Wiltshire.\nDuring 2015, we launched the Wessex Life Science Cluster, comprising over 200 research active companies from\nacross Wessex. Events, market briefings and export opportunities are available to members and a weekly podcast\nexplores current funding opportunities.\nWhere requests meet with our funding criteria, we have\nalso provided seed funding to pump prime research with\nclear commercial potential. Our support for three projects\nin 2015 has so far resulted in further inward investment\nto Wessex of £3.9M, including a substantial amount of\nforeign direct investment from the US for work on Ebola\nvaccines, and significant investment from the Medical\nResearch Council for work on Meningitis vaccines.\nTo encourage innovative start-ups out of our hospitals\nand laboratories, our Health Innovation Programme (HIP),\nrun in partnership with SETsquared, gives commercial\nmentoring, business planning advice and pitch-practice.\nIn 2015, this three-day course\nattracted six entrepreneurs, three\nof whom have gone on to establish\nsuccessful start-ups. In 2016, a further\nnine entrepreneurs benefited from\nthe course. We closely monitor their\nprogress, and providing ongoing\nsupport and assistance.\nOver\n1,000hours of\nsupport\n8 @WessexAHSN\nFind out more about the team at\nwww.wessexlifescience.co.uk,\non @WessexLifeSci or\nemail info@wessexlifescience.net\n ","9\nInward\ninvestment of\n£3.9m\nSearch wessex.org.uk/videos\nfor improving wealth film\nWe advise companies on their value\nproposition, business plans, funding\nstrategy and understanding the NHS as\na market place. We’ve provided over\n1,000 hours of support, including 300\nhours of 1:1 industry mentoring.\nwessexahsn.org.uk\n ","Orthopaedic programme:\nbetter treatment across Wessex through\ninnovation and research\nThis programme is improving\northopaedic outcomes for patients\nthrough research, commercial\ndevelopment and wealth creation.\nThe focus is on delivering innovative\northopaedic and rehabilitation\ntreatments which prolong and improve\nquality of life; promote independent\nliving and reduce the burden of\nmusculoskeletal degeneration.\nAn initial £100K AHSN investment has meant industry-\nfunded projects have started immediately, seeking\nresearch and development support using the new\nOrthoLab equipment and facilities at Bournemouth\nUniversity. These new facilities have been funded from\na successful Dorset Local Enterprise Partnership (LEP)\nlocal growth fund bid for £700k supported by the\nAHSN, and were fully operational by late spring 2016.\nThe AHSN has also funded an expert OrthoLab technician\nwho will help industry, the NHS and wider health sector, and\nacademia, to access and operate the equipment within the\nOrthoLab.\nWessex AHSN has partnered with the Institute for Life\nSciences (IfLS) at the University of Southampton to support\nand deliver FortisNet across Wessex. In January 2016,\nnearly 70 leading clinicians, academics and industry experts\nworking in the field of orthopaedics, prosthetics and assistive\ntechnologies gathered in Hampshire to launch the initiative.\nThe aim is to develop a hub of expertise that will\nconnect regional and national excellence in clinical\npractice, academic research and enterprise. Working\nwith end users, FortisNet and its partners will work to\ncreate an effective pipeline of product development\nfor stronger, active bodies.\nFortisNet is a unique, collaborative, interdisciplinary network in hard (bone and\nteeth) and soft (skin, muscle, cartilage) tissue that aims to develop a regional\nspecialisation in musculoskeletal health. It should also create jobs, attract new\nbusiness and retain skilled graduates locally.\n10\nSuccessful Local\nGrowth Fund Bid for\n£700k\n@WessexAHSN\nORIBUResearch Institute\nOrthopaedic\nBournemouth University\nSearch wessex.org.uk/videos\nfor ORI film\n ","Digital Health programme:\nlooking to healthcare of the future\nNHS England’s Five Year Forward View outlines the\ncommitment to harness the information revolution.\nIn response, the National Information Board (NIB) has set ambitious\ntargets to enable digital technology and data to transform health and care,\nimprove quality and reduce the current cost of health and care services.\nOver the past year, the AHSN has been working alongside member organisations\nto support the advancement of their digital transformation programmes, including\nthe development of digital roadmaps and the publication of a Wessex-wide\nInteroperability Charter.\nWe have also been working with stakeholders\nto review the use of the current shared care\nrecords within Wessex, and assess the content\nof undergraduate courses to determine the role\ntechnology could play in students’ learning.\nFollowing the success of a Wessex-wide\nBig Data event in April 2016 attended\nby approx 200 delegates, we will\nnow turn our focus to working with\nour partners to show how we can use\nthe wealth of data at our fingertips to\nimprove the health and well-being of\nour local populations.\n11wessexahsn.org.uk\nSearch wessex.org.uk/videos\nfor big data film\n ","Mental Health: Wessex TRIumPH –\nimproving psychosis care through faster\naccess to assessment and treatment\nTogether with Southern Health NHS Foundation Trust, we have co-produced and\nimplemented a best practice psychosis care pathway (TRIumPH – Treatment and\nRecovery In PsycHosis).