Introduction to group work.

Developing a strategy to improve SNOD involvement in the ‘Approach’ in the Midlands Region.

Aim.

Increase rate of SNOD involvement in the ‘Approach’.

• Benefits to recipients• Benefits to family (time, quality of approach, consent rates if

right)• Benefits to hospital/local team

Goal.

Improve SNOD involvement from 61% (red) to 78% (green) in 2 years.

Improvement strategy (driver diagram).

• Education and training

• Internal processes (within your hospital)

• External processes (regional organisation)

Improvement strategy (driver diagram).• Education and training1. All consultants to watch DVD/best practice training2. ? Difficult communication course

• Internal processes (within your hospital)1. Adopt regional pathway2. Adopt 1 new approach to encourage early referral3. Increase the practice of ‘admit to prognosticate’4. RCA for every case where no SNOD involvement

• External processes (regional organisation)1. Effective and early DCD triage2. ? Changes to regional SNOD deployment

Monitoring progress.

• Feedback at future Collaboratives of progress towards

- headline goal (% SNOD involvement in Midlands)- % SNOD involvement by hospital- achievement of agreed objectives (primary and secondary drivers)