Third-year mental health nursing student and Samaritan Catherine created an emotional support guide, an electronic resource to help people in distress and to raise awareness around distress, self-harm and suicide. It offers practical guidance on supporting someone during difficult conversations and signposts further support. Linked guidance sessions run quarterly for all staff at University Hospitals of Morecambe Bay NHS Foundation Trust and the sessions have been incorporated into the nursing degree for the 2017/18 academic year. She has also instigated a pilot partnership project between the trust and the Samaritans of Lancaster & District, including designing a leaflet to raise awareness about the charity.
Andrew Parker Student Nurse Award
University of Cumbria
University of Salford
Using successful bids for National Lottery funding, and developing her business management skills, second-year adult nursing student Karen set up Society Inc a befriending and mentoring service for residents of Little Hulton, a deprived area in Salford. She wrote policies and procedures and using her previous experience in education, developed a robust training package that she hopes will be accredited. Volunteers, who are mostly recruited from the area, have developed meaningful and productive relationships to empower clients to make positive changes in all aspects of their lives, including addiction problems, mental health, or employment.
De Montfort University
In 2015, first-year adult nursing student Katie was given a 15% chance of survival after contracting sepsis. During her long recovery she completed an access-to-nursing course through distance learning with the intention of raising awareness of the life-threatening condition. Just months after starting her degree, she organised a successful Sepsis Champions event that more than 210 nursing students applied to attend. Feedback was excellent. She is holding further events at De Montfort University and helping students to hold the event at other universities. She is a speaker at the Patient Safety Congress 2018.
Oxford Brookes University
After winning a grant, second-year adult nursing students Raluca and Pedro created an online platform bringing together information on all phases of the non-trauma amputation pathway for patients and clinicians. They conducted a focus group with more than 20 people who had had amputations, explored literature and discussed their plans with stakeholders, including the founder of charity Limbcare and the clinical psychologist for the west of Scotland. They are now working alongside professionals from King’s College, Guy’s and St Thomas’ and Oxford University Hospitals NHS Foundation Trust to populate the website, Stumped UK, with the most relevant and up-to-date information.
University of Northampton
Rebecca completed a clinical audit to help improve the initial assessment for diagnosis and treatment of people with gender dysphoria at a gender identity clinic. The third-year mental health student wrote a formal proposal and liaised with the university and her trust. With no National Institute for Health and Care Excellence standards to guide her, she searched the literature to formulate standards and collected and analysed all the data. The audit highlighted the need to improve the quality of the first assessment to ensure the service was delivering the best possible standard of care and Rebecca’s recommendations have been accepted and changes made.
Cancer Nursing Award
This is the first team in Scotland to develop a service for patients who are diagnosed with metastatic cancer of unknown primary, who fell outside of existing pathways but had complex care journeys with numerous hospital stays and investigations, and a very poor prognosis. These vulnerable patients now have a more equitable experience to patients of site-specific tumours with a dedicated multidisciplinary team, and formal diagnostic and treatment pathways. This is ensuring earlier, honest discussions with patients and their loved ones, and improving links with other specialist services including palliative care. These quality and experience improvements have also delivered cost savings.
The Clatterbridge Cancer Centre
Skin cancer advanced nurse practitioner Joanne has produced a patient-held immuno-oncology alert card with a QR code to enable acute clinicians to access information quickly. Immuno-oncology side effects include skin toxicities, diarrhoea, hepatitis, endocrinopathies and pneumonitis. These can be life threatening but the treatments are new and relatively unknown outside of cancer specialties. Joanne has ensured frontline staff in A&E or primary care have 24-hour access to specially developed guidance by scanning the code on the bespoke card. This has ensured standardised management pathways, and timely access to treatments, reducing morbidity and mortality as well as hospital stays.
Northampton General NHS Trust
Macmillan clinical nurse specialist Lisa led the development of the proactive cancer care service, a multi-professional approach to patients who do not have specialist needs but have a palliative care diagnosis, plugging a gap between primary and secondary care. It was piloted for lung cancer patients but its success led to it being rolled out in all cancer pathways. The team has transformed patient care, preventing crisis situations, empowering patients and carers through education and support, and addressing holistic and rehabilitation needs. It is preventing unnecessary admission to hospital and enabling patients to achieve a better quality of life and be treated at their preferred place of care.
South Western Ambulance Services NHS Foundation Trust
Cancer care facilitator Lynn’s package of measures is enabling paramedics to improve symptom control for patients at the end of life, ensuring they can remain in their homes. Patients in rural areas who had difficulty engaging with primary care services or were not covered by an out-of-hours community nursing service were being taken to hospital when medications had run out or for symptoms which could be addressed at home. Lynn wrote patient group directions and trained paramedics to administer the four commonly used 'Just in Case' medications. Paramedics are also trained to help patients manage symptoms such as breathlessness.
