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Active clinical innovation adoption projects

Improving detection and management of atrial fibrillation in primary care

Atrial fibrillation (AF) is the most common cardiac arrhythmia (abnormal heart rhythm) and is a major cause of stroke. This project aims to support GPs and commissioners across the region to drive though improvements in the detection and management of AF, leading to a reduction in AF-related stroke. See more on our AF workstreams in this chart.

  • Find out about our ‘Excellence in AF’ anticoagulation work with Bayer and NHS partners in Buckinghamshire here > (March 2017)

For more information on this project please contact hannah.oatley@oxfordahsn.org

Using intermittent pneumatic compression sleeves to reduce risk of deep vein thrombosis in stroke care

Intermittent pneumatic compression sleeves are inflatable stockings worn on the legs which have been shown to reduce the risk of deep vein thrombosis, pulmonary embolism and death among patients who are immobile following a stroke. Read more in this case study.

For more information on this project please contact hannah.oatley@oxfordahsn.org

6000 pregnant women could benefit from remote diabetes monitoringRemote blood glucose monitoring for women who develop diabetes during pregnancy

Increasing numbers of women need clinical monitoring for gestational diabetes, a condition that affects women in pregnancy. This project aims to improve monitoring and management of pregnant women with diabetes using telehealth, which incorporates real-time management of blood glucose control and communication with the patient.

Update: May 2017 – read more here >

For more information on this project please contact lauren.davis@oxfordahsn.org

Integrated fracture prevention service for fragile older people

This project aims to improve the quality of life of people with osteoporosis by optimising the prevention of secondary or subsequent osteoporotic fragility fracture, for example by implementing a fracture liaison service.

For more information on this project please contact alison.gowdy@oxfordahsn.org

Spreading best practice in treatment of early inflammatory arthritis

This project aims to improve outcomes in patients with early inflammatory arthritis by reducing the time required to refer, assess and treat patients.

For more information on this project please contact james.rose@oxfordahsn.org

Introduction of biosimilars

This project focuses on the introduction of low-cost biosimilars – medicines which are almost identical to original licensed products – particular in inflammatory disease (rheumatology, dermatology and gastroenterology). These have the potential for significant savings to NHS providers.

For more information on this project please contact james.rose@oxfordahsn.org

Maintaining optimal fluid status to improve post-op recovery

This project focuses on improving patient outcomes through the effective use of technologies to maintain optimal fluid status during and immediately after major and high-risk surgery. This is known as intra-operative fluid management. The project’s Phase 1 Benchmarking Report shone light on a number of barriers to clinical adoption and was referenced in the NICE review of Medical Technology Guidance 3 – see ‘Review proposal paper’.

For more information on this project please contact james.rose@oxfordahsn.org

Reducing alcohol-related hospital admissions

This project aims to reduce acute alcohol-related hospital admissions and readmissions by providing high quality support to those who present with alcohol-related illness and contributing to the development of broad-based prevention strategies.

For more information on this project please contact alison.gowdy@oxfordahsn.org

Analysis of nalmefene to reduce alcohol consumption in people dependent on alcohol

This project is taking stock of the barriers to implementation of NICE TA 325 – Nalmefene, a medicine for reducing alcohol misuse. A report based on this work was published in March 2017. Read it here.

For more information on this project please contact james.rose@oxfordahsn.org

Spreading best practice to reduce catheter associated urinary tract infection

This project aims to reduce frequency of catheter associated urinary tract infections by promoting best practice, standardising procedures, improving training and increasing the use of portable bladder scanners.

For more information on this project please contact hannah.oatley@oxfordahsn.org

Supporting best practice in falls prevention

This project supports acute, mental health and community hospitals across the region to implement the Royal College of Physicians’ FallSafe care bundles which have been proven to reduce falls rates by 25%. Work is focused on fully incorporating FallSafe care bundles into pathways in a sustainable and consistent way.

For more information on this project please contact lauren.davis@oxfordahsn.org

Improving patient safety in critical care

This project is supporting acute trusts across the Oxford AHSN region to implement three patient safety devices within critical care. They are the Non-Injectable Arterial Connector, PneuX System and the WireSafe, all of which have been recognised by the NHS Innovation Accelerator programme as being evidence-based, cost-effective ways to improve patient  safety. The Non-Injectable Arterial Connector and PneuX System can be used by the NHS at neutral cost having been included in the Innovation and Technology Tariff launched in April 2017.

For more information on this project please contact alison.gowdy@oxfordahsn.org or james.rose@oxfordahsn.org

Implementing UroLift for treatment of enlarged prostate

This project will support acute trusts across the Oxford AHSN region to implement UroLift as another treatment for men with enlarged prostate (benign prostatic hyperplasia) avoiding side-effects that can result from surgery. It can be used by the NHS at neutral cost having been included in the Innovation and Technology Tariff, attracting a specific operating procedure code.

For more information on this project please contact alison.gowdy@oxfordahsn.org

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