Pressure Injuries - Safeguarding (#2470)

Creation
Draft
Initial
Detailed
Signpost/Archive
Idea Description
Overview of Innovation:
NHS England guide on:
Pressure Injury
Safeguarding and Neglect
Avoidable v Unavoidable
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Overview of Innovation:
WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
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Overview of Innovation:


WaitLess is a free to download App which allows  people with minor injuries to select the location which will get them access the quickest treatment facility. It combines live feeds from A&E departments and all types of Urgent Treatment Centres showing the number of people waiting and waiting time in the department. The App combines this with travel time to the location and expresses both wait and travel as a single figure. It draws on live feeds from A&E departments and all types of Urgent Treatment Centres
It has reduced attendances at A&E departments in the pilot area by 5% and transferred 11% of minor injury attendances to MIUs, which typically have significantly shorter waiting times.
Waitless was designed as part of the Vanguard New Care Model and adopted by the National Inovation Accelerator programme for 2018 as best practice nationally.
Most A&E attendances are from self-presenting patients, attending A&E with conditions that are associated with minor injuries, ailments and minor emergencies which can be seen in other departments like the Minor Injuries Unit or the Urgent Care Centre. Various studies, undertaken both locally and nationally recognise that many patients could be treated more quickly closer to home.
It is designed by patients, for patients. It removes facilities that are closed, or that will be closed before you can reach them.
Since its launch in east Kent, Transforming Systems have tracked a significant reduction in minor A&E activity. Our observations have been confirmed as statistically significant by the University of Greenwich and the Behavioural Insights Team.
 Benefits
Reduction in “A&E minors” attendances by 11% against an end of year target of 5%. On days where there is significant pressure on majors, it is common for waiting times in minors to increase. As waiting times increase in one facility, patients choose other locations with lower waits. This spreads activity more proportionately across the system, giving pressured A&Es much needed time to recover. Studies show patients commit quickly in an emergency to a venue of care. Providing information that is easy for patients to access and understand at the point of decision enables them to make an informed decision about the best place to access care. In most cases, patients access care closer to home with lower waiting times.
Initial Review Rating
3.50 (1 ratings)
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Innovation 'Elevator Pitch':
A comprehensive package of training and development on safegaurding adults, mental capacity, deprivation of liberty safeguards and Prevent delivered through training DVDs, e-learning packages, patient stories, face-to-face training and webinars. 
Overview of Innovation:
Safeguarding Adults, Mental Capacity and Deprivation of Liberty Safeguards are mandatory training for all staff working with vulnerable adults across the health and social care economy. As this inevitably requires large numbers of staff, organisations are constantly being challenged with meeting the training compliance needed. This training is also required every 3 years.

This flexible training package is designed to meet the training needs of various organisations who have statutory obligations in this area. The training package includes:

- Safeguarding adults level 1 raising awareness 
- Safeguarding adults level 2 alerter/referrer 
- Safeguarding adults level 3 section 42 enquiries/case conference 
- Mental Capacity Act introduction
- Mental Capacity Act in practice
- Deprivation of Liberty introduction
- Deprivation of Liberty in practice
- Prevent
- Specialist modules on
    * self-neglect
    * modern day slavery and human trafficking
    * Female genital mutilation (FGM)
    * Domestic violence

These training modules can be delivered via:

- E-learning package including anonymised real patient story videos developed by the Trust
- Face-to-face for more advanced training
- Webinars
- Bespoke training individually costed
- Educational material such as booklets, posters, leaflets

All educational and training material can be customised to include the receiving organisation's branding and logo.

More bespoke services include:
- Organisational Review of existing safeguarding processes ,policies and procedures
- Develop safeguarding plan based on gap analysis
- Policy Development
- Risk Assessment, Care planning, report writing , Court reports
- Individual management reviews for SAR’s Domestic Homicide reviews
- Audit Evaluation and Implementation Plan
- Organisational preparation for CQC Inspections
- Organisational quality, risk and governance assurance
Stage of Development:
Close to market - Prototype near completion and final form may require additional validation/evaluation and all CE marking and regulatory requirements are in place
WMAHSN priorities and themes addressed: 
Mental Health: recovery, crisis and prevention / Long term conditions: a whole system, person-centred approach / Wellness and prevention of illness / Education, training and future workforce / Wealth creation / Innovation and adoption / Patient and medicines safety / Person centred care
Benefit to NHS:
- Flexible learning packages to meet mandatory training requirements for NHS organisations who do not have the capacity to provide the training in-house
- Improving the knowledge and skills of the workforce which will improve the safeguarding of patients
- Reduce organisational risk
- Improve outcomes for patients and carers
- Reduces demands on clinical time by way of providing training through e-learning
- Access to the most up-to-date contents as our team are constantly updating the training material
Online Discussion Rating
4.00 (1 ratings)
Initial Review Rating
3.80 (2 ratings)
Benefit to WM population:
The safeguarding of vulnerable adults is now statutory under the Care Act 2014. As such, its implementation is required locally, regionally and nationally.

According to the editorial of Journal of Adult Protection Vol 18, No 2, 2016: "Across West Midlands, local authorities are struggling with the effects of austerity measures, unprotected social care budgets, restructuring, under-valued care workers, redundancies and more generally on the rising demands associated with an ageing society". Following re-organisation, many of the local authorities are struggling with a younger and less-experienced workforce with less intellectual memory and too many agency staff. This will be even more so in West Midlands following the councils' devolution plan delivery. This calls for increased training and support for staff delivering front-line services where demands have risen and resourses have dwindled. 
Current and planned activity: 
Currently we provide training to BCHCFT workforce which comprises over 5,000 members of staff. In addition, we provide training to limited number of NHS Trusts and a wider workforce in hospice care, special schools and some private and commissioning groups. All of this has been achieved through recommendations rather than utilising any marketing strategies.
What is the intellectual property status of your innovation?:
Training material need to be protected.
Return on Investment (£ Value): 
high
Return on Investment (Timescale): 
1 year
Ease of scalability: 
Simple
Regional Scalability:
The service can be provided across the West Midlands Health Authority region.
Measures:
- Provides the organisation across the health and social care with the mandatory training for staff dealing with vulnerable adults
- Knowledge assessment at the end of the training to ascertain the competences acquired by the individuals
Adoption target:
Health and social care organisations and private sector
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