suzette woodward breakout collaborative launch
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Sign up to Safety
Creating a patient safety movement
We crave meaning and purpose in life and one way to find it is to connect to a cause larger than
ourselves
Some of the greatest successes in the world have come from movements to address inequities or injustices from
slavery to hunger
So many social problems in the twenty-first century seem intractable and insoluble
We explore Mars and embed telephones in wristwatches but we
can’t seem to keep patients and families safe in our hospitals and community
The NHS – The facts
• In the NHS there are currently in England (unless stated): – 211 clinical commissioning groups (including 152 authorised without
conditions) – 160 acute trusts (including 101 foundation trusts) – 56 mental health trusts (including 41 foundation trusts) – 34 community providers (18 NHS trusts and 16 social enterprises) – 10 ambulance trusts (including 5 foundation trusts) – c.8,000 GP practices – c2300 hospitals in the UK
• In 2013 the NHS employed 147,087 doctors, 371,777 qualified
nursing staff, 154,109 qualified scientific, therapeutic and technical staff and 36,360 managers
• Managers and senior managers accounted for 2.66 per cent of the 1.364 million staff employed by the NHS in 2013
So what's the size and scale of the patient safety problem?
• The NHS deals with over 1 million patients every 36 hours
• Studies show that 1 in 10 patients are harmed while receiving care
• Most of this is minor but sadly there are 3000 avoidable patient deaths reported each year
The good news is that experts are gaining a much better understanding
of how we can improve patient
safety
There is an emerging science of how best to make a difference
Some of the different approaches to making a change
• Implementation science
• Quality and Safety Improvement
• Campaigning and social marketing
• Social media and movements and movement principles
• Large scale change programmes
• Collaboratives
Motivation
You can HELP
• Hope – Promote the campaign principles that while it is
important to understand what goes wrong we all need to hope that things can be better
• Energy – Channel your energy to support the campaign
• Love – Love what you do – you will want to do it well
• Pledge – Your own personal actions to improve patient safety
Our shared cause
A unified English Patient Safety Programme
5 pledges
1 personal
safety improvement
plan
1 safety lead
and 1 campaign volunteer
Align with AHSN and
Patient Safety Collaborative Programme
SIGN UP
What does participation mean for an organisation?
5
pledges
1
personal safety
improvement plan
Join the team and become a volunteer
Promote the
campaign
SIGN UP
What does sign up mean for an individual?
Universities – could commit to ensuring all healthcare students will learn the knowledge and skills to prevent avoidable harm Students – could make a personal pledge and create a personal improvement plan
A different kind of leadership • The vision of leadership offered by community organising is not of
the ‘single leader’
• Instead, it is a kind of leadership that Harvard professor Marshall Ganz refers to as a “snowflake” — a web of interdependent leaders who support others in becoming leaders
• For Ganz, this is the difference between leadership as a position, and leadership as a practice: • We’re approaching leadership as a practice, not leadership as a
position…It’s about accepting responsibility for enabling others to achieve purpose under conditions of uncertainty
Snowflake Leadership
Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England
Campaign Organisers
Local campaigners
NHS CareMakers
Safety Fellows
Safety Hubbies
Participant Safety Leads
System Safety Leads
AHSNs and Patient Safety Collaboratives
= Regional hub organiser
Roles
Safety Lead One or more individuals in your organisation who
will lead on the sign up to safety improvement work
Local Campaigners One or more individuals in your
organisation who will lead on the sign up to safety campaign work
Volunteers As many people who want to be volunteers to support the campaign across
England
Volunteers
• Sign up to Safety will use an innovative approach to creating a wider campaign team through the use of volunteers as part of its virtual campaign team.
• There are three factors that will support this approach: 1. A specific, time-limited challenge: Individuals will not be asked to
sign up as volunteers forever, just to do their bit to help make this campaign achieve its aims – this may be for any time up to 3 years
2. Clarity of purpose: the volunteers will have a brief role description and a person specification – so they know what they are doing and they are the right people to do it - they will be well briefed throughout their time as a volunteer
3. Given something in return: Volunteering can make a significant contribution to personal and professional growth – they will be a vital part of something important
Embracing social media and joining forces
@signuptosafety
1,393 followers
#signuptosafety #su2s
Involving patients in preventing harm
• Safety briefings
• Checklists for patients
• Simple and helpful leaflets
• Videos
• Top tips
Embracing fun ways to share information
• Whatsapp groups
• Yammer
• Webinars
• Sketchnotes
System
Policy, Standards, Regulation and Oversight
Care Quality Commission
Monitor
NHS Trust Development Authority
NHS Litigation Authority
Health Education England
NHS England
MHRA
NICE
Ombudsman
Department of Health
Patient Groups
Improvement and support
AHSNs
Patient Safety Collaboratives
Sign up to Safety
NHS IQ
NHS England
Information, knowledge and learning
National Reporting and Learning System and
safety indicators
Health and Social Care Information Centre
Alert compliance Claims, complaints,
patient feedback
Strategy and Advisory group
• To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton
• To support coordination of patient safety initiatives and help align activity related to patient safety to ensure a consistent approach across the NHS in England
• To facilitate partnership working in relation to patient safety between key stakeholders
• To ensure the individual stakeholders and initiatives add value to the whole
Mile
sto
nes
Launch call for experts to support improvement Nov 14
Increased participation from 12 to 60 (Wave 2) by end Dec 14
Campaign strategy including measurement and evaluation completed and launched by end Dec 14
Launch call for volunteers Jan 15
Increased participation from 60 to 120 (Wave 3) by June 2015
Second Year; Anniversary announcement 24 June 15
5 pledges
1 personal safety
improvement plan
1 safety lead
and 1 campaign volunteer
Align with AHSN and
Patient Safety
Collaborative Programme
SIGN UP
1,356 followers
Strategy and Advisory group
• To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton
= Regional hub organiser
Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England
So if you wonder about your purpose
want a positive impact on the world around you and
you care about your legacy
Join our movement and …
Sign up to safety Via: http://www.england.nhs.uk/signuptosafety/about/
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