\nThe pathway outlines ambitious evidence-based standards for treatment, and specific timeframes for the delivery\nof care. Frontline staff report how beneficial having a clear pathway of care is to guiding their practice, and how\nuseful it is for communicating expected standards throughout teams.\nAchievements in 2015/16:\n•\t Consensus across Hampshire on a best practice psychosis pathway\n•\tImplementation within four Early Intervention in Psychosis (EIP) teams throughout the region, covering a\npopulation of 1.3 million\n•\t Over 300 people have entered the pathway since June 2015\n•\tOur most recent data shows that 66% of people are being assessed within seven days, and 96% within two\nweeks (from a baseline of 36% and 59%)\n•\tWe’re cutting inequality and variation across Wessex. For example, increasing numbers of people are receiving\na NICE compliant physical health assessment, working towards reducing the 15-20 year mortality gap for those\nexperiencing a severe mental illness\n66%patients assessed\nwithin seven days\n96%patients assessed\nwithin two weeks\n12 @WessexAHSN\nSearch wessex.org.uk/videos\nfor psychosis film\n ","Dementia: supporting Wessex GPs\nto improve dementia care\nThe dementia workstream had a very successful year. From an initial\ntarget of 40, the programme is supporting 120 GP surgeries across\nWessex to become dementia friendly. 24 surgeries have been accredited,\nwith the others working towards this. So far, surgeries have implemented:\n•\t Clear signposting in and out of the consulting rooms\n•\t Pictorial signs to key facilities such as the toilets\n•\t Photographs of staff on consulting room doors\n•\t Inviting carers to the surgery to meet other carers and share knowledge and experiences\n•\tInviting local voluntary organisations to hold clinics in the surgery to raise awareness of dementia\nand caring\n•\t People living with dementia and their carers doing ‘mystery shopping’ surgery evaluations\n•\tIncreased attendance at patient participation group meetings, with up to five times the usual\nnumber of people keen to learn more about dementia\nFor hospitals, the acute care development programme has resulted in a\nfinal report and a resource toolkit. Three dementia champion conferences\nwere extremely successful and a model for holding these conferences\nhas been developed.\nSupporting 120 GP surgeries 24 accredited surgeries\n13wessexahsn.org.uk\nSearch wessex.org.uk/videos\nfor ispace dementia\n ","Respiratory: improving lung health\nacross Wessex\nThis programme has improved lung health, and supported related research,\ncommercial development and wealth creation during 2015/16. The focus has been\non delivering interventions which prolong life, improve quality of life, promote\nindependent living and reduce the burden of respiratory disease. Through our\ninnovative testing and piloting of tools, techniques and service redesign we have:\n•\t Improved early accurate diagnosis of respiratory disease for over 1,000 patients\n•\t Increased effective self-management and patient education for over 3,000 patients\n•\t Improved access to, and use of, pulmonary rehabilitation for 100 patients\n•\t Reduced inequalities and variation in patient services across Wessex\n•\tImproved patient experience of care for over 3,000 patients, one of whom shared her experiences on BBC\nRadio Solent\n•\t Improved patients’ quality of life as measured by quality-adjusted life years (QALYs) for over 3,000 patients\n•\tImproved access to specialist services across all of Wessex, and improved skills and practices of healthcare\nprofessionals through mentorships clinics throughout both primary and secondary care\n•\tDeveloped effective service pathways for respiratory care, one of which has grown into MISSION ABC and\nis now incorporated into an NHS England Vanguard site.\nWe have also generated opportunities for patients to take part in research\nand clinical trials for new asthma and Chronic Obstructive Pulmonary Disease\n(COPD) drugs and technologies.\nWinner!\nof the Value and Improvement in Use of\nDiagnostics category at the HSJ Value in\nHealthcare Awards\nImproved early\ndiagnosis of\nrespiratory\ndisease for over\n1,000\npatients\nImproved patient\nquality of life as\nmeasured by\nQALYs for over\n3,000\npatients\n14 @WessexAHSN\nSearch wessex.org.uk/videos\nfor mission copd film\n ","Nutrition: tackling undernutrition in\nolder people\nThis programme aims to be a catalyst for good nutritional care in the community\nincluding screening, prevention and treatment of undernutrition. At present,\nalmost 80,000 older people in Wessex are undernourished, with 93% of these\nliving at home.\nTackling undernutrition in older people, across both health and social care, is important for the individual and the NHS. The\ncost of care for an undernourished person is 2-3 times greater than for those who are well-nourished, due to increased hospital\nadmissions, increased length of stay, increased dependency and care needs, greater number of GP visits and prescriptions.