The Royal Wolverhampton NHS Trust
Philippa led the development of the UK Oncology Nursing Society’s 24-hour triage tool to improve patient safety, and guide and support practitioners at all stages of the telephone triage and assessment process. The risk assessment, which uses a red, amber and green scoring system to identify and prioritise patients’ or carers’ problems, has been positively evaluated for safety, usability and practitioner experience. It is widely used across the UK and internationally. Macmillan associate acute oncology nurse advisor Philippa provides training and advice to organisations, including study days in her free time. There are versions for children and young people and primary care.
Child Health Award
The Hillingdon Hospitals NHS Foundation Trust
This proactive specialist nurse-led community asthma service set up clinics closer to the child's home or school. The team works with schools and school nurses to highlight children and young people who are at risk due to poor control and ensures they receive appropriate care. It educates and has trained more than 900 primary care and hospital professionals. To date 74% of the paediatric nursing staff have been trained in structured asthma reviews. The team’s joint asthma and wheeze pathway for primary, secondary and community services have made referrals more accessible. Feedback shows 100% of families rate the overall experience as ‘great’ or ‘good’.
Nurse manager Ms Bauwens has introduced family integrated care and changed the culture at the neonatal unit of Aberdeen Maternity Hospital ensuring parents are partners in the care they receive. Nursing staff have been trained to support parents to spend as much time as possible with their baby and to coach them to carry out as much of their care as possible, increasing confidence and reducing stress as well as improving breast feeding rates. Parents are empowered and with support, take part in decision-making. Visiting hours have increased so parents have 24-hour access to their baby.
Guys and St Thomas NHS Foundation Trust
Sussex Community NHS Foundation Trust
Head of children and young people community nursing service, Ms Ward developed a tool to improve the poor access to nursing care of 1,500 children and young people attending West Sussex special educational needs schools. The nursing assessment tool has improved the service model and skill mix, enabling an increase from two to ten nurses supporting pupils with complex needs. The tool has informed every child’s education, health and social care plan (EHCP) and has been adopted in Surrey, Kent, Sheffield and Bradford.
Blackpool Teaching Hospital NHS Foundation Trust
This team is reducing hospital admissions by ensuring children who are not traditionally seen by community children’s nurses, but frequently attend the emergency department, get appropriate care. Parents are offered a holistic family health assessment, education and training so they are more confident in caring for their children at home. They also bring the case before a multi-disciplinary team to secure a coordinated care plan. An early evaluation of 20 children, showed admissions had reduced by 31% after a five-month intervention from the team and the parents’ feedback is positive.
Commitment to Carers Award
Chesterfield Royal Hospital NHS Foundation Trust
Carer liaison officer Rebecca Whyman designed, implemented and evaluated a plan to recognise, support and involve carers. She convened forums, attended carer support groups and ensured improvements were carer-led, multicultural and diverse. Key standards and a carers’ charter were agreed by the carers working group and implemented. Staff receive mandatory training and one-to-one support, but a network of carers’ champions are also on hand to help. Carers are invited to be involved in decision-making regarding care and discharge planning. Designated resting rooms are provided and carers can visit flexibly with a carers’ passport.
East London NHS Foundation Trust
Senior nurse practitioner Hannah Bjorkstrand, carer liaison worker Nasima Begum and peer support worker Naz Islam have established a fortnightly Carers hub, for the isolated carers of people using Tower Hamlets primary care mental health service. The safe, supportive space allows carers to connect with others, focus on their own wellbeing and get practical and emotional support. Carers are signposted to groups and initiatives and the hub offers wellbeing activities such as yoga and physical health checks and the multicultural community is celebrated at Eid and Christmas parties. Carers give support and advice to each other.
Kent and Medway NHS and Social Care Partnership Trust
Matron Lisa implemented the Triangle of Care – the carer, the professional and the patient themselves – initiative across East Kent's Acute Care Group to ensure that carers were included, informed and better supported when they were caring for someone with a serious mental health problem. She established bimonthly carer meetings and rolled out a network of staff volunteers to help drive the initiative. Information has been co-produced by carers, including a booklet and checklist. Carers have been empowered to be more involved in the care planning process and are included at key stages, such as at discharge. Patient satisfaction has increased and complaints reduced.
Western Health and Social Care Trust
Macmillan palliative care facilitator Maria adapted and introduced the Namaste Care Programme in Northern Ireland, providing skills to carers and families of people with dementia. It promotes communication and meaningful activities through sensory stimulation. Using her research, she garnered support for a pilot from senior management and developed and delivered two six-week programmes, giving two hours training a week to 15 carers. Evaluation showed carer and family satisfaction, and the behaviour of people with advanced dementia improved. Staff said both care and the person with dementia’s quality of life improved.
