Implementing Energise for
Excellence and responding to the
Call To Action on the ward
Lesley Marsh
Assistant Director of Nursing
Aims
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energise for excellence: the ward managers
‘Call To Action’
supporting safe and effective care, and
delivering positive patient and staff
experiences
enabling ward managers to tell their quality
story and commit to the ‘call to action’
the tools and toolkits which measure
improvement, change practice and spread
success
Get
Staffing
Right
• Education
both pre &
post
registration
• Values based
recruitment
• Personal
Development
• Evidence
based staffing
levels
Deliver
Care
• Evidence
based, using
innovation &
best practice
• Improving
outcomes
• Productive &
efficient
• Delivered in
the right place
Patient
Experience
Staff
Experience
• Clarity of
measures &
impact
• Real time
monitoring &
improvement
• Rewarding &
worthwhile
jobs
• Safety
thermometer
• Friends and
Family Test
• Professionally
accountable
• Continuous
improvement
• Informed &
involved in
decisions
• Proud to be a
nurse /midwife
Measure
Impact
• Transparent &
open
reporting
• Treated fairly
• Personal
responsibility
for health &
well being
Leadership at every level
• Engaged in
decisions
We call you to commit to take FIVE actions.
1. Commit to take a specific action to make a
specific change within a specific timescale
2. Use the most relevant tools
3. Measure it
4. Celebrate success
5. Tell your story to others
Falls
Get Staffing
Right
Deliver Care
Values based
recruitment
Harm free care /
safety
thermometer
Education and
training
Fallsafe project
Fallsafe train the
trainer
Leadership
programmes
Measure
Impact
Observations of
care / peer review
Safe and
productive care of
older people
Patient
Experience
Staff
Experience
Reporting falls
Complaints
Learning
Patient feedback
Friends and family
test
Feedback from
study days
Changes to care
Patient risk factors
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Cardiovascular
Balance
Confusion
Bone health
Medication
Vision
Toileting
Environmental risk
factors
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Patient environment
Equipment
Special observation
THINK FALLS
F = Fatal
A = Assessment
L = List risk factors & act
L = Leave essentials within reach
S = Stop medication if you can
Falls – what did we achieve?
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Fallsafe champion in every clinical area
Falls assessment for every patient over 65
Falls pathway for every patient identified at
risk
Post falls protocol
Falls group
Resource folder
THINK falls
Falls – the numbers
2008
2009
2010
2011
2012
250
200
150
100
50
0
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
2008
229
180
177
177
157
181
211
173
187
184
179
166
2009
181
187
181
194
186
182
221
167
132
208
194
178
2010
194
181
219
203
199
211
167
195
201
198
196
194
2011
238
230
218
180
196
204
161
173
216
215
201
221
2012
234
194
203
190
173
196
176
151
percentage %
Audit of care for patients regarding falls
assessment and management
100
90
80
70
60
50
40
30
20
10
0
Series1
date
National Outcomes
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The number of patients without a call bell in reach was
reduced by 78%.
Twice as many requests for medication reviews were
made.
The number of patients who did not have safe
footwear was reduced by 67%.
Twice as many patients had their lying and standing
blood pressure checked manually.
There was a 56% increase in patients being assessed
for signs of confusion.
More than twice as many patients were asked if they
were worried that they might fall.
There was a 41% decrease in the number of patients
given night sedation.
Trust outcomes
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The number of patients without a call bell in reach was
reduced by 80%.
55% increase in request for medication reviews
The number of patients who did not have safe
footwear was reduced by 47%.
There was a 64% increase in patients being assessed
for signs of confusion.
50% patients over 65 were asked if they were worried
that they might fall.
There was a 30% decrease in the number of patients
given night sedation.
Reduced length of stay for older people by 3 days
Next steps
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Environmental audits
Review pathway
Night time medication
Chair review
Toileting
Continue audit