\nIn 2015/16:\n•\tIn our initial pilots (Purbeck and Eastleigh), 900 older people have been screened, with 24% found to be at risk\nof undernutrition. Helping these people not only improves their health, but could also save the health system\n£288k. The programme is now extending these pilots to other areas of Dorset; and looking at new screening\napproaches in Hampshire\n•\t254 health and social care professionals trained, plus awareness sessions held for voluntary sector and general\npublic\n•\tA nutrition toolkit has been published to support other organisations in implementing good nutritional care\ninitiatives: generic care pathways for good nutritional care in the community; evaluation framework; awareness\nleaflet (over 1,500 views) and posters; and training packages for health, social care, and voluntary sector workers\n•\t 120 people attended the successful conference run in September 2015, ’Perspectives on Malnutrition’\n19wessexahsn.org.uk\n900\nolder people\nhave been screened\nPotential cost\navoidance of\n£288k\n15wessexahsn.org.uk\nSearch wessex.org.uk/videos\nfor nutritional care\n ","16\nAccelerator Fund projects in\n2015/2016\nThe AHSN has continued to review and support our Accelerator Fund projects\nover the past year:\n•\tOngoing development of an innovative decision aid tool (HEADMAT™) for\nGPs to improve management of headaches (at West Hampshire CCG)\n•\tEstablishment of a regional frozen faecal donor bank to treat recurrent\nClostridium Difficile Infections (CDI) (at Portsmouth Hospitals NHS Trust) –\nsee case study\n•\tSignificant progress on development of a virtual reality hip replacement\nsimulator which is now ready for clinical testing (at Bournemouth University)\n•\tAt least 30 individuals with learning disabilities benefiting from ‘Life beyond\nServices’ and the associated Best Buddies scheme (at Southern Health NHS\nFoundation Trust)\n•\tApplication of an electronic prescribing solution for at least 40 children\nwith leukaemia resulting in fewer prescribing errors, improved patient\nsafety and experience (at University Hospital Southampton NHS Foundation\nTrust and associated centres)\n•\tPiloting and ongoing evaluation of WebGP for online consultations in GP\npractices and in the southern Vanguard sites; over 150 online consultations\nhave taken place. Recommendations from a focus group and interviews\nwith staff involved with the WebGP pilot will be included in a report to be\nshared with other GP practices\n•\tOngoing development of MicroGuide decision support software to improve\nmedicines optimisation in the treatment of patients with infection and\nreduce antibiotic resistance (at University Hospital Southampton NHS\nFoundation Trust)\n•\tOver 1000 people with diabetes have participated in conversations about\nfoot care to prevent complications. The ‘scratch card’ scheme has been\nprovided by 27 community pharmacies; 12% of patients referred on for\nfurther investigation (at West Hampshire CCG)\n•\tEleven volunteer ‘signposters’ have helped people in Gosport to access\nvoluntary and community services in Gosport, extending to three more\nsurgeries in the coming year (NHS Fareham Gosport CCG and Gosport\nVoluntary Action)\n•\tOngoing development of ‘Neuravatar’, a virtual assistant to help diagnosis\nof neurological problems (at Royal Bournemouth Christchurch Hospitals\nNHS Foundation Trust, Poole Hospital NHS Foundation Trust and\nBournemouth University)\n@WessexAHSN\n ","17\nCase study: tackling C-Diff\ninfections in Wessex\nClostridium Difficile infections (CDI) are common. Approximately 5% of people\ncarry C.difficile in their gut, and are therefore at risk of developing CDI if the\nbalance of bacteria gut is disrupted. CDI is a major cause of morbidity and\nmortality, contributing to prolonged hospital stays.\n•\tCDI becomes chronic infection in approximately 22% of cases, with limited effective, cost effective treatment\navailable for this cohort\n•\tIt is the cause of death in around 2,500 patients annually in England and Wales and is a contributing factor in\na further 3,200 deaths\n•\tThe one year all-cause mortality rate for CDI is 37% and the costs for each CDI case are between £5,000 and\n£10,000.\nFaecal Microbiota Transplantation (FMT) involves inserting screened faecal matter from a healthy donor into a\nrecipient with CDI, into the small intestine. Restoring the balance of bacteria within the gut tackles, and cures, CDI.\nWessex AHSN has supported the development of a regional frozen faecal donor\nbank to support effective treatment of recurrent CDI at Portsmouth Hospitals NHS\nTrust. The bank is being used by several hospitals across the Wessex patch.\n•\tSince July 2015, 23 patients have received a FMT with positive outcomes to date, pending formal evaluation\n•\tThe FMT bank intends to treat 30 patients within a year of operation, with an expected cure rate of 94%\ncompared to 31% for standard CDI therapy\nGiven mortality rates of alternative treatment options, the project is expected to save nine lives per year.\nIn the coming year, we will continue to support and develop the partnership. An\neconomic evaluation is underway to establish the full potential for FMT to save lives\nand NHS resources if scaled beyond Wessex.