clinician engagement for qi - what can other settings learn from community services?’ dawn nortman...
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Clinician engagement for QI - What can other settings learn from community services?’
Dawn NortmanHead of Clinical Audit & Research
Kent Community Health Trust (KCHT)
Kent Community Health NHS Trust
• One of the biggest providers of NHS community services
• More than 60 different services• 5400 staff• Serving a population of over 1.4 million
Our Area – In Kent
Our Area – Outside Kent
Exercise: What is different about engagement in community?
• List differences• For each difference is that a positive or
negative?• Provide details of why it is positive or negative• If a negative is there anything that can be done
to overcome this?
What is different about engagement in Community?
Differences Positive / Negative?
More stable staff population
Staff Type
No centre
Geography
Engaging Clinicians in Quality Improvement
“Nothing about me without me”
Forums for Engaging Clinicians
• Meet the Execs• Patient Safety / Quality Walkabouts• Director of Nursing Surgeries• Quality Forum
Forums for Engaging Clinicians
• Schwartz Rounds• Matrons Group• Lead Nurse Group• First Class Care – Education• Best Practice Forums
Leadership & Clinician Engagement
Example of CQC Inspection Communication and Engagement Model at KCHT
• Use a variety of methods to reach audience:• Staffzone CQC pages• Managers’ cascade of information• Presentation for delivery at team meetings• Updates in weekly bulletins• CQC drop in sessions• Director of N&Q video
Example of CQC Inspection Communication and Engagement Model at KCHT
• Need to write meaningful guidance in a language clinicians can relate to:
• 5 domains self-evaluation tool, poster and business card• FAQ document
• Get feedback afterwards to assess if engagement was successful:
• CQC inspection survey to staff
Using the Example of Transformation Team
Transformation Team Engaging With Staff In Service Re-Design
Ashford Long Term and Intermediate Care Services Engagement and Service Development Workshop
Using the Example of Transformation Team
• Goal for the day: To engage staff in the development of our services to align with potential CCG defined “Network Hubs”.
• Number of staff attending: 43 staff at Bands Six and Seven.
• Outcome: A collection of solutions to support the continued delivery of patient care in Ashford in response to new commissioning arrangements and needs locally.
Feedback from Participants:“Strong sense of engagement from all. Fear free forum for sharing views – really feel listened to”
Exercise: How would you engage clinicians in Clinical Audit?
What?
Who?
How?
Why?
Where?
When?
Starburst Technique
Using the Example of Clinical Audit at KCHT
• Executive Leadership – Medical Director• Strong Foundations – Strategy & Policy • Clear Roles & Responsibilities
• Department• Clinical Audit Group• Directorate Audit Sub-groups• Directorate Audit Leads• Service Audit Leads• Project Leads
Using the Example of Clinical Audit at KCHT
• The skills to get involved – Training, E-learning• Active Engagement / Dissemination of Learning
• Learning at Work Day• Clinical Audit Awareness Week• Clinical Audit & Research Conference
Advertising Department Support:
Advertising How Audit has Improved Quality
Using the Example of Clinical Audit at KCHT
• Flexibility • Stepping Outside of Remit• Proving Our Worth – MQGF, CQC Inspection
Using the Example of Clinical Audit at KCHT
• Action Plan Monitoring – every audit to completion
• Patient and Public Involvement• Ownership
First Follower: Leadership and Engagement
Leadership Lessons from a Dancing Guy - Video