This team provides specialist support to carers of people with dementia by telephone or email, managing 13,000 calls annually – a lifeline reducing the psychological and emotional impact of caring for someone with dementia. Clinical lead Susan has developed the service from four nurses, two days a week and an average of 300 calls a month, to a daily service delivered by 40 nurses managing more than 3,000 calls a month to meet the challenges of supporting hard-to-reach groups. Rapid expansion has been delivered through creative resource solutions. Evaluation found the service ‘uniquely excellent’ and highlighted the nurses’ skills in managing distressed callers.
Community Nursing Award
Ms Bunce led the creation and development of Compassionate Inverclyde – a collective of organisations and volunteers committed to ensuring nobody dies alone. She organised meetings with service providers, local hospital managers, community health and social care leaders as well as focus groups and meetings with other. Ms Bunce has enabled neighbourhoods to develop local solutions and enabled the recruitment of 103 volunteers, who will retain the projects. This includes companions for those needing company at the end of life, and Back Home Boxes – compiled by volunteers for people who have been discharged, but with little follow-up support.
Mitie Care and Custody
Police forensic custody nurse Mr Teague-Hellon has 30 minutes to assess and treat homeless and vulnerable young people and adults at Staffordshire Northern Area Custody Facility so in his own time he set up care at night shelters. There, he dresses leg ulcers and makes referrals of mental health. He provides foodbank vouchers for those in crisis to feed families. Custody can refer homeless detainees to the shelters rather than keeping them locked up in a cell overnight. The arrest rate has significantly dropped and in most cases, they have not re-offended because of the night shelters.
Ms Phelan has developed outreach services for homeless people comprising a hospital discharge team, street medicine and a 14-bed intermediate inpatient unit. She has used her audits to improve quality and develop safety procedures. Patients are supported to resolve longstanding and extremely complex issues. An independent analysis of the Bradford Respite and Intermediate Care Support unit identified annual secondary care cost savings of £280,000, with high levels of patient satisfaction. Hospital staff also value the service and the outreach has been rated outstanding by the Care Quality Commission.
Kent Community Health NHS Foundation Trust
Concerned about increasing numbers of children not developmentally ready for school, health visitor Julia Haynes created Born to Move. The initiative improves parents’ understanding of the importance of movement and interaction from birth. Ms Haynes’ workshops have been attended by more than 3,000 staff over three years. She has developed an app and a page is inserted into every child record book in Kent. Evidence shows a vast improvement in the number of babies crawling in the first year – up from 30% to 94% at the end of the pilot.
North Middlesex University Hospital
Mr Roheemun, haematology specialist nurse at the Thalassaemia centre in St Ann's Hospital, created a unique home-based treatment model for sickle cell disease and significantly improved the lives of hundreds of patients who previously experienced regular hospital stays. The specialist nurse carried out research, literature reviews and wrote policies and procedures with patients, families and clinicians before launching a three-month pilot. His data analysis produced a strong clinical case for haematology, despite limited resources. Patients report being able to take up part time work or complete their education thanks to their reduced hospital stays.
Emergency Nurse Award
St George's University Hospitals NHS Foundation Trust
Professor Jarman secured funding and created from scratch a flourishing research unit in the emergency department at St George's Hospital in London. The unit has expanded to a team of four nursing whole time equivalents and a research fellow, providing cover from 8am to 10pm every day. Professor Jarman trains and mentors novice researchers, and supports consultants and nurses to enable them to become principal investigators. Nurses have the opportunity to become active in research, recruiting patients and doing follow-ups. The unit’s growing reputation has resulted in approaches from international research teams to join studies.
Yeovil District Hospital NHS Foundation Trust
Julie Reeve and her team have transformed performance and patient care in Yeovil Hospital’s emergency department after a CQC report said it ‘required improvement’ due to pressure on the four-hour target, triage time and level of crowding. Ms Reeve created a dedicated ambulatory emergency care space in the ED and with her senior team provided specialist training to nurses. A second triage room was created. Patient complaints have fallen by half, triage times have been halved to 10 minutes and there are no Band 5 nurse vacancies. In April it was the top trust in England for the four-hour wait target.
Barts Health NHS Trust
Nicola Davies, a sister at Royal London Hospital, produced a film called Code Red, about the care of haemorrhaging trauma patients, who are classed as Code Red cases. The educational film shows the clinical situation from various clinicians’ perspectives and helps staff to understand their role in the team. Ms Davies and her team have devoted hours of their own time to ensure that not only are staff better prepared to work in the resuscitation room but also that patients receive a better service. She has developed and implemented action cards, which explain each member’s role and are now used in the ED. Feedback has been positive.
