Anna Wimberley, Project Team Manager, EHSCP
Senior responsible owner
Angela Lindsay, Home First and Community Resources SRO, EHSCP
Welcome to the Right Decision Service (RDS) newsletter for August 2024.
Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.
We would like to invite you to a webinar on 26th September 3-4 pm on national and local contingency planning for future RDS outages. Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.
I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.
2.National IV fluid prescribing calculator
This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery. It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.
Please do spread the word about this new calculator and get in touch with any questions.
The following toolkits are now live;
We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.
We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit. We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process. The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.
To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)
7 Evaluation projects
Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.
We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.
If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.
With kind regards
Right Decision Service team
Healthcare Improvement Scotland
Anna Wimberley, Project Team Manager, EHSCP
Senior responsible owner
Angela Lindsay, Home First and Community Resources SRO, EHSCP
Content has been checked for accessibility in line with the relevant RDS standard operating procedure.
Content management processes initially defined by ACP Resources Editorial Group, a subgroup of NHS Lothian ACP Steering Group, under Lothian Care Academy. Processes are being reviewed as part of current capacity discussions.
Content of toolkit designed, tested and clinically reviewed through iterative improvement projects, please see evaluation reports: https://services.nhslothian.scot/carehomes/services-anticipatory-care-planning/
7 steps to ACP referenced as best practice in Scottish Government's My Health, My Care, My Home healthcare framework for adults living in care homes.
7 steps to ACP ongoing review and reciprocal learning through input to Scottish Government's Future Care Planning working group, informing ongoing/future developments.
Continued partnership working and content review with GP practices and care homes in Edinburgh, with clinical review led by EHSCP's Future Care Planning GP Advisor.
Review dates and responsibilities initially defined by ACP Resources Editorial Group, a subgroup of NHS Lothian ACP Steering Group, under Lothian Care Academy. Processes are being reviewed as part of current capacity discussions.
Copyright compliance for content has been checked and confirmed.
All icons are from Flaticon.com, accessed through the licence held by Tactuum Ltd for the resources supported by the software platform it provides.
Evidence for toolkit content reviewed through iterative improvement projects, please see learning and evaluation reports: https://services.nhslothian.scot/carehomes/services-anticipatory-care-planning/
7 steps to ACP informing, and being informed by, evidence gathered through Scottish Government's Future Care Planning working group.
Continued partnership working and content review with care homes & GP practices, informing real time assurance & improvement data.
The content in this toolkit was signed off by Lothian Care Academy, ACP Steering Group in December 2022.
The Lothian Care Academy, Future Care Planning Steering Group will oversee ongoing development.
Feedback sought and acted on as part of iterative improvement projects, please see https://services.nhslothian.scot/carehomes/services-anticipatory-care-planning/
Planned evaluation of online Care Home Education & Training, Improvement & Assurance will provide further feedback and inform improvements.
Feedback received by RDS via the online form will be forwarded by the RDS team to the key contact named above.
The app has been risk assessed, and mitigations put in place where required.
Content tested throughout design and testing phase, please see evaluation reports: https://services.nhslothian.scot/carehomes/services-anticipatory-care-planning/
Further functional and usability testing planned as part of planned evaluation of online Care Home Training & Education, Improvement & Assurance package (this toolkit forms part of the broader online package): https://services.nhslothian.scot/carehomes/education-and-training/acp-training/