Patient Care and Experience
King's Global Health Partnerships in Sierra Leone supports the development of safe and patient-centred health services by developing processes, referral pathways, and standard operating procedures to meet the needs of patients. We also support in-service training on topics from basic nursing care to Infection Prevention Control (IPC), to medication safety.
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Impact
CASE STUDIES
Managing Sierra Leone's National Referral System (NRS)
Since 2017, we have managed the National Referral System (NRS), a nationwide network of Referral Coordinators located in district and tertiary hospitals across the country, supporting patient referrals between facilities. This project has supported over 60,000 patients – mostly pregnant and lactating women and children – to access timely appropriate care.
The impact has been substantial, enabling a 50% reduction in the time that patients wait to be seen by a clinician. For critically unwell patients, that is lifesaving. There are plans for the NRS to be integrated into the government-run National Emergency Service in 2021.
Responding to Covid-19 and patient needs
At the start of the Covid-19 epidemic in Sierra Leone, in March 2020, our partners recognised the need to change practice in order to respond to the needs of Covid-19 patients and vitally, protect staff. We supported our Sierra Leonean partners to set up a local hospital Covid-19 task force, made up of representatives from each department and staff group. Collaboration with the task force achieved the following key activities:
- Design, orientation and implementation of a Covid-19 triage screening tool
- Safe patient flow for positive cases into isolation beds
- Covid-19, PPE and Infection Control training for over 200 front line health workers
- The set-up, equipping and staffing of a 10-bed Covid-19 isolation unit
- Use of holistic care planning to isolated patients, informed by emerging evidence
- Safe transfer of confirmed Covid-19 cases to treatment centres for higher level care.