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So we need to do one our workshop style interactive session to teach you about the idea of s bar it stands for s the situation B for background a for assessment and all for recommendation, and it's about making us more effective in our communication what you can use bar for is in hand over when district nurses meet they often go out and Dothan visits in the morning come back at lunchtime make sure everybody#39’s okay, and then they want to talk about what#39;happened have a clinical discussion within a group so in the handover it canes very lengthy you can get into discussions about non-clinical issues that you don't need to discuss s bar allows us to have that framework to keeps focused on our clinical discussions get right down to the point and take outfall the waffle and the conversational part of the handover, so it brings you right down to the nub of the problem and allows you to stay focused on the clinical needs of that patient and what you need the rest of the team to know so for example I come back from my morning visit and I say I want to talk about Mr. Smith actually everything's changed the situation we all know who is that helices alone he#39’s got leg ulcers and the background is weak visiting for the last two weeks and this new dressing has notbeenmy assessment is actually that he#39;brewing an infection there's a lot of redness around the outside, so my recommendation is that I ring the GP and ask for some antibiotics because actually systemic deer he#39’s unwell No Ivan demonstrate nurses the ideas that once clinicians have got used TOS bar as a framework or as a tall they can then use that in any type of communication what is the actual situation that we have with the patient they can use it on the folio and taking message or talking to another collision on the phone they can particularly use it talking to a GPface-to-face the clinicians can also use it to do their progress notes on Rio and any other clinician following on whether#39’s a physio or OT or the podiatrist can see actually what you found what your recommendation was and what you'redone about it, so it makes all the communication more effective that#39’s the idea behind it anyway than we introduced the idea of a patient status at a glance board which is another type of tool to help supports bar and support the team's work moreeffectivelywhat we found is that when people have used it in handover they have been able to cut down their hand overtime from an hour or over an hour down to half an hour now that means that you#39’re saving half an hour per condition per day across the week which is a lot of hour sand the benefit of that has been that because they've had a quicker handoverthey'’ve been able to have more time to-do their red notes, or they've got more time to spend with their patients rather than time talking to other people about their patients#39’ve had perfect feedback that actually it#39’s something that you can pick up quite easily it#39;straightforward...