Category Archive for "News"

LIVE WEBINAR – CLOSED – An Introduction to the Digital Pathway for Severe Acute Respiratory Failure Patients Requiring VV-ECMO

The webinar has now been completed, please check the website for upcoming educational events


To register please send an email with the subject VV ECMO Webinar Registration to, it’s that simple.

What is a Webinar?

Web based seminar – webcast/online training/online event/seminar/online classes. Our webinars include digital presentations, discussions, demonstrations and instructional education. Our presenters will share their screens and deliver the presentation via email link through WebEx.


Our webinars are aimed at all professionals who want to keep up-to-date with new thinking to improve their practice and share expertise. The webinars are highly collaborative, enabling attendees to ask questions, make comments and receive regular updates and resources before, during and after the seminar.

For more information and Hospital to Home updates please visit our website or twitter page:


Twitter: @htohome

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ECMO Team host interesting day for referring hospitals

On the 26th January 2017, the Extracorporeal Membrane Oxygenation (ECMO) team from Royal Brompton Hospital Adult Intensive Care Unit (AICU) held an event at the Majeski Stadium in Reading. The event hosted over 60 multidisciplinary attendees, from across South West England and Wales that refer patients to Royal Brompton with severe respiratory failure for ECMO.

The aim of the day was to provide all teams involved in caring for patients with Severe Acute Respiratory Failure with an in depth guide into the journey that a patient who is referred and accepted for ECMO experiences. The day started with how to identify patients with worsening respiratory failure who may be suitable candidates for ECMO and the processes involved in retrieving and caring for a patient on ECMO from an inter-professional perspective.

Following on from this, Royal Brompton Specialist Physiotherapists, Trudi Scott and Jo Arnold, discussed what is involved in the mobilisation of ECMO patients whilst they are on ECMO but also the ongoing problems that patients face after receiving ECMO with their recommendations for rehabilitation. Dr Amy Chan-Dominy, AICU Consultant and Francia Rabanillo, AICU and Follow up Lead Nurse, finished the day by discussing the issues experienced by patients after discharge and the role of the Follow up Clinic run by the AICU. The day ended with an emotional talk from an ECMO survivor about his personal journey and experiences, which was the highlight of the day for all those attending.

Becky Langley, Pathway Implementation Lead, and Jo Keating, Education Lead and Project Manager, from the Hospital to Home Engagement and Implementation Team attended the day. Becky presented and introduced the ECMO patient journey and described how the web-based pathway improves the communication between referring hospitals and the ECMO centre facilitating more robust and rigorous handovers throughout the patient journey. This was an excellent forum to engage with those that refer patients to Royal Brompton Hospital to show them the benefits of the pathway not only at the point of referral but throughout the whole journey.

Becky and Jo were also available throughout the day to answer any questions. They exhibited the pathway with the use of tablet computers which allowed attendees to practice accessing and using the pathway. The questions and feedback from referrers were interesting, positive with a number of them having used the pathway recently.

Becky will be submitting an abstract to the British Association of Critical Care Nurses conference that will be held in September 2017 to share the implementation of the web-based pathway into practice over the past year.

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Innovative Hospital to Home Pathway Showcased at National Conference

On the 19th – 20th September 2016 the British Association of Critical Care Nurses (BACCN) held their 31st Annual conference in Glasgow, this event hosts Critical Care professionals from both National and International Critical Care Units. The BACCN is a leading non-profit organisation dedicated to the promotion of high nursing in Critical Care. Their aim is to promote safe, quality evidence based nursing care to critically ill patients. The theme of this year’s conference was “Back to the Future for Intensive Care: Communicating and Caring in an e-ICU”, with keynote speakers from around the world covering a range of topics from the use of technology to improve patient experience and how to implement changes that prevent harm.

The Hospital to Home Pathway Implementation Team were delighted to have three abstracts accepted for oral presentation. Each presentation showcased a different aspect of the development and implementation of the web-based pathway for adults with severe acute respiratory failure requiring extracorporeal membrane oxygenation (ECMO).

First to present was Jo Keating, Education Lead and Project Manager, her abstract was focused on the use of simulation for service evaluation and improvement. Underpinned by education theory, this described the process used to evaluate the ECMO patient journey and design improvements collaboratively with stakeholders. This was well received and won best oral presentation of the whole conference.

