The National Patient Safety Improvement Programme (NPSIP) is in a unique position to identify and support the spread and adoption of effective evidence-based practice across England.

This work stream facilitates and accelerates the pace of adoption making sure that the whole system can benefit from these interventions.

The programme is supporting the spread and adoption of interventions in three priority areas, and will also identify evidence-based interventions that will help inform future priorities by developing an improvement and innovation pipeline.


Priority Areas

Acute exacerbation of COPD or asthma attacks

COPD and Asthma hospital discharge care bundles

COPD is the second most common lung disease in the UK with an estimated 1.2 million people diagnosed with the condition, whilst asthma affects 5.4 million people in the UK (1.1m children, 4.3m adults). The British Thoracic Society (BTS) have developed COPD and Asthma discharge care bundles with the aim of improving care and reducing readmissions for patients admitted with acute exacerbations of COPD (AECOPD) and asthma.

Discharge care bundles are available for use by all clinical teams across the UK.

COPD >>>
BTS discharge care bundle

Asthma >>>
BTS discharge care bundle

Find out more about our cardio-respiratory programmes.


Tracheostomy safety

We are offering support in dealing with the expected rise in numbers of tracheostomies and the discharge of patients from ICUs to wards with a tracheostomy due to COVID-19. The focus will be on ward level care and transitions into community settings and includes bedhead signage; a tracheostomy daily care bundle; and emergency equipment.

A tracheostomy toolkit for healthcare staff has been published by the National Tracheostomy Safety Project (NTSP) in collaboration with the Health Innovation Network and the National Patient Safety Improvement Programmes. 

The toolkit and other detailed guidance and resources for healthcare staff in caring for patients with tracheostomies can be found on the website of the National Tracheostomy Safety Project, a quality improvement collaborative that aims to improve tracheostomy care and safety.


Emergency laparotomy surgery

Emergency laparotomy is a major surgical procedure, with around 50,000 operations performed annually in the UK. It is a high-risk procedure, with an overall 30 day mortality rate of 10 per cent, rising to 24 per cent for those over 80 years of age.

The Health Innovation Networks (HINs) have been asked by NHS England and NHS Improvement to support the spread and adoption of the Emergency Laparotomy Pathway Quality Improvement Care bundle to help improve standards of care for patients undergoing emergency laparotomy. 

Find out more about how Health Innovation North West Coast is supporting this quality improvement project locally.


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