Safer Salford

Safer Salford is a well-established multi-year ambitious improvement programme founded in 2016.

It is a partnership between Aqua and Greater Manchester Integrated Care (Salford), and delivered in collaboration with local health and social care partners.

It drives continuous improvement in the quality and safety of health and social care, underpinned by collaboration, coproduction, and quality improvement.

Safer Salford’s guiding principles are to: 

  • Work collaboratively
  • Involve people with lived experience  
  • Use data and intelligence to inform decision making  
  • Be informed and driven by the latest research and thinking in patient safety 
  • Use evidence-based improvement approaches

Safer Salford was inspired by the Measuring and Monitoring of Safety Framework – a way of approaching safety that kick started the delivery of many national strategies including the NHS patient safety strategy, the Health and Social Care integration white paper and annual NHS and social care operational planning guidance.

Our work is reviewed, and priorities agreed annually by the leadership team from the Salford system.

Our programme includes: 

  • Population health and health inequalities 
  • Quality and safety in general practice  
  • Quality and safety in the adult care sector 
  • Capability building for clinical and non-clinical staff, with a focus on quality improvement (QI), leadership development and integrated working  

You can find out more about the impact of our work from Our Latest Resources and Case Studies, and by following us on Twitter @SaferSalford.

Latest Resources and Case Studies

Salford Care Adult Social Care Provider Excellence Programme

Salford Care Adult Social Care Provider Excellence Programme

Read about the latest sessions in our Provider Excellence Programme.

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Safer Salford 22/23 Year End Report

Safer Salford 22/23 Year End Report

Read about the 22/23 Safer Salford programme, co-designed by Aqua, Greater Manchester Integrated Care (Salford) and relevant system partners.

Our workstreams supported multi-agency, complex system improvement with a focus on early intervention in community settings.

Read more

Community Led Approaches to Vaccine Access and Inequality in Salford - Case Study

Community Led Approaches to Vaccine Access and Inequality in Salford - Case Study

Shortlisted for an HSJ Award, this programme began in August 2022, when NHS England (NHSE) in Greater Manchester (GM) made funding available to improve access and reduce inequalities associated with COVID-19 vaccination during the winter of 2022/23.

Read more

Community Led Approaches to Vaccine Access and Inequality in Salford – End of Programme Report (2023)

Community Led Approaches to Vaccine Access and Inequality in Salford – End of Programme Report (2023)

Shortlisted for an HSJ Award, this programme began in August 2022, when NHS England (NHSE) in Greater Manchester (GM) made funding available to improve access and reduce inequalities associated with COVID-19 vaccination during the winter of 2022/23.

Read more

Lived Experience Case Study (2022)

Lived Experience Case Study (2022)

Read all about the Safer Salford Lived Experience Panel (LEP), which was established in 2021 and since then has taken an active role in Salford quality improvement workstreams.

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Care navigation in General Practice (2022)

Care navigation in General Practice (2022)

As part of the GM Primary Care Reform Programme (2017-2020), funding was allocated for primary care in Salford to support workflow optimisation, and this included developing care navigation across primary care.

The Safer Salford team at Aqua worked with key stakeholders to gain an understanding of the current state, and to understand and synthesise best practice.

Read more

Advancing Quality logo

AQ: Elective Hip and Knee Replacement – Behind the Numbers

Demand for elective care has risen over the recent years and this has been exacerbated by the pandemic. This report includes insights from analysis of Advancing Quality (AQ) programme data […]

AQ: Improving Care for Patients with Sepsis in an Acute Trust

Southport and Ormskirk Hospital NHS Trust provides acute hospital services to 258,000 people across Southport, Formby and West Lancashire. Acute care is provided at Southport and Formby District General Hospital and Ormskirk and District General Hospital. Sepsis accounts for around 1,200 acute admissions to the trust each year.

