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Stop the Pressure: an update from NHS England

Susan Bowler Professional Advisor at NHS England provided an update from NHS England on Stop the Pressure at today’s conference. Susan stated:

‘One of our great achievements has been the Stop the Pressure website; we will be launching new material on the website soon’

‘The safety thermometer is the only consistent tool we have had since 2012, other tools have been used by different organisations but because they differ  there is no way to do a comparison nationally.’

‘We do a lot of work to educate nurses but is there a gap in educating care home staff?’

‘We can educate frontline staff but we need to think about student nurses too, you may say this is part of the curriculum, my daughter is training in nursing and I would argue at times there is a level of ignorance in relation to pressure ulcers’

In her presentation Susan also discussed:

Economic analysis of pressure ulcers

  • Economic teams are carrying out an analysis of the economic benefits of further improving PU care. 
  • Includes the costs of treating PU, prevention, and what further impact could be achieved in reducing prevalence of PU’s.
  • Current costs of treating PU’s are substantial; primarily from nursing time.
  • Key factors in the analysis are: some  PU’s are clinically unavoidable or cannot be avoided due to the setting where they are acquired
  • There is the possibility of a £40m total cost saving, based on current costs = £30m in the acute sector + £10m in the community sector
  • The savings in this area are based only on analysis of reductions in pressure ulcers. It is very likely that that there would be savings from reductions in other harms. 
Proposed next steps:
  • Set up programme board with programme plan and agreed objectives. Baseline assessment and engagement process/call to action with providers, Improvement plans to be submitted to start in Q4
  • From mapping,  highlight variation and ‘best performers- call for action’.
  • Develop new national campaign – launch from Q3 2016/17
  • Agree national definitions
  • ? Establish a model for a national in-depth PU audit – preformed once a year.  Full skin checks, education assessment, etc
  • Plan wound care campaign for advice to the sector in 17/18
  • Collaboration with National Procurement Work-stream
  • Continue with Student Conferences
  • Drive the Care Homes Work – e.g. React to Red, Prosper

Susan Bowler's full presentation is available for download at the end of this page

Susan Bowler's Biography

Susan has worked within the NHS for over 30 years.  She has a background in predominantly acute nursing, working in both large acute teaching Trusts as well as district general hospitals.  Her most recent post was as an Executive Director of Nursing in a Trust which was highly regulated and inspected.  She led the Trust response to the Keogh Rapid Response Review and Special Measures to enable significant improvements in safety, mortality and patient experience.  The scale and pace of change necessitated a ‘call for action’, which created a groundswell of support from existing staff to deliver the required twenty three areas of improvement.   The pace of change and the complexity of the improvement programme have required a style of leadership where staff are entrusted and empowered to make the best decisions to drive improvements.  During this period she encouraged a climate of high expectations to deliver a substantial reduction in pressure ulcers and was proud of the work her staff led.  Susan has recently joined NHSI to lead the national ‘Stop the Pressure’ campaign.  Her recent work has involved working with NHSI to review the economic opportunities associated with pressure ulcer reduction.

Also of interest:

Eliminating Heel Pressure Ulcers
Tuesday 7 June 2016, Hallam Conference Centre, London
Pressure Ulcers Summit
Friday 16 September 2016, ICO Conference Centre, London
Eliminating Heel Pressure Ulcers
Wednesday 5 October 2016, The Studio Conference Centre, Birmingham

Download: susan-bowler_1395.pdf

19 May 2016


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