Networks: South West Critical Care
Location: Junction 24, Bridgwater
Date: 26th June 2019
Information: For more details please contact us Find out more
As a Network we are keen to gain a better understanding on long stay patients within ICUs within our Network. This process was used in the S.West where there were Complex Rehabilitation Case Managers within NHS England who could help facilitate any delays. It also gave commissioners an understanding on reasons behind and long stay patients they were commissioning.
We are keen to trial this process, and so we are requesting every Unit to complete this for every patient currently in their Unit with a length of stay > 28days (we will send a reminder to Lead Nurses at the start of each month – although do feel free to let us know if there is a better contact we should use).
If you have any queries, then please feel free to email us: email@example.com
We plan to hold the annual event again in 2021 and a provisional date of Wednesday 19th May 2021 has been agreed. Details will follow in due course.
The presentations that were shown at our Delirium Study Day on the 9th of October at the Southmead Hospital Learning and Research Department are now available to view and share. This was a very successful day with full attendance and inspirational speakers, please feel free to take a look at the information and use in your units. With thanks to all that attended and our speakers including: Kate Tantam, John Bell, Sam Heaton, Sonia Maisey, Tom Hulme, Natasha Rac, Allan Sinclair, John Warburton, Dr Roger Garrett, Graham Brant, Keith Davies and Ann Touboulic.
Please click here for the documents
If you would like any further information, please contact firstname.lastname@example.org
The optimisation of recovery from critical illness, rather than mere survival, has developed increasing prominence as the physical and psychological ramifications of a stay in critical care have become widely acknowledged. Research on the longer term consequences of critical illness has shown that significant numbers of patients surviving critical illness have important continuing problems.
“For many, discharge from Critical Care is the start of an uncertain journey to recovery characterised by, among other problems, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty (termed cognitive function). Family members become informal care givers, and that itself can exert a secondary toll of ill-health; family relationships can become altered and financial security impaired.” (NICE 2009)
Information for patients and relatives
National Institute for Health and Care Excellence (NICE)
Recognition of the unmet clinical needs of patients surviving critical illness prompted NICE to publish guidelines for rehabilitation – Clinical Guidelines 83 and Quality Standards 158:
SECCN guidance documents to support critical care units to deliver rehabilitation throughout the critical illness pathway
The handover of care to fellow health professionals, both when a patient leaves critical care to go to the ward and when being discharged from hospital, is paramount to ensuring the smooth transition of care and on-going rehabilitation based on a patients needs and goals. The following documents may help to structure the handover and are free to use:
Link to Frimley Park Hospital on line training for patient diaries: http://www.frimleypark.nhs.uk/e-learning/PatientDiaryTraining/launch.html
ICU Steps – Intensive Care Patient Support Charity: http://www.icusteps.org
The South East (formerly South East Coast) Critical Care Network was established in April 2013 as a result of the merger between the critical care networks of Kent & Medway; Surrey and Sussex.
The role of the network is to enable Critical Care Services to work together to promote the highest quality of care for people in the South East of England. Critical Care is a vital hospital service for people with life threatening injuries and illnesses. Critical Care encompasses intensive care and high dependency care units and is where the sickest patients in hospitals are treated. Critical Care staff also provide support to ward areas to ensure the early recognition and response to acutely ill patients wherever they are in the hospital.
The SECCN promotes clinical engagement and collaboration across the South East region to ensure the delivery of safe and effective services for critically ill patients throughout the patient pathway. It provides guidance on service standards to ensure equity of the care patients and their families and loved ones receive. Critical care pathways are audited and best practice identified to serve as a benchmark for service improvement.
The SECCN provides a link between commissioners and providers of critical care to promote integration and coordination of services. The SECCN assists commissioners and providers to coordinate resources to secure the best outcomes for patients. Critical Care activity is monitored across the region to assist capacity planning and to forecast demand, to ensure that supply and demand of Critical Care services are matched even at times of peak activity.
