We had a blast at our latest Bristol event, so much so that we had so many questions
lined up for our Q&A session, and so little time.  We’ve asked our guests to put 3 
questions for each of our speakers – see below the results!

Q&A  | AHSNs role in supporting innovation and improvement in the NHS - Natasha Swinscoe, Managing Director, WEAHSN

How did you identify these ideas (News, Precept, ED checklist): did it come from a hospital or from the AHSN themselves?
They came via different routes which nicely demonstrates our openness to good ideas. PReCePT came from a challenge call we put out with the CLAHRC to the local health community in 2014, asking for bits of evidence that had a robust research/evidence base, saved money and was ready for adoption and spread. A local Neonatologist came forward with the research around Magnesium Sulphate and that was the beginning. NEWs was an idea our Clinical Director for our patient Safety collaborative bought to us, where she wanted to standardise the use of a common escalation tool to identify patients who were deteriorating - that was already mandated for use in the acute hospitals (but wasn’t being used systematically because the NHS always “does its own thing”) and to use this across the system so all HCp looking after patients used the same common language at the points of handover of care – which is no “no-brainer” when thinking about safety. And the ED safety checklist was an idea from a local ED consultant that we heard about and wanted to spread at scale across the rest for the EDs in our patch.

How are these national programs spread – free; commissioned? Is there a good adoption rate?
They are free in as much as they form part of our national programme of projects our commissioners have funded us to spread, so we get our income from NHSE and NHSI and part of our business plan is to roll PReCePT and NEWS out across England over the next 2 years. We are evaluating the adoption and uptake of these programmes so will be able to see how well they spread and what helps or hinders them to spread well over the next 2 years. This then helps us understand how to improve our adoption and spread techniques for the next set of national programmes we choose to support in 2020.

What conditions is NEWS is monitoring?
NEWs is a set of observations that HCP take and score depending on the results so suitable for identifying deterioration for a range of conditions. The one we have focussed on and for which we have a robust evidence base is sepsis where we have seen a marked change in the West of England since the system-wide NEWS programme was launched.

Q&A | Solving priorities as a system - Gemma Self, Head of Transformation and Programme Management at Healthier Together

How do you make Primary, social and secondary care work together?
We enable people to work together with a shared goal of improving health outcomes and reducing the current pressures all organisations within the system are facing.

How do the AHSNs link with other improvement programmes in the NHS such as RightCare and GIRFT (Get It Right First Time)?
Good question – this would be better answered by Natasha Swinscoe!

Is the NHS also looking into social care tech?
From the outside, it looks like there is a focus on med and health tech. Yes, we do have a workstream on assistive technology across health and care.


Q&A | Digital Redbook project and CSU landscape - Natasha Neads, Project Manager, Commissioning Support Unit

How is this digital record connected to GP patient records or hospital patient records?
The records will be connected using the BNSSG Connecting Care Infrastructure. Information will be sent from the relevant health and care system to the Digital Redbook using approved NHS England interoperability standards.  More information about the Digital Child Health Programme can be found here: https://www.england.nhs.uk/digitaltechnology/child-health/

Regarding the e-ChildHealth book - what thought is being given for families which choose not to or can’t afford smartphones – BNSSG Connecting Care will be carrying out a comprehensive Equalities and Diversity Impact Assessment which will include Digital Inclusion.

What provision is there for producing the e-ChildHealthBook in languages other than English?
The e-Redbook, like the paper Redbook, is available in English. However, it can be translated using electronic translation services. Local Content will be included in languages other than English where they are supplied by the Community Health Visiting Service Providers. BNSSG Connecting Care will be carrying out a comprehensive Equalities and Diversity Impact Assessment which will include the need to provide the e-Redbook in different formats.

When you work with staff do you keep the IP so the NHS profits and not individuals?
As is standard in most contracts – the contract for Digital Redbook is clear about ownership of IP, and when it belongs to the NHS and the Supplier. Suppliers are accredited to supply services to an agreed NHS specification.