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Increasing Pressure Ulcer Reporting within Community Services Hot

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Area Classification

Community Care / Primary Care

Briefly describe what it is

Bedfordshire Community Health Services undertook an audit of patients on community nursing caseloads against the NICE pressure ulcer guidance which showed staff were not fully compliant. Following this training for staff on pressure ulcer care and incident reporting was organised, information pack on NICE guidance circulated to all staff, guidance/aid memoir produced for staff and CQUIN agreed.
Incident reporting has increased by 72% in the first quarter of 2009/10 and all nursing referrals (inpatient and community) are now assessed for risk of ulcers using the Waterlow Score, and appropriate equipment and advice is sought as per guidance.

Were there any key things that you had to do to make it happen?

An audit of patients on community nursing caseload against NICE guidance was undertaken and an action plan following results of this was produced.
Agreed pressure ulcer guidelines CQUIN with commissioners - risk assessment undertaken on referral and all pressure sores grade 2 or above reported as an incident.

Describe (and provide evidence) of the impact on quality of care

Patients are identified as at risk through assessment, allowing appropriate allocation of equipment and embedding this across both community and inpatient areas to ensure equity of care across the county and highlighting those at risk. Incident reporting has increased by 72% in first quarter of 2009/10

Describe (and provide evidence) of the impact on patient (or staff) experience

Clear guidelines produced for staff to show when pressure ulcer reporting required and when and how to seek advice including for possible SOVA. All patients on community nursing caseload are receiving full assessment, appropriate equipment obtained and relevant referrals onto specialist made.

Describe (and provide evidence) of the impact on reducing cost

Patients are having full assessment undertaken; those at risk are identified reducing risk of acute hospital admission. Appropriate allocation of equipment at initial assessment reducing costs of more expensive high specification mattresses.

Keywords / Tags

Pressure ulcers, community

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