Pain management programme | Right Decisions

Announcements and latest updates

Welcome to the Right Decision Service (RDS) newsletter for August 2024.

Contingency planning for RDS outages

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 26^th 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.

New toolkits

The following toolkits are now live;

Gender identity healthcare: adults and young people standards. (https://rightdecisions.scot.nhs.uk/genderidentity ) Note that this toolkit includes self-evaluation forms for each standard. A Scottish Government launch of these standards, together with the toolkit and NES educational resources, is planned for 3^rd September.
Care Inspectorate staffing method framework.
Vascular surgery pathways from the Modernising Patient Pathways Programme within the Centre for Sustainable Healthcare Delivery.

Updated guidance on current and future Medical Device Regulations

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.

Guide to six stages of RDS toolkit development

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.

Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:

Thursday 5 September 1-2 pm
Wednesday 24 September 4-5 pm
Friday 27 September 12-1 pm

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

Picture of woman leaning forward and rubbing her back

Human impact story perspective: both citizen, patient and staff

Lynne, 61, has widespread pain that has persisted for 5 years. Her situation was made much worse by the pandemic and subsequent restrictions. Lynne was referred to the pain service in early 2021 where she attended a Pain Early Info Session (PEIS) and was subsequently referred to the Greater Glasgow and Clyde Pain Management Programme (GGC PMP). All encounters within the Pain Management Service have been virtual. She has therefore not needed to travel to her appointments, avoiding the significant pain and discomfort from being in the car. GGC PMP uses an evidence based supported self-management approach to help people live a better life with pain.

Pre-pandemic all GGC PMP groups and assessments were face to face, which were much longer in duration, to make the most of the patient’s time when they visited. Due to COVID restrictions we reviewed the programme which wasn’t going to be appropriate for patients such as Lynne, to sit for 2.5 hours during an online group session.

GGC PMP moved to virtual assessments and virtual group delivery. This included assessments via Near Me (Attend Anywhere video consultation). We took this opportunity to create more preparatory resources which patients could complete in their own time, at their own pace. We used a YouTube channel to share videos, and created worksheets and manuals using MS Sway. Group sessions became more interactive as pre-group preparatory work allowed for more discussion and exploration of topic. The service was fully remobilised virtually, with the same capacity as before the pandemic. Lynne told us she liked the flexible options to work offline and view the videos several times. During the online sessions she enjoyed chatting with others who share similar symptoms and challenges.

Benefits for staff included retaining full clinical commitments whilst working at home due to restrictions with access to work bases. The change has allowed greater involvement from voluntary organisations, who can easily join a virtual meeting for a few minutes to promote their work in supporting people with pain, thereby reducing the burden on them to travel to face-to-face groups.