Introduction The Heart of England NHS Foundation Trust is one of the largest in England, with over 1200 beds and serves over a million people throughout north and east Birmingham and surrounding areas. It has three sites: Birmingham Heartlands, Good Hope Hospital and Solihull Hospital.
Methods Good Hope Hospital and Heartland & Solihull Hospitals entered data separately into IBD Quality Improvement Project. Services were asked to meet as a team to enter data about their service. The majority teams were able to complete data entry within 2–3 h. Each team comprised of two Consultant gastroenterologists a Consultant Colorectal surgeon and an IBD CNS. Results were not discussed between services at the time of data entry. After completion the sites requested comparative results and arranged a joint meeting to discuss the outputs.
Results As a response to this the teams reviewed their data together and agreed the following action points: (1) Good Hope Hospital will join Heartlands and Solihull's Transition Clinic at Birmingham Children's Hospital. This takes place twice a year and a joint team from both sites will attend. (2) A shared care agreement for patient's on immunosuppressive, between primary and secondary care is being devised for use across the Trust. (3) Nutritional support, which was initially available at Heartlands but has been extended to Good Hope. (4) Heartlands hospital have recently trialled a changed on-call system, to provide daily Gastroenterology ward rounds, to improve appropriate patient flow to specialist gastroenterology beds.
Conclusion (1) There are significant differences in service provision between the two services within the same Trust (2) The Trust covers a large geographical area and differing population sizes. Despite now existing within the same directorate services have maintained their historical ways of working. (3) This assessment has provided a catalyst for joint working and improved care for patients.
Competing interests None declared.
Reference 1. Quality Service standards for the healthcare of people who have Inflammatory Bowel Disease http://www.ibdstandards.org.uk/