‘Hearing Me: Understanding Hearing Loss’ is the work of a group of people from Gloucestershire Care Services NHS Trust. They embraced Listening into Action and got together with a local charity to produce an entirely different approach to mandatory training.

Newton Community Hospital, which belongs to Bridgewater Community Healthcare NHS Foundation Trust is a small hospital comprised of an outpatient department and a 30 bed intermediate care ward. When Jayne Gore became ward manager at the hospital 18 months ago, she inherited a very dispirited team of staff. Despite the fact this small hospital was only 5 years old she felt it was ‘stuck in the dark ages’.  

A specialist Palliative Care team based at Cumbria Partnership NHS Foundation Trust have used LiA to make some very welcome changes to their community based service in the South Lakes area. The team of 8 Clinical Nurse Specialists, provide a vital and valuable end of life service to patients within their own homes. An important part of their role involves providing medication to help with symptom control

The South Lakes Respiratory Team at Cumbria Partnership NHS Trust have used LiA to completely transform and improve their services for patients. The team run a pulmonary rehabilitation block programme of education and exercise for people in the area living with long term respiratory conditions. At the start of their first round of LiA they identified a number of issues...

Portsmouth Hospitals NHS Trust started adoption of LiA in March 2013. It is embedding well and fast becoming 'the way we do things around here'. Staff involved in LiA teams right across the Trust are making fantastic changes which are demonstrably impacting the quality and safety of the care they provide to their patients. Here is what they have to say about their journey so far:

Pennine Acute Hospitals NHS Trust started adoption of LiA in 2012. Since then staff from a whole range of services have been leading a ‘groundswell’ of change. This has had a marked impact on the quality and safety of patient care and the patient experience, and has seen staff working smarter together within this large multi-site Trust. A selection from their impressive array of staff-led changes includes...

Delays in discharge of patients, time to recruit new staff, endless bureaucracy, lack of equipment, and mountains of unnecessary paperwork. These are some of the main things that frustrate frontline staff in the NHS and get in the way of providing the best care for patients. ‘Blockers’ like this - which need to be addressed at a team and organisation-wide level - are identified during LiA Staff Conversations and quickly converted into actions and measurable results...

An LiA team at Berkshire Healthcare NHS Foundation Trust have been harnessing ‘Parent Power’ to make improvements to the Community Health Visiting Service in Reading. Staff recognised that many families were not utilising the valuable services on offer which meant they were missing out on vital parenting support during the crucial early stages of the development of their children. A combined team was formed with staff from across the service and the local authority.

The Medical Records team at Wirral University Teaching Hospital NHS Foundation Trust have worked in a significantly challenging environment for many years. LiA has ‘supercharged’ the team and they have used this new way of working to transform the management of patient records. Storage of case notes had been a growing problem at the Trust, impacting on timely availability and causing delays for patients.  

An LiA team at East Sussex Healthcare Trust have improved the patient experience and made substantial cost savings through the use of new, innovative IV equipment. The new equipment, called Nautilus, helps clinicians accurately position Peripherally Inserted Central Catheters (PICC lines) by providing accurate ECG readings...

Over-labelling patient’s own medicines in the event of dose changes is standard practice in most hospitals. It is better for patient safety, reduces waste and also reduces delays in patient discharge. A lack of onsite dispensaries in community hospitals at East Sussex Healthcare Trust has meant that staff have not been able to follow this practice. Staff in the Community Health Services Medicines Management team have used LiA to find and implement a solution to this

Dementia affects more and more of us in today’s world, whether directly or indirectly. The Alzheimer’s Society report there are currently 800,000 people with dementia and predicts that figure will rise to more than a million by 2021. This is putting new pressure on NHS organisations, they need to learn and adapt in order to care for an increasingly older population with severe memory problems.

Staff at United Lincolnshire Hospitals NHS Trust have been using LiA to develop a solution to deliver faster care for patients. The result is the introduction a new team of Acute Care Practitioners which has been introduced in the Emergency Department at Pilgrim Hospital. This heralds a new way of working to provide rapid assessment and treatment for patients

Bed capacity issues emerged as a recurrent theme at LiA Staff Conversations held at St George's Healthcare NHS Trust in 2013. As a result, some improvements were made to increase capacity. However, during the winter period of 2013/2014 the Trust experienced high occupancy rates, crowding in assessment areas, and patients in the wrong beds where they were not best placed to have their health issues addressed appropriately. This was having a detrimental effect on patient care

The admission of patients to the Older People's Short Stay Ward (OPSSU) was proving to be highly challenging at Wirral University Teaching Hospital NHS Foundation Trust. An LiA team was formed with the aim of making changes so that staff could deliver the best and most efficient patient journey and experience - and the impact has been huge...

There are over 2,000 people living with dementia in the Wirral area, and Wirral University Teaching Hospital NHS Foundation Trust cares for many of these patients. With figures set to rise, the Trust is keen to ensure they provide the best quality of care for their patients and families. Last week, during Dementia Awareness week, the Trust opened a ‘Memories Café’ at Arrowe Park Hospital as part of this commitment...

LiA is the perfect vehicle to involve frontline staff in generating solutions to solve ‘burning issues’ at a Trust. Holding 'themed' LiA conversations is great way to focus discussion and engage the right people to implement change in priority areas. At East Sussex Healthcare Trust, The Chief Executive Darren Grayson and Director of Finance Vanessa Harris hosted a ‘Using our resources effectively’ LiA Conversation recently.  

Sometimes in life you meet people who completely humble you, writes East Midlands Ambulance Service LiA Lead Mark Dawn. "Last week at one of our LiA Colleague Conversations at Market Rasen Racecourse in Lincolnshire, myself and others had the privilege of being in the company of a man who had spent all his working life caring for patients on the road, in one guise or another, as an ambulance frontline worker...

A brand new service which helps young patients with their allergies has opened at The Pennine Acute Hospitals NHS Trust. The Paediatric Allergy Clinic, based at North Manchester General Hospital was the idea of Dr Mudiyur Gopi, Consultant Paediatrician. Before this, families had to travel to the centre of Manchester to access allergy services.

Normally, you can’t unlock a door without a key. But here at East Midlands Ambulance Service, a concerted effort to engage staff has helped us to unlock a door that until recently wasn’t quite bolted firmly shut, but certainly stuck a little at the hinges. In the build-up to our Listening into Action (LiA) journey - and with a clear need to see some action quickly in order to build belief in LiA amongst staff -