Salford Royal has been working closely with Haelo, an innovation and improvement centre based in the city, to roll out the Patient Safety Briefing film. Learn about the obstacles the Trust faced and overcame during implementation and ideas to help you implement in your organisation.
Salford Royal has an ambition to become the safest NHS organisation in the country. The Trust has already made significant progress on this journey and has gained a reputation as a leader in quality improvement and patient safety. Via its Chief Executive Sir David Dalton, Salford Royal was one of the first members of the Sign up to Safety campaign.
The Berwick Review (2013) said that “Patients and their carers should be present, powerful and involved at all levels of healthcare.” The introduction of the Patient Safety Briefing is a key part of this work for the Trust to encourage engagement and involvement in preventing harm.
The Patient Safety Briefing was launched in October 2014 by Rt Hon Jeremy Hunt MP, Secretary of State for Health. While the briefing is aimed at inpatients, Salford Royal took a broader approach to sharing in the belief that much of the information is relevant and of interest to everyone who visits the hospital. However, while it has been shared widely, there has also been a focus on new inpatients getting to see the film.
Haelo worked with Salford Royal’s Head of Communications Jenny Aldersley and her team to ensure that the Trust’s current communications channels were used to their optimum advantage. The Trust uses a number of ways to share information with patients and staff and below are listed the channels the Patient Safety Briefing has been shared on.
Website – The Patient Safety Briefing is embedded into the Trust’s ‘During your stay’ webpage for inpatients. This page is the ideal first point of call for patients who are coming to stay in the hospital and are looking for information about their stay.
Hospedia – Salford Royal’s patient entertainment system is provided by Hospedia. The briefing has been uploaded to the system and is expected to be the way most patients see the briefing as it is available at most bedsides. Patients don’t need to pay for Hospedia to view the briefing and the company has uploaded it for free for all organisations using its T3 systems and is planning the same for other versions.
Intranet – Salford Royal’s intranet is one of the main ways the Trust communicates with its 7,000 staff. The Patient Safety Briefing was promoted via the homepage and has its own page, which describes why the briefing has been introduced and gives guidance about how to introduce the film to patients. This helps staff to understand what the film is about and provides a suggested “script” of how staff could explain the briefing to patients and kickstart a conversation around patients keeping themselves safe whilst in hospital.
Video wall – The briefing is now playing on the video wall at the entrance of the Hope Building. This is the Trust’s main entrance and has a high patient and visitor footfall (in addition to the seated areas within the main entrance). As the video wall doesn’t have sound, Haelo provided a subtitled version.
Screensaver – Screensavers rotate on all Trust desktops so this method was used to encourage staff to share the briefing with patients.
Siren (internal newsletter) – This goes out on a fortnightly basis to all staff. This featured a piece about the safety briefing, how it will be shown to patients and how it is an important part of a patient’s introduction to hospital wards
The nursing team have updated the patient admission checklist to help ward staff remember when to show the film. As well as being on the patient entertainment system, a link to the film has been put on all ward PCs and mobile computers. This gives busy ward staff flexibility to show the briefing on a suitable platform for their patient as well as a back-up in case one system should be unavailable.
Knowledge share #1: “Salford Royal has deployed the Patient Safety Briefing across a range of platforms within the hospital without needing to invest in any additional infrastructure. What existing staff or patient facing systems do you have that you could make further use of?”
Communicating with staff
In addition to using the Trust’s corporate communications channels to share the briefing, it has been imperative to engage with staff, particularly nursing staff, before, during and after the briefing was introduced at Salford. Nursing staff are key to making this briefing a success. While the Patient Safety Briefing needs technology platforms to be viewed, without nursing staff on board and understanding why the film is being introduced and how they can share with patients, the chances of it being a success are low.
Internally, the work has been led by the nursing leadership team. Details of the briefing were shared and explained at Matrons’ meetings before it was rolled out to patients. A short briefing was developed to help staff engage with patients about the briefing and start a conversation about safety. Salford Royal’s Quality Improvement department is supporting the communication and rollout with staff as they lead on all safety initiatives within the organisation, working with all levels of staff.
Peter Murphy, Salford Royal’s Deputy Director of Nursing, Governance and Quality, said: “By introducing the Patient Safety Briefing film we’re looking to change the way patients and staff work together in preventing harm. As a Trust we want to become the safest NHS organisation in the country and to do that we need to adopt new innovations like the Patient Safety Briefing to help improve the care we provide patients.”
Knowledge share #2: “Engaging nursing staff from an early stage was key to the success of the rollout. How do you currently involve frontline staff and patients in the change process?”
Communicating with patients
Perhaps the most important part of the briefing is whether it is valuable to patients. As part of their commitment to quality improvement, Trust staff are using a simple questionnaire to collect data from patients to see what their feedback is and will be using this data to design improved and updated versions of the Patient Safety Briefing in the future.
Some of the positive qualitative feedback from patients to date includes:
- “The images, animations and colours were effective. I would now move more while in bed to prevent DVTs”
- “The animations and information was clear and concise”
- “To the point, clear and understandable”
- “Animations preferred over actors”
Knowledge share #3: “How can you collect and use data (both qualitative and quantitative) to improve future versions of the Patient Safety Briefing?”
Caption: Feedback on the Patient Safety Briefing from a patient and member of staff from Salford Royal’s Intestinal Failure Unit
Feedback and improvement
While the briefing has been put together to provide organisations with a way to start a new safety conversation with patients, the expectation is that it will be improved over time. Salford Royal has a long history of quality improvement and patients and staff are already looking at how they could improve the Patient Safety Briefing for the next iteration, and in the future perhaps ‘Salfordise’ the film a little more. Feedback to date includes:
- Adding some of the local safety initiatives that are taking place
- Having a local accent for the voice over
- Having a separate briefing for discharge
The Trust is also looking at how best to introduce the Patient Safety Card to complement the Briefing for patients.