AQ: Aintree Improvement Journey for Patients with Alcohol Related Liver Disease

Aintree University Hospital NHS Foundation Trust joined the Advancing Quality (AQ) programme at its launch in 2008 and is currently participating in eight clinical focus areas (CFA), this includes Alcohol Related Liver Disease (ARLD).

AQ: Reducing Avoidable Harm through Patient Assessment & Escalation

In patients who are, or become acutely unwell in hospital, there is evidence that deterioration is not always recognised or it is not acted on rapidly enough (NICE, 2007). The Walton Centre NHS Foundation Trust wanted to improve observation recording, recognition and response to deteriorating patients using the NEWS assessment tool.

AQ: Reducing Mortality in Community Acquired Pneumonia (Liverpool University Hospitals NHS Foundation Trust)

The NICE (2014) guidance publication ‘Pneumonia in Adult: Diagnosis & Management’ covers diagnosing and managing Community Acquired Pneumonia (CAP) in adults. Its aim is to improve the accurate assessment and diagnosis of pneumonia to help guide antibiotic prescription and ensure that people receive the right care. It estimates a mortality rate between 5% and 14% for patients admitted to hospital with CAP.

AQ: Serum Lactate in the Treatment of Sepsis

he Royal Liverpool & Broadgreen University Hospitals NHS Trust (RLBUHT) identified an opportunity to improve the early diagnosis of patients with sepsis. Evidence suggests that the sickest sepsis patients have high levels of serum lactate. Timely measurement of serum lactate levels in patient pathways can improve early diagnosis which will lead to improved outcomes.

AQ: Embedding Early Assessment In Out of Hours Primary Care

Sepsis and deterioration is a huge clinical problem and 70% of sepsis cases originate in Primary Care. In the last five years we have experienced a culture shift in primary care; from seeing sepsis as an acute condition that is difficult to detect, to recognising the need to actively assess patients where infection could be causing significant illness or deterioration.

AQ: Effective Management of Frailty in Hip & Knee Replacement (Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust)

NHS England defines frailty as ‘where someone is less able to cope with and recover from accidents, physical illness or other stressful events’1. As the population ages, so frailty rates increase, presenting challenges to care systems. Elective hip and knee replacement patients undergo pre-surgical checks to ensure they are able to cope with their procedure.

AQ: Improving the Management of Acute Kidney Injury (AKI)- Role of the AKI Pharmacist

The 2009 NCEPOD report, Adding Insult to Injury, reviewed outcomes for patients with acute kidney injury (AKI) in hospital. The report found that medication was the most common AKI risk factor not assessed and only 15% of patients had their medication altered to renal doses. The national AKI programme Think Kidneys advises that medicines optimisation is essential to reduce the risk of AKI and mitigate its severity if it occurs.

AQ: Improving Care for Patients with Sepsis in an Acute Trust

Sepsis is a life-threatening condition which has in recent years become a high priority for healthcare providers. Early recognition and prompt management of sepsis can improve outcomes for patients, reducing the risk of mortality and morbidity. This could potentially save 14,000 lives and result in 400,000 fewer days in hospital for patients every year, according to estimates by the Sepsis Trust.

AQ: A Collaborative Approach to the Management of Acute Kidney Injury (AKI)

Southport and Ormskirk Hospitals NHS Trust has established a steering group to improve care for patients with AKI. The group is using the care bundle data from the Advancing Quality Alliance (AQuA) Advancing Quality (AQ) AKI programme to monitor care delivery for patients with AKI and to provide a framework for improvement.

AQ: Improving the Ultrasound Scanning Process for Patients with Acute Kidney Injury

Acute kidney injury (AKI) may sometimes be caused by an obstruction in the urinary tract, which can require treatment with a nephrostomy. It is important that people with AKI who are suspected of having a urinary obstruction receive an ultrasound scan early in their management, as outlined in national guidance (NICE, 2019).

If you’d like to find out more, or have comments and enquiries please get in touch.

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