World Stop Pressure Ulcers Day Fiona Thow 20 November 2014 Network Responding to Francis and Berwick The most important single change in the NHS in response to this report would be for it to become more than ever before a system devoted to continual learning and improvement of pa ID: 752753
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Slide1
The Patient Safety Collaborative Programme 2014-2019
World Stop Pressure Ulcers Day
Fiona Thow
20
November
2014
NetworkSlide2
Responding to Francis and Berwick
“
The
most important single change in the NHS in response to this report would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.” Berwick Report, August 2013 Slide3
For NHS staff and clinicians:
Participate actively in the improvement of systems of
careAcquire the skills to do so
Speak up when things go wrongInvolve patients as active partners and co-producers in their own careSlide4
Patients as leaders and true partners
Co- producing the safety programmeSlide5
“Following Don Berwick’s recommendation, NHS England will establish a new Patient Safety Collaborative Programme across England to spread best practice, build skills and capabilities in patient safety and improvement science,
and to focus on actions that can make the biggest difference to patients in every
part of the country. They will be supported to systematically tackle the leading causes of harm to patients. The programme will start in April 2014.” The government’s response to Francis, November 2013
Responding to Francis and BerwickSlide6
AHSN
footprint
2-5m population
Locally owned and run
Majority of funding devolved to support local improvement programme activity
National support for;
change packages/ interventions;
knowledge sharing;
consistent measurement;
networks/communities.
Patient safety
collaboratives
#
saferNHSSlide7
A Different kind of Collaborative
Locally driven and led
Designed in partnershipProvide support, co-ordination & rapid spread and adoption
Developing capacity & capability for QI & SafetySlide8
Framework for Operational Excellence
©Alan Frankel and IHI 2013
A system devoted to continual learning and improvementSlide9
Using the principles of the Safety Framework
Patients, families and carers involved in agreeing and designing priorities
Focusing on creating the right cultureCreating a system that continues to learn
Using appropriate quality and safety improvement methodologyMeasurement & Leadership are key !Slide10
Progress to date
NHS England Public Board signalled support for the programme
Design Day held for 120 experts on 15
January 2014NHS England funding allocation process finalisedGovernance structures and processes agreed with AHSNsCollaborative Programme Board established
Patient Safety Leads group convened
1:1 meetings with AHSN’s
Baseline data packs in development
Establishing links to other initiatives
National Launch Day - 14
th
October
Operational model & initial “cluster groups” agreedSlide11
Collaborative priorities - proposalsSlide12
The ‘operational model’Slide13
Cluster groups
Primary focus: leadership, measurement and quality improvement and safety capability
Medicines Optimisation, AKI, Mental Health, Pressure Ulcers, deterioration of the patient (Incl. sepsis)
Group focus on topic specific improvementBringing expertise together with practical applicationPeer support and problem solvingAccelerate and share learning across the NHSSlide14
Pressure Ulcers
5 AHSNs have identified it as a priority area
Interest in working in care homes, community and supporting people in their own homesDeveloping skills and training resources for care homes
Linking it to work on hydration, falls and AKIPlans are still being developed – cluster group input, master classes, sharing good practice, resourcesSlide15
Key principles
Build on existing good work
Establish ‘how’ to implement current evidenceTest and refine new ways of working – where evidence may be lackingInfluence levers and drivers in the system to support safer careAlign initiatives – making safety everyone’s businessStaff and patients – tools, skills and support
Aim for large scale and transformational changeShare learning across the NHSSlide16
NHS
IQ
Role – what we have heardA small national supporting / coordinating function
Build on pockets of excellence and communities of interestDeveloping joint approaches with partners to:Measurement - expert group, baseline metric development and national aggregationLeadership & Culture - expert group
Capability building programme - workshopsProgramme evaluation & ROI
Partner with patients and carers
Provide QI and programme support materials and guidance
Co-produce - avoid duplication and share best practice and resources
Do
only what
adds value nationally
- help align work, connect and join up the dotsSlide17
#saferNHS
Fiona.thow
@nhsiq.nhs.ukwww.nhsiq.nhs.uk
Improving health outcomes across England by providing improvement and change expertise.