\nwessexahsn.org.uk\n ","Reducing Harm from Alcohol:\nhelping Wessex know its numbers\nIn 2015/16:\n•\tThe first Alcohol Related Liver Disease (ARLD) project started at Hampshire Hospitals NHS\nFoundation Trust. Screening for alcohol use has increased from 2.5% to 42% of all patients\nattending the Acute Medical Unit\n•\tKnow Your Numbers (KYN) at University Hospital Southampton NHS Foundation Trust\nhas seen an increase in staff knowledge of alcohol units from 2.5% to 70% in those who\nreceived the KYN training (200 people)\n•\t We developed Drink Informed educational materials for professionals and patients\n•\tWe developed regional alcohol admission data to assist commissioners with easy-to-use data\nto help improve services\n•\tWe created a regional network of alcohol leads within six acute hospital trusts across Wessex,\nproviding vital data on 25,000 admissions to develop and plan services to meet patient need\n•\tSoberistas – we researched this innovative social network for women which addresses\nproblematic drinking. More than 60% of participants surveyed have had a drinking problem\nfor over 10 years, and 50% of those surveyed live with children. Forty-five percent stopped\ndrinking or maintained abstinence since joining the site. We produced a series of videos\nto draw attention to home drinking issues and Soberistas support; they have been viewed\nnearly 1500 times. The AHSN’s involvement meant that Soberistas is now listed on the high-\nprofile NHS Choices website.\nAlcohol screening\nincreased from\n2.5%\nfrom to\n42%\n18\n60%\nof survey participants\nhave had an alcohol\nproblem for over 10 years\n45%\nstopped or abstained\nfrom drinking since\njoining Soberistas\n@WessexAHSN\n ","Over the next two years, the Alcohol\nRelated Liver Disease (ARLD) pathway\npiloted at Hampshire Hospitals NHS\nFoundation Trust will be spread across\nWessex to reduce dependence on NHS\nservices, and cut the mortality rate for\nhigh-risk drinking adults\nwessexahsn.org.uk 19\nSearch wessex.org.uk/videos\nfor reducing alcohol harm\n ","Wessex Primary Care Project:\nhelping GP surgeries’ workforce\nAcross the UK, demands on general practice are increasing annually yet the\nextent of growth in activity is rarely documented. The workforce is also falling\nbelow demand: fewer young doctors are becoming GPs whilst many existing\nGPs are reducing hours, retiring early or leaving the profession.\nThis project started in September 2015 to identify the impact across Wessex and to recommend how capacity\nmay be improved. The project will also assess how other clinical professionals could work within general practice\nand alleviate increasing demand for GP services.\nTo date, we have:\n•\tEstablished a baseline of the Wessex primary care workforce, estimated current demand and modelled\nfuture demand\n•\tDeveloped recommendations for recruitment and retention of GP trainees. Final year trainees are being\nsurveyed to establish their intentions for the next five years\n•\tSurveyed GPs to identify a potential additional workforce, showing that 35% of GP appointments could\nbe undertaken by a different clinical professional\n•\t Researched availability of this workforce\n•\tIdentified different workforce models in use across the UK and compiled data ready for analysis.\nDocumented these models and their effectiveness using a scalable cost-benefit analysis tool\n•\tShared draft reports and survey results with Wessex Clinical Senate and Health Education England Wessex\nMental Health Taskforce: helping to\nrecruit and retain mental health staff\nIn common with the rest of the UK, the Wessex region is experiencing challenges\nin both the recruitment and retention of mental health staff. Trusts report a shortfall\nof 135 Full-Time Equivalent nursing posts across the region. Nationally, 18% of\npsychiatry doctor core training posts are unfilled, and psychiatry has the highest\ntraining drop-out rate of any medical speciality.\nOur Mental Health Taskforce project was established to research and develop solutions to overcome and/or\nimpact on these shortfalls with an overall project aim of increasing recruitment and retention across Wessex.\nIn 2015-16, the Taskforce has seen the development of an Associates Programme which improves the skills of\nparticipants and starts projects which will benefit the employing organisation; and at the same time, improves\nrecruitment and retention. One of the projects within the programme is leading to a review of out of hours\ncompetency, with additional work to support the development, and confidence levels, of mental health staff.\n20 @WessexAHSN\n ","Wessex Genomics Medicine Centre\ncelebrates a very successful first year\nWessex AHSN supports NHS England’s personalised medicine agenda\nthrough close collaboration with the 100,000 Genomes Project, led locally\nby the Wessex NHS Genomic Medicine Centre (GMC) at University Hospital\nSouthampton NHS Foundation Trust (UHS).\nOver the past year, the GMC has established a ‘next generation sequencing’ platform at UHS for rapid\ndiagnosis and confirmation of cancers and rare diseases, a platform which, in turn, has received over £1m\nin grants for equipment.