Health and Care’s Top 70 Stars

Rachael Moses

by
comms
comms | 8 months ago | in Health and Care's Top 70 Stars

Rachael has had an amazing impact on improving care and new ways of working, not only for Lancashire Teaching Hospitals and our region, but also on the national and international stage, speaking at European and international conferences to represent the NHS. Rachael always goes above and beyond for any patient she has dealings with, and is a truly inspirational manager, colleague and mentor. Nurses and doctors contribute hugely to the NHS, but therapists are able to provide a holistic experience to patients, and consultant physiotherapists are a rare and vital role.

Rachael’s role as a Consultant Physiotherapist allows her to meet the demands of patients with long term conditions. In her role, she often sees patients from diagnosis to death, providing a holistic approach to helping young adults to reach their potential, or those at the end of their lives to achieve their bucket lists. Rachael always tries to make the dreams of her patients become a reality; not thinking of them as patients, but as friends as well. Rachael speaks extremely highly of all of her patients, and of how lucky she is to be in a role where she gets to meet such incredible and inspirational people; of which she is one too!

Rachael’s role is a unique role, and consultant physiotherapists are rare within the NHS and more widely, but it is a perfect time to celebrate these new, upcoming and vital roles as the NHS turns 70 and the way that we provide healthcare is evolving. Rachael is able to fulfil the lives of those individuals who may not have long left to live, and she ensures that their remaining days are the best that they can be, in her own time and through the goodness of her own heart.

Rachael has helped to grant wishes and bucket list dreams for many of her patients; including a woman who had just days left to live and wanted to see one of the therapy dogs. She takes her patients out for day trips, to the cinema, and even helps to find them a job - all in her spare time! Most recently, Rachael went above and beyond for her patient and organised for the gentleman to meet his idol, ex-footballer Ian Rush, and other Liverpool players at a recent Legend’s game.

At the time of joining Lancashire Teaching Hospitals, there was a clear lack of Allied Health Professional leadership.  Rachael has consistently demonstrated the importance and value of her role by implementing evidence based practice, data sets and outcome based healthcare. Rachael created a vision of collaborative working across all professions bringing together nurses, therapists, doctors, patients, care providers and commissioners to create a safe and effective service from a dedicated and happy team.

When she was new into her post, Rachael wanted to create a vision of what excellent care looks like to the patients we treat. She led the organisation of focus groups which patients attended alongside carers, families, commissioners, managers and clinicians across primary and secondary care, and manufacturers. This allowed us to create a service specification around not only our patient’s needs but also the needs of other major stakeholders. As a result, our service is based on the needs of our patients and works alongside national and local strategies, using the most recent evidence and innovative technology keeping our patients safe whilst providing the very best cost-effective care.

Every year, both our patients, carers and other service users evaluate our service. 92% of our patients rate our service as excellent and feel they are involved in decision making processes, kept up to date with both clinical and service information and they receive the very best care. 

Rachael has been recognised highly for her work in her own time in evenings and at weekends looking at outcomes of patients after they have been discharged from hospital following major illness, which has been shortlisted for two national awards. Rachael noted, in particular, that an increasing number of people who had survived neurological injury who had a tracheostomy had been discharged with the assumption that this respiratory support would need to be permanent. Rachael’s work led to the removal of the tracheostomies initially of five patients, improving quality of life and care outcomes. Patients were able to regain speech and eat and drink normally as well as noticeable improvements in overall physical function and ability. This initiative is also addressing the need for a more proactive approach to ensure all patients are identified and have their tracheostomy removed wherever clinically appropriate.

Rachael and the team have also implemented remote ventilator monitoring which has revolutionized the ability to assess and titrate treatment in a patient’s home via telephone reducing the need for patients to come into hospital.  Rachael presented preliminary three month data at a national conference on the impact this has on the team’s carbon footprint.  This won a NHS Sustainability award in the Public Health category.  Over 12 months, we have developed a sustainability and carbon footprint strategy which has seen a significant reduction in our travel miles, CO2 emissions, associated financial costs and improvement in patient satisfaction and quality of life. 

