Policy

Summary of Policy Affected

We've put together a useful table, giving you an overview of how the technology will affect key policy areas and performance, from its impact on out of hours care and Compliance with access targets/cancelled operations, to all-important Patient safety and satisfaction. Effective implementation of this technology can support Trust's clinical goverance frameworks & Operating Framework - Resource Management.

Policy Areas & Performance Measures

Stakeholder Policy Areas Affected Performance Measures Affected

Decision makers

  1. General Manager
  2. Directorate Manager
  3. Financial Manager
  4. Clinical Director
  5. Consultant Surgeon

Technology Users

  1. Consultant/Surgeon
  2. Non-consultant grade doctors
  3. Financial Manager
  4. Clinical Director
  5. Nurse practitioners
  • Length of stay
  • Complication rates
  • Number of general anaesthetics administered
  • Number of outpatient SPC procedures
  • Number of procedures out of hours
  • Future measure: Number of SPC procedures undertaken by non-consultant/medical grade staff

Influencers

  1. BAUS
  2. British Association of Urology Nurses (BAUN)
  3. Procurement Hubs
  4. Royal College of Surgeons 5) British Journal for Urology
  5. Urology Networks
  6. The National Institute for Health Research i4i Invention for Innovation Programme

Influencers are interested in the following information:

  • Clinical evidence base
  • Complication rates
  • Rates of general anaesthetic
  • Ratio of procedures undertaken by medical staff v nurse practitioner
  • out of hours care
  • SPC v urethral catheterisation procedures

Additional Information

Patient safety

The Seldinger Suprapubic Catheter Kit, when introduced taking a systems approach can enable healthcare staff to define which parts of a clinical care process are affecting the safe care of the patient. These include a review of all the steps in the care pathway for a suprapubic catheter procedure in hospital.

This approach can highlight the steps where risks to patient safety can be improved.

This enables the team to focus on the delivery of improved clinical care of the patient, but also on the systems that support clinical care such as training and out of hours care.

Further information and resources for improving patient safety can be found here:

The National Patient Safety Agency (NPSA)

The National Patient Safety Agency leads and contributes to improved, safe patient care by informing, supporting and influencing the health sector.

Click here to learn more about the NPSA and "Putting Patient Safety First"

Health Foundation

The Health Foundation's work to improve the quality of healthcare in the UK is organised by five strategic aims. These are: building knowledge, developing leaders, supporting organisations, engaging clinicians and engaging patients.

Click here to learn more about the Health Foundation's "Safer Patients Initiative"

Click here to learn more about the Health Foundation's "Safer Clinical Systems

Medicines and Healthcare products Regulatory Agency

The Medicines and Healthcare products Regulatory Agency (MHRA) has prepared this booklet which provides a practical guide to medical devices for all health and social care professionals, and pharmacists working in acute, primary care, and social care sectors.

Click here to learn more about the MHRA - Devices in Practice - a guide for health and social care professionals.

Access targets

Successful implementation of this technique for suprapubic catheterisation can reduce the number of procedures that need to be undertaken under general anaesthetic. This can in turn reduce demand on theatre capacity which can be made available for alternative and more complex procedures reducing waiting times and improving access.

The '18 Weeks Website' is home to the official guidance and information to help NHS health professionals achieve and sustain 18 weeks. For further information on service transformation and workforce, to engaging staff, commissioning (including the pathways) with a urology specialty focus please click here.

Length of Stay

Successful implementation of the Seldinger Suprapubic Catheter Kit can facilitate the transfer of the majority of procedures to the day case / outpatient setting. This avoiding inpatient admission with an average length of stay of 2 - 3 days in an elderly at risk group of patients, many of which have complex medical conditions.

Innovations in Urology: Organisations across the NHS have been involved in improving the quality and timelessness of care for urology patients. All the ideas have been tried and tested in NHS hospitals over the last few years are consolidated on this website. There are many contacts available so you can email or phone urologists, nurses and team members who have worked on these improvements and hear from them directly about what really happened and the problems they encountered.

To learn more about Innovations in Urology, please Click here.

Clinical Goverance

Effective Implementation of the Seldinger Suprapubic Catheter kit can support Trusts clinical governance frameworks through improvement the quality of service and quality of patient care.

Effective implementation can be achieved through partnerships between professional groups, between clinical staff and managers with evaluation from patients and clinical staff.

The urology specialist nurse should play a key role in the implementation of this technology to maximise the benefits to patients and the service.

The clinical governance aspects of this technology should be clearly defined and communicated so that all staff understand its relevance to their work.

Royal College of Nursing (RCN)

The RCN represents nurses and nursing, promotes excellence in practice and shapes health policies. Click here for more information on 'Clinical Governance: An RCN resource guide'.

Out of Hours Care

Successful implementation of the Seldinger Suprapubic Catheter kit will provide out of hours staff with access to the latest technique for safe suprapubic catheterisation in the emergency setting with the potential for better results for patients.

The establishment of a nurse led urology clinic offers junior doctors a safe environment to gain the experience they need to effectively meet their training needs so they can provide safe cover for patients who require supra pubic catheterisation out of hours.

Extending the provision of this procedure to suitably trained junior doctors and specialist nursing staff will relieve pressure on Consultant grade staff who can utilise this time to more effectively manage their caseloads and caring for patients requiring more complex procedures.

Resource Management

Successful implementation of the Seldinger Suprapubic Catheter Kit can facilitate the transfer of the majority of suprapubic catheter procedures to the day case / outpatient setting reducing the demand on inpatient bed days, theatre capacity, and can therefore promotes financial effectiveness by reducing overall hospital costs.

Useeful Resources

NHS Operating Framework

The operating framework sets out a brief overview of the priorities for the NHS next year. It is accompanied by annexes which provide more detail on the priorities, how they are measured and how the new arrangements for managing the system will work. To download the operating framework 2009-10: for the NHS in England - this includes Annexes A (Planning process timetable), B (Existing commitments) and C (Vital signs) (PDF, 1322K) Click here.

Downloadable Resources

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