\nOver 300 patients have come forward for the 100,000 genomes project over\nthe past year. This number is set to rise rapidly in the coming year as the AHSN\nhas brought other hospitals into the project as Local Delivery Partners. In 2016-17,\nwe look forward to the first results coming back to patients from the 100,000\ngenomes project, which will undoubtedly have a huge impact on their diagnosis\nand treatment.\n21wessexahsn.org.uk\nTo find out more about the Wessex\nNHS Genomics Medicine Centre,\nor to take part, please email\ngenomicsrd@uhs.nhs.uk\n@WessexGMC #Genomes100K\nor visit uhs.nhs.uk/WessexGMC\nSearch wessex.org.uk/videos\nfor 100000 genomes\n ","Medicines Optimisation (MO): helping\npeople get the most from their medicines\nThis programme works with CCGs, trusts, patients, pharmacists and the\npharmaceutical industry to achieve two key objectives: increasing use of services\nknown to help patients get more from their medicines, and improving medication\nsafety by addressing avoidable errors.\nIn 2015/16:\n•\tA drive to increase the uptake of PINCER: an evidence-based audit tool which helps GPs to identify patients at\nrisk of clinically-significant medication errors. Wessex is now the highest-performing AHSN in using this NICE-\nbacked intervention, with 49% of practices in Wessex having downloaded the audit.\n\tPharmaceutical company Boehringer Ingelheim funded and supported our Action Learning Sets and training events to\nincrease the use of PINCER and also PRIMIS audits in primary care.\n•\tMedicines Optimisation on Transfer from Hospital (MOTE): Following ground-breaking work in the Isle of\nWight and Newcastle, Dorset County Hospital has referred over 100 patients to their community pharmacy\nfor a medication use review. This, and other work across the patch, has helped Wessex to become the third\nhighest AHSN for percentage of pharmacies delivering Medicines Use Review services (85%) and fifth highest\nfor the New Medicines Service.\n•\tOur work to increase the uptake of repeat dispensing across Wessex continues with over half a million\nmore prescriptions delivered this way than last year, contributing to savings of over £275,000. This is more\nconvenient for patients, with increased efficiency for GPs and pharmacists working together to manage the\n(growing) workload for repeat medicines.\n\tOur modelling shows that if we replace 80% of all repeat prescriptions with Electronic Prescribing, we would release 61\nwhole-time equivalent GPs across Wessex.\n•\tOur Magnesium Sulfate safety bulletin has been shared nationally, and is driving change across the patch with\nfive out of seven Wessex hospital trusts now using the safer preparation.\n\tMagnesium sulfate is used in obstetrics to treat eclamptic seizures and to protect the brain of babies born before\n30 weeks gestation. The magnesium sulfate preparation used required dilution which is both complex and risky. We\ndeveloped a bulletin to raise awareness of the issues and have worked to ensure a safer ‘ready to use’ product is available.\n•\tOur aim to increase self-administration of insulin by some patients in hospital has led to the development of a\ntoolkit to support hospital trusts in making this challenging medication safety change.\n•\tOur collaborative work with pharmaceutical partners shows what can be achieved when the NHS and the\npharmaceutical industry work together for the benefit of patients.\n22 @WessexAHSN\nUse of Repeat Dispensing has the potential\nto release practice time equivalent to 61\nfull time GPs across Wessex\nRepeat\nDispensing\ncontributed to\n£275k\n ","Spotlight on:\nClare Howard,\nWessex Clinical\nLead for medicines\noptimisation\nWhat inspired you to work with the AHSN?\nI had been involved in the development of the national medicines optimisation\nstrategy, but for me, there’s something very exciting about working locally to actually\ndeliver demonstrable improvements in the services that patients get to help them use the\nmedicines or in putting new processes in place to make the taking of medicines safer for patients.\nWhat is the clinical need for the work?\nPrescribing a medicine or medicines remains the most frequent intervention made by the NHS. Getting the most from\nmedicines for both patients and the NHS is becoming increasingly important. Evidence shows us that between 30 and 50%\nof medicines prescribed for long-term conditions are not taken as intended. Many, many people take medicines and\nthe number of medicines that each person takes is increasing. Between 2003 and 2013 the average number of prescription\nitems per year for any one person increased from 13 to 19. So it’s vital patients get the right medicines, they understand how\nto use them safely and effectively, and that they know where to go for support.\nWhat’s been the most challenging aspect?\nAt the start when AHSNs were relatively new organisations, I think some local organisations perhaps weren’t sure what the\nAHSN was and what it was aiming to do. However, through our fabulous Professional Advisory Group and by working with\npharmacy organisations across the patch, that isn’t an issue now, and we have had great support from local hospitals, CCGs and\npharmacy organisations as well as the pharmaceutical Industry. We have two wonderful patients on our group who challenge\nus and support us in equal measure. It’s a team effort!