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Evidence into Practice

Our Evidence into Practice Challenge 2019 was an open call to healthcare professionals in the West of England with an evidence-based idea for an initiative or project that will improve healthcare.

Following the call we received twenty applications from individuals across our region. Applicants were asked for specific research or evidence that suggested improvement in the quality of patient care. Following presentations from seven shortlisted projects, two were selected as adoption and spread projects across the West of England. The first project is SHarED (Supporting High impact users to Emergency Departments), which has been developed by University Hospitals Bristol Emergency Department. The second is PERIPrem a perinatal care bundle aimed at reducing brain injury and death in preterm babies.


SHarED (Supporting high impact users to Emergency Departments) is a project put forward by Dr Becky Thorpe and the team at University Hospitals Bristol. The initiative has been running there for five years and has achieved great success in reducing attendances to the Emergency Department (ED), as well as supporting users to seek healthcare and support in a more appropriate way. Through multi-agency case management of those who attend ED more than 20 times per year there has been an 80% reduction in attendances and a 30% reduction in all patients with mental health problems. The financial savings from attendance and admission tariffs associated with the service are £900k per year.  Find out more about SHarED here.


PERIPrem (Perinatal Excellence in Reducing Injury in Premature birth) has been developed in collaboration between University Hospitals Bristol NHS Foundation Trust (UHB) and Great Western Hospitals NHS Foundation Trust (GWH), following the merger of two Evidence Into Practice applications both aimed at proactively managing the risk of brain injury and death in preterm babies. It was put forward by Reader in Neonatology Karen Luyt and Consultant Paediatrician & Neonatologist Sarah Bates.  Reducing newborn brain injury is highlighted as a priority in The NHS long term plan. Currently, the NHS is not on track to meet the target reductions of 25% by 2020, and 50% by 2025. The West of England AHSN hopes to engage every maternity and neonatal unit and parent groups in the region to co-design, produce and test the bundle to improve outcomes for preterm babies born before 32 weeks gestation. Find out more about PERIPrem here.

The Evidence into Practice Challenge 2019 has now closed, however we are always interested in hearing about, and supporting, evidence based practice. If you have an idea or example of clinical practice that needs support please contact us. 

This short video accompanied the call for projects in March 2019:


Emergency Department

SHarED: Supporting high impact users to Emergency Departments

This project aims to improve outcomes for the most frequent users of Emergency Departments.

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Find out more about PERIPrem (Perinatal Excellence to Reduce Injury in Premature Birth), and download resources, to improve the outcomes for premature babies.

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