Adrienne Cottam, Clinical National Engagement Nurse, then presented on Nurses Leading Innovation and the strategies used to scale the Children’s Long Term Ventilation Web-based Pathway nationally. Crucially this presentation linked the process used with change management theory, described what Hospital to Home learnt and how this has been applied to the implementation of the ECMO Pathway.

Finally our ECMO Pathway Implementation Lead, Rebecca Langley, presented ‘The Innovation of an Online Patient Pathway for those requiring Extracorporeal Membrane Oxygenation (ECMO) for Severe Acute Respiratory Failure (SARF)’. This introduced the ECMO patient journey and described how a web-based pathway improves the communication between referring hospitals and the ECMO centre facilitating more robust and rigorous handovers throughout the patient journey. This leads to improved quality of information allowing for more efficient working and increased patient safety. We were pleased that the audience asked many interesting and enthusiastic questions following this presentation. The conference allowed for the team to engage and network with nursing teams from critical care units not only in the United Kingdom but also internationally.

Rebecca is looking forward to presenting the ECMO pathway at the Intensive Care Society Conference ‘State of the Art’ in December 2016 at the ExCEL centre in London.

All abstracts can be viewed in the Service Development publications

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Cross site ‘virtual multidisciplinary team meeting ‘ joins up patient care


Hillingdon Hospital and Royal Brompton Hospital used the Hospital to Home ECMO Pathway recently to facilitate a cross site virtual multidisciplinary team meeting (MDT). The meeting was held for Sam Green, our simulated patient whom we had ‘repatriated ‘ after ECMO for H1N1 at Royal Brompton Hospital. Sam returned to Hillingdon Hospital intensive care unit with acquired weakness, a ventilation weaning strategy in place and with some residual disorientation.

The lead nurses, speech and language therapy, occupational therapy and physiotherapy teams handed over this complex needs patient comprehensively, discussing goals and ongoing needs. The teams in both hospitals could see the immediate benefit to the patient in having a rigorous repatriation handover, using the online MDT template to add structure and documentation to the process. Nothing was forgotten or missed and the ‘virtual‘ MDT was completed in 15 minutes.

Royal Brompton Hospital heart services therapy lead, Neresha Maistry commented:

“I loved how comprehensive, smooth and effortless the pathway made the transition for this  patient”

mdt news story

Adrienne Cottam is a clinical engagement nurse at Hospital to Home

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Hospital to Home simulate the ECMO patient journey

From Referral to Rehabilitation: Improving the information transfer for patients requiring extracorporeal membrane oxygenation (ECMO)

On 29th February 2016 the Hospital to Home service hosted a simulation event to evaluate the journey for ECMO patients with particular focus around information transfer.

Five centres in NHS England provide extracorporeal membrane oxygenation for patients with severe acute respiratory failure. As such, to access ECMO, patients will often have to be transferred across large distances. Patients requiring ECMO are critically ill so it is essential the referral process is efficient enabling a decision about suitability for ECMO treatment to be made quickly. These patients, following ECMO support will often be transferred back to their local hospitals so up to date information about their care is required for the on-going management of that patient locally. Multiple members of the multidisciplinary team are involved in the care of these patients and as such many handovers occur as the patient moves from one organisation to another.

This event incorporated simulation of key milestones in the ECMO patient journey in order to focus discussion around what is working well and what could be improved. Simulation simply refers to the replication of real life scenarios for the purpose of learning and is frequently used in healthcare education to increase exposure to clinical conditions and situations. This event utilised simulation not to teach clinical skills but as a method to analyse processes around how information is currently transferred between professionals across organisational boundaries. The event was attended by Royal Brompton Hospital ECMO team and teams within the referral network from The Hillingdon Hospitals NHS Foundation Trust, Northwick Park Hospital and Royal Berkshire NHS Foundation Trust.

The day concluded with a demonstration of the Hospital to Home ECMO pathway which aims to join up communication across the patient journey and provide a smooth, efficient and secure process around sharing vital clinical details to enable timely treatment.

If you would like to find out more about this event or other news please click here to contact Hospital to Home.



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