\nWhat are you proudest of?\nI’m proud that the national performance data shows strong improvement in our region’s medicines optimisation. But for me, the\nbest moments have been when local GPs or pharmacists or people working in CCGs and hospitals have approached us to help\nwith their work and we have been able to help and support them to make good projects work well.\nWhat’s in store for 2016/17?\nWe have ambitious goals to drive up the levels of Repeat Dispensing, New Medicines Service and Medicines use Reviews across\nthe patch. We will also have some hard work to do to make transfer of care i.e. when patients move between care setting (such\nas going into hospital and then back home) much safer and less confusing for patients. Changes to patients medicines can cause\nall kinds of confusion and issues when the patient gets home. We want Wessex to lead the way in helping patients when they\nget home to understand their medicines and know where to get help.\n23wessexahsn.org.uk\n ","Atrial Fibrillation (AF):\nreducing stroke across Wessex\nOver the past year, the programme has seen fantastic engagement and results\nfrom using anticoagulants in Atrial Fibrillation. Two stakeholder and 30 further\neducation and training events have created a network; and the programme has\ndelivered a 67% increase in anticoagulant prescribing across Wessex, with 60%\nof providers showing a reduction in stroke plus a 17% reduction in the variation in\nexception reporting.\nIn the West Hampshire CCG area, supported by the AHSN, 51 practices were enabled to use PRIMIS audit tools\nto identify at-risk patients. The AHSN also helped to introduce WatchBP devices, which help to detect possible AF\nmore accurately than using a person’s wrist pulse. This demonstrated a reduction of 47 strokes in eight months,\nsaving the NHS an estimated £2m.\nThis work was shortlisted for a HSJ Value in Healthcare award, and it won a\nQuality in Anticoagulation award for the development of nurse-led anticoagulation\nservices with Salisbury NHS Foundation Trust. In addition, 67% of patients\nreviewed by the specialist outreach service report a positive influence on their\ncare. The team has also built strong links with pharmaceutical industry and the\nRoyal Pharmaceutical Society for future projects.\n24\n67%\nincrease in anticoagulant\nprescribing across\nWessex\n60%\nof providers showing a\nreduction in stroke\nWinner!\nof the Quality in\nAnticoagulation award for\nthe development of nurse-led\nanticoagulation services with\nSalisbury NHS Foundation Trust\n@WessexAHSN\nSearch wessex.org.uk/videos\nfor atrial fibrillation\n ","25\nSpreading healthcare innovation\nacross Wessex\nSo we are able to spread the innovations outlined in this Annual Review at scale\nand pace across Wessex and beyond, a dedicated team was established in\nNovember 2015 to support our programmes in spread and scaling up activities.\nSome examples of this work are:\n•\tDevelopment of an evidence based, systematic approach to help innovators accelerate spread and adoption of\nbest practice. The guidelines contain advice on how to evaluate, how to prepare for scaling up, how to assess\npotential and opportunities, plus network and communication and engagement planning\n•\tModelling the health and wealth benefits of our high impact programmes to identify the opportunities for our\nmembers and others, including working with the Vanguards on deployment, evaluation and spread of new\nmodels of care\n•\tSubmission of a joint test bed proposal with Oxford AHSN. Whilst unsuccessful, the proposed innovation in\nrespiratory care will be piloted in South East Hampshire in 2016/2017\n•\tCollaboration with other AHSNs to share learning and ideas on new pathway development (e.g. in mental\nhealth), toolkit development (e.g. in nutrition), patient safety initiatives, evaluation frameworks for medicines\nuse, and to spread our dementia intervention in primary care. These collaborations have involved at least ten\nother AHSNs and at least 20 different projects.\nA support package for spread will form part of our pledge to large-scale system\nchange through the Sustainability Transformation Plans (STPs) and Vanguards’\nnew models of care in 2016/2017.\nwessexahsn.org.uk\n ","26\nThe Centre for Implementation\nScience (CIS)\nBased at the University of Southampton, the CIS brings together cross-disciplinary\nskills and expertise from across the five Wessex universities to support the AHSN\nand its quality improvement programmes, including:\n•\tNew models of primary care consultations: Evaluation of how online systems may be used to improve patient\naccess to care, reduce primary care workload and improve patient satisfaction\n•\tCIS has supported Vanguard sites across Wessex develop their plans for evaluation, including establishing\na network group to share approaches and best practice\n•\tLeading the Vanguard Evaluation Steering Group, working with sites across Wessex to support the formation\nof New Care Models. This work has a regional focus with potential for national application\n•\tAlcohol: production of an interactive dashboard for alcohol related indicators for each local authority area and\nCCG in Wessex. Development and delivery of alcohol related liver disease (ARLD) data packs detailing\nthe local baseline; development of Wessex-wide ARLD admission data pack to stimulate local adoption of\ntreatment pathways\n•\tAnalysing and visualising national data to provide the local picture from the patients’ perspective\n•\tSupporting the evaluation of undernutrition projects, providing evidence in an area where limited data exists.