The NHS Institute for Innovation and Improvement website is now being administered by NHS Improving Quality - the Productive Series and other products are still being provided by Delivery Partners and supported by NHSIQ, and all material relating to the Productive Series is still accessible.

The NHS Institute closed on 31 March 2013. If an item you are looking for is not available here, you'll be able to see all publicly available content on The National Archives website:*/
This site uses cookies to help performance and allow us to improve your browsing experience. You can click here to view the cookies we use on this website along with information on how to restrict cookies using your browser settings. By clicking on the Continue button, you accept the terms of our privacy policy on our website.

| | |


						Go to High Impact Actions Homepage

Transition to a patient centred tissue viability service Hot

User rating
0.0 (0)


Area Classification

Acute / Hospital Care

Briefly describe what it is

The Trust identified a fundamental flaw in the concept of the Central Treatment Unit (the unit provides tissue viability services within a centralised unit). It was identified that significant waste was encountered transporting patients to the service as opposed to taking the expertise to the patient. The change in the service will improve the utilisation of expertise thus preventing waste and increasing cost and clinical effectiveness. In addition, the service will provide education, training and supervision to ward based staff and ensure appropriate use of high cost dressings.

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

This change in service has required HR contribution and change management expertise.

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

It is recognised that transportation of patients around the hospital placed patients at unnecessary risk. In addition, the cancelled procedures that currently occur due to the constraints and waste within the service will be eliminated.

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

It is anticipated that there will be improved knowledge and skills of the ward teams through the changed remit of the TV team to include education and supervision. This will have positive impact on prevention, early assessment and identification of high risk patients and instigation of treatment and interventions.

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

This will result in an £85000 PA recurrent saving as a result of workforce changes. This will also allow an alternative use of the facility which is a prime location alongside the main theatre complex enabling service change and development for the elective pathway

Keywords / Tags

Tissue Viability Change management Service redesign

User comments

Powered by jReviews