University Hospital Southampton NHS Foundation Trust
The vulnerable adult support team – specialist support staff (bands 3 and 4) led by nurse consultant Sarah Charters – address the psychosocial causes of the health problems of people attending the emergency department. They offer interventions for the full range of adult vulnerabilities, including domestic abuse, honour-based violence, substance use, homelessness, sexual violence and human trafficking. Interventions use a model of motivational interviewing and include identifying psychosocial issues, risk assessment, providing information and safeguarding interventions, signposting and referral to specialist and community services. Support is also provided to patients with dementia and learning disability and their carers.
Cardiff and Vale University Health Board
Ms Jones and Mr Simpson developed a pathway for referral of bereaved relatives of children and young people up to age 25 who die suddenly in the paediatric emergency unit at the University Hospital of Wales to the charity 2 Wish Upon a Star, ensuring they had immediate support. In the first year, 16 of 17 bereaved families were given support ranging from text messages to formal counselling and group therapy. The pathway was publicised locally and shown to the deputy health minister. It is now used in every emergency department in Wales and has been adopted by police forces.
Excellence in Cancer Research Award
University of Southampton
These research nurses have established and developed a phase 1 oncology trials clinic at Southampton General Hospital, delivering a portfolio of complex academic and commercial trials while showing empathy and compassion to patients with limited options and life expectancy. The clinic offers patients hour-long appointments to discuss the complex information relating to participation in a phase 1 oncology trial, reducing pressure on busy oncology clinics. The nurses support patients while they wait for treatment slots to become available and manage referrals sensitively. They deliver treatments, including novel agent first-in-human treatments and capture data.
University College London Hospitals NHS Foundation Trust
Foteini Rozakeas is responsible for screening, recruiting, consenting and registering patients into the PEACE study – the Posthumous Evaluation of Advanced Cancer Environment - study. Her minimum target of 10-15 tissue harvests post-mortem per year is met in a sensitive, respectful and dignified way. She liaises with supporting recruiting sites and affiliated institutions such as hospices and the PEACE multidisciplinary team to coordinate the tissue harvests in a timely manner, 24-72 hours after death. She assists with the collection of blood and tissue samples taken at baseline and up to four further points before death, including their processing, storage and tracking.
Northern Ireland Cancer Trials Network
Karen Parsons conducted a pilot project integrating holistic needs assessments (HNAs) into the role of cancer research nurses when they become the key workers for prostate cancer patients participating in clinical trials. The HNA includes assessment of physical, practical, family/relationship, emotional, spiritual/religious concerns and lifestyle or information needs. The process includes continence and erectile dysfunction assessment, and development of appropriate care plans and referral. As well as ensuring seamless patient care, a care plan is devised with the patient agreeing the best way to manage concerns or appropriate referrals are made. Positive feedback indicates high levels of satisfaction with information, contact, treatment and support.
The Christie NHS Foundation Trust
Advanced nurse practitioner Lorraine Turner led, designed and managed an audit to assess the holistic needs of the rapidly increasing number of patients referred to the experimental cancer medicine team. The audit highlighted patients who had a significantly high level of concern at referral, increasing to 79% at the end of trial, with concerns relating to current illness, treatment, physical concerns, not being able to do things, and the future. Symptoms causing significant distress at referral included pain, shortness of breath, bowel problems and lethargy. Approximately half were referred to palliative/supportive care services following assessment. Only 14% were already in contact with supportive care services.
Newcastle upon Tyne Hospitals Foundation NHS Trust
This nursing team has demonstrated how to successfully run cancer trials in the era of personalised medicine. While its expertise is in first-in-human safety studies, it has enthusiastically embraced the opportunity to adapt working practices to deliver a molecular profiling and treatment study. This has been highlighted by the success of recruitment to the National Lung Matrix Trial in north east England, and the team’s record for ensuring patients with a potentially treatable abnormality in their lung cancer are offered a chance at treatment. The team provides continuity of care for patients during the complicated process of entering and participating in the study.
Healthcare Assistant Award
Plymouth Hospitals NHS Trust
Fiona, a specialist learning disability healthcare assistant at Derriford Hospital, works across the outpatients to coordinate appointments and directly support people with a learning disability to ensure they have equal and timely access to diagnosis and treatment. She follows up every missed appointment, and works with the patients and carers to ensure they can attend and has developed a new outpatient pathway. Fiona has advised consultants and supported families and carers through the best interest processes. Feedback from carers and colleagues is complimentary and, in the case of her patients, heart-warming.
