Hospital at Night

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What is the Hospital at Night system? 

The Trusts Acute Care Team currently utilises a digital system to co-ordinate medical tasks between the hours of 20:00 and 08:00. It consists of an electronic form that allows ward staff on night shift to request medical assistance for their patients. It is accessible via the Departmental Icons folder and is called Hanbleep. The tasks are sent to Acute Care Team who can then assess them and allocate to the most appropriate member of staff, whether this be a HCA, Nurse, Doctors Assistant, or a Junior Doctor. The on-call staff member receives the task detail via a mobile device. 

The system also allows the Acute Care Team to view a brief history of the work carried out during these shifts. 


Why are we replacing it? 

The system, ahead of its time when it was first launched back in 2010 is now technically unsupported and not robust enough to meet the demands of the hospital. A key issue that this new system will address is the provision of audible and visual alerts when a new task is allocated to the on-call staff member. The current system lacks this ability, meaning that on-call staff must remember to regularly check their mobile device for new tasks. 


What are we replacing it with? 

We are replacing it with a new system that is supplied by a company called Nervecentre. Although we are deploying this system in isolation, due to the need for it to be replaced urgently, this system forms part of a much larger system that will be rolled out later on in 2021. The system is called Nervecentre Patient Safety and is made up of several digital modules that will help our clinical staff work more efficiently. 

The system is used by 18 other Trusts, including Blackpool Teaching Hospitals, Calderdale & Huddersfield, South Devon Healthcare, University Hospitals Bristol, Nottingham University Hospitals NHS Trust. Here is a case study of how it is used in Portsmouth.    


Who will this impact? 

The new system will have an impact on the following: 

  • Ward staff who request medical tasks using the current Hanbleep system - between the hours of 20:00 and 08:00 – seven days a week 

  • Junior Doctors and Doctors Assistants on call during the hours of 20:00 and 08:00 Registrars on call during the hours of 20:00 and 08:00 

  • The Acute Care Team 


How and when are we deploying the new system? 

We are intending to deploy the new system in conjunction with the Junior Doctor rotation which is due to take place between the 27 July and the 04 August. The system will officially go-live on the 02 August. The reason for combining this with the Junior Doctor rotation is to try and minimize the training of Junior Doctors who will be leaving us, and conversely that we don’t ask new Junior Doctors to use a system only for us to replace it within a couple of weeks of them joining us. 


What Changes Will I See? 

For Junior Doctors  

  • You will now receive an audible alert when you receive a task, saving you from having to constantly check your mobile device. 

  • You will have access to an instant messaging function, allowing you to easily communicate with other members of staff on shift. 

  • You will be able to use your standard windows log in detail, rather than a separate one given to you by the ACT. 

For Registrars 

  • Via the use of a mobile device, you will have much better visibility of all current urgent (Red) tasks and who is managing them. 

For Ward Staff 

  • You will now be able to use your standard windows log details to access the request form (rather than a generic ward password). This brings us in in-line with the method for accessing most of our clinical systems. 

  • You will be able to access the request form via the EPMA laptops using the single sign on cards. 

  • The request form will automatically recognize when a red (urgent) task is raised.  In this case you will be asked to contact the Acute Care Team directly using a dedicated number. This will give you the opportunity to talk directly to an Acute Care Nurse about the details of your request.  This also allows the Acute Care Team to ensure that they are providing your patient with the most appropriate level of care. 

  • You will be able to search for a patient using their hospital number, meaning that you won’t have to type all of the patients details in manually. 


How will Training take place? 

Training will be rolled out three ways: 

  1. For Ward staff that need to raise a task - Training will be via a short video demonstrating how to raise a task using the new form. The form is quite intuitive and not a massive change to the existing process. 
  2. For Junior Doctors, Registrars and Doctors Assistants - an e-learning module has been created and is included in the induction training. It will also be available to all staff that will be remaining after the rotation. 
  3. For the Acute Care Team – Training will be via face to face with s follow up e-learning module available for refresher training. 

During the week of the go-live (02 – 06 of August) we will also have members of the Digital Transformation Team on-site to assist with any questions or issues. 


Training and Resources 

Please view this short guidance video to demonstrate to ward staff how to request a task using the new Hospital at Night system.



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