Review of spread and adoption approaches across the AHSN Network

Review of spread and adoption approaches across the AHSN Network
AHSN Network 20 May 2021

• An in-depth study examining approaches to spreading and adopting innovation in the health sector provides the first aggregated view of approaches and challenges to spread and adoption across the AHSN Network, to help the AHSNs and their partners understand the complexity and variation. As well as mapping approaches across the AHSN Network, the review included a deep dive into the Transfers of Care Around Medicines (TCAM) national programme.
• See the AHSN Network Innovation Finder database - a database of innovations currently on a nationally prioritised scheme for spread and adoption across the AHSNs.

Improving patient safety through collaboration

Improving patient safety through collaboration
Kings Fund for AHSN Network March 2019

• Funded and coordinated by NHS Improvement, the 15 Patient Safety Collaboratives (PSCs) are hosted regionally by the Academic Health Science Networks (AHSNs) and play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, so they can be shared and implemented throughout the system. This report examines what worked best in particular circumstances, what practices might be applied more consistently across the collaboratives, and what further learning is needed to increase their effectiveness.
• The report notes how interest is shifting from supporting the improvement of individual services to improving how different services work together in local systems. It highlights the role the PSC programme has had in creating a movement for change and cultivating a shared vision among health and care organisations.​

Adoption and spread of innovation in the NHS

Adoption and spread of innovation in the NHS
King Fund (commissioned by the six AHSNs) January 2018

• This report charts the journeys of eight innovations across the NHS from creation to widespread use, and draws a series of conclusions about the adoption and spread of innovation in the NHS. 
• The case studies reveal common themes: 
• New innovations may appear simple to introduce but can have a domino effect – triggering a series of changes to diagnosis and treatment, revealing new patient needs and resulting in big changes to staff and patient roles. Staff need time and resources to implement them. 
• The small budget for the adoption and spread of innovation, means that the NHS will struggle to adopt large numbers of innovations and rapidly improve productivity. 
• Fragmentation of NHS services remains a barrier.
• Providers need to be able to select and tailor innovations that deliver the greatest value given local challenges and work in the local context.
• The case studies are:
• Florence: telehealth for long-term conditions 
• Early diagnosis of chronic liver disease
• Physical health checks for people with severe mental illness 
• ESCAPE-pain programme for hip and knee pain
• Secure text messaging with school nursing teams 
• Improving diagnosis and treatment for atrial fibrillation
• Age UK care co-ordinator roles 
• Emergency department checklists 

NHS England Board meeting, 21 July 2017

NHS England Board meeting, 21 July 2017

Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer

Arden & GEM CSU

Papers and videos will available here: https://www.england.nhs.uk/about/board/meetings/previous/

Agenda

2. Minutes of the Previous Meeting

3. Chairman’s Report

4. Chief Executive’s Report

5  Items Which Should not be Prescribed in Primary Care

5(a) - Items which should not routinely be prescribed in primary care - consultation guidance

5(b) Equality and Health Inequalities – Full Analysis - Items which should not be routinely prescribed in primary care

6. Developing our Academic Health Science Networks

7. NHS England Corporate and NHS Performance Report

8. Consolidated Month 2 2017/18 Financial Report

9. NHS England Annual Report and Accounts 2016/17

10. CCG Assessment 2016/17 year-end ratings

11. STP Progress Dashboard – baseline view

12. Annual Report (2016-17) from the Audit and Risk Assurance Committee Meeting

13. Annual Report (2016-17) from the Specialised Commissioning Committee

14. Annual Report (2016-17) from the Investment Committee

15. Annual Report (2016-17) from the Commissioning Committee

16. Reports from Board Committees

i. Commissioning Committee Assure David Roberts

ii. Investment Committee Assure Dame Moira Gibb

iii. Specialised Services Commissioning Committee Assure Noel Gordon

iv. Audit and Risk Assurance Committee

Highlights :

AHSN Atlas of Solutions in Healthcare

AHSN Atlas of Solutions in Healthcare
AHSN

• Case studies, from across the Academic Health Science Networks (AHSNs), demonstrating the high impact innovations developed and spread by AHSNs arranged by clinical areas and enablers (eg new care models, STP, workforce development).