St Margaret's Hospice, Yeovil
‘Exemplary’ healthcare assistant Lynn has completed an MSc in Wound Healing and Tissue Repair while continuing her full-time work caring for patients, assisting with feeding, and helping to meet their psychological and spiritual needs. She uses her knowledge to improve care and inspire colleagues. She has led study days on wound management and pressure ulcer prevention for registered and non-registered staff, and helped organise a tissue viability conference. Lynn has worked with the community team, sharing her wound care knowledge with district nurses and care homes. She visits care homes to train staff and offer advice about specific wounds.
Assistant practitioner Maria leads the HCA team in implementing a pre-diabetic health education lifestyle programme to reduce the prevalence of diabetes, especially encouraging male patients. She sought advice for the health and wellbeing team so she can actively try to motivate patients by passing on her knowledge to patients. This personal touch has increased engagement into the programme with some fantastic results and delays in diabetes onset, with patients able to sustain their improved health. Maria has also, in her own time, set up a popular weekly walking group to encourage patients to become more active.
London North West University Healthcare NHS Trust
These end-of-life assistant practitioners act as role models for junior ward staff and provide expert advice on personal, clinical and psychological care for patients at the end of life and their carers.
Through dedication and personal and professional development of their specialist knowledge and skills have developed the new role, exceeded expectations through their enthusiasm and passion for improving care throughout the trust. Leading on education and training of ward staff, they have been integral to the roll-out of new documentation, increasing its use from 16% to 42% within a nine-month period.
Nottingham University Hospitals NHS Trust
Acting on feedback from parents that she collected as part of her role as patient public involvement champion, theatre support worker Rebecca sourced skin-to-skin jackets for birth partners in the maternity theatre, as traditional theatre scrub tops were too restrictive to allow such close contact. Rebecca investigated and found a suitable top for male and female birth partners, accessible to mum and the midwife, disposable, soft on the baby's skin and inexpensive. Rebecca collected feedback from midwives and theatre staff then trialled them in theatre with consenting couples. Feedback has been extremely positive from all staff groups, especially patients.
Innovations in your Specialty Award
NHS Blood and Transplant
In response to an increasing number of families withdrawing from the consent process and a high number of potential DCD (donation after circulatory death) organ donations not proceeding, Andrew developed and implemented a nurse-led assessment pathway throughout the UK. Empowering specialist nurses to lead suitability assessments has meant they are carried out in a timely manner, reducing the impact on end-of-life care and unnecessary approaches for consent. In the 12 months following implementation, there was a 34% increase in donor referrals, a UK record, and a record number of patients becoming DCD organ donors. There has been a clear improvement in end-of-life-care.
States of Jersey, Health and Social Services
Arrhythmia nurse specialist Angela has developed innovative services to improve the care, experience and safety of patients with heart rhythm disorders, and reduce healthcare costs. She persuaded colleagues to make Jersey General Hospital the first centre in the UK to introduce a drug to treat rapid onset atrial fibrillation and prevent admissions. Other drugs are now offered locally preventing vulnerable patients enduring the stress of travelling off the island for treatment. Angela identified a need for a rapid-access transient loss of consciousness clinic. Patients experiencing blackouts were waiting months to see a cardiologist or neurologist. Angela’s new clinic sees patients within two weeks.
NHS North West London collaboration of clinical commissioning groups
Nurse consultant Ruth developed and implemented the diabetes 10 point training programme for staff in clinical settings. The unique, multidisciplinary teaching package can be delivered flexibly, depending on the clinical area. Training is brief, relevant and clear, with attendees receiving small cards capturing key points. There are modules for hospitals, the community, care homes, dialysis centres and for mental health workers where outcomes for people with serious mental illness and diabetes are particularly poor. Audit shows medication errors down from 46.9% to 26.7%, insulin errors from 24.5% to 13.3% and severe hypoglycaemia from 14.5% to 6.9%.
Cambridge University Hospitals NHS Trust
This outpatient parenteral antimicrobial therapy team implemented an innovative training package to increase the number of patients self-administering intravenous antibiotics in the community. Previously it took five days as an inpatient to gain competence in the skill, with training adding to ward nurses’ busy workloads. The demonstration video filmed by specialist nurse Tanya is used alongside written information and a training arm. The project achieved a 70% increase in the number of patients self-administering, saving just over £5 million in its first year. Some patients avoided hospital admission entirely by being trained as day patients. Patient feedback has been universally positive.
Lancashire Teaching Hospitals NHS Foundation Trust
Consultant nurse Tracey has significantly improved patient safety with her whole systems approach to preventing nasogastric tube (NGT) never events, following the death of a man at her trust. She discovered that 90% of medical staff received no training to interpret NGT placement on chest x-rays. Courageously working with the bereaved family, she designed and delivered an education programme, including a mandatory e-learning tool to train and assess competence of staff. She standardised care of these patients and implemented monitoring and reporting systems. Almost 30 other NHS trusts have adopted the e-learning tool and approach to improving patient safety.
