East Lancs hospital bosses in bed sores clampdown

Royal Blackburn Hospital

Royal Blackburn Hospital

First published in News Lancashire Telegraph: Photograph of the Author by , Health Reporter

HOSPITAL bosses have begun a clamp down on bed sores as part of a bid to deliver ‘harm free care’.

East Lancashire Hospitals NHS Trust has introduced a ‘zero tolerance’ approach to serious pressure ulcers, with 12 wards now exploring new ways to protect elderly patients.

Ward staff will also be hauled before the chief nurse to explain any ‘Grade 3 or 4’ pressure sores that occurred under their care.

Pressure ulcers are caused when an area of skin is placed under pressure, and can range in severity from patches of discoloured skin to open wounds that expose the underlying bone or muscle.

Elderly people are particularly vulnerable, and in rare cases they can lead to life-threatening complications, such as blood poisoning or gangrene.

Chief nurse Christine Pearson said: “The process is designed to hold relevant staff to account for the harm that has occurred to patients whilst in their care and as such, attendance before the panel could be perceived as an uncomfortable experience for staff.”

She said staff that attended the initial panel meetings had ‘displayed a willingness to be open and honest... and determination to learn and change practice as a result’.

Meanwhile, data obtained by the Lancashire Telegraph has revealed the trust’s pressure sore hot spots.

Last year, there were 19 acquired by patients on Ward B8, a medical ward for elderly patients at the Royal Blackburn Hospital, up from 13 in 2012/13 and five in 2011/12. Wards C3 and C9 had 12 and 16 cases respectively, after similar increases since 2011.

Burnley General Hospital had a three-fold increase overall, from nine cases in 2011/12, to 14 in 2012/13, to 28 in 2013/14.

This compared to the overall trust figures of 203, 248 and 239 over the same period.

A dozen teams across the Royal Blackburn, Burnley General, Clitheroe Community Hospital and district nursing teams are now testing various improvements, including additional training.

Reducing ward transfers, mapping pressure areas on new patients and reporting damage immediately will also help to reduce the risk, bosses said.

Comments (9)

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4:22pm Tue 19 Aug 14

Izanears says...

Remind me what year are we living in. I thought it was 2014 not 1814!
Remind me what year are we living in. I thought it was 2014 not 1814! Izanears
  • Score: 2

4:38pm Tue 19 Aug 14

GracesDad says...

One would think that the "bosses" had more important concerns....like making sure that people who come in for routine ops don't die!
One would think that the "bosses" had more important concerns....like making sure that people who come in for routine ops don't die! GracesDad
  • Score: 0

5:43pm Tue 19 Aug 14

NorthernVoice says...

"a bid to deliver ‘harm free care."

A bid? Surely one of the basic objectives of a hospital is already not to harm the patient?

"She said staff that attended the initial panel meetings had ‘displayed a willingness to be open and honest... and determination to learn and change practice as a result’."

I can't help but think cutting out all this middle management waffle and teaching good practice during training would be a better option.

I do fear that the NHS is even more sick than it's patients.
"a bid to deliver ‘harm free care." A bid? Surely one of the basic objectives of a hospital is already not to harm the patient? "She said staff that attended the initial panel meetings had ‘displayed a willingness to be open and honest... and determination to learn and change practice as a result’." I can't help but think cutting out all this middle management waffle and teaching good practice during training would be a better option. I do fear that the NHS is even more sick than it's patients. NorthernVoice
  • Score: 0

6:21pm Tue 19 Aug 14

Getintherealworld says...

So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust.

What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately.
So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust. What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately. Getintherealworld
  • Score: 7

7:15pm Tue 19 Aug 14

woolywords says...

Getintherealworld wrote:
So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust.

