14 September 2017
Latest step in NUH's sepsis journey
Emergency Department patients are to
be given sepsis advice as part of NUH's latest efforts in the fight
The new leaflets will be given to appropriate patients suffering
from an infection who are safe to be discharged home. It contains
advice on recovery but also signs of possible sepsis to watch out
It's the next step in NUH's ten year sepsis journey. It has made
steady progress in detecting and treating sepsis during that time
and in particular in recent years.
The Trust has introduced automatic screening for adult patients
using our automated e-observation system. It means 91% of patients
are screened for sepsis at our hospitals.
Since 2010 the time taken for a patient with sepsis to be seen
by a critical care specialist has been halved - from seven hours
down to under four. In August, the Trust also introduced mandatory
training in recognition and treating patients with sepsis for
Their efforts were featured in a new Panorama special on sepsis
on BBC1. You can find it here.
Dr Mark Simmonds, the former Sepsis Lead at the Trust said: "We
are very proud of the progress we have made. In 2005 NUH set out on
a journey of measurement, analysis and engagement, NUH has set
about radical change. The first five years provided a foundation of
which rapid change could evolve and we've seen that since
Dr Simmonds said that the focus for improvement moved to
individuals and the Trust began working on individualised audit and
feedback with staff.
The results are shown in mortality data that show the Trust is
performing well compared to peer hospitals.
Dr Marc Chikhani, the new Sepsis Lead at NUH, said: "We have
been really pleased by the progress made over the last decade and
that is due to the hard work of so many people, we have seen
substantial sustained improvements in both processes and patient
"But we know there is still work to do and we are looking at the
next step for improvement.
"As part of our work around World Sepsis Day we will be working
with colleagues to encourage them to identify patients at risk of
harm from sepsis, and communicate the need for urgent treatment,
especially how vital it is to administer antibiotics as soon as
possible to give the best chance of treatment success".
The Sepsis Team used World Sepsis Day to promote the new leaflet
and their ongoing sepsis work.
They decided to prioritise the idea of
a leaflet after hearing the story of sepsis patient Karl
Goodere-Dale who had been suffering from a chest infection and was
sent home. The next morning he collapsed and had to be rushed to
Queen's Medical Centre where he became critically unwell. He was
quickly diagnosed with sepsis and treated but still faced eight
weeks in hospital and a lengthy recovery.
Sally Wood, Lead Sepsis Nurse at NUH, said speaking with Karl
was the prompt to write the leaflet. She said: "After hearing about
Karl's experience we knew providing more support and information to
patients early on would be a good idea. It will help patients think
about sepsis appropriately and help clinicians begin treatment
"There has been a lot of positive feedback from patients and
staff - it's just one of a number of ways we are trying to build on
our sepsis work of the last decade."