Major Trauma Nursing Group
This nursing group strives to shape the future of trauma nursing as a recognised subspecialty area of expertise and practice. It is made up of more than 150 members, representing England, Northern Ireland, Scotland, Wales and the armed forces, with a wide range of expertise including emergency care, critical care, trauma and children’s nursing. It has developed a thorough ‘trauma measure’ detailing the education and competency standards from junior nurse through to advanced clinical practitioner throughout trauma clinical settings. The group provides advice and recommendations to bodies, including the RCN and commissioners, and has led on sharing ideas of best practice.
University Hospitals of Morecambe Bay NHS Foundation Trust
This apprenticeship scheme aims to ensure the trust develops career progression for care staff and grows its own registered nurses. The scheme, one of the first of its kind in the UK, enables recruits to combine vocational training with accredited qualifications, on a journey to full-time roles as registered adult nurses. The team built a partnership with the University of Cumbria, ensured the programme met NMC education and apprentice standards, liaising and negotiating across the healthcare system to enable funding, support and engagement for the course to develop. The trust is looking forward to having a further 27 nurses to enhance patient outcomes and experience.
Clinical nurse specialist Keith Anderson has developed a specialist nurse service to assess, manage and support in people with ME-CFS (myalgic encephalopathy/chronic fatigue syndrome), a controversial clinical area. Patients felt they were not being taken seriously by clinicians. Through educational meetings, webinars and clinician-to-clinician advice, Keith mentors and trains GPs and consultants to support these patients. He assesses patients directly referred to him, developing comprehensive bespoke management plans and ongoing support. Keith has undertaken two patient evaluation surveys, which have reported positively. Health outcomes have also improved for this group of patients as their condition has been taken seriously and addressed on an individual basis.
Barts Health NHS Trust
Sandra Bennett has empowered her diverse team of international nurses. When she became their manager, in depth interviews revealed the team of sexual health nurses had worked through very difficult times, with low morale, high sickness absence and a lack of access to educational resources and senior support. Ms Bennett coordinated their learning and development, keeping them motivated, supporting them if they struggled and constantly praising and recognising achievements. Patient care has improved, waiting times are down and the training means that nurses are expert clinicians able to meet sexual and reproductive health needs, with a significant uptake in contraception now that nurses are able to prescribe it.
Balhousie Care Group
Dementia nurse consultant Yvonne Manson has established a care programme improving quality of life for more than 700 residents in 25 care homes. Her passion for dementia care and removing the stigma associated with working or living in a care home drives her to ensure staff are trained and supported to provide a high standard of dementia care for residents and to strive for excellence at all times. To ensure people with dementia and carers have a voice, she collected views from all residents, families and staff about what they wanted. Her passion has proved infectious – there are now 90 dementia champions throughout the group’s homes.
Learning Disability Nursing Award
Learning Disability Team, Health and Social Services at Jersey General Hospital
Ms Bowring has transformed care for every resident on a five-bed unit for people who have learning disabilities and autism. She implemented positive behaviour support and improved residents’ quality of life by offering more choice and independence as well as teaching them skills. Families are more involved in care and staff have been supported to take positive risks and try new things – including helping a resident take their first trip off the island of Jersey. Two residents have moved into their own homes. Restrictive practices, including physical intervention and locked doors, have been significantly reduced, as has the use of psychotropic medication. Residents are more able to spend time in the community.
Royal Liverpool and Broadgreen University Hospitals NHS Trust
Ms Whittle, Shaun Lever, Serena Jones and Ged Jennings have developed and delivered an acute hospital service improving the experience of patients with a learning disability. Any patient admitted to the Royal Liverpool University Hospital are assessed and seen by the learning disability team. Ward staff are supported to address individual patient needs. The adjustments made for patients who find attending hospital extremely difficult have brought about positive outcomes. Their online training programme has been taken up by MENCAP, including one focusing on the care of patients with autism. The team have engaged with carers and external groups ensuring that their voice supports the care they are giving.
City Hospitals Sunderland NHS Foundation Trust
Respiratory nurse specialist Ms Stothard has established a respiratory clinic for people with a learning disability. Appointment slots are 30 minutes rather than ten, and she has developed easy-read appointment letters, asthma education leaflets and individualised, patient-centred, self-management plan. A page on the local health website for people with a learning disability now includes a video demonstrating inhaler technique because of the work Ms Stothard has done. The clinic is empowering patients to be able and confident to manage their asthma. Data from the first six months showed a 25% reduction in use of the emergency department and ambulance services, and out of hours GP services by patients who have a learning disability.
