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End PJ Paralysis

A powerful tool to promote and monitor patient care.

The End PJ Paralysis app was initially designed to support #EndPJparalysis, the 70 Day NHS Challenge which took place in the UK in 2018. This campaign grew out of an awareness of the deconditioning of patients that occurs during even short stays in hospital and the serious harm that results. The campaign highlighted the benefits to patients of remaining dressed and mobile while in hospital. The app makes it easy for nurses, midwives and care staff to record some simple metrics and to demonstrate the effect this has on patient outcomes.


Each day app users answer a few basic questions about their ward, such as ‘How many patients were up and dressed in their own clothes at midday?’ or ‘How many pressure sores?’ Organisations can tailor the data collection for their purposes by adding additional questions. An accompanying Webapp allows managers to view, analyse and compare statistics at ward, hospital, regional, or national level. It is even possible to compare data by speciality.


Objective feedback, which clearly demonstrates the effects of a change, is highly motivational.


  • By facilitating collection of accurate data, an organisation and its staff at grass-roots level are encouraged to evaluate their practices, supporting effective decision making.

  • The End PJ Paralysis app showcases good practice, provokes healthy competition and encourages staff to focus on quality of patient time and experience.

  • The app can be tailored for other healthcare providers.

App Overview

The EndPJparalysis app is available for download on both iOS and Android devices. Initial registration establishes the ward for which data entered will apply and then daily recording is quick and easy.

Examples of the App Interface

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“Since joining NHS Improvement, I have become familiar with the frightening statistics associated with prolonged bed rest and deconditioning – particularly for older people.


Whilst interesting, I didn’t need to see the stats as I have first-hand experience of the impact of immobilisation. Last year, I watched my 82 year-old father, Raymond, languish in a hospital bed for several weeks. It was rare for him to be out of bed and he remained in his pyjamas the whole time. The impact? A man who was previously able to get around slowly with a frame was discharged unable to even stand unaided. Many months of home physio meant that he eventually regained the physical ability and confidence to take just a few steps – a few steps that gave Ray back his dignity and limited independence.


I am therefore very supportive of the EndPJparalysis social movement, the 70 day campaign and the vast benefits that both can bring to people like my Dad.


Plus, as Head of Improvement Analytics, I’m really excited as it provides frontline staff with the opportunity to collect a valuable data set from which they can learn.”

Sam Riley, Head of Improvement Analytics.


“Our relationships with NHS colleagues has improved and we are delighted to be part of positive patient experiences. I honestly feel this has been the most powerful mechanism for change in thinking and practice for several years within NHS and H&SC! It has to continue, the learning cannot be lost - the practices can only be built on!”

Amanda Palin from Red Cross North (following the 70 day NHS challenge).


“Getting out of bed has made me feel a lot better. Staff are wonderful helping me to get mobile again and I am looking forward to going home.”

93 year old patient, Alethea

For more information about the EndPJParalysis app, contact

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