Eliminating Pressure Ulcers
News and presentations from today’s conference chaired by Tina Chambers Immediate Past Chair Tissue Viability Society bringing together tissue viability nurses, wound care leads and senior nurses to discuss the important issue of eliminating avoidable pressure ulcers.
Stop the Pressure: Moving Forward
Jennie Hall, Strategic Nursing Adviser, NHS Improvement
Jennie gave a national update from NHS Improvement which is suupporting trusts to reduce pressure ulcers, she said national data shows that there has been progess but there's still a high number of patients having pressure ulcers and there's still lots that can be done. Jennie said recent data shows there has been a plateau in improvement with challenges particularly in the hospice sector and critical care settings. Jennie said the cost is huge both financially in terms of long stays or ongoing care in the community but more important is the emotional cost for patients and families. NHS Improvement is bringing together a collaborative of 20 trusts to use improvement methodology and hopes to continue this with more collaboratives and will encourage the sharing of good practice by helping to connect people.
One of the key remaining patient safety challenges across the NHS is the rate of pressure damage for individual patients across all healthcare settings. Whilst progress has been made and this must be applauded it is clear that collectively we have reached a plateau in terms of improvement and there is a requirement to now refocus energy to further improve performance. For this reason NHS Improvement is coordinating a “Stop the Pressure” improvement programme in pressure damage in the coming months.
In the NHS in England from April 2015 to the end of March 2016, 24,674 patients were reported to have developed a new pressure ulcer (HSCIC), this means that each month between 1,700 - 2,000 newly acquired pressure ulcers are developed in 72 hours or more, after a patient is admitted to our organisations (HSCIC). Patients with pressure ulcers can stay on average 25 days in hospital (Raleigh 2009), The costs of treating a pressure ulcer varies from £1,214 to £14,108 with costs increasing with severity.
The “Stop the Pressure” Programme has been running since 2012. It commenced in NHSE Midlands and the East Region and was led by Ruth May as SRO. There were demonstrable benefits from the programme within the Midlands and East, in particular 50% pressure damage reduction which was a significant achievement.
NHSI are now relaunching the “Stop the Pressure” programme as part of a wider patient safety campaign building on the tools, knowledge and skills of the Midlands and the East Region campaign. The national programme is a system programme working across acute and community settings and in collaboration with key partners in social services and care home settings. It will link with other pressure damage programmes such as the Wound care Programme being led by NHS England which incorporates “React to Red”. The programme is focussing on improving pressure ulcer outcomes through promoting best practice, and use of measurement and improvement tools. It will directly link with Organisations to support them to make improvements, there will be a collaborative to support individual Trusts. Social media will also be used with Twitter accounts #stopthepressure to support the engagement of front line staff.
Within the next 6 months the programme will be focusing on the development and design of national architecture to support implementation of single data capture and reporting systems in 17/18 to support an ambitious level of improvement in the incidence of avoidable grade 3 and 4 pressure ulcers in 2017/18.
Eliminating pressure ulcers on the wards
Lisa Sutherland, Lecturer in Adult Nursing, University of Suffolk
Lisa shared practical tips and advice for eliminating pressure ulcers in practice.
Full PowerPoint Presentation
Future events of interest:
Eliminating Heel Pressure Ulcers
Implementing the NICE Guidance & updated Quality Standard on Diabetic Foot Problems Prevention and Management
Ward Manager Summit: Developing your skills as an Effective Ward Manager
Friday 14 July
De Vere West One Conference Centre, London
Nurse Prescribing for Pain
Friday 29 September
De Vere W1 Conference Centre, London
26 June 2017