Improving Tracheostomy Care
Improving Tracheostomy Care (ITC) is a 3 year project, funded by the Health Foundationand supported by the Royal College of Anaesthetists. The goal of the project is to implement the best practice resources of the Global Tracheostomy Collaborative (GTC) into the complex systems of the UK National Health Service (NHS).
Click here for a link to the headline results. Full publications are expected from Spring 2020. The program will be used as the basis for a National Patient Safety Improvement Program (NatPatSIP) in NHS England, with NHS Wales rolling out a similar program during 2020. The Covid-19 pandemic is likely to significantly increase the numbers of patients requiring new tracheostomies. Whilst front line hospital staff will be under pressure, this is an opportunity to ensure we deliver the safest possible care and work towards delivering the highest quality of care we can for our patients. Click here for the Covid-19 information and for the NatPatSIP pages.
The ITC project builds on a successful pilot project which saw four NHS Hospitals in the North of England join the GTC and implement its resources and initiatives into these diverse hospitals. The sites used the GTC database to track patient-level metrics and were able to demonstrate meaningful improvements in the safety and quality of care provided. These improvements occurred rapidly over a 12-month period. The results are described in detail in this paper: McGrath et al, BMJ Quality Improvement Reports, Evaluating the quality improvement impact of the Global Tracheostomy Collaborative in four diverse NHS hospitals.
This section of the NTSP website will detail the progress of this project and link key resources that arise as a result of this collaboration. Sites have given permission to share the resources in this section freely. Please feel free use them but we would be grateful if you could acknowledge the authors and their institutions in your work.
ITC is also exploring the ethnographic factors behind implementing these quality improvements by interviewing and questioning frontline NHS staff, managers, leaders and importantly, patients and their families. We aim to build a profile of what interventions work best as which type of sites, services and structures, so we can make recommendations to maximise the impact of tracheostomy quality improvement initiatives in the future. We are also conducting a detailed, independent economic evaluation of GTC membership in the NHS. The project is due to complete in January 2019 with a detailed report shortly afterwards. Further details and reports are available via the Health Foundation website and any published outcomes from the project will be detailed on these pages.
You can contact the ITC team by emailing ITC@tracheostomy.org.uk