30 NHS trusts join forces to improve care for patients having hip and knee replacement surgery
Northumbria Healthcare NHS Foundation Trust is leading a new and ambitious programme to drive forward improvements for patients having hip and knee replacement surgery across the NHS.
Working with 30 organisations, the Quality Improvement in Surgical Teams collaborative (QIST) will ‘scale up’ clinical interventions to improve care for patients with mild anaemia and to reduce infection rates from MSSA (Meticillin Sensitive Staphylococcus Auerus) for those having joint replacement surgery.
Patients with mild anaemia are at a higher risk of needing a blood transfusion following surgery and of other complications. The collaborative will be scaling up and evaluating the introduction of screening for anaemia and treating patients with iron before their surgery.
MSSA is a common cause of infection in joint replacement surgery. So the collaborative will also scale up and evaluate the introduction of pre-screening and the use of body wash and nasal gel treatments for patients carrying the bug.
Clinical director for trauma and orthopaedics at Northumbria Healthcare and chief investigator for the QIST collaborative, Professor Mike Reed, said: “The overall ambition of this collaborative is to prove the case we can successfully introduce these interventions and improve care for patients having joint replacement surgery so that they become routine clinical practice across the NHS.
“We know from the work we have already done within our own organisation that there have been many benefits for patients including reduced infections and blood transfusions, fewer critical care admissions, shorter stays in hospital and fewer re-admissions.
“If, through this collaborative, we can prevent even just one infection – which can be devastating and life changing for any patient and their loved ones – that will be fantastic. By joining forces and working together I am confident that this project will benefit far more patients than that.
“There are financial benefits too and if implemented fully this collaborative could deliver up to £6.3m savings.”
The two projects are part of the Quality Improvement in Surgical Teams (QIST) collaborative which was established by Northumbria Healthcare NHS Foundation Trust in 2013.
The infection and anaemia collaborative is a partnership between Northumbria Healthcare, British Orthopaedic Association, University of York Trials Unit and NHS Improvement.
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