Advanced practice team | The creation of an advanced practice team led by a nurse consultant, expanding the clinical services offered to patients with frailty during COVID-19. |
Creating a communication open door | Developing new and enhanced means of communicating with families, staff and professional colleagues to support delivery of person-centred care on a COVID-19 unit. |
Enhanced care—a new model | Redesigning the model of inpatient care and expanding admission criteria to meet the needs of patients requiring enhanced care, and in particular those with associated cognitive impairment/dementia. Offering training to people who had been furloughed in order to help staff the service. |
Enhanced leadership to support a move to a 7-day service | A strengthening of leadership at every level enabled a 7-day service to be offered, increasing patients’ access to rehabilitation and resulting in reduced lengths of stay. |
System impact of organisational innovation | To provide a safe, effective response to the pandemic through innovation and research. The pandemic challenged every member of every team to innovate to support delivery of safe, effective services. |
Relocating cancer care | A cancer care unit, including an infusion unit, was relocated successfully from an acute hospital to a community hospital, offering patients who were typically immune-suppressed a local facility, thereby avoiding the secondary care facility. |
Offering 7-day rehabilitation | Physiotherapists and occupational therapists were able to offer a 7-day rehabilitation service to inpatients when clinics closed in the pandemic. This impacted on the quality of care to patients and resulted in less time spent in hospital. |