The long term ventilation service has grown under the leadership and supervision of Rachael alongside the ventilation nurse specialists who work completely autonomously.

  • Our COPD population data demonstrates on average we reduce the number of acute admissions from 4.3 to 0.8 per year. This equates to an estimated 556 bed days saved every year
  • 5 long-term tracheostomy patients have been decannulated not only changing their life but also making projected financial savings of over £500,000.
  • In her airway clearance clinic she has developed a national referral pathway to reduce the heath care and inequality gap in accessing cough assist devices

Rachael manages an outpatient airway clearance clinic which is commissioned across Lancashire and South Cumbria but can now accept referrals nationally to reduce the healthcare gap for people accessing specialist respiratory physiotherapy.

Rachael lectures both nationally and internationally and represents a number of organisations and charities including:

  • British Thoracic Society (Elected council member)
  • NHSE AHP Patient Safety Member
  • NCEPOD NIV Study Advisor
  • Co-chair Home Mechanical Ventilation UK
  • Chair and founder Respiratory Leaders in Physiotherapy
  • Medical Aid Palestine (Visited Gaza July 2017)
  • MS Trust conference speaker and educational supporter

 

Rachael also goes above and beyond to help her team and other staff members in any way that she can, by providing free training courses for NHS staff on her days off and at weekends.

In addition, Rachael has been an avid supporter of Medical Aid Palestinians, and has visited Gaza to provide education to support the devastated medical infrastructure there (https://www.youtube.com/watch?v=6Af2Xh73DBE).

Rachael has already achieved deserved recognition in several awards ceremonies. She was a finalist in the HSJ awards 2017 for Clinical Leader of the Year. She was voted mentor/leader of the year at St George’s Hospital in 2014, and most inspiring leader and lecturer at Kingston and St Georges University of London in 2015. She won the NHS Sustainability Award in 2017. She was a finalist in the North West Coast Research and Innovation Awards 2018, and a finalist in the AHA Awards 2018. She was also a runner up in the “Hospital Health Star” category for the ITV Good Morning Britain’s Health Star Awards. Rachael was nominated for that award because she consistently goes above and beyond to help her patients, many of whom have very life-limiting conditions, and their families.

Rachael truly deserves to win this award as she continues to go above and beyond for her patients, team members and community. Rachael’s role is pivotal in improving the quality of life for patients, particularly those whose time is limited, and she gives 100% to ensure that these individuals are able to fulfil their dreams.

 

Sarah Reeves 7 months ago

Well done Rachael - very well

Reply 0

Lisa Cowgill 7 months ago

Rachael deserves this award 100% I can honestly say I don’t think I’d be here without her. She’s spent hours and hours of her own time not only helping me when I was at my lowest but speaking with my family and friends explaining what was happening when I struggled to do so. We’ll never be able to thank her enough!...

Reply 0

Sue Lawson 7 months ago

Such a deserving winner, Rachel epitomises everything that a healthcare provider should be . I’ve had the pleasure to be a colleague and am proud to be a friend. Such s dedicated, caring , passionate and patient focused practitioner x

Reply 0

Emma Pringle 7 months ago

Well done Rachael x

Reply 0

Amy Buckingham 7 months ago

This idea has been advanced to the current phase

Reply 0

Amy Buckingham 7 months ago

This idea has been moved back to the previous phase

Reply 0

Amy Buckingham 7 months ago

This idea has been advanced to the current phase

Reply 0

Amy Buckingham 7 months ago

This idea has been moved back to the previous phase

Reply 0

Amy Buckingham 7 months ago

This idea has been advanced to the current phase

Reply 0

Amy Buckingham 7 months ago

This idea has been advanced to the current phase

Reply 0

Share