\nThis includes quality of life measures and assessment of service utilisation\n•\t Using data analysis and visualisation to identify and scope needs\n•\tRespiratory case finding and screening for patients with Chronic Obstructive Pulmonary Disease: Evaluation\nconducted and presented by CIS with additional input from University of Portsmouth. Other respiratory service\nevaluations to incorporate staff and patient feedback and cost benefit analysis\nThe team has also created an interactive data dashboard and dedicated database for Trusts this year with initial work focused\nupon reducing harm from alcohol, with scope to apply this expertise to the other quality improvement programmes and\npriority NHS areas. Created using data at both national and local levels, the CIS built a sophisticated picture of health in\nthe region over the past year; giving decision-makers valuable service modelling tools to help meet future health challenges.\nThe development of an Endoscopy Service Planning Tool and a Colorectal Cancer Diagnostic Pathway has brought\ntogether patient journey data to help providers plan improvements and accommodate the projected increase in\ndemand for endoscopy services. Our system modelling has identified how endoscopy suites can increase capacity\nby up to 10% and reduce patient waiting times. The team’s Wessex-wide model can outline the capacity and\ndemand of all diagnostic services for cancer pathways, giving providers the opportunity to identify areas where\nimprovements to the patient experience and service efficiencies can be made.\n@WessexAHSN\nFind out more about the CIS team at\nwww.southampton.ac.uk/wessexcis,\non @WessexCIS or call\n(023) 8059 7845\n ","27\n“I would like to thank the CIS team for their\nhuge contribution to our demand and capacity\nplanning work in cancer diagnostics during\nthe past year. Without their knowledge,\nenthusiasm and good humour, we would not\nhave been able to make as much progress in\nunderstanding how to plan for the future of\nendoscopy services in Wessex.”\nMatthew Hayes, Clinical Director SCN Cancer,\nNHS England (Wessex)\nwessexahsn.org.uk\n ","Wessex Patient Safety Collaborative (PSC)\nWessex Patient Safety Collaborative (PSC) supports capacity and capability\nbuilding in patient safety and quality improvement by networking, connecting and\nsharing across the region, in alignment with the national Sign up to Safety campaign.\nSepsis and Transfers Collaborative: In 2015/16, the PSC focused on the topics of sepsis and transfers of care, using the\nInstitute for Healthcare Improvement Series (BTS) methodology. Twenty-two teams from 13 organisations took part in Learning\nEvents throughout the year, with over 200 people participating. Improvement teams developed their quality improvement\nknowledge and skills to support each other and spread good practice. Between events, teams used the Model for\nImprovement (including Plan, Do, Study, Act cycles) to test small changes in practice and at the close of the Collaborative\nshowcased their achievements.\nOther PSC projects include the Emergency Laparotomy Collaborative, a two-year\nproject that aims to save 1000 lives across three AHSNs using a care bundle\napproach to surgical care. Teams from eight hospitals in Wessex are engaged and\nreview their progress using outcome data. The PSC is also supporting primary\ncare to develop a model safety practice framework.\nTo further support improvement in Wessex the Patient Safety Support Fund was\nlaunched in early 2016 and has allocated over £30k to 13 patient safety\nprojects across six organisations. Recognising the importance of medicines\nsafety the PSC leads the Medicine Safety Cluster which provides a national forum\nfor information exchange, learning and accelerated adoption and spread.\nWorking with patients and partners the PSC actively promoted patient\ninvolvement in developing ARISE, a toolkit to support patient engagement\nin service development. To support leaders and boards, workshops on\nHuman Factors and Ergonomics were delivered across Wessex.\nFinally the Wessex Community of Safety and Improvement Practice (CSIP) was launched to provide further\nopportunity to connect, share and learn. Together with HEE (Wessex) the PSC hosted the inaugural Wessex\nCSIP conference, focusing on patient safety, attended by 240 staff and patients.\nThe community is supported by LIFE, a networking platform, to help individuals and teams manage, deliver and\nshare their improvement projects and resources across Wessex and the wider AHSN network.\n270 CSIP members\n28\n£30k\ngiven to\n13\npatient safety projects\n@WessexAHSN\n“The most important single change in the NHS…\nwould be for it to become, more than ever before, a\nsystem devoted to continual learning and improvement\nof patient care, top to bottom and end to end.”