The NHS Institute closed on 31 March 2013. This website is being maintained until the end of June 2013 so that registered users can download documents and view videos (but webinars are no longer available). Once this website is closed you'll be able to see all publicly available content on The National Archives website: http://webarchive.nationalarchives.gov.uk/*/http://institute.nhs.uk.

Please note that from May 1st 2013 the ability to order our hard copy materials will be temporarily suspended as we finalise the closedown of the NHS Institute and complete the transition to NHS Improving Quality (part of NHS England). It will still be possible to download publications until this website closes, which is projected to be at the end of June 2013. It is currently anticipated that many of the materials will be passed onto NHS England and should become available again later this year.

Further messages on its future will be posted here over the coming weeks.
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High Impact Innovations

High Impact Innovations - implementation support 

We have worked on an implementation support web site for the NHS which will help you with the successful spread and adoption of a number of high impact innovations for healthcare.

Visit the High Impact Innovations website or any one of the 6 High Impact Innovations communities within it:

Child in a chair in a day

Digital first

Intra-operative fluid management

3millionlives

International and commercial

Support for carers of people with dementia

Child in a chair in a day

To support and empower providers, suppliers and patients / carers to provide the knowledge and confidence needed to improve current provision of children’s wheelchair and mobility services. One focus will be on procurement processes and quality assurance for commissioners and providers to streamline and optimise the services that they provide.

3millionlives

3millionlives is about transformational change, building services for people with long term conditions, supporting them with technology where needed and building new business models.  Implemented effectively as part of a whole system redesign of care, telehealth and telecare can improve people's quality of life through better self-care in the home setting and alleviate pressure on NHS costs.  The 3millionlives initiative involves the NHS, social care, industry and professional partners working in partnership in order to achieve this level of change.

Digital first

Technology can be used to reduce the strain on primary care whilst also creating a more convenient way of accessing healthcare for a number of people who would prefer not to attend general practice in person every time they need advice. Digital first can be the start of a move toward creating electronic platforms for aspects of healthcare (as appropriate) using the technologies that are an everyday part of patients’ lives.

Intra-operative fluid management

In surgery, there are still risks around hydration – ie being ‘under’ and ‘over’ – which can and should be avoided - as this affects blood flow volume which can have ramifications during and post-operation.  We are currently working on guidance which presents alternative / new options for fluid management, and gives clarity on the relative merits of different techniques to provide a ‘best fit’ with reduced risks.

Support for carers of people with dementia

Carers are the unsung heroes of our healthcare system. They often provide 24 hour support for their loved ones, contributing as a valuable resource for health services. Sadly, this can take its toll and there is an increasing incidence of isolation and ill health. It is critical that carers are able to access appropriate support and respite services so that they can be well and are supported in their own caring role.