Multi-disciplinary care rounding project in Gloucestershire

ContactSandra Attwood, Modern Matron for General Old Age Medicine, Stroke and Neurology, Gloucester Hospitals NHS Foundation Trust
Emailsandra.attwood@glos.nhs.uk
Websitehttps://www.gloshospitals.org.uk
AddressGloucestershire Royal Hospital Great Western Road, Gloucester, Gloucestershire, GL1 3NN

What is being done?

The work includes:

  • Individual bed round based on a detailed assessment of the patient’s care needs.
  • A checklist to inform that assessment has been developed, trialled and refined.
  • The scheme is running as a trial until an evaluation of safety and quality outcomes is completed.
  • Phased roll out within Medical Division, initially on 3 general medical wards, currently at phase 5 of roll out with many acute wards having implemented the trial.

What is new and different?

  • PDSA approach to service improvement supported by Innovations Coordinator
  • Multi-disciplinary, and has buy in across professional groups.

What difference this seems to be making

Initial results for Phase 1 of project:

  • Reductions in falls
  • Reductions in pressure ulcer development
  • Improved patient experiences reported

Plans for taking the project forward

  • Due to roll out to Unscheduled Care wards in the spring.
  • Developing staff engagement
  • E-learning package in development
  • Exploring possibility of including Multi Disciplinary Team Care Rounding into Nursing Band 5 Role Transition framework
  • Exploring the possibility of holding dedicated Nursing Mentor training
  • Exploring the possibility for position as guest lecturer in the Under Graduate General Nursing Programme at the University of the West of England, Gloucester Campus