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

Siobhan HeafieldSiobhan Heafield

This conference takes a case study focused approach to meeting the New National Ambition set by the Chief Nursing Officer to #EndPJParalysis, to deliver the national 70-day challenge – with an ambition to have a million patient days captured in just 70 days to getting patients up, dressed and moving.

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
  • identifying when deconditioning leads to patient safety incidents
  • the impact on patient experience, deconditioning and outcomes in practice 

Ann-Marie's Biography:

Ann-Marie Riley is a registered general nurse who has a background in intensive care nursing, both general and specialty including major injuries, cardiac and burns. She has held a range of leadership roles including matron for trauma and orthopaedics, Head Nurse across a wide range of specialties and senior project nurse for safe staffing.

She is currently the Deputy Chief Nurse (strategy) at Nottingham University Hospital.

Quotes from Ann-Marie speaking this morning:

  • Deconditioning applies to everyone, not just older people
  • Deconditioning can have a negative impact on every single system
  • Deconditioning contributes to delayed discharge
  • Small changes can make a huge impact

Full powerpoint presentation

Siobhan Heafield Regional Nurse - Professional Leadership, Midlands and East NHS Improvement continues the morning with an update on 'The 70 day challenge to end PJ paralysis for 1 million people' and discusses

  • working across organisations to #EndPJParalysis in 70 days
  • data collection and monitoring
  • the 70 day national challenge 

Pre conference abstract:

70 Day #EndPJparalysis Challenge what is it all about ?

What is happening?

A national 70 Day #EndPJparalysis Challenge.

The aim is for 1 million patient days of people up, dressed and moving in their own clothes, rather than hospital gowns or pyjamas (PJs). It can done in any healthcare setting where PJs are worn.

As proof of concept in the East of England region, a 100 day challenge before Christmas in nine Trusts achieved 91,728 patient days.


The Challenge was ormally launched on 7 March by Prof Jane Cummings, Chief Nursing Officer for England who is the Executive Sponsor.

It is running from 17 April to 26 June 2018 – to finish in time for the NHS 70th anniversary celebrations on 5 July.

Benefits of #endPJparalysis include

  • Reduced LOS (< 1.5 days in Nottingham Uni Hospital Trauma and Orthopaedic Ward)
  • Reduced loss of mobility, deconditioning and risk of falls  (37% in same NUH T&O Ward)
  • Reduced food wastage due to greater patient mobility and energy need
  • Reduced risk of needing institutional care on discharge
  • Enhanced wellbeing of patients and staff

Quotes from Siobhan speaking this morning:

  • Getting patients up and dressed means they are one step closer to going home
  • It’s about engaging front line teams to do the right thing

Full powerpoint presentation


Siobhan's Biography

Siobhan is responsible for the professional leadership of nurses and midwives across the region. This  includes succession planning and providing professional guidance to Directors of Nursing (DoNs), trust boards and sub regional teams on clinical quality issues. She is the liaison with the NHSI central nursing directorate connecting the national nursing agenda to the region. She is also the liaison with NHSE, HEE and PHE at regional nurse director level.

Siobhan has a clinical background in intensive care.  She undertook intensive care training at University Hospitals Birmingham (UHB). She was the Professional Development Sister across the critical care units before moving into risk management through work she did on care and safety of patients with a tracheostomy. Following her move to risk management she was appointed as the Head of Clinical Governance at UHB before taking up a post  as Deputy Regional Nurse at the East Midlands Strategic Health Authority. She has held a Director of Nursing position at a NHS community trust which was integrated with social care. Siobhan  joined the NHS Trust Development Authority (TDA) as Associate Director of Nursing in November 2014 and became the Regional Nurse NHSI at its inception in April 2016.

Future conferences of interest:

Advanced Nursing Practice & Credentialing
Monday 2 July 2018 
De Vere West One Conference Centre, London

IV Therapy Summit: Improving quality and safety including effective IV Therapy at home (OPAT)
Wednesday 11 July 2018 
Manchester Conference Centre, Manchester

Demonstrating & Improving Nurse Prescribing Competence & Practice: Implementing the National competency framework for all prescribers
Monday 10 September 2018 
De Vere West One Conference Centre, London

Developing the role of the Nursing Associate
Monday 24 September 2018 
De Vere West One Conference Centre, London



11 June 2018


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    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
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