Systems of care
Ensuring quality within our systems of care looking at improving efficiency to avoid waste, effective integration of services and QI educational approaches for child health professionals.
Key resources
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Integrated Care
The NHS Long Term Plan has emphasised the importance of integrated care to the future of the health service. This section looks at case examples and resources for delivering integrated care in paediatrics and child health.
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QI Education
Resources and networks to help healthcare professionals ensure their practice prioritises patient safety and strives to improve the experiences and outcomes of children and young people, and their families.
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Sustainable Healthcare
The World Health Organization has described climate change as “the defining health challenge of our time”. This section looks at improvement work on environmental sustainability and the principles of sustainable healthcare.
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Projects
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‘Keeping Sick Children Out of Hospital’- The Ambulatory Care Experience (ACE) service
Developing a standard ambulatory care model for managing acute illness in children and young people at home.
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Healthier Together – Improving the Quality of Care for Children and Young People in Wessex
The Healthier Together Programme is developed in partnership with parents and healthcare professionals across Dorset, Hampshire and Isle of Wight.
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Children’s Outpatients Reopening Post-COVID19
A rapid quality improvement project to restart outpatient services at Great North Children's Hospital following the impact of COVID-19.
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Establishing The Hillingdon Community Joint Neonatal Clinic During COVID-19
An initiative by the neonatal team at Hillingdon Hospital in response to the challenges of delivering specialist care during the COVID-19 pandemic and its impact on very young babies and their families.
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Establishing Paediatric Trainee Clinics During the COVID-19 Pandemic
Redesign of outpatient clinics delivered by paediatric trainees during the COVID-19 pandemic to incorporate telephone and video consults with some continued face-to-face consultations.
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Recognition and Response to Sepsis in the Paediatric Emergency Care Setting
The Paediatric Sepsis Network provides an open clinical forum to formulate meaningful changes in sepsis care based on national guidance.
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Leeds Children’s Hospital Junior Doctors Forum
Leeds Children's Hospital Junior Doctors Forum works on areas to improve training and the working environment supported by senior management.
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Improving Phlebotomy Services
Decreasing the number of blood tests done by junior doctors overnight and improve the patient experience of routine blood taking by optimising phlebotomy services on inpatient wards.
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A&E and Short Stay Asthma Pathway
Pathway to ensure every patient seen with asthma in A&E or the short stay unit receives a written asthma plan with appropriate follow up arranged on discharge home.
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A Discharge Summary on Discharge
Ensuring all PAU patients with a stay of less than 4 hours are discharged home with a copy of their discharge summary.
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Reducing the Environmental Impact of Inhalers in Paediatrics at Wexham Park Hospital
Working with a local Clinical Commissioning Group to improve the carbon footprint of inhalers by establishing a decision support alert for GPs and a safe disposal and recycling scheme.
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National Diabetes Quality Improvement Pilot: Our QI Journey So Far
Improvements in the first year of our QI journey following our participation in the pilot National Diabetes QI Collaborative in 2017.
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The Replacement of Polystyrene Cups with a Sustainable Alternative
An eco-QIP to remove all polystyrene cups from the neonatal unit at John Radcliffe Hospital, supported with simultaneous introduction of a reusable and sustainable alternative with all proceeds benefiting a local neonatal charity.
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Setting Up Home Testing in Paediatric Services For Children with Chronic Suppurative Lung Disease
Rapid implementation of a remote testing service for regular microbiological sampling via cough swab or sputum of children with chronic suppurative lung disease during the COVID-19 pandemic.
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Prevention of Cerebral Palsy in Preterm Labour (PReCePT)
A scalable quality improvement initiative co-designed, with parents, obstetric, midwifery and neonatal clinical teams in West England to increase the uptake of Magnesium Sulphate given intrapartum during preterm labour.
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Using National Audit Data for Service Improvement
Examples from teams in the Yorkshire and Humber Neonatal Network, Bradford Teaching Hospitals and Manchester University NHS Foundation Trusts using data from the National Neonatal Audit Programme to improve quality of care.
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Deferred Cord Clamping in Preterm Infants
Improvement projects from Sheffield Teaching Hospitals, Ashford and St Peter's Hospitals, and York and Scarborough Teaching Hospitals NHS Foundation Trusts focussed on the implementation of deferred cord clamping as per national guidance.
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Project PEEP: Introduction of a Preterm Respiratory Care Bundle on NICU
Establishing a team of interdisciplinary individuals to develop strategies to reduce the incidence of bronchopulmonary dysplasia on the neonatal intensive care unit through implementation of a preterm respiratory care bundle.
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