Hospital celebrates top doctor award and nurse of the year award

A doctor and nurse from the Royal Bolton Hospital have won top awards within days of each other.

Dr Ian Dufton, a child psychiatrist, has been named Clinical Leader of the Year in the British Medical Journal group awards beating an international field. This came hard on the heels of the hospital's Fiona Murphy being named as the Nursing Standard’s Nurse of the Year 2011.

Ian, 43, became Clinical Lead for the Bolton Child and Adolescent Mental Health Services two years ago. Since then he has built a strong and involved team of staff, working hard to provide supportive care for youngsters and their families. Fiona, 46, an intensive care nurse by background, is Clinical Lead for Bereavement and Donation at the hospital. She was named Nursing Standard Nurse of the Year 2011 for her pioneering work not only supporting dying patients and their families, but also educating and supporting staff in end of life care and tissue and organ donation. Lesley Doherty, Royal Bolton Hospital's Chief Executive, said that the hospital's staff and patients were immensely proud of the pair.

"To win one such award is great, but for both a doctor and a nurse to win such prestigious awards is really wonderful. We have truly dedicated staff at the Royal Bolton and these awards show just what they can achieve for patients and colleagues."

News article: Hospital celebrates top doctor award and nurse of the year award

Success for respiratory specialist nurses

Congratulations to the respiratory nurse specialist team which won the Best Process Improvement Project in Service & Transaction category of the national Process Excellence awards.

The awards were open to all sectors and the hospital is up against stiff competition from companies such as Network Rail and BP Lubricants.

The nurse specialist team has undertaken extensive redesign work resulting in improvements for staff and patients alike.

News article: Success for respiratory specialist nurses

Patient Safety Awards 2011:

Congratulations to the Theatre Team who won the 2011 Patient Safety Awards for Patient Safety in Surgery.

This award is testament to the drive behind all the improvement work is to provide the Best Possible Care to patients undergoing surgery at the Royal Bolton Hospital. This has been a collection of initiatives that have their individual drivers:

• Use of Safer Surgery checklist and In-brief - a response to the Patient Safety First campaign. Evidence included the NPSA's but also local clinical incident data. The momentum of the work was maintained by local audit.
• Trial of a pre-operative anaesthetic review clinic - this was in response to a trend of operations cancelled due to a pre-existing medical condition. There was anecdotal evidence from anaesthetists that some patients were not fully optimised prior to anaesthetic.
• Consumables delivery system - clinical staff collected data to demonstrate they were spending time away from patient care to collect stock. Theatre stores staff developed a shopping list so that they could deliver consumables to the theatre door.
• Improving environments - time was spent searching for equipment - this resulted in delays in sending for patients.
• Visual management - to highlight if theatre time was used effectively
• Redesign of the scheduling meeting - to plan care of the patient, ensuring the correct staff and equipment are available

The over-arching aim of the initiative was to involve all grades and staff roles to improve patient safety. Specific targets were:

• Checklist and in-brief - 100% compliance with Time Out and a launch of In-brief in October 2010 with a target of all 14 theatres across the Trust using it by March 2011.
• Reduction of on day cancellation due to pre-existing medical condition from 10 per month to 5.
  An increase of patients that saw an anaesthetist pre-operatively when requested (1 to 20) and a reduction of those who had to be seen on the day of operation (38 to 19) - both per month.
• Reduction in time spent by clinical staff looking for equipment or collecting consumables - this was 2 hours per theatre per day
• Standardised visual management in all theatres.
• Better use of theatre time and a reduction in cancellations.

Congratulations also goes to The Exemplar Team who were also short listed.

Poster Success: International Forum on Quality and Safety in Health Care 2011

Two teams at the Royal Bolton Hospital have successfully had posters accepted to present their improvement work at the International Forum on Quality and Safety in Health Care 2011 in Amsterdam. The teams are:

Respiratory:

Implementing the innovative concept of Patient gateways to address the patient safety and quality issues and also improve patient flow.

