Interview with Tara Marshall
We catch up with Tara Marshall, Deterioration Lead for the Eastern Patient Safety Collaborative.
After 25 years working in the NHS as an intensive care nurse, Tara found her home in patient safety. After completing her training, she spent most of her nursing development at Guys and St Thomas’ teaching hospital in London. Whilst there, she studied for a Master of Arts in Patient Safety Management at Loughborough University, focusing on human behaviour and culture change. On moving back to the Midlands, Tara then influenced the design of a digital observation system which was deployed across a large NHS Trust in the Midlands. In 2019, Tara was invited to take a role as Deterioration Clinical Lead for the Eastern Patient Safety Collaborative, adding quality improvement and program management to her skill set, and she now is supporting health and social care systems to undertake system wide quality improvement programs.
Where has innovation made the greatest impact in your specialist area of deterioration, and where is improvement still needed?
Deterioration management tools have been standardised in acute care across the UK since 2012. The National Early Warning Score (NEWS2) is now used across almost all acute hospitals and ambulances and is rapidly becoming a common language across non-acute care. Coupled with rapid access pathways in and out of hospital, it is used to identify and support early decision making for care homes across the U.K. Coupled with soft signs and the SBAR communication tool, this has not only built confidence in staff to escalate their concerns but also helped them manage deterioration within the home during covid.
How do you think the interface between the NHS and social care sector could be improved?
As we age, some of us will suffer with a long-term condition that may impede us to live well independently, at this point we may require both health and social care services to support us, equally we may well traverse in and out of both. The establishment of the Integrated Care Systems are designed to support people on either of these by bringing this concept together.
Could you tell us about the benefit you think CareCompare can bring to the health and care system?
People often recover better from a hospital stay in their own environment. CareCompare can support people to live well at home following short term hospital stays by introducing them to support services- patients are able to make informed choices as the platform has already done the hard work for them. This potentially shortens the time people spend in hospital waiting for support services to be put in place.
The views expressed in this article are those of the author alone and do not necessarily represent those of any other organisation.