\nDon Berwick, A promise to learn – a commitment to\nact (2013)\nSearch wessex.org.uk/videos\nfor emergency laparotomy\n ","Spotlight on:\nProfessor Jane Reid,\nClinical Lead for Wessex\nPatient Safety Collaborative\nand Regional Lead for Sign\nup to Safety (south)\nWhat inspired you to work with the Wessex AHSN?\nI have been engaged in ‘safety’ on a national and international platform for many years,\nso the opportunity to bring that experience, and to influence, grow and learn more on my\nlocal patch was an absolute gift. Since I started with the AHSN, it has been a true privilege.\nWhat is the clinical need for the work?\nWe have to make a significant advance on safety improvement through the application of safety\nand implementation science. We need to equip frontline staff (on whom the quality of care\nultimately depends) with the skills and knowledge to tackle harm, and a fair and just culture.\nHow do you think the AHSN’s work will benefit patients?\nWessex AHSN is promoting innovation, learning and best practice through spread, adoption and\nsustainable patient outcomes, and care experiences are being positively impacted.\nWhat’s been the most challenging aspect?\nMaking sure reach and penetration is being achieved across the Wessex footprint. All NHS\norganisations are working within significant financial constraints - and the PSC provides a fantastic\n‘offer’ - but our impact is dependent on many people being released to engage and work with us.\nWhat are you proudest of?\nAssuring a strong patient voice and influence in our work.\n29wessexahsn.org.uk\n ","The AHSN national footprint\n30\nNorth East\nand North\nCumbria\nYorkshire and Humber\nEast Midlands\nEastern\nUCL Partners\nHealth\nInnovation\nNetwork\nKent Surrey\nSussex\nWessex\nSouth West\nWest of\nEngland\nWest\nMidlands\nGreater\nManchester\nInnovation\nAgency\nOxford\nImperial College\nHealth Partners\nNote: East Lancashire\nHospitals NHS Trust\nsits with Greater\nManchester\n@WessexAHSN\n ","About the AHSNs\nAHSNs are flexible regional organisations.\nWe have a small staff base but use our extended networks across regions to\nachieve great impacts for our partners. Our impact rests in our ability to bring\npeople, resources and organisations together quickly, delivering benefits that could\nnot be achieved without these connections.\nEach AHSN works within its own geographical area to develop projects and\nprogrammes which reflect the diversity of our local populations and healthcare\nchallenges. However, we all share the following priorities:\nPromoting economic growth: fostering opportunities for industry to work effectively with the NHS.\nDiffusing innovation: creating the right environment, and supporting collaboration across boundaries, to adopt and\nspread innovation at pace and scale.\nImproving patient safety: using our knowledge, expertise and networks to bring together patients, healthcare staff\nand partners to determine priorities and develop and implement solutions.\nOptimising medicine use: ensuring that medication is used to its maximum benefit – improving safety and making\nefficient use of NHS resources.\nImproving quality and reducing variation: by spreading best practice, we increase productivity and reduce\nvariation, which should improve patient outcomes.\nPutting research into practice: our strong links with academia mean we are uniquely placed to support the\ntranslation of research into clinical practice.\nCollaborating on national programmes: our unified programmes focus on delivery\nof the SBRI Healthcare initiative supporting small-to-medium enterprises, the NHS\nInnovation Accelerator, Patient Safety Collaboratives and medicines optimisation.\nOur licence from NHS England sets our four broad objectives:\n•\t Focus on the needs of patients and local populations\n•\t Build a culture of partnership and collaboration\n•\t Speed up adoption of innovation into practice to improve clinical outcomes and patient experience\n•\t Create wealth through co-development, testing, evaluation and early adoption\nMore information can be\nfound the AHSNs can be found\non the AHSN Network website\nat www.ahsnnetwork.com\n31wessexahsn.org.uk\n ","2015/\n2016\n\t@WessexAHSN\nwessexahsn.org.uk\nFind us:\n "],"twitterShareUrl":"https://twitter.com/intent/tweet?via=SlideShare\u0026text=Wessex+AHSN+Annual+Review+2015-16+by+%40HIWessex+%232015+%232016+https%3A%2F%2Fwww.slideshare.net%2Fslideshow%2Fwessex-ahsn-annual-review-201516%2F64399105","type":"document","slideDimensions":{"height":842,"width":595},"topReadSlides":[],"user":{"id":"85279655","isFollowing":false,"login":"WessexAHSN","name":"Health Innovation Wessex","occupation":"","organization":"Health Innovation Wessex","photo":"https://cdn.slidesharecdn.com/profile-photo-WessexAHSN-48x48.jpg?cb=1733154396","photoExists":true,"shortName":"Health Innovation Wessex"},"views":952},"_nextI18Next":{"initialI18nStore":{"en":{"common":{"ad":{"fallbackText":"Ad for Scribd subscription","label":"Ad","close":"Close Ad","dismiss_in":"Dismiss in","ad_info_title":"Why are you seeing this?","ad_info_description":"We use ads to keep content free and accessible for everyone. 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