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Lyn McIntyre MBE gives an update from NHS England on the Stop the Pressure Campaign

Lyn McIntyre MBE Deputy Nurse Director Patient Experience NHS England gives an update from NHS England and discusses the stop the pressure campaign and path details and pressure ulcers and the 6C’s. 

Lyn discussed: 

"Under reporting was a huge problem however and gave us a huge opportunity to change certain areas. Also decided on ambitions on the 5 areas"

"80-95% of most pressure ulcers are avoidable"

"Set up a tissue viability expert working group to get all nurses to work together and look at grading tools, RCA tools, policies- this therefore formed and developed a pressure ulcer path"

"Nurses should use their RCA tools to avoid pressure ulcers and this can be discussed with the board"

"Nutrition and hydration factors are big issues that need to be addressed for avoiding pressure ulcers"

"The pressure ulcer educational game- developed stop the pressure on world pressure ulcer day- and won a national award last year! Can purchase the game via the website...Organisations use the game to help educate staff and feel that they remember more from the game"

"Health education England worked with stop the pressure to help students to get involved with pressure ulcers"

"Measuring improvements is really important where monitoring pressure ulcers are free"

"Have been approached to share findings aboard in Ethiopia, Canada and Africa"

"The love great skin campaign that has fantastic tools for care homes and this will be launched on the pressure ulcer website in November"


Pressure ulcers have a detrimental effect on patient health and wellbeing and place a significant economic burden on the NHS. NHS Midlands and East, a cluster strategic health authority, embarked on a programme of “ambitions” to ensure high-quality care and patient safety. The SHA identified the elimination of all grade 2, 3 and 4 pressure ulcers as its first ambition.

The aim of the programme was to use the elimination of avoidable grade 2, 3, and 4 pressure ulcers as an outcome measure for nursing care that included: 

  • Hydration
  • Nutrition
  • Pressure area care
  • Medication management
  • Individualised care

The rationale was that pressure ulcers are more likely to occur in patients who are malnourished, elderly, dehydrated, obese and those with underlying medical conditions.  The assumption was that in order to achieve the ambition of the elimination of grade 2, 3 and 4 pressure ulcers,  it was essential that fundamental aspects of high quality nursing care were in place. 

The programme was formally launched in January 2012 with a number of engagement events. Supporting material was also launched along with a communication strategy to continuing engaging all nurses in the “Ambition.”  NHS Midlands and East believed that the success of the ambition to eliminate all grade 2, 3 and 4 pressure ulcers depended upon communication and engagement, especially with nurses who are the frontline carers.  The programme needed to support both cultural and behavioural changes, both of which are essential to delivering high quality and harm-free care across NHS Midlands and East. 

The aim to eliminate grade 2, 3 and 4 pressure ulcers was an ambitious programme but one which had been planned and implemented through a well thought through process of consultation, communication and engagement.  Nurses were at the forefront of the ambition which combined the use of the NHS Safety Thermometer triangulated with Serious Incident reporting, and a robust communication and staff engagement plan.

The presentation will highlight the reasons for the programme, how the programme developed and lessons learnt, along with plans going forward. 

Lyn trained as both a general and mental health nurse and has worked across a variety of clinical settings during her 35 year career in nursing, including Deputy and Acting Chief Nurse at Cambridge University Hospitals NHS Foundation Trust. Lyn worked with NHS East of England from 2009, and NHS Midlands and East from 2011 in a variety of quality and nursing leadership roles, including Head of Clinical Quality and Patient Safety, Heads of Operations for Nursing and Quality and Associate Nurse Director – Ambition Leadership.

In March 2013 Lyn was appointed to the Deputy Nurse Director – Patient Experience at NHS England working in the Midlands and East region specifically leading on Domain 4 of the Outcomes Framework, pressure ulcer elimination and improving nutrition and hydration care for patients across all health settings.

Lyn led the QIPP Safe Care work stream in 2011 across the east of England and was a key leader in the delivery of Harm Free Care nationally and across the Midlands and East, particularly the Ambition ‘to eliminate avoidable grade 2,3 and 4 pressure ulcers’. The programme was made up of nine work streams including nutrition and hydration which delivered guidance on ‘What good nutrition care looks like’ and an educational programme including the development of two board games and microsites; ‘Stop the Pressure’ and ‘The Nutrition Game’. The programme has delivered a 50% reduction in new pressure ulcers.  

Lyn was awarded ‘My NHS Hero’ in 2012 in recognition for her contribution to patient care and ‘The Nutrition Resource of the Year 2014’ for The Nutrition Game. Lyn recently received an MBE for services to nursing in the Queen’s Birthday Honours (June 2014). She has also published several articles on pressure ulcer prevention and reduction.

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This event will be again in 2015: 

Eliminating Avoidable Pressure Ulcers
Wednesday 4 February 2015, Birmingham


Download: Lyn McIntyre MBE full presentation

3 November 2014


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