Theatres:

Creating a Safety in Theatres by creating a culture of safety for its peri-operative patients.

See our Case Studies and Achievements page for the posters.

CAMHS - Excellence in ADHD Award Winners

Congratulations to Dr Ian Dufton who on behalf of CAMHS, won the Reflective Practice Category at the Lilly Excellence in ADHD Awards in November. This was as a result of CAMHS work using BICS methodology to improve the quality of care provided through the use of medication.

Congratulations also to Noreen Ryan, Lesley Carney and Cath Ashworth who were short listed in the Champion for ADHD category, awarded to the team improving the validity of ADHD or providing advocacy for patient care.

These inaugural national awards were organised and funded by Lilly. The aim was to recognise UK clinicians working in the field of ADHD who were providing exceptional service to their patients. The awards were judged by a multi-disciplinary panel chaired by Professor Peter Hill. The other judges were Mrs Andrea Bilbow (ADDISS), Mrs Lisa Mangle (Nurse Consultant, Sheffield), Dr Chris Steer (Consultant Paediatrician, Fife) and Dr Kobus van Rensburg (Consultant Psychologist, Northampton.)

Former Chief Executive Wins National Award

As Chief Executive of the hospital from September 2004 to June 2010 David developed the "Bolton Improving Care System". This introduced "lean" principles --- one of the first examples of it being applied to healthcare in Europe -- empowering staff and involving patients to improve quality of care by reducing waste, errors and duplication.

David is now Chief Executive at AQuA (Advancing Quality Alliance) and is rolling out the type of improvement work undertaken at the Royal Bolton Hospital to trusts across the North West.

He received his award, part of the NHS Leadership Awards, at the historic great hall at Barts in London. Afterward David said he was honoured to receive the award.

He said: "I consider that I received the award on behalf of all the staff and indeed partners and patients in Bolton who have contributed to the improvements and continue to do so."

And he added a special message for staff at the Royal Bolton Hospital: "I would very much want to acknowledge the role everybody has played in making BICS a success, which is really what the award is in recognition for."

David Nicholson, Chief Executive of the NHS said: "Our efforts on quality will not achieve what we are seeking for patients if we don’t get leadership in the right place. I have been amazed by the number and quality of entries this year and would like to especially congratulate the winners. I hope that the service will take the opportunity to learn from these achievements."

International Forum on Quality and Safety in Healthcare 2010

The International Forum on Quality and Safety in Healthcare provides a forum where practitioners, educationists, leaders and other healthcare professionals can meet, share best practice, and learn from each other. The forum showcases what is new in quality and safety thinking via a thought provoking, dynamic mix of half day teaching sessions, inspiring major talks, seminars and case studies from across the world.

Two teams at Royal Bolton Hospital NHS Foundation Trust were chose to provide oral presentations on the successful improvements they have made in two key pathways:

• Stroke
• Patient Experience

Three other teams were asked to present a poster at the forum:

• Theatres
• Clinical Correspondence
• BICS: Developing a Safety Culture

Please take a look at our Case Studies and Achievements page for the posters.

Patient Safety Awards Success 2010

Congratulations to the Theatre Team who were highly commended at the inaugural Patient Safety Awards in the Implementing the Safer Surgery Checklist category. The awards celebrated the excellence in an area which arguably presents the greatest challenge to modern healthcare. Alastair McLellan, the editor-in-Chief of Nursing Times and HSJ, speaking at the awards said "The 70 short listed organisations represented in this room constitute the very best of entries - and every one can be very proud of their presence here tonight."

The awards have shown that patient safety is becoming a mainstream concern in the health service and highlighted the brilliance and bravery with which the challenge is being addressed across the UK.

Health and Social Care Award Regional Finalists 2009

Congratulations to the orthopaedic team whose work on understanding how patients and staff can work together to improve experiences reached the North West final in the Adopt, Adapt and Improve category for the 2009 awards. The teams work and subsequent learning contributed to guidance at national and local level and Experienced Based Design work is now being carried out in Stroke, CAMHS and Respiratory.

