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Northern Lincolnshire and Goole NHS Foundation Trust Stop The Pressure Presentation to Trust Board - 29 May 2018. What pressure?. Incidence. How much pressure?. Prevalence Split by Site Split by Grade of Ulcer. What’s causing the pressure?.
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Northern Lincolnshire and Goole NHS Foundation TrustStop The PressurePresentation to Trust Board - 29 May 2018
What pressure? Incidence
How much pressure? Prevalence Split by Site Split by Grade of Ulcer
What’s causing the pressure? Missed opportunities for skin inspection and early detection of risk & early implementation Lack of appropriate care planning and ownership by Registered Nurses Lack of equipment available in certain areas Staffing issues and reliance on temporary staff Delay or absence of TVN review of Grade 2 PU Delayed roll out of new PAM documentation
Tackling the pressure Leadership – Board to Ward Engagement Changing culture – Campaigns, communications & celebrations Education & HCA champions Tools to do the job Review of policy – focus on prevention – lead TVN on national working group
Relieving pressure React to Red React to Risk End PJ Paralysis Focused work on hotspots Bespoke ward-based education plans Rolled out annual mattress replacement Developed new intentional round form External review commissioned
Next steps Continue to deliver action plan Set clear and realistic goals/trajectories Promote work on a local and national scale including use of social media 6 month Campaign plan leading to Trust Stop the Pressure event November Public awareness campaign Band 4 pilot into care homes
Any Questions? Alison.schofield2@nhs.net Tara.filby@nhs.net