The alchemy of teamwork: how do we transmute base practice into noble excellence?

5114199360_414703d434_oLiz Charalambous is a qualified nurse on a female, acute medical HCOP (Health Care for Older People) ward at Queen’s Medical Centre, Nottingham University Hospital Trust.

Recent weeks have seen a huge challenge to healthcare teams across the country. The NHS has had to rise to the demands of increased numbers of people accessing services in all areas.

My suspicion is that the areas performing the best were the ones who already had strong teams in place, positive leadership and supportive group cohesion, adding the extra strength and resilience to a burgeoning population of patients.

Continue reading

Where’s Mrs Y? The effects of unnecessary ward moves

Miles Witham and Marion McMurdo have shared their concerns about unnecessary ward moves on the Oxford University Press blog.Lady in Hospital

It’s a Thursday morning in February, and I have just arrived on the ward to start my ward round. Mrs Y, a lady in her 90’s with dementia, was admitted with pneumonia a few days ago. She is on the mend, rehabilitating well, and we planned to get her home tomorrow with some extra home care. Now she is nowhere to be seen. Continue reading

Unnecessary ward moves – bad for patients; bad for healthcare systems

Unnecessary ward moves are becoming increasingly common and have adverse consequences both for patients and for hospitals argue the authors of an editorial published today in Age and Ageing, the scientific journal of the British Geriatrics Societyshutterstock_91948466

Prof. McMurdo and Dr Witham from the University of Dundee, are drawing attention to the practice of ‘boarding’ patients – moving individuals from their own base specialty ward to other wards to accommodate influxes of new patients.  This practice is increasingly common, especially amongst older patients, despite the fact that changes of environment increase the risk of falls and delirium, problems that are associated with risk of serious injury and increased death rates. Continue reading