Sepsis is an illness which can be life threatening, caused by the body overreacting to an infection. Worldwide, it affects over 26 million people each year and one third of those affected will die. This means that every 3-4 seconds, someone dies of sepsis. Early diagnosis and treatment are vital. World Sepsis Day is aimed at raising awareness with an objective of reducing the incidence of sepsis by 20% by 2020.
In Bolton we are committed to raising the understanding, early recognition and appropriate management of sepsis. In 2008 we embraced the Survive SEPSIS education programme and, in collaboration with the Greater Manchester Critical Care Network and Army Medical, we hosted the first Survive Sepsis Study day in Greater Manchester. We have continued to deliver this study day for staff and to date nearly 500 health professionals have attended. One of these study days is being held on World Sepsis Day 2013 and present will be one of our patients who survived sepsis despite having been gravely ill.
We have received the following message of support from Ron Daniels (pictured below), CEO Global Sepsis Alliance:
“As Chief Executive of the Global Sepsis Alliance, I am delighted to learn that Bolton NHS Foundation Trust is planning to mark World Sepsis Day this year with an educational event for staff in support of their many strategies to heighten awareness of sepsis among their service users. The team at the Royal Bolton have been working hard for several years in battling one of our healthcare system’s biggest killers, and these efforts will serve to reinforce and build upon the improvements in care delivery already made. This work will save lives in Bolton.”
We have a sepsis screening tool at each adult patient bedside. This is a flow chart to help identify if the patient fulfils criteria to support a diagnosis of sepsis. The tool also highlights the key interventions to be carried out within the first hour of sepsis being diagnosed or strongly suspected.
We have a sepsis forum including senior clinicians from specialties across the Trust and with input from general practice. Members support the regular review of compliance with evidence based practice and the development of action plans to improve the early recognition and care of the patient to improve outcomes. This forum is also supported by junior doctors who rotate between different hospitals and who hopefully will help to support best practice in other trusts. A rolling programme of education to support the junior doctors also features a session on sepsis and bespoke education sessions have been developed and delivered to support different specialties, for example obstetrics.
The Greater Manchester Acute Illness Management Course is delivered at Bolton each month. The day is aimed at the multiprofessional team who are involved in the early recognition and management of the deteriorating patient. A modified course is also delivered to clinical support workers to help support their role in the early recognition and response to the deteriorating patient and a session on sepsis is a key feature of these courses.
In 2010 Bolton also took part in the North West Reducing Mortality Collaboration which is an initiative of the Advancing Quality Alliance (AQuA). Sepsis was a focus of work undertaken by Bolton as part of this collaborative.
We are also keen to cast the net far and wide to try to support those health professionals who may be involved with a patient who is developing sepsis outside of the hospital. We have delivered education sessions to paramedics studying at Bolton University and we are exploring how to support GPs. The A&E department also undertakes a rolling programme of education.
Members of the public can find out more information about sepsis on NHS Choices by following the link below: