Update from HIN: Red Bag, Pioneers, 111*6

1. Update from HIN:Red Bag, Pioneers, 111*6 Josh Brewster Health Innovation Network

2. Academic Health Science Network Improve lives Save money Drive economic growth Spread and adopt best practice in South London

3. Where we work @HINSouthLondonwww.healthinnovationnetwork.com

4. Clinical and Innovation Themes Healthy Ageing Stroke Prevention Diabetes MSK Digital Health Patient Safety Capacity Building Change Support Technology & Information @HINSouthLondonwww.healthinnovationnetwork.com

5. Red Bag Evaluation - Use in Care Homes The HIN surveyed 31 Care Homes and held a focus group with care home managers Is the red bag being used? • Majority of care homes are using the red bag all of the time • In majority of cases, ambulance crews are aware of the red bag Reasons for not using red bag • Ambulance crews need to transfer quickly – cannot wait • Night staff have less resource / capacity Lewisham and Greenwich Red Bag “It makes a big difference (if the emergency is at night) as we have less staff on and the administrative staff are not there.” (Care Home Manager)

6. Care Homes – Perspectives on Discharge Two-thirds of care homes said Discharge Summaries are returned ‘sometimes’ on discharge, compared to a third who said they were ‘always’ returned “The only thing for us is, when they are discharged, there is no discharge letter, no documentation, the form from the hospital is always empty” [Care Home Manager]

7. Learning from Implementation – Care Home • Transition to new paperwork • Day vs Night callouts • Tracking down lost bags • Dissatisfaction due to continued poor discharge Lambeth Red Bag “ “We still get phone calls from the hospital, but it’s happening less now with the red bag. It’s an excellent system” Care Home Manager

8. Going forward… • Please do check if all your staff feel confident to complete all the standardised paperwork – night staff, agency staff too. • If a bag is lost or discharge papers are missing – please alert your CCG/LA commissioner straight away (monitoring form) • Let residents and relatives know about the red bag on admission and reminder at meetings • Ongoing work also happening at Hospital to improve the pathway • Report: https://healthinnovationnetwork.com/news/evaluation-into-red-bag-hospital-transfer-pathway/

9. Aims • Raise confidence • Gain leadership skills • Use a variety of tools to aid team communication • Create a support network Care Home Pioneers – Leadership Development Programme Pioneers 2018

10. Lambeth and Southwark Pioneers, 2018 and 2019 2018 • AnuraKalubowila - Purley view nursing home • Brenda Skinner - Beth Ezra Trust 2019 • Veronica McCleary - The Manse Residential Care Home • Grazyna Urbaczewska - Hill House Nursing Home • Verna Kaunda - Shepherds' Corner Graduation Day – November 2019, all invited

11. 111*6 Line • Project in partnership with the End of Life Care Clinical Network and the 3 Academic Health Science Networks for London • Pan-London project to help prevent unnecessary admissions • 2 strands: • Feedback from those people using *6 – Surveys, Focus Groups, Interviews • Listening to Calls – Understand Process • Outcome: Key learning and next steps

12. 111*6 Discussion • Thoughts and experience of 111*6 • When and why do you use 111*6? • What do you use instead of 111*6? • How could it be improved?

13. Newsletter • If you want to hear about the latest work we are doing please sign up to our newsletter • You can sign up here: https://healthinnovationnetwork.com/#x-section-6 • Or come speak to me after