Supporting strategic commissioning: Collaborative working between CCGs and AHSNs

Supporting strategic commissioning: Collaborative working between CCGs and AHSNs
NHS Clinical Commissioners, AHSN Network May 2017

• This briefing further explores how CCGs can work with Academic Health Science Networks  (AHSNs) to support local strategic commissioning and provides a series of tips for CCGs when doing so.
• Brief case studies including
• Supporting innovation in sustainability and transformation partnerships East Midlands CCGs – East Midlands AHSN
• Reducing the cost of anti-coagulant treatment NHS Newcastle Gateshead CCG – North East and North Cumbria AHSN
• Improving the neurorehabilitation pathway North West London CCGs – Imperial College Health Partners
• Low cost care coordination Kent CCGs – Kent Surrey Sussex AHSN
• Healthier You: The NHS Diabetes Prevention Programme London CCGs – Health Innovation Network (South London AHSN)
• Reducing strokes due to atrial fibrillation East Lancashire CCG – North West Coast Innovation Agency
• The Scarred Liver Project East Midlands CCGs – East Midlands AHSN
• Accelerating understanding to drive population health improvement in the London Borough of Newham Newham CCG – UCLPartners
• Data and analytics to predict unplanned hospital admissions and reduce A&E admissions Somerset CCG – South West AHSN

AHSN Network Impact Report 2017

Academic Health Science Networks: Bold ideas, dramatic results, lasting change: Impact Report 2017
AHSN Network May 2017

• The Impact report presents a range of case studies demonstrating how the 15 AHSNs work together across health and care, delivering improvement at pace and scale. 
• Case studies include:
• Optimising treatment of atrial fibrillation to reduce strokes 
• A physical health review template for people with mental illness 
• Text messaging support for vulnerable young people
• Improving nutrition in patients using a new digital service using telephone or web-based technology 
• Better diabetic foot ulcer imaging through a 3D wound imaging and information system 
• myCOPD - Online support for patients with COPD
• Better care for women who develop diabetes during pregnancy through a digital monitoring system

AHSN Atlas of Solutions in Healthcare

AHSN Atlas of Solutions in Healthcare
Academic Health Science Network

• The AHSN Atlas is a platform for the best examples, from across the Academic Health Science Networks, of how to spread high impact innovation across the health and care system.
• It features case studies from the 15 AHSNs, and can be searched by Five Year Forward View gaps, AHSN region, AHSN clinical areas and AHSN priorities.

Patient Safety Collaboratives: Making care safer for all

Patient Safety Collaboratives: Making care safer for all
AHSN Network 5 July 2106

• Patient Safety Collaboratives are led by local Academic Health Science Networks to improve patient safety, spread examples of success and influence system leaderships. The report lists achievements including:
• developing care bundles that reduced mortality after emergency laparotomies by 42 per cent
• establishing safety ‘huddles’ that has reduced inpatients falls by 60 per cent
• achieving a 50 per cent increase in patients returning to mental health wards on time
• producing guidance that improves the communication of information on acute kidney injury between healthcare teams when a patient is discharged
• reducing inpatient medication errors
• PSCs have created clusters around specific themes and health issues to facilitate learning and adoption of innovation. The current priority areas include deterioration and sepsis, safer discharge, acute kidney injury, medicines optimisation and mental health.

Possibilities for integrated care using the Accountable Care Organisation model

Can the Accountable Care Organization model facilitate integrated care in England?
J Health Serv Res Policy October 2015 vol. 20 no. 4 261-264

• An examination of the potential for an Accountable Care Organisations model to support integrated care services in the NHS in England, working with general practice federations and the Academic Health Science Networks.

Academic Health Science Network priorities for 2015/16

Academic Health Science Networks (AHSN) Network Priorities 2015/16
ASHN 26 August 2015

• Details of specific programmes of activity for 2015/16 across all 15 AHSNs in England.

Academic Health Science Networks

Academic Health Science Networks http://www.ahsnnetwork.com/ 

• Academic Health Science Networks (AHSNs) in England were established during 2013/14 by NHS England as a product of the Government’s Innovation, Health and Wealth strategy. 
• Their role is to act as catalysts and facilitators of change across whole health and social care economies, with a clear focus on improving outcomes for patients. They do this through connecting academics, NHS, researchers and industry to accelerate the process of innovation and facilitate the adoption and spread of innovative ideas and technologies across large populations.
• This website brings together links to each of the 15 AHSNs as well as resources and case studies.

Useful information about Academic Health Science Networks

Academic Health Science Networks - useful information
HSJ 7 November 2013

• A spreadsheet of key information about AHSNs including website, area covered, population, focus areas, indicative funding, number of staff, trusts signed up, collaborations and personnel.has been published with an article describing AHSNs - Innovation networks could 'fill gap left by SHAs', 
• (Subscription is required for HSJ article but not spreadsheet)