North East London Foundation Trust and BHR Clinical Commissioning Group: Significant 7 – Signs of Deterioration for Care Homes

An audit was carried out to determine the profiles of attendances to Queen’s Hospital Emergency Department. Residents from care homes who were admitted with falls were identified as a high risk group.

We worked with care homes, all stakeholders together with residents and carers to understand the relationships within the system and the barriers that the care home experienced and level of training undertaken.

The decision was made to concentrate efforts on the prevention of deterioration in care home residents in order to prevent attendance in ED where appropriate. A training package was developed, which reduced ED admissions by 57 per cent. 

The judges chose this innovative and cost effective initiative as the winner as it was not only sustainable, but has further potential in terms of its wider application to healthcare.


Care Plus Group

East Lancashire Hospitals Trust and North West Ambulance Service 

Gloucestershire Care Services Trust

Murrays Pharmacy

South London and Maudsley FT

Spectrum Community Health Community Interest Company 

Sussex Community FT

HSJ Patient Safety Awards honour Manchester terror attack staff