Catheter Care

Catheter Care from Health Innovation Network on Vimeo.

You can find our Catheter Care final report here.

You can find our Catheter Care best practice guidance here.

Catheter-associated urinary tract infections (CAUTIs) are healthcare associated infections occurring in patients using urinary catheters. They are common, can cause significant patient-harm and suffering and can also lead to serious bloodstream infections, prolonged hospitalisation and increased healthcare expenditure. In many cases these problems are avoidable.

We delivered a two-year catheter quality improvement programme across south London to reduce CAUTIs by 30% and to improve catheter practice. Nine acute hospitals and eight community services signed up to our programme. We adopted the Institute for Healthcare Improvement ‘Breakthrough Series Collaborative’ methodology to form a south London collaborative where all organisations could share and learn from one another.

The programme had four main stages or drivers: i. Co-production with patients and Age UK to design catheter information material and an animated catheter video; ii. Implementing a catheter-care bundle with our providers; iii. Improving infrastructure and culture; iv. The IHI Breakthrough Collaborative methodology including PDSA tests of change and measurements of improvement strategies.

The collaborative enabled us to share learning and identify examples of best-practice that in our opinion can be spread and adopted within and outside south London. Although our larger catheter care programme came to an end in December 2016, we are now supporting the development of catheter care community of practice to ensure the improvements are consolidated and further improvement work can be continued.

We have included a range of resources that we have developed and used over the past two years. You may wish to use these if you are interested in doing similar catheter care work. If you would like more information on the work we have done, are interested in joining our catheter care community of practice, or would like to be part of our scaling up work, please contact hin.southlondon@nhs.net.