SEPSIS+ 2019
on the role of communication, again citing the SOS Insights Dashboard. Katie joined ICHP in January 2018 and
part of her role is supporting the patient safety team with their communications strategy. Prior to joining she held a number of communications roles in the NHS; working at national, regional and local levels across both provider and commissioning functions. She has used her communications skills around the world including working in the New Zealand travel industry and for a sustainable development charity in Borneo, Malaysia. She began by asking how delegates would tell their story - and how they would like others to share that story. “Engagement and human interest are the keys to success,” she said. “The importance of communication to promote the SOS Insights Dashboard cannot be underestimated. We used social media outlets to share and promote the tool, for example, sharing information during World Sepsis Day. We also developed webinars and online videos, as it’s important to gain coverage and momentum in ongoing communications.”
Sepsis: A patient’s perspective
Dr Ron Daniels is chief executive of the UK Sepsis Trust, where he provides clinical advice to NHS England, the Department of Health and to the Parliamentary and Health Service Ombudsman. He is a Fellow of the Royal College of Physicians of Edinburgh, Royal College of Anaesthetists and Faculty of Intensive Care Medicine. He is also chief executive of the Global Sepsis Alliance, and was instrumental in bringing the Chairman’s concept of the World Sepsis Declaration to fruition. His moving talk described patients’ stories, such as a toddler who died, even after his mother had made no less than 21 calls to hospital. “The system let her down,” he asserted. “The annual mortality rates for sepsis make for uncomfortable reading, when compared with diseases such as breast cancer – 13,000 – and bowel cancer – 15,000. Annual mortalities for sepsis are 52,000. “More than 66 million people live in the UK, and the population is increasing, so reports of an increase in sepsis must be taken in this context. Similarly, this figure will increase due to the fact that we’re recording data more frequently. At least four times the number of patients diagnosed with sepsis survive, compare to those who die. However, one in five of those who survive may not be
Kate Cheema
fit to return to work – according to one report, 43% of survivors are still not back to work after one year. People lose their jobs, their relationships, but the Sepsis Trust is here to provide support. “We suggest NEWS as a good screening prompt, although it’s not perfect. Using NEWS alone might result in overuse of antibiotics. Prompts should not replace clinical judgement. The Sepsis 6 Protocol is not perfect, but it’s simple and now in use in 36 countries around the world.” The Sepsis 6 is a set six of interventions which can be delivered by any healthcare professional and must be implemented within the first hour. The six steps are: l Give high flow oxygen l Obtain IV/IO access and take blood l Give IV or IO antibiotics l Consider fluid resuscitation l Involve senior clinicians early l Consider inotropic support early
Dr Daniels continued: “The UK Sepsis Trust (UKST) has published The Sepsis Manual which I edited with Dr Tim Nutbeam. This downloadable manual provides detailed
The annual mortality rates for sepsis make for uncomfortable reading, when compared with diseases such as breast cancer – 13,000 – and bowel cancer – 15,000.
Annual mortalities for sepsis are 52,000. Dr Ron Daniels, UK Sepsis Trust
SEPTEMBER 2019
education, free of charge, for every healthcare professional in the UK. “Education is one of the UK Sepsis Trust’s three core objectives, so we’re delighted to produce a manual that provides detailed education free of charge for every healthcare professional in the UK. “Following commitments from ex-Health
Secretary, Jeremy Hunt in 2017, we continue to urge the Department of Health to take decisive action. We need sepsis training to be mandatory for healthcare professionals across the NHS if we are to deliver consistent care and save the thousands of lives that are within our reach. In the meantime, UKST’s handbook will support other excellent resources made available by Health Education England.”
Engaging policy makers
Dr Daniels explained how the charity has engaged key policy makers, and why it is so important to do so. “We had regular meetings with Jeremy Hunt, who was crucial in the development of Sepsis Commissioning for Quality and Innovation (CQUIN). “CQUIN was introduced in 2015-16, focusing on incentivising the screening for sepsis for prompt recognition, and initiation of treatments for all patients (both adults and children) arriving at hospitals via emergency departments. In 2016-17 this was extended to those in inpatient departments. “When Matt Hancock replaced Jeremy Hunt, he highlighted the importance of data, but that is not enough. We must talk to each other. New England Journal of Medicine published ‘Recognizing Sepsis as a Global Health Priority – A WHO
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