University Hospitals of Morecambe Bay NHS Foundation Trust have just completed their first year of Listening into Action (LiA). Their LiA Teams shared their achievements at a recent Pass it On Event and have passed the baton on to 20 more teams who start work on new focus areas on the Trust - spreading and embedding this new way of working to improve care for their patients.
Latest LiA Pulse Check results from the Trust show that there has been a huge uplift in how engaged staff feel at the Trust since they adopted LiA. This includes a 23% increase in staff feeling that they are able to contribute to changes to benefit their team or service, and a 25% increase in staff who would recommend their Trust to friends and family.
One of their early pioneering teams has been working on the creation of a new diabetic hub. Here is their story so far:
"Plans for a Diabetic Hub for the North Lancashire area have taken a massive leap in the right direction.
The hub at the Royal Lancaster Infirmary (RLI) will act as a dedicated centre for diabetic patients, and bring together specialist outpatient services, and help to support the education of staff and patients on self-care – important aims of the Better Care Together strategy which the Trust has adopted along with nine other partners. It will also facilitate the expansion of diabetes research within the Trust.
This has all been made possible due to work done by an LiA Clinical Team as part of the Trust’s adoption of the Listening into Action (LiA) approach which was launched in September 2014.
Over the past 20 weeks, Deborah Whittle, Advanced Nurse Practitioner, who is leading the work, and her team have held engagement events with patients and staff and a space for the hub has been identified at the old Coronary Care Unit in Medical Unit One at the RLI.
The Trust will provide £50k in funding and, along with a further £15,000 obtained from diabetes charitable funds, this will enable total refurbishment of the unit.
Deborah Whittle, said: “This is a hugely exciting opportunity for us to come together as a team and deliver more specialist clinics that meet the needs of our patients and provide a centre in which patients can not only receive care but meet and learn. The idea of the diabetes centre was very popular at our Patient Conversation event which produced valuable suggestions as to how the centre should be made accessible and welcoming”.
There are approximately 3.3 million people, aged 16 or over, with diabetes in the UK, with a further 1 million plus thought to be undiagnosed. By 2030, this figure is expected to rise to towards 5 million people diagnosed with diabetes, with 90% of those affected having type 2 diabetes.
Approximately 10% of the NHS budget is taken up by diabetes care every year and recent audits have shown that up to 18% of hospital beds are occupied with people who have diabetes.
Deborah added: “This is a really exciting time for me and the rest of the team, and we are so grateful for the opportunity to be able to take charge and make the change that we know will benefit our patients and those that will need the service in the future.
“We are now planning to visit other diabetes centres around the country to see how they work, so we can develop the right care plans in partnership work with our Better Care Together colleagues, which will mean our patients get the best possible care in the right place. We also want to raise money to run and staff the new unit so will be working closely with our patients, diabetes support groups, and hospital charities team to help us raise these additional funds.”
Deborah showcased the work her team has done at a LiA Pass it On event last week along with other Pioneering and Enabling Our People Schemes. The team’s work will now be taken forward as part of the second wave of Pioneering Schemes.
Jackie Daniel, Chief Executive, said: “Deborah and her team have worked so hard to achieve this so huge congratulations go to them. This outcome reflects what we are trying to achieve through Better Care Together. I am in awe at the amount of energy that has been put into all of our Listening into Action (LiA) schemes and can see how passionate our staff are about our Trust”.
Sue Smith, Executive Chief Nurse, said: “This is a fantastic news for the team and people living with Diabetes in the North Lancashire area”.