Lancashire Care NHS Foundation Trust
Ms Hartley-Smith recognised that children and young people in north Lancashire who have a learning disability, are on the autistic spectrum and who present with behaviours that challenge had no access to a specialist nursing service. Many families were already in crisis, so she developed a cost-effective service, through determination and dedication. There was an immediate surge of referrals for children with complex and challenging behaviours but the team Ms Hartley-Smith leads is supporting the children and young people, as well as their families, in avoiding out of area placements and unnecessary hospital admissions.
Danshell Learning Disability and Autism Services
Charge nurse Mr Cocker is leading an initiative at Wast Hills Specialist Autism Hospital to improve blood testing for people who have learning disabilities, autism and behaviours that challenge. Clients were missing blood tests due to the difficulties in accessing primary services. Mr Cocker trained as a phlebotomist, so he could complete blood tests for the people in a familiar environment and with a person they can trust. Now every person supported at Wast Hills are now up to date with their required blood tests, and those with identified need are receiving treatment.
Mental Health Practice Award
Ms Thompson, deputy manager at the Hollybush House Treatment Centre, Ayrshire, established the first national mental health peer support service for veterans across the UK, which is decreasing social isolation and other factors that contribute to the onset or deterioration of mental health conditions commonly experienced by veterans. Ms Thompson established safe and effective mentorship and supervision for peer coordinators who had themselves recovered from mental illness, empowering them to maintain their own health and support the health of more than 200 veterans in the first year of operation. Police, fire and paramedic services have shown a keen interest in the service’s findings.
Northamptonshire Healthcare NHS Foundation Trust
Ms Bennett, who provides training, clinical support and advice on the prevention and management of violence and aggression across her trust, conducted a study into the feasibility of body cams in Berrrywood Hospital, Northampton. An 18-month engagement programme showed 98% of patients and staff strongly supported the three-month trial. Feedback was collected from staff and patients via focus groups and questionnaires. Compared to the same period the previous year, the need for emergency restraints went down from 41 incidents to 18. Staff (90%) thought cameras prevented confrontational situations and provided an accurate record of events, and sickness rates fell.
St George Healthcare Group
While a nursing student, Mr Field realised that he could help his clients with their physical health. In his own time he set up Buckley Boxing Club, which over the past 23 years has provided a secure environment for hundreds of adults, children and young people with a mental health diagnosis or behavior that challenges to enjoy exercise and social interaction in a community setting.
Mr Field, currently a senior nurse in a locked unit, has overcome his own diagnosis of rapid bipolar disorder. The former professional-level boxer has grown a team of volunteers, including former clients, who are helping him keep discharged clients out of hospital.
North East London NHS Foundation Trust
This team transformed the mental healthcare of children and young people, turning services from inadequate to outstanding in 18 months. When the Brookside Adolescent Inpatient Unit was closed for modernisation, the team decided to treat patients at home. It now offers 24-hour crisis provision, increasing scope for positive risk-taking and treating young people in the least restrictive environment. The home treatment team is keeping young people with emotional dysregulation and self-harm out of hospital. In one year it prevented 244 admissions. Inpatient length of stay has been significantly reduced to an average of 25 days. Restraint incidents have fallen dramatically.
Ms Wright developed a service to improve experience and outcome for people with mental health problems in the first integrated urgent care service within NHS 111. She liaised with mental health trusts agreeing protocols for directly referring patients, where appropriate, recruited a team of mental health nurses, and developed clinical competencies and audit tools. The teaching packages she created to improve staff awareness and skills in dealing with mental health calls are to be rolled out nationally. The team is diverting 90-94% of patients who would have attended A&E to more appropriate services with many supported to manage at home.
Nursing Older People Award
This team developed and implemented a continence care bundle in two care homes to support staff in improving care of residents and reducing the high use of absorbency products. An evaluation of a nine-month pilot has shown a reduction in the number of pads used and episodes of incontinence. Falls have reduced 40-60%, urinary tract infections (UTI) have fallen 50%, skin damage reduced by 30% and unplanned hospital admissions for falls and UTI by 40%. An economic analysis by Healthcare Improvement Scotland found that the pilot saved £250,000 over the nine-month period in the nursing home involved in the project.
Advanced nurse practitioner – Older Peoples Mental Health, Walsall Healthcare NHS Trust
North East London NHS Foundation Trust
Nurse consultant Geraldine Rodgers led the creation and implementation of the Significant 7 tool designed to enable care home staff to identify deteriorating residents. Audit had identified a high number of hospital admissions from care homes, many inappropriate. Significant 7 prompts care workers to ask pertinent questions about their residents’ health and there is an interactive training package for staff. A contact list matched to the seven signs of deterioration is available so care staff can seek appropriate assistance quickly. Emergency department admission has reduced by 31% in care homes and 50% in special sheltered accommodation.
