Corinne Short, Editor of Guidelines in Practice (second left), presents the overall winners Dr Lesley Holdsworth (far left), Dr Neil Houston and Dr Rebecca Aylward from NHS Forth Valley with the Guidelines in Practice Award at Le Meridien, Piccadilly on 7 October

A multidisciplinary team from NHS Forth Valley are the overall winners of this year’s Guidelines in Practice Awards for their highly successful initiative to raise the local standard of epilepsy care.

The judges said: “We were very impressed by this imaginative and forward thinking project which has set the gold standard for epilepsy care.”

The winning entry appears in full here.

The team has produced a local guideline, based on the SIGN epilepsy guideline, which has been widely implemented. They also developed an impressive toolkit to allow patient identification and data collection and to highlight the standard of care expected.

“This team has shown that primary care, working in collaboration with secondary care and the voluntary sector can provide structured quality care for a disease which traditionally does not receive high clinical priority. Strong teamwork has enabled these patients to receive the level of care they deserve,” said the judges.

The team received their Award certificate and a cheque for £4000 from Corinne Short, Editor of Guidelines in Practice, at an after-dinner ceremony at Le Meridien, Piccadilly on 7 October.

“We are absolutely delighted that this work has been recognised,” said project lead Dr Lesley Holdsworth who worked closely with clinical leads GP Dr Neil Houston and consultant epileptologist Dr Rebecca Aylward.

“It’s really transformed services locally. The winner here has been the patient,” Dr Holdsworth told Guidelines in Practice.

They will use the money to develop their patient information resources, in partnership with the voluntary sector, and to continue to evaluate educational resources for practice nurses.

Joint runners up were the team led by GP Dr Clare Davison, from Newham PCT, for their project the Newham Diabetes Incentive Scheme and the team led by GP Dr Tom Fryatt, from Greater Derby PCT, for their continuing audit of the RCP guidelines on glucocorticoidinduced osteoporosis.

Guest speaker Dr Phil Hammond (centre), Corinne Short (second left) with Guidelines in Practice Award runners up Dr Clare Davison (far left),Anne-Marie Maher and Jacqueline Chapman (far right)

“We are delighted to receive this Award on behalf of Newham PCT. Our scheme demonstrates how significant improvements in diabetes services and patient outcomes can be achieved in primary care if appropriate training and resources are provided,” Dr Davison told Guidelines in Practice.

“This was particularly challenging as it took place in a borough known for poorly developed primary care services caring for one of the most ethnically diverse, deprived inner-city populations in the country,” she explained.

They plan to give their prize money to their local diabetes patient support group who have contributed to their information pack and handheld record and are setting up a support group for young people with diabetes and their families.

Dr Greg Summers (far left), Kate Ward (left) and Dr Tom Fryatt receive their Guidelines in Practice runners up Award from Corinne Short

“This Award is a great honour and privilege. It reflects the hard work of our team and has encouraged us to continue to raise the profile of osteoporosis in Derby,” Dr Fryatt told Guidelines in Practice.

“We are planning to carry the audit forward into a neighbouring PCT. This Award will help us publicise our efforts and finance development. We want to make our audit tool available to all Torex system users via the internet,” he said.

Both runners up in the open category received a cheque for £1000. The winners of each sponsored category received £3000.

The winner of the NSF for CHD category, sponsored by Pfizer, was the East London Clinical Effectiveness Group, led by GP Dr John Robson.

Nathan Jones, Product Manager, Pfizer (left), presents the Award to the winners of the NSF for CHD category, Gladys Fordjour and Dr John Robson

The group has successfully organised a chronic disease management programme for CHD which involves implementing national guidelines and policies through local work programmes.

“The Award is welcome encouragement for a team that have combined presentation skills and a working knowledge of primary care to produce guidance that is accessible, locally and nationally credible and respected for its academic impartiality,” Dr Robson told Guidelines in Practice.

“We will be using the Award to develop our disease management programmes for people at high cardiovascular risk, teach and treat clinics where specialist nurses review high risk patients with poorly controlled risk factors, teaching practice staff as they rotate through GP surgeries,” he said.

The NSF for Older People category, sponsored by Schwarz Pharma, was won by the team led by Jocelyn Li from Redbridge PCT.

Neil Copping, Director of Marketing, Schwarz Pharma (left), presents Jocelyn Li (centre) and Maria Roper, winners of the NSF for Older People category, with their Award

An audit of local care homes revealed that nearly 90% of the 500 residents were incontinent. The Redbridge team developed effective continence strategies tailored to each individual. The staff are very encouraged by the results and the patients have regained their self-esteem and dignity.

“It is a very pleasant surprise to receive this recognition,” Ms Li told Guidelines in Practice.

“I am most grateful to all my team and other colleagues who have given ongoing support in delivering and implementing a high quality person-centered continence care scheme.

“Integrated continence services for older people have not yet been given the profile and priority they deserve,” she said.

“Winning the Award has fuelled my ambition to undertake further research in this field and the financial support is very timely,” she added.

The category for projects to implement the BHS guidelines on hypertension, sponsored by Sanofi Aventis and Bristol-Myers Squibb, was won by the team led by pharmacist Sarah Tulip from Derwentside PCT.

David Fisher, Sales Director, Sanofi Aventis (centre) presents the winners of the BHS hypertension guidelines category Sarah Tulip (left) and Lynne Bryan with their Award

The Derwentside team have developed a care pathway for the management of hypertension in line with national guidelines.

The care pathway has been implemented at two practices with patients attending either a pharmacist-led clinic or receiving standard care from the practice nurse or GP.

“It has now been published as a comprehensive booklet which would be a valuable aid to any clinician involved in the management of patients with hypertension,” the judges said.

“We are delighted and very proud to receive this Award,” Ms Tulip told Guidelines in Practice. “The funding will be of great value in helping us to improve the management of hypertension by better use of guidelines across the PCT,” she said.

The winner of the category to implement national guidelines for the referral of patients with breast problems, sponsored by Pfizer Oncology, was the team led by Dr Janet McCarlie and Eunice Goodwin from NHS Ayrshire & Arran.

David Fisher, Sales Director, Sanofi Aventis (centre) presents the winners of the BHS hypertension guidelines category Sarah Tulip (left) and Lynne Bryan with their Award

The scheme aims to ensure that all breast clinic referrals are appropriate so that clinic waiting times are reduced.

“This project provides all the necessary components to improve clinical care by ensuring rapid access to diagnostic services for those who need it most,” said the judges.

“We are delighted to accept this Award,” said Dr McCarlie.

“The New Opportunities Fund has funded our facilitator. She has worked with specialist breast services and local practices to improve the referral and follow up processes for people with breast cancer. This Award will allow us to continue to promote the new referral guidance and to extend the project to look at other cancer groups,” continued Dr McCarlie.

Guidelines in Practice, October 2004, Volume 7(10)
© 2004 MGP Ltd
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