What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately.
Surely Shirley...
In this day and age, given the years that this has been known about..
It shouldn't occur?
How you can defend, that morally indefensible part of basic nursing techniques, known about, since Nineteen Canteen, is, in of itself, staggeringly stupid.
...
When you, send you loved one to this hospital, you expect the very best of care; it being a quoted, super-hospital. And yet, they suffer the same care in this day, as was suffered by those in a far flung hospital.
I suggest that you do a bot of online reading, about the very why that nursing, for troops, became so widely accepted as the norm.
...
Am I to believe, in what you say, that pressure sores, for invalids, are an acceptable form of being, bedridden?
Not according to the notes from the Crimea, it isn't!
Florrie Nightingale and you, are at odds!
[quote][p][bold]Getintherealworld[/bold] wrote: So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust. What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately.[/p][/quote]Surely Shirley... In this day and age, given the years that this has been known about.. It shouldn't occur? How you can defend, that morally indefensible part of basic nursing techniques, known about, since Nineteen Canteen, is, in of itself, staggeringly stupid. ... When you, send you loved one to this hospital, you expect the very best of care; it being a quoted, super-hospital. And yet, they suffer the same care in this day, as was suffered by those in a far flung hospital. I suggest that you do a bot of online reading, about the very why that nursing, for troops, became so widely accepted as the norm. ... Am I to believe, in what you say, that pressure sores, for invalids, are an acceptable form of being, bedridden? Not according to the notes from the Crimea, it isn't! Florrie Nightingale and you, are at odds! woolywords
  • Score: -3

11:15pm Tue 19 Aug 14

POW WOW says...

Izanears wrote:
Remind me what year are we living in. I thought it was 2014 not 1814!
You're right .......... bedsores is a Victorian abrasion.
[quote][p][bold]Izanears[/bold] wrote: Remind me what year are we living in. I thought it was 2014 not 1814![/p][/quote]You're right .......... bedsores is a Victorian abrasion. POW WOW
  • Score: -2

7:37am Wed 20 Aug 14

kateash says...

As a nurse trained in the 70s we used to ensure patients were turned frequently to avoid pressure sores .. This is basic nursing care! Today there are insufficient staff and those staff available are taking on the role of junior doctors ... The nursing care us left to untrained Health Care Assistants.. Who also have no governing body in case things go wrong... Basically they are unregulated and the trained staff are so thin on the ground that they cannot keep an eye on everyone !!! Instead of bullying the staff East Lancs as you state in the article , employ more trained staff....!!!!the managers need to get back to the shop floor and work there for a while to see what is happening... You have documented your bullying of staff in the above article !!!
As a nurse trained in the 70s we used to ensure patients were turned frequently to avoid pressure sores .. This is basic nursing care! Today there are insufficient staff and those staff available are taking on the role of junior doctors ... The nursing care us left to untrained Health Care Assistants.. Who also have no governing body in case things go wrong... Basically they are unregulated and the trained staff are so thin on the ground that they cannot keep an eye on everyone !!! Instead of bullying the staff East Lancs as you state in the article , employ more trained staff....!!!!the managers need to get back to the shop floor and work there for a while to see what is happening... You have documented your bullying of staff in the above article !!! kateash
  • Score: 1

9:50am Wed 20 Aug 14

kapalski says...

Grade 3-4 pressure sores are never events, what are the staff doing to allow this to happen? It's all well an good making staff accountable, why is senior management not accountable for allowing the serious short staffing of wards. They are also short staffed in OT & PT, are they going to be accountable too???

It amazes me with these stories, the trust responds to them like it's something new an never happened before!! Why just clamp down now???

This hospital is in a sorry state, all well an good replacing the chief exec, think a good clear out of the old management is needed, and the HR needs to get a grip, if you cannot staff a ward, stop filling them, do not accept seriously ill patients from other hospitals!!
Grade 3-4 pressure sores are never events, what are the staff doing to allow this to happen? It's all well an good making staff accountable, why is senior management not accountable for allowing the serious short staffing of wards. They are also short staffed in OT & PT, are they going to be accountable too??? It amazes me with these stories, the trust responds to them like it's something new an never happened before!! Why just clamp down now??? This hospital is in a sorry state, all well an good replacing the chief exec, think a good clear out of the old management is needed, and the HR needs to get a grip, if you cannot staff a ward, stop filling them, do not accept seriously ill patients from other hospitals!! kapalski
  • Score: 3

9:54am Wed 20 Aug 14

kapalski says...

Getintherealworld wrote:
So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust.

What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately.
And all these systems should of been in place already, which department do you work in may I ask???
[quote][p][bold]Getintherealworld[/bold] wrote: So once again the LET finds something else to pick up on so they can write a negative story about East Lancs Health Trust. What they have failed to mention is that the identification of pressure ulcers has improved and the reporting system has been upgraded. So in brief, the figures of pressure ulcers hasn't increased as reported above, it's that they now have a system that can record the figures accurately.[/p][/quote]And all these systems should of been in place already, which department do you work in may I ask??? kapalski
  • Score: 2

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