Diamond Care Award Winners 2009

Congratulations to the teams who were successful in winning their category at the NHS Bolton Diamond Care Awards 2009. Winners were:

• Bolton Stroke Services - Delivering Best Possible Care for Bolton Stroke Patients
• BICS Academy - Valuing Staff
• Patient Experience Team - Patients and Staff Working Together to Improve Experiences.

Congratulations also to Medical Illustration, Hospital Health Promotion Pathway and H2 Ward Eye Unit who were runners up in their category.

International Forum on Quality and Safety in Healthcare 2010 - Oral Presentations

Two teams at Royal Bolton Hospital NHS Foundation Trust have been chosen to provide oral presentations on the successful improvements they have made in two key pathways:

• Stroke
• Fracture Neck of Femur

The International Forum on Quality and Safety in Healthcare provides a forum where practitioners, educationists, leaders and other healthcare professionals can meet, share best practice, and learn from each other. The forum showcases what is new in quality and safety thinking via a thought provoking, dynamic mix of half day teaching sessions, inspiring major talks, seminars and case studies from across the world. 2010 Forum will take place in Nice in April.

Orthopaedic Patient Experience Based Design - HSJ Awards Finalists 2009

Congratulations to the Orthopaedic Patient Experience Based Design Team at the Trust for being short listed in the Clinical Redesign Category in the Health Service Journal Awards 2009. The team has worked really hard to innovate and improve their services for patients and staff with fantastic results. The Orthopaedic team are continuing their good work and are currently working on a project working alongside patients to improve experience, and also further build on the work still ongoing in the trauma pathways to ensure all patients experience best possible care. The award ceremony will be held on 30th November.

Patient Safety Awards - Implementing the Safer Surgery Checklist

Congratulations to the Theatre Team who have been short listed in the Patient Safety Awards in the category of implementing the safer surgery checklist. There were over 400 entries so the entrants who made the final shortlist are to be congratulated on the standard of their work. The winners will be announced on Friday 5 February in a ceremony at Grosvenor House Hotel.

Orthopaedics are International Winners

Royal Bolton Hospital NHS Foundation Trust have a hard working Orthopaedic team with a good history of service improvement, and are continually working with patients to improve patient experience using Bolton Improving Care System (BICS). This year, orthopaedics submitted two abstracts to the International Forum of Quality and Safety in Healthcare, demonstrating sustainable improvements made from both the elective and trauma pathways over the past few years. The team were successful in their submission and invited to display, and present two posters through facilitated discussion sessions.

The International Forum on Quality and Safety in Healthcare (sponsored by the BMJ and IHI) provides a forum where practitioners, educationists, leaders and other healthcare professionals can meet, share best practice, and learn from each other. The forum showcases what is new in quality and safety thinking via a thought provoking, dynamic mix of half day teaching sessions, inspiring major talks, seminars and case studies from across the world.

The forum this year was held in Berlin and attended by 1,801 delegates from 67 different countries - over a 1000 posters were submitted and around 400 were successful in being invited to present. Bolton sent 3 delegates to represent the Trust. These attendees have come back not only with personal learning, but many ideas which could be taken forward in Bolton.

Delegates attending the forum were asked to vote for best posters from those displayed, Bolton Orthopaedic Team had two posters, both of which won best poster for their category. In addition, one poster was awarded overall winners, for the 'Trauma unit saves lives' improvement work which focuses on improving pathways for hip fracture patients, prizes included a free place at next years forum and a number of books, and international recognition and support for the staff who work hard to support and care for patients and still seek opportunities to improve.

This is a massive achievement, congratulations to all involved and well done Orthopaedic Team! The Orthopaedic team are continuing their good work and are currently working on a project working alongside patients to improve experience, and also further build on the work still ongoing in the trauma pathways to ensure all patients experience best possible care.

