1. Making Every Contact Count at United Lincolnshire Hospitals Jennie Negus Deputy Director of Patient Services & MECC Implementation Lead March 1 st 2013

2. Our CQUIN targets AimAction Strategic leadsBoard lead – Director of Nursing Implementation Lead - DD Clinical championsSite based – CNS’s Head of Therapies Head of professional development Increased MECC activity & referrals ??? Baseline???? TRAINING Ward staff SiteCNSB7B6B5B4MedicalTotal Pilgrim (PHB)3554001467 Lincoln (LCH)6327221499 Grantham (GDH)5121501437 Therapies 75 278

3. Organisational readiness Monitoring of progress Training

4. Training plan Train the trainers from each specialty Cascade training by TTT’s Gate crashed forums e.g. CG and specialist meetings Preceptorship training Junior doctor training

5. Challenges Baseline – How on earth do we measure? – Asking the question – part of nursing assessments, therapy assessments, medical clerking. In the end: – Survey – crude but something! Recording – How on earth do we record? – Explored but couldn’t add to PAS. – Could we audit? – How do we keep track on notes? In the end – Activity log – not comprehensive but gives a reasonable picture.

9. It’s a busy world……… Push the message that not an additional task. Make the process simple and effective. Make it beneficial. Acknowledge already asking. Difference is how & where to access support. Developed pathway, postcard & MECC sticker. Feed back re: referrals; help available.

17. Struggling with diabetes…. Under reporting….

18. Vast majority of patients want to make a change…..

19. Would these referrals have been made pre MECC initiative?

20. Any questions?