2018 Finalists: Where are they now?

Category: Emergency and Urgent Care Winner

Project: The HECTOR Project
Since winning the Excellence in Emergency and Urgent Care Award we have been inundated with requests to establish the course at different sites across the UK. The demand far exceeds our capacity to deliver our training, but we endeavour to accommodate as many requests as possible, all at low cost. By the end of 2019, we had delivered faculty training at 10 different sites and have plans to expand to three or four more sites in the first six months of 2020.

We’re in the process of writing a second edition of our manual and course to ensure that our evidence is as up to date as possible. We continue to deliver training across the wide multidisciplinary team in our attempts to improve silver trauma care across the United Kingdom. We will also have our website up and running in the first part of 2020 to enable us to advertise future courses and learning events.
David Raven, Heart of England NHS Foundation Trust

Category: Education Winner

Project: Mental health simulation
Being named BMJ Education Team of the Year 2018 provided us with valuable recognition of our hard work and success. We won this award as Maudsley Simulation (www.maudsleysimulation.com), the world’s first mental health simulation centre, having trained thousands of staff on hundreds of experiential and reflective learning days. Our research demonstrated benefits to individual and team development, as well as clinical practice and outcomes, while our financially sustainable delivery model was recognised.

Following our award, we were supported by our organisation (South London & Maudsley NHS Foundation Trust) to build on our success by launching a new team called Maudsley Learning (www.maudsleylearning.com). This team represents an evolution of Maudsley Simulation, alongside the exceptional clinical, educational and research expertise at South London & Maudsley. Our aim is to improve mental health and wellbeing for all through high quality workforce development programmes.

Maudsley Learning (www.maudsleylearning.com) has allowed us to branch out into new, innovative areas of workforce development relating to mental health. We’ve become one of the first organisations to develop virtual reality training for mental health staff, have developed ‘patient view camera’ training scenarios, and published 17 peer-reviewed journal articles. Our workforce development programmes are more tailored and blended than ever, drawing on virtual reality and digital learning through face-to-face masterclasses and simulation training. However, at their core the focus remains on interactive clinical experiences paired with reflective and facilitated discussions to promote experiential learning around mental health.

Following our award we have significantly expanded our partners and collaborators, having workforce development programmes commissioned locally, nationally, internationally and accessing grants to support innovation and development. We collaborate with partners across the UK and globally to support them to sustainably implement workforce development solutions akin to our own, with improving staff experience and patient outcomes as the focus.
Chris Attoe, Maudsley Simulation

Category: Anaesthesia and Perioperative Medicine Winner

Project: Managing complex surgical pain
After winning the BMJ Anaesthesia and Perioperative Medicine award in 2018, our service secured ongoing funding from Royal Bournemouth and Christchurch NHS Trust. The award helped to raise the profile of the Acute Pain Team within our Trust and was a significant morale boost for the whole team! We have presented our results at national meetings including the National Acute Pain Symposium and have expanded the service to include elective patients undergoing different types of surgery. 470 patients have been through our Preoperative Psychology service since its introduction in December 2016. 

Our initial project assessed and treated hip and knee arthroplasty patients, and these patients remain a major part of our workload. We have continued to show a reduced length of stay in both patient groups:- 28 hour reduction for Hip replacement patients and 30 hour reduction for Knee replacement patients. This continues to have a significant impact on our orthopaedic wards saving 570 bed days and has lead to cost savings of £200,000.

Patient feedback is very good with 89% patients likely to recommend our service to friends and family and 94% rating the service as very good or excellent.
Elaine O’Shea, Royal Bournemouth and Christchurch NHS Trust

Category: Education Highly Commended Finalist

Project: Bath tea trolley training
Our project has gone from strength to strength. We have now run >45 projects in Bath (on hospital wards, ICU, theatres, delivery suite) have nearly run 2000 staff mini training episodes, have been copied by 34 UK hospitals that we know of and three hospitals internationally (France, Canada and Australia.) Feedback is great! We were finalists for the HEE awards 2019 and the Royal College of Anaesthetists are publishing 2 articles about tea trolley-OMG in their 2020 bulletins. Do get in touch if you’d like more info or see #teatrolleytraining or #bathteatrolley or @fionafionakel on twitter for some pickies.
Fiona Kelly, Royal United Hospitals Bath Foundation Trust

View their project at: https://www.youtube.com/watch?v=2O2k8qaGuNc&t=8s

Category: Patient Partnership Finalist

Project: Sit Up get dressed Keep Moving
The project has been hugely successful and has now become truly national and indeed international with many hospitals in countries like US, Canada, Australia, Netherlands, New Zealand have adopted this concept and have launched their own programs. In the true spirit of learning and sharing we have freely given our materials to anyone who has asked for it with permission to amend and use without any need to acknowledge us. These are also widely available on the internet.

It is hoped that the change of culture and mindset, worldwide, will improve patient’s health across the board and improve outcomes specially post hospitalisation and in care homes. It will be hard to measure outcomes and determine the full impact of the ‘National Deconditioning Awareness and Prevention Campaign; Sit Up Get Dressed Keep Moving’  but often it is about overall health benefits rather than just measuring.

We know from various conferences agendas and invitations to speak, publication requests and published articles on deconditioning that the awareness and interest in this is very high amongst nurses, therapists, executives and anyone involved in care of older people. Many organisations have started to take steps in formalising deconditioning associated harms and finding ways to address these in their own organisations. 

We are now in the process of refreshing the campaign materials and have gained support from the British Geriatrics Society to endorse and they have happily agreed. It is hard to believe how one small step has led to a huge social movement, such is the power when evidence connects with emotional appeal and leads to change of culture.
Amit Arora, University Hospital of North Midlands

Category: Anaesthesia and Perioperative Finalist

Project: PRIME Clinic
The PRIME clinic has continued to expand since shortlisting, with the appointment of an additional consultant geriatrician and additional consultant anaesthetist support. This has meant an increase of almost 100 patients through the PRIME clinic. Projects about the PRIME clinic have been presented at a number of national conferences, and the team is currently preparing submissions for the 4th Prehabilitation World Conference. 

Additional projects have been established by members of the PRIME team, in order to improve the prehabilitation provision for non-frail patients. This has included the implementation of Fit 4 Surgery – a multidisciplinary group information session to prepare patients undergoing major surgery. This pilot programme began in January 2020 and was funded via charitable funds. The aim of the team is for the programme to be funded permanently by the Trust following the pilot. Patient feedback is being collated, and the team intends to compare data on length of stay and complication rates once the programme is more established. 

The PRIME team is continuing to support academic work within CUH and the University of Cambridge, including pre-doctoral studies investigating pre-operative physical activity by the PRIME physiotherapist.
Serena Goon, PRIME clinic, Cambridge University Hospitals NHS Foundation Trust

Category: Cancer Care Finalist

Project: Papillon for Rectal Cancer
The referrals for Contact X-ray brachytherapy (Papillon) for rectal cancer has increased in the past year. There is more awareness among young colorectal surgeons and colorectal nurses about Papillon. Many older patients not suitable for surgery and younger patients who are refusing surgery as they are stoma phobic get referred after colorectal MDT discussions. Many patients told us that they are now given choice for their treatment by colorectal surgeons after their MDT discussions. We are recruiting the final few patients for our phase 3 randomised trial OPERA. We can recruit more patients into OPERA in the past 18 months. NHS England has agreed to review Papillon with Commissioning through Evaluation (CtE) and we are in the final stages of our application for this process.
Professor Arthur Sun Myint, Papillon Suite, Clatterbridge Cancer Centre