Mark Andrew Cooper @Macpatientflow
Passionate Nurse, NHSE Urgent and Emergency Care Delivery Partner.. all views and comments are my own NHSE Cambridge Joined September 2017-
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thought provoking tweet. Just been to visit my 88 year old godmother admitted Wednesday, COPD exacerbation cause of admission, hip replacement 3 weeks ago, asking to mobilise, no physio so nurses won’t get her out of bed! Chest physio spoke to her can’t mobilise at weekend!
thought provoking tweet. Just been to visit my 88 year old godmother admitted Wednesday, COPD exacerbation cause of admission, hip replacement 3 weeks ago, asking to mobilise, no physio so nurses won’t get her out of bed! Chest physio spoke to her can’t mobilise at weekend!
And... Alan Turing has been voted the greatest and most influential figure of the 20th Century! 🙌 #Icons
I love this quote - please ensure we don’t consign people to a life that is safe but without meaning for them. #homefirst #WhatMattersToMe we have to find ways of supporting all our great staff to listen and support people in what they want. @ECISTNetwork
I love this quote - please ensure we don’t consign people to a life that is safe but without meaning for them. #homefirst #WhatMattersToMe we have to find ways of supporting all our great staff to listen and support people in what they want. @ECISTNetwork
The hospital getting it right: @JamesPagetNHS rated “good” by watchdog CQC. Managers approachable, visible and knowledgeable. Staff cared for patients with dignity and kindness. Staffing levels and skill mix was planned and reviewed @BBCLookEast
Great teamwork this week with Senior Sister Fay and the cardiology ward... embracing #safer #HomeFirst #proudofthepaget
Deconditioning in hospital effects the mind as much as it does the body. Altered sensory input= ❌Poorer proprioception ❌Worse BP control ❌Risk ⬆️ delirium ❌Risk ⬆️ hallucinations ❌Agitation ❌Disturbed sleep/wake cycle ❌Risk ⬆️ anxiety #HomeFirst earlymobility.com
Come and join a great team in a ‘Good rated Hospital’
QUESTION 5 - How do we address variability of risk aversion amongst clinical teams? #homefirst
"How many medics ask elderly patients what they want when assessing their risks for discharge?" - @EmergMedCons #SFHRisk #risktraining
Absolutely agree long-term funding solution is required for social care. However, the term ‘bed-blocking’ has such negative connotations, & suggests the problem is patients blocking beds. Patients are stranded in beds because the system fails them, they don’t block their use.
Absolutely agree long-term funding solution is required for social care. However, the term ‘bed-blocking’ has such negative connotations, & suggests the problem is patients blocking beds. Patients are stranded in beds because the system fails them, they don’t block their use.
The #RedBagScheme means better person centered care for care home residents. Find out more: ow.ly/Pfpk30kBpSN #IntegratedCare
@Gregphi @ECISTNetwork @SalisburyNHS @RuthCutler95 @emily_scotney @CrisMulshaw @CaraCBCEO @AdamSewellJones @FabNHSStuff @RoyLilley @BrianwDolan @AnnMarieRiley10 @07702034Ciara @mikecuh @_ChloeHarris_ @HealthPhysio @HelenBevan Risk aversion does. Have a conversation with every patient, listen, inform allow them to choose. Document conversation and their decision. We all take risks every day. we may find ourselves in a hospital doesn’t mean we wish to be wrapped in cotton wool. @ECISTNetwork
We need to read and embed this into our working practice
Also learnt that the cultural change delivered by #HomeFirst in Somerset to reduce DTOCs is called (in academic terms) “moving from a risk averse to risk enabled institutional logic”! @54035com @TimTimbav @EleanorJMurray
If the risks of deconditioning and staying in hospital longer than necessary are clearly explained to me, I'd like to be involved in those choices #homefirst #EndPJparalysis @BrianwDolan @timgillatt @melajand @DianeFuller001 @lizsargeant @janey513 @07702034Ciara @LizRix_UHNM
#endPJparalysis focuses on hospitals. We need to also target the community & care homes. The big problem is sitting too much,a lot of people only get up & mobilise a few times a day to the toilet = deconditioning = falls = admission. 💡Idea: campaign to #standagainstsitting ? 🕺
Optimising services to to deliver acute #patientflow -senior decision making, integration with community, bed base modelling and risk sharing are key elements of a good system
@geriatricgiant @PeteGordon68 @ECISTNetwork @PhilipRankin @DrRobgalloway @BSUH_NHS The plan must be clear about minimum required to go home. The. evidence on deconditioning is undeniable. We must understand we are harming many older people keeping them in hospital. There is increasing evidence they need less than we think to go home. #homefirst @ECISTNetwork
Found this on someone else’s twitter feed. I see these characteristics in many people now leading #homefirst mindset services. @emily_scotney @AliceCLockhart @alison @PTOTSLTdept @kerrie_hopson @BHRUT_Therapies @GinaSargeant @MarcQIfellow @07702034Ciara @PeteGordon68 keep going
Did you know, a 50% increase in walking while in hospital has been associated with a 6% shorter length of stay? #EndPJparalysis bit.ly/2v7TjoA

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