National referral system to make every contact count in secondary care
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National Referral System to make every contact count in secondary care. Wioleta Prylewska Liz Gilbert. National Referral System. National Referral System. Interface between hospital patient records system and National Referral System Bespoke Very Brief Advice online training programme

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National referral system to make every contact count in secondary care

National Referral Systemto make every contact count in secondary care

Wioleta Prylewska

Liz Gilbert



National referral system1
National Referral System

  • Interface between hospital patient records system and

    National Referral System

  • Bespoke Very Brief Advice online training programme

  • 20 days programme management from NCSCT

  • Review of stop smoking medicine provision

  • Cultural change


Pilot
Pilot

  • Pilot: Queen Alexandra Hospital, Portsmouth

  • 600% increase in referrals

  • 400% increase in staff trained to give VBA

  • http://www.ncsct.co.uk/usr/pub/ncsct-streamlined-secondary-care-final-report.pdf


Phase I of implementation the National Referral System at Imperial College Healthcare NHS Trust

Project scope: Main Outpatients Departments at Charing Cross Hospital, Hammersmith Hospital and St Mary’s Hospital

Goal: to increase number of patient referrals to local stop smoking services and to achieve behavioural change within frontline hospital staff towards more preventative approach


Stakeholders Imperial College Healthcare NHS Trust

Tri-Borough Tobacco

Control Alliance


Communications Materials Imperial College Healthcare NHS Trust

Promotional campaign was launched in early January 2013


VBA online training Imperial College Healthcare NHS Trust


Within a 5 month period, the average monthly number of stop smoking referrals increased to 45, from 18 in 2012


A short smoking referrals increased to 45, from questionnaire was used to assess behavioural change within hospital staff

Key Survey outcomes:

The number of staff members who admitted that assessing the smoking status of patients is part of their everyday routine at work has increased from 34% to 58%

77% staff members know how to refer a patient to local stop smoking service in comparison to 42% in 2012

The number of staff members who admitted to being very confident

in giving the advice to patients increased from 16%to 27%


Implementation of the National Referral system resulted in an increase of stop smoking referrals

Patients are referred to the service which is in closest proximity to their postcode

Implementation of the National Referral System within hospital IT system is the ideal approach


Development
Development an increase of stop smoking referrals

  • 17 acute trusts live by end of 2013/14

  • GP Systems

  • Lifestyle referrals development complete summer 2013


Lessons learnt
Lessons Learnt an increase of stop smoking referrals

  • Project manager

  • Cultural change: Emphasis of a whole hospital initiative

  • Engagement with staff: Matron & Senior Sister meetings

  • Stop smoking services having a presence within the hospital: dispelling myths of support options

  • A robust communication system within implementation group

  • A developed and comprehensive communications strategy

  • System does not equal activity


Thank you

Thank you! an increase of stop smoking referrals

Liz Gilbert

[email protected]

NCSCT

Office: 0203 137 9072

Mobile: 07884 443245

Wioleta Prylewska

[email protected]

Kick It Stop Smoking Service

7 Galena Road, London W6 0LT

T: 020 8741 8314


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