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News and Updates from today's Getting Patients Up, Dressed and Moving conference

This conference takes a case study focused approach to getting patients up, dressed and moving through learning from organisations that have successfully implemented #EndPJparalysis in practice, bringing the #last1000days and #Red2Green to life.

Ann-Marie Riley Deputy Chief Nurse (Operations) Nottingham University Hospitals NHS Foundation Trust Chairs and opens the conference with an update on 'Bringing the #Last1000days and #Red2Green to life through #EndPJparalysis: getting patients up, dressed in their own clothes and moving' covering;

  • last 1000 days, red to green and PJ paralysis explained
  • the #endPJparalysis movement: our experience and why it started
  • enabling patients to get into their own clothes to build system capacity by improving patient flow, enabling more timely discharges, reducing length of stay, and more timely admissions for other patients
  • the impact on patient experience, deconditioning and outcomes in practice


Ann-Marie opened her presentation by outlining 1000 days and asking the question "if you had 1000 days left to live how many would you want to spend in hospital?" Ann-Marie went on to discuss the #endpjparalysis programme - a social movement aiming to raise awareness of deconditioning. #EndPJparalysis is now one of the quality priorities in Nottingham.

Ann-Marie talked about their focus on nutrition and what people wanted to eat when they weren't well #nuhmemorymenu which has involved patients to choose the food they want to eat, and their EDfit2sit programme. The trust have extended the focus to new mums through #mumsarego to encourage new mums to keep moving. The programme has now been incorporated into the trust patient safety strategy including asking people if deconditioning has played a part in patient safety incidents via the Datix system, reviewing processes so they can capture harm caused by deconditioning. 

Ann-Marie talked about the difficulties in getting patients and carers to bring clothes in and how they have used a clothing stock to help with this along with a communications strategy to improve this. The trust is also encouraging patients to get up and sit together to have lunch with relatives. Ann-Marie also discussed the positive impact on falls and pressure ulcers by keeping people moving.

Ann-Marie's Biography

Ann-Marie Riley is a registered general nurse who has a background in intensive care nursing as well as experience in leadership roles across a range of specialties.

She is currently the Deputy Chief Nurse at Nottingham University Hospitals where she has a key role supporting both the Chief Nurse, and the Chief Operating Officer, in ensuring the delivery of high quality nursing care. She has a passion in utilising data to support both the review and continual improvement of nursing care delivery.

She holds an Msc in Healthcare Policy and Management (Dist).

Ciara Moore Chief Operating Officer The Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust continues the morning with an update on 'The 100 day challenge to end PJ paralysis in the East of England' and discusses;

  • working across organisations to #EndPJParalysis in 100 days
  • data collection and monitoring
  • the power of 1000 across a region: our experience


Ciara discussed their regional approach to implementing #endpjparalysis. Ciara discussed the importance of getting the communications right in house to enable and engage people, and getting the communications right outside to develop the brand of #red2green and #last1000days. Ciara also talked about the importance of metrics being used as a supportive tool.  Ciara talked about the atmosphere of fun underlying an important topic.

You have to have some metrics to know how you are doing. At the end of their 100 day challenge 91728 patients were upu dressed and moving, but they did find that as this became normal practice people stopped collecting the data. Weekends were also a challenge in terms of data collection. 

In terms of lessons learned, nine trusts participated, it was framed well as not being about performance and some trusts had enduring substantial engagement.  The challenges were the data collection and in many trusts the culture of getting patients dressed improved but no data collection. Director of Nursing engagement was really key. 

Next steps will be to write up a report, engage more mental health and community trusts and develop a communications pack

Future conferences of interest:

Deteriorating Patient Summit
Friday 23 February 2018, The Studio Conference Centre, Birmingham

Developing the role of the Nursing Associate
Monday 5 March 2018, De Vere West One Conference Centre, London

Safe Staffing Summit: A Practical Guide to Safe and Effective Nursing Staffing Levels and Skill Mix
Friday 9 March 2018, De Vere West One Conference Centre, London

IV Therapy Summit: Improving quality and safety including effective IV Therapy at home (OPAT)
Monday 19 March 2018, De Vere West One Conference Centre, London

Advanced Nursing Practice & Credentialing
Monday 19 March 2018 
De Vere West One Conference Centre, London

Ward Manager Summit
Monday 16 April 2018, De Vere W1 Conference Centre, London

Demonstrating & Improving Nurse Prescribing Competence & Practice: Implementing the National competency framework for all prescribers
Friday 20 April 2018, De Vere West One Conference Centre, London

Hospital at Night Summit: Delivering a 24/7 Hospital
Wednesday 23 May 2018, The Studio Conference Centre, Birmingham

29 January 2018


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member ASGBI (Association of Surgeons of Great Britain and Ireland) professional partner BADS (British Association of Day Surgery) accredited conferences