Skip to Main Content
Page banner

Take a look below at previous Change Challenge Innovations:

Thank you all for your involvement. We have now published details of the most impactful ideas. You can filter on the left-hand side for each of the Challenge categories.


Who was involved?

Following the decision to take down elective services, on the 23rd March 2020 the MIU was formed and remained in place 8am-10pm 7/7 until September 2020. 

The clinical team consisted of Consultant and ACP (physiotherapists) from MIU, physio OPD, spinal surgery, T&O Surgeons (registrars and Consultants), Sports and Exercise Medicine doctors, T&O nurses and healthcare assistants, plaster technicians. With clinical support when required from the ED team.

Plans were made with input from:
  • ED Clinical Director
  • T&O Clinical Director
  • T&O Trauma Lead
  • Consultant Physiotherapist
  • Advanced Practice Physiotherapist
  • T&O OPD Nursing team
  • T&O &ED Service Management teams
How did you change?

The footprint of the traditional (minors) are was taken away from ED to reduce the footfall through ED.

All patients were given the right care early in their journey to reduce repeated hospital attendances.

Click here or the attachment below to read the full Change Challenge Innovation.

When did you change?

  • Mar 2020 – 1st batch of ACP Physio staff identified for a training week (n=3) in the UCC processes.
  • June 2020 – (n=2) added – 5.0 WTE added to UCC Physio staffing of 4.4 WTE staffing at B7 & B8a.
Who was involved?
  • ED Clinical Director (consultant)
  • MSK managers
  • UCC clinical lead + ACP / ED management 

How did you change?

  • Highlighted the lack of MSK demand on their service – 20+ band 8a advanced clinicians without any patients.
  • Discussed with ED team the need to overstaff minor injury pathways with ACP/AHP’s to allow medics to be freed up to deal with what was then the unknown.

What successes occurred?

  • The flexibility of the workforce
  • Quick adaption to training needs
  • The flex of the lead ACP role to allow time to train x 5 new staff for a quite unique environment
  • Staff morale to keep up skills/patient facing/feeling of ‘helping out’

Click here or the attachment below to read the full Change Challenge Innovation

MSK & ED Collaboration

Posted by Kyle Beacham (Admin) 10 months ago

How did you change?

We created a new pathway to enable ED juniors and ENP to have direct access to the opinion of an on-duty orthopaedic trauma consultant in the fracture clinic, during office hours. This formed the first step in an escalation plan which would increase the involvement of orthopaedic consultants in the management of traumatic injuries within the ED if the pandemic worsened. This “open door “ policy allowed ED juniors and ENP to walk around to fracture clinic to discuss proper diagnosis and MX.

What challenges did you face?

  • Quality of referrals was initially poor, people wanting to discuss without formulating a proper plan first. Shyness from ED staff.
  • Getting all involved orthopaedic consultants to fully engage and be always contactable either face to face or remotely, during the agreed hours.

What successes occurred?

  • Early definitive management of orthopaedic injuries.
  • Increased use of a soft cast, removable splints, boots etc.
  • Break down traditional barriers.
  • ENP, in particular, found it very educational, skills improved
  • Took the pressure off ED middle grades and consultant to allow them to concentrate on covid patients.
  • Reduced unnecessary fracture clinic referrals. Reducing potential covid exposure for px.

Click here or the below attachment to read the full Change Challenge innovation.

Load more