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Suzanne Banks NHS England Gives an update from NHS England on Stop the Pressure

Suzanne Banks Professional Advisor NHS England Gives an update from NHS England on Stop the Pressure at today's conference: 

  • the stop the pressure campaign and path details
  • Pressure Ulcers and the 6C’s: An update from NHS England

Suzanne' full presentation is available for download at the end of this page.

In her presentation Suzanne states: 

In terms of serious incidents reported, 14% of all serious incidents reported were grade 4 pressure ulcers

We are starting to see a plateau and we are still seeing large variation between organisations

There has been a decline in pressure ulcers in last year but it has not been a significant one

A key focus moving forward are care homes.

80 to 95% of pressure ulcers are avoidable 

Abstract of presentation: 

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. 


Download: Suzanne Banks Presentation

4 February 2015

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