Members of the SECCN work collaboratively to share learning, experience, knowledge and skills; to enable staff to have the skills and confidence to develop Critical Care services in line with initiatives and progress in medical practice and to meet the expectations of commissioners and the public.
|Hospital||Lead Clinician||Lead Nurse|
|Darent Valley Hospital||Dr Mike Protopapas||Maria Crowley|
|Kent & Canterbury Hospital||Dr Martin Mayall||Julie Cristall|
|Maidstone General Hospital||Dr Dan Moult||Angali Clifton-Fearnside|
|Medway Maritime Hospital||Dr Paul Hayden||Jane Westhead|
|Queen Elizabeth the
Queen Mother Hospital
|Dr Craig Guest||Deirdre McFarlane|
|Tunbridge Wells Hospital
|Dr Dan Moult||Jane Sansom|
|William Harvey Hospital||Dr Mark Snazelle||Jane Kirk-Smith|
|East Surrey Hospital||Dr Claire Mearns||Caroline Allison/
|Frimley Park Hospital||Dr Mark Blackmore||Mary Virtue|
|Royal Surrey Hospital||Dr Amish Patel||Jackie Yeruva|
|St Peter’s Hospital||Dr Tony Parsons||Christine Redmond|
|Eastbourne General Hospital||Dr James Evans||Sylvia Harris|
|Princess Royal Hospital||Dr Owen Boyd/
Dr John Kilic
|Queen Victoria Hospital||Dr Matt Lees||Claire Tait|
|Royal Sussex Hospital||Dr Owen Boyd/
Dr John Kilic
|St Richards’s Hospital||Dr Justin Dickens||Daisy Rosser|
|The Conquest Hospital||Dr James Evans||Caroline Ellis|
|Worthing Hospital||Dr James Nicholson||Adam Rogers|
The SECCN transfer form and checklist for inter hospital ensure appropriate risk assessment prior to and preparation for transfer.
For ordering details: SECCN transfer charts ordering details
The principles of safe transfer are applicable to patients transferred between hospital departments. The SECCN intra hospital risk assessment and transfer form is available for printing in A4:
Safe handover of care from one team to another is promoted by a standardize controlled process.
The SECCN standard operating procedure for handover is available for printing in A4:
The SECCN transfer guidelines are currently being updated and will be uploaded as soon as possible. In the interim, please contact email@example.com for any information or access the Intensive Care Society guidelines for the critically ill adult:
Each critical care unit runs transfer training for staff. An Intensive Care Society accredited simulation based transfer course (STricT) has been developed by St Peter’s Hospital and Royal Surrey County Hospital critical care units supported by SECCN and Health Education Kent, Surrey & Sussex. This course is also run at East Sussex Hospitals. For further information on STricT please visit https://strictcourse.co.uk or contact firstname.lastname@example.org,
The North West London Critical Care Network website contains comprehensive critical care transfer information and can be found at: www.londonccn.nhs.uk
SECCN has held a critical care conference annually since 2014 and the event continues to go from strength to strength. We are fortunate to be able to attract renowned speakers from within and outside the network and our conferences are attended by members of all health professional groups working in critical care. The event is kindly sponsored by a variety of companies which ensures that the event is free to delegates. A poster competition is held each year as well as a short quiz and each has a small prize for the winner.
** 2020 date to be announced soon **
The event was attended by over 100 delegates and supported by a range of sponsors who participated in a fun quiz competition. Presenters came from Critical Care across Kent Surrey and Sussex and we were delighted to have Dr James Haslam for Salisbury NHS Foundation Trust as our special guest speaker.
Development of Critical Care Research
Some feedback from our delegates
“Good topic selection, I particularly enjoyed the clinical psychology … and the Lung Ultrasound Demonstration”
“Useful and interesting talks that have been thought provoking”.
“Very good – everyone was very passionate about the presentations”.
The use of high-flow nasal oxygen therapy (HFNOT) outside critical care – a deanery wide survey
Dr P T Thorburn, Dr I Francis and Dr F Baldwin (Brighton & Sussex University Hospital)
Use of Simulation Based Learning in Critical Care Transfer Training
R.Mody, P. Wilder (Frimley Health)
Audit: Use of stress ulcer prophylaxis in critically ill patients
Dr. Sinan Bahlool, Dr. Krushna Patel, Dr. Andrew Baigey (East Kent Hospitals)
The Network has an active Transfer Group, led by Carolyn Barrett & Nikos Makris (Thames Valley) and Neil Johnson (Wessex). Recent priorities for the group include standardising the Network Transfer Form and a Network Competency Workbook, as well as an audit of the current provision of Transfer Training that is being delivered within the Network and Transfer Equipment.
Combined quality improvement work with NHS South is ongoing and a NHS South strategy for capacity, currency and costing is being developed. This will necessitate active engagement with STP’s and CCG’s as well as provider trusts. A programme of engagement events will continue throughout 2018/19 and units will be supported to complete a demand, capacity and costing review by a programme of network visits.
More details to follow.
Life is not measured by the number of breaths we take, but by the moments that take our breath away. Maya Angelou
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