nhs quality conference - sarah tilford
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The Patient Safety
Collaborative Programme
2014-2019
NHS Quality: Improving Patient Care Conference
Sarah Tilford26 November 2014Network
“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
Responding to Francis and
Berwick
• Participate actively in the improvement of systems of
care.
• Acquire the skills to do so.
• Speak up when things go wrong.
• Involve patients as active partners and co-producers
in their own care.
For NHS staff and clinicians
• As far as you are able, become active partners in
your healthcare and always expect to be treated as
such by those providing your healthcare.
• Speak up about what you see – right and wrong.
You have extraordinarily valuable information on the
basis of which to make the NHS better.
For patients and carers
“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
and Berwick, November 2013
Responding to Francis and
Berwick
• 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
• Locally driven and led
• Designed in partnership
• Provide support, co-ordination & rapid spread and
adoption
• Developing capacity & capability for QI & Safety
• Variation on traditional breakthrough model
• Far reaching, all levels, whole system
A different kind of collaborative
A Theoretical Framework
NHS IQ Role
• A small national supporting / coordinating function
• Developing joint approaches with partners to:
o Measurement - expert group, baseline metric
development and national aggregation
o Leadership and Culture
o Capability building
o Programme evaluation and ROI
o Partner with patients and carers
• Provide QI and change expertise nationally
• Develop programme support materials
• Do what adds value nationally - help align work, connect
and join up the dots
Collaboratives progress to date (1)
• 15 patient safety collaboratives established in each AHSN across England and confirmed in July 2014
• Event held on 14th Oct 2014 to formally launch patient safety collaboratives, supported by SoS and National Medical Director
• Patient Safety Collaborative Programme Board established–Chaired by Norman Williams with membership from DH, NHS England, NHS IQ, AHSNs, NHS Leadership Academy, ‘Sign up to Safety’ campaign
• Leadership and Measurement groups being established and developing strategies with AHSNs
• Funding devolved to AHSNs as contract uplift – recruiting posts etc
Collaboratives progress to date (2)
• Local engagement with member organisations and establishment of patient safety priorities ongoing
• AHSN’s connecting with organisations that have ‘signed up to safety’ to ensure alignment
• Developed first stage improvement work plans for 2014/15 that have been shared across all collaboratives.
• Developing patient and carer engagement plans as a foundation of the work
• Developing a central system that enables shared learning and practical implementation of good practice
The operational modelNational Patient Safety Collaborative Programme - Operational Model
Pressure Ulcers VTE
Medication
Errors HCAI Maternity Falls
AHSN
1 x x x
2 x x x
3 x x x
4 x x
5 x x
6 x x x
7 x x
8 x x
9 x x
10 x x x
11 x x x
12 x
13 x x x
14 x x
15 x x
Leadership and Measurement
NHS IQAcceleratedLearning Groups
EvidenceToolkitsSocial mediaCampaignsSpread
Cluster groups
• Primary focus: leadership and measurement
• First 5 - Medicines, AKI, mental health, pressure
ulcers, deterioration & sepsis
• Groups focus on topic specific improvement
• Bringing expertise together with practical application
• Examine the evidence and guidance
• Peer support and problem solving
• Accelerate and share learning across the NHS
Principles:
• Build on existing pockets of excellence
• Co-produce - avoid duplication and share notable
practice and resources
• Establish ‘how’ to implement current evidence
• Test and refine new ways of working – where
evidence may be lacking
• Influence levers and drivers in the system to support
safer care
• Staff and patients – tools, skills and support
• Take & share learning, build networks e.g. SPSP
• Align with other initiatives – making safety
everyone’s business e.g. SU2S
16
NHS England’s national patient safety plan
THANK YOU
Sarah.tilford@nhsiq.nhs.uk
Barbara.zutshi@nhsiq.nhs.uk
#saferNHS
Improving health outcomes across England
by providing improvement and change expertise.
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