New and innovative ways of working
Covid-19 has changed healthcare delivery in the UK and in response new and innovative ways of working have been rapidly developed across DCHS. In response to NHS England and Improvement national call for capturing clinical innovation as well as CQC case studies, we shared a few examples of our innovative work during Covid-19.
- Wound clinics – remote assessment and self-care coaching for patients. Patients are being supported to self-care and then reviewed as clinically appropriate.
- The physio and MSK service adopted a virtual service model and extended to deliver first contact practitioner (FCP) service in collaboration with primary care networks (PCNs).
- School Aged Immunisation Service innovatively developed a drive through service model in the delivery of HPV vaccine for year 8 and 9 girls and boys in the patient's local area. To maximise the resources against demand the service also moved to the use of e-booking for drive through instead of a reliance on schools booking children into sessions.
- Speech and language therapy increase the numbers of initial assessments and follow ups via telephone call and video consultations.
- Community podiatry teams supported the University Hospitals of Derby & Burton in its response to Covid-19. This rapid expansion of shared care between providers was enabled through the use of Silhouette 3D wound imaging and information system. This resulted in numerous follow-up diabetes foot ulcer treatments being delivered in the community to free up capacity in the acute providers.
- Organisation wide multi-channel communication approach not only using MS Teams as the key channel for meetings within DCHS but new channels such as Facebook Live and creating a closed Facebook group to ensure staff had a choice of a number of channels to access key updates, information and to ask questions. Engagement increased with over 1000 staff accessing the livestream events. Staff also used WhatsApp to support each other in team settings.
- Social distancing, lockdown restrictions and remote working have seen a surge in the use of Microsoft Teams. This new way of working supported business continuity and service delivery.
- Managers and BAME colleagues have jointly undertaken 193 BAME risk assessments via MS Teams. The BAME staff network meets every fortnight (using MS Teams) and is a source of valuable insight into the experiences and challenges of our BAME colleagues.
- The clinical scenario planning group was established in the early stages of the pandemic as a direct response to challenges faced. It offered responsive, straightforward, pragmatic advice to address multiple challenges and issues, whilst minimising their reoccurrence.
- Staff embrace digitalisation – to continue our community services to patients during Covid-19, we became innovative in our search of digital solutions to support our patients and essentially maintain the care they required.