An overview of projects currently being taken forward by the Practice Development Unit is provided below. Further information can be obtained by contacting the identified project leads.
Ann Murray (NHS Greater Glasgow & Clyde) was appointed Programme Manager in December 2007 to establish, in conjunction with NHS Education for Scotland, a Prevention and Management of Falls Community of Practice. Ann will be at the hub of this national group which will share best practice and undertake a programme of work defined and agreed by the Community itself. The Falls Community web space can be found at www.fallscommunity.scot.nhs.uk. Details of the work programme can be found on the site’s shared space.
Research commissioned by the unit on Aphasia in Scotland has now been published and is under consideration by NHS Quality Improvement Scotland. An accessible communication version of the research is currently being produced in conjunction with patients with aphasia.
Michelle.Miller2@nhs.net 0141 225 6995
Karen Krawczyk (NHS Greater Glasgow & Clyde) has been appointed to undertake a programme of practice development support for nurses and allied health professionals in the area of dysphagia management.
Karen.Krawczyk@nhs.net 0141 241 6304
IMPROVING NUTRITIONAL CARE PROGRAMME
Jeannette Morrison (NHS Lothian) was appointed in December 2007 to co-ordinate a national, multi-agency programme of work in conjunction with Health Facilities Scotland, NHS Education for Scotland and the Scottish Government for two years. There have been two national engagement events with key stakeholders where the delegates have participated in facilitated work-shops. A core nutrition pathway has been developed which allows us to identify the barriers to implementation. The Scottish Government has provided funding for the appointment of Nutrition Champions who will support and co-ordinate this work within the NHS Boards. A Practice Development Toolkit is being developed, aimed at practitioners, which will include helpful hints & tips, sign-posting to other useful websites and inclusion of audit tools to help staff measure compliance against the pathway. Also included will be information on change management strategies to allow them to make necessary local changes to improve the nutritional care they give to patients who are in hospital.
MENTAL HEALTH
David Thomson (NHS Ayrshire & Arran) has been appointed to develop a database of positive and innovative practice in the area of mental health, and to review the best practice statement on Admissions to Adult Mental Health In-Patient Services.
DThomson2@nhs.net 07795 061617
MIDWIFE SUPPLY ORDER AND PRESCRIBING
This project required investigation into the current use of so called ‘Midwives Exemptions’ and the Midwife Supply Order, most typically used to obtain supplies of opiate for women having a home birth. Recommendations from the project steering group have been reported to the Scottish Government, and it is likely that legislation will be changed in Spring 2008 to ensure safer systems for the supply and administration of opiate to women by midwives in the course of a home birth.
Rosemary.Hector@nhs.net 0131 623 4612
The prescribing element of the project is sponsored by NHS Education for Scotland
Fleur Le Marne 0131 220 8692
DEVELOPMENTAL CO-ORDINATION DELAY IN CHILDREN
NHS Quality Improvement Scotland are currently considering the findings from a commissioned research project and will publish a response document late Summer 2008. This report will contain recommended actions and advice in the area of developmental co-ordination disorder. A Quick Reference Guide to identification and diagnosis of DCD, a reflective workbook and rapid self assessment tool will also be contained within the report and available on CD.
Michelle.Miller2@nhs.net 0141 225 6995
CARING FOR THE CHILD/YOUNG PERSON WITH A TRACHEOSTOMY
The best practice statement 'Caring for the patient with a tracheostomy' was updated and published in 2007. During this process it was agreed that a separate best practice statement for children was required. Therefore a working group was formed who have been developing a best practice statement for children’s tracheostomy. The best practice statement consultation produced a number of comments from a range of professions and organisations. The consultation comments have been considered by the working group and the final draft of the best practice statement will be printed at the end of September.
This best practice statement was originally published in 2004. NHS Quality Improvement Scotland has a commitment to review and, if necessary, update best practice statements every three years. Therefore a working group was formed and agreed that an updated best practice statement was required. This best practice statement is currently at the printers and will be available from Monday 25th August.
HEALTH FOR ALL CHILDREN (HALL) 4
Caroline Inwood (NHS Fife) has been seconded to the post of National Implementation Officer on Hall 4 to ensure the successful implementation of the recommendations on Hall 4 and to develop ways of offering support through inter-agency working.
Caroline.Inwood@nhs.net 07803 853413
Carolyn Fox was appointed in June 2008 to co-ordinate a national, multi-agency programme of work in conjunction with NHS Education for Scotland and the Scottish Government for one year on Tissue Viability. Through a steering group, subgroups have been set up to develop a set of ‘tools’ to support practice development, and consultation events on these are due to take place in September. Please click here for further information.
carolynfox@nhs.net 0131 623 4745
For further information on the following projects please follow the link.
- Scottish Women Held Maternity Record
- Joanna Briggs Institute Project
- Keeping Childbirth Natural And Dynamic (KCND)

Improving Asthma Care