Archived practices | 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

From time to time we will add new practices and remove old ones to prevent the main pages from getting too cluttered. Any practices removed from the main pages will be archived here, so if there is a practice you want to keep using, you can do so.

Archived from 'Getting Started'

Mindfulness of breath (10 minutes 16 seconds)

Archived from Glasgow PMP MBSR recordings

We have recently started running 8-week MBSR groups again at the NHS GGC pain service, albeit as online groups, using the MS Teams platform. This has presented some challenges, but also some opportunities to do things differently. For a trial period we will upload live recordings of the guided practices that we introduce each week, so that participants (and anyone else using this app) can make use of these recordings for their personal practice in between the group sessions.

The recordings are presented as is, recorded via a laptop's microphone and speaker, with the odd phone alert and other background noises occasionally intruding in the background.....but we hope you find something here that might be useful for your personal practice.

We will add new practices each week, so please come back regularly and see what's new.

Week 7 - 4th May 2021

Compassion (20 minutes 10 seconds)

Thoughts and reactions (12 minutes 37 seconds)

Week 6 - 27th April 2021

Gentle movement then sitting (23 minutes)

Sitting, sounds then thoughts, and reactions (22 minutes 44 seconds)

Sitting with open awareness (6 minutes 44 seconds)

Week 5 - 20th April 2021

Mindful awareness of thoughts, part 1 (22 minutes 20 seconds)

Mindful awareness of thoughts, part 2 (10 minutes 13 seconds)

Week 4 - 6th April 2021

Sitting with difficulty (23 minutes 37 seconds)

3 step breathing space (5 minutes 15 seconds)

Week 3 - 30th March 2021

Sitting practice (20 minutes 48 seconds)

3-step breathing space (4 minutes)

Week 2 - 23rd March 2021

Body scan (24 minutes 37 seconds)

Sitting practice (12 minutes 19 seconds)

Week 1 - 16th March 2021

Body scan (15 minutes 32 seconds)

Updated 17/07/2024 (review date in 6 months)