NHS Dumfries and Galloway
Specialist nurse practitioner Lorraine Haining leads the interdisciplinary specialist IDEAS team (Interventions for Dementia, Education, Assessment and Support) promoting understanding of stress and distress, and non-pharmacological approaches in dementia care to improve patients’ quality of life. The team provides education, support and advice including specialist assessment and consultation. Her pilot in care homes was so successful she developed a permanent team rolled out to general hospitals or any setting where a person with dementia spends time. Enthusiastic and dedicated, Ms Haining has promoted the vital role of nurses in all settings in caring for people with dementia, ensuring training is accessible to all and tailored to individual needs.
This team introduced Playlist for Life, personally meaningful music to improve a person with dementia’s quality of life and reduce anxiety, to its care homes and day care. It organised training for 20 champions who disseminated their knowledge and encouraged families and caregivers to create music collections that mean something to their loved ones and can be played to them at any time. They developed documentation, care plans and assessment tools to measure its impact, then built support and trained all staff. Antipsychotic drug usage has reduced by 60% in some cases. The resident GP has begun prescribing Playlist.
Patient's Choice Award
Renal Home Therapies Team, Altnagelvin Renal Unit, Northern Ireland
Alison Cairns says her team is ‘a bit overwhelmed and totally shocked’ to be nominated for such a prestigious award. She, along with Bridgeen Canning and Caroline McCloskey, of the home therapies team in the renal unit at Altnagelvin Area Hospital in Northern Ireland, were nominated by Carmel McMonagle and her husband Joe for their dedication and commitment to patients. Ms McMonagle had her kidneys removed after a cancer diagnosis and was on dialysis for seven years until Joe donated one of his kidneys. ‘It has been such a journey – without the home therapies team I don’t know how I would have coped,’ she says. ‘These nurses made sure I knew what was going on, and that I was able to get on with my life.’
Diabetic nurse, Preston Grove Medical Centre
‘I was diagnosed with type 2 diabetes four years ago and the stigma hit me hard,’ says patient Nicola Hayes. ‘Then Catherine came along – kind, caring and all that you would expect from a nurse.’ Ms Hayes and fellow patient Stephen Pacey have nominated their practice nurse Catherine Cassell, who works at Preston Grove Medical Centre in Somerset. They say her knowledge, enthusiasm and ‘dogged determination’ have changed their lives and inspired many patients. With Catherine’s help, Stephen has improved his overall health and well-being, and resolved his pre-diabetes. ‘I doubt if I could have achieved all that I have without her help,’ he says.
Clinical nurse specialist in movement disorder surgery, University Hospital Birmingham
Christopher Tyler was 50 when he was diagnosed with Parkinson’s. ‘My world fell apart,’ he recalls. ‘I didn't respond to medication, had a relatively young family and a business that I couldn't drive forward. Nurse Jamilla Kausar was my saviour.’ Following a successful operation, he faced a battle to map a device implanted in his brain with his DNA. Ms Kausar, a movements disorder surgery clinical nurse specialist in the neurosciences department of Queen Elizabeth Hospital Birmingham, was his rock throughout the process. ‘This journey was only made possible with my guardian angel Jamilla, who works long hours, is always available on the phone and comes in on her days off to meet patients,’ he says.
Frequent service user manager, Kent Community Health Foundation Trust
A woman whose self-harm made her a frequent visitor to A&E has nominated a ‘flexible, motivational, empowering and caring nurse’ for the Patient’s Choice award. The woman, who wants to remain anonymous, has been seeing nurse Jill Whibley for a year. Ms Whibley, a nurse with Kent Community Health NHS Foundation Trust, works with people identified as having high attendance at A&E to understand their underlying needs. ‘Many patients Jill sees, including myself, have mental health issues and self-harm by cutting,’ says the patient. ‘Jill is such a good listener and has many ideas around signposting. In the past I had nowhere to turn.’
Clinical nurse specialist, Teenage and Young Adult Unit, Clatterbridge Cancer Centre
A professor of nursing has nominated the nurses who looked after her 24-year-old daughter from the time of her diagnosis until she died of colorectal cancer 14 months later, making her feel loved and enabling her to have a good death. Fiona Irvine says the care given to her daughter Primrose by the team at the teenage and young adult unit at Clatterbridge Cancer Centre in the Wirral was outstanding. Clinical nurse specialist for teenagers and young adults Lucy Jane Taylor – with senior staff nurses Luke Millward-Browning, Charlotte Edgar, Natalie Jones, Joanne Connell and Sarah Smith – had excellent clinical skills and were confident in their practice and highly skilled in the delivery of care, she says.