These award winning posters can be viewed under the Case Study and Achievement Section of our website - please refer to:

Trauma Unit Saves Lives and Comprehensive Optimisation of Patient Needing Surgery

TrusTECH's North West NHS Innovation Awards 2008

Andy Minett, former Specialist Biomedical Scientist at Royal Bolton Hospital NHS Foundation Trust, was runner up in TrusTECH's North West NHS Innovation Awards in the category for Software/Systems. He wrote Laboratory MonSTA (Monitor Short Turn Around) to help staff track specimens and keep test turnaround times down.

The idea came to him while the Department of Laboratory Medicine at the hospital was using the Bolton Improving Care System (BICS) to reduce wasteful processes. BICS, which uses Lean management tools, has helped the department bring turnaround times down to one hour and 45 minutes for routine tests.

"The ideas advanced by the Bolton Improving Care System (BICS), which uses Lean management techniques and promotes staff engagement, meant that I was encouraged to use my skills as an amateur programmer to develop an IT solution to our problem."

Judges praised the innovation by saying 'This gives a clear benefit to the management of samples.

BICS Scoops National Health and Social Care Award - 2008

The Bolton Improving Care System (BICS Team) was named a winner in the national Health and Social Care Awards 2008, which recognise breakthrough ideas from people on the front-line to improve care and access to services.

The team, who scooped the 'Adapt, Adopt & Improve' award, saw the hospital use the principles of "Lean Thinking", originally created by Toyota to streamline the production line for its vehicles, to improve the quality and cost efficiency of their service, resulting in reduced mortality rates in some areas.

Having seen off considerable competition earlier in the year to become regional winners of the Health & Social Care Awards, the team successfully saw off two other national finalists to be selected overall winner by the NHS Institute for Innovation and Improvement and the Department of Health.

With other categories such as the 'People's Experience Award' and 'Dignity in Care', the 14 Awards recognise projects across care and community settings, with many of the winning projects the result of collaboration between health, education, local government and social care professionals.

Commenting on their success, David Fillingham, Chief Executive at Royal Bolton Hospital NHS Foundation Trust, said:

"With BICS, we've created something that can really make a difference to the quality of care we provide. We're keen to share our learning more widely so that others can copy it for themselves. This award is an important step in that process".

Bernard Crump, CEO, NHS Institute for Innovation & Improvement, added:

"Falling as they do on the eve of the NHS's 60th birthday, these awards paint a very positive picture of the direction the health service will take in the next 60 years. It's breakthrough ideas like this one from people on the front line who understand the issues that can make the biggest difference. It's essential we continue to identify and support these individuals so everyone can benefit".

BICS Wins Regional Health and Social Care Award - 2008

The Bolton Improving Care System team (BICS), at the Royal Bolton Hospital NHS Foundation Trust, won the Adopt, Adapt and Improve award at a ceremony held at the Reebok Stadium, Bolton.

The Health and Social Care Awards are the flagship awards of the Department of Health and coincide with the 60th anniversary of the NHS. The awards, open to all health and social care staff, recognised the inspiring and passionate work that goes in to helping and caring for thousands of people every day of the year. The awards also highlight and celebrate innovation and excellence and recognise and encourage working together across organisations and professions, with patients, service users and local people.

David Fillingham, Chief Executive at Royal Bolton Hospital NHS Foundation Trust, introduced Lean Thinking in 2005, extending its existing Improvement team to create a 'BICS Team' whose key objectives were to deliver the best possible care to the patient, improved health for the community, value for the taxpayer and pride amongst the staff. The team implemented 'A3 Thinking', a one page summary that serves as a statement of objectives, methods and progress which has created a more co-ordinated vision and a more flexible strategy.

"We're delighted that BICS won the award. It just proves what a good job BICS is doing to improve care for the hospital. The care of our patients and staff is always of course our top priority and through BICS we've been able to make many improvements."

Mike Farrar, chief executive of NHS North West, said: "This is an excellent result for the team in Bolton who are proving that the NHS can deliver world class services that benefit everyone - patients, staff and the health service itself."

All of the winners at the awards will now be judged by a national panel, and then short listed in time for the National Awards, which will be held at Wembley Stadium in July.