hi mark,having a mandatory sepsis protocol would be a great step forward,there are already existing protocols on other conditions,to enact another for such a serious condition would save many more lives (and money too),even including information on sepsis with discharge notes could i believe have an immediate effect on some patient outcomes,a part of this issue is patient re-admissions,its quite hard to find decent stats on numbers and when you do its full of caveats,but its a growing problem ,According to the NICE website about 350k patients are re admitted within 30 days of discharge,but this info is then filtered down into various subgroups with no number regarding sepsis, even these numbers change when a hospital is part of a larger trust,but this is known problem and hospitals are fined for patient re-admission,but its not really a fine as such they are instead not paid for whatever treatment is required on re-admission,I think people could be saved at the front door when they arrive with some basic tests and at the back when they are discharged with some basic information.
You have mentioned bureaucracy and whilst mindful that this may be going of topic i must mention my great water dispenser battle,back in 2012 whilst attending a pre-op i wanted some water but is was broken with an old bit of cardboard explaining that,i asked a nurse she said oh yes we know about that,2013 same...with same bit of cardboard,this was depressing so i photographed it and reported it to PALS, fast forward 2014 same bit of cardboard,still broken,my hospital now runs patient led assessment teams ,who go in and with others advise where the hospital they could improve service to patients,so i joined,unfortunately my team did not assess the pre-op part of the hospital but we went to other wards and departments,and in one of these departments there was a broken water dispenser with a sign,i asked the nurse how long it had been like that and she said before i moved here two years ago and she had reported it also,
Trying to effect any kind of change with the nhs is difficult even for those on the inside....other issues were also noted and hopefully acted on.but its a slow process
Reading these posts has reminded me to do what i can to get the message out there,so i will take some leaflets with me to the doctors next week and to the hospital in october and see what kind of response i get.
i missed the WSC16 is there somewhere on youtube i might find it?
kind regards red