leading improvement in safety and quality a training and coaching programme to support general...
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Leading Improvementin Safety and Quality
A training and coaching programmeto support general practice in
improving safety, qualityand satisfaction for patients and staff
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ObjectivesThis programme will develop your ability to lead effective and sustainable service improvement with less effort and resistance.
Using a variety of skills and tools, you will be equipped to address any aspect of improving safety and quality – in a way that will inspire and engage the whole team
Intended for
GPs, lead practice nurses, practice managersCCG & federation quality improvement leads
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Benefits
Improve quality safety without just working harder.
Make best use of the new NHS Change Model.
Enthuse, engage and empower staff to continually improve.
Involve patients as partners in improvement.
Build your personal change leadership skills.
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The programme
Practical, challenging and fun. We blend workshop learning with personal reflection, action learning, practical project work and guided reading.
The programme can be adapted to meet your own situation and priorities, including basing it around a specific theme or challenge.
A typical programme involves 6 one day workshops over 6-9 months, with 8 coaching webinars in between workshops.
Inputs can be tailored according to participants’ prior experience, as well as particular learning needs.
Contact Dr Robert Varnam, Clinical Lead for Primary Care, to discuss your needs and begin planning your programme ([email protected]).
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The impact
98% of GPs attending our workshops would recommend them to anyone
100% change how they think about improving care
“A lightbulb moment in every session”“Inspiring”
“Why didn’t someone show me this years ago?”
“We’re finally turning good ideas into actual benefits for patients”
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“Very, very impressive”
“Even my difficult colleagues are coming
on board”“The best use of time for our GPs and managers since I don’t know when”
“The whole team have a sense that we can finally do this”
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Building a culture of continual learning & improvement
Topics covered
Diagnose Plan, learn & implement Work smarter Share itDefine
Leading people in transition
The case for change
Linking quality, safety, productivity &
happiness
360 degreepracticeappraisal
Quality & safetyculture
Humanerror
Why isexcellence hard?
Guidelineviolation
Understandingvariation
Design bettersolutions
Plan & communicatestrategy
The Modelfor
Improvement
Measuringimprovement
Understandprocesses
Improvereliability
Engage patients
Spreadinnovation
Sustainimprovement
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The case for change
Understand and reflect on the evidence about our current situation:
• patient safety• quality of care• patient experience• staff satisfaction• productivity• rising demand & complexity
Reflection & discussionKnowing How We Are Doing
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Linking quality, safety, productivity & happiness
Understand the links between quality, safety, productivity and satisfaction for patients and staff
Develop your case for change, based on the evidence for improving value in care
Making the case for changeThe Transition model (Bridges)Gathering data & stories
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360 degree practice appraisal
Get the full picture about safety & quality Focus on solvable problems Stop misusing information Include everyone’s perspective Be more proactive Find easier opportunities to improve Include patients in improvement
Staff & patient safety reportingSafety WalkroundsTrigger tools
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Quality & safety culture
Understand the contribution of organisational culture to patient safety and quality
Evaluate your own safety and quality culture Develop a plan to broaden and bolster team engagement in
improvement, addressing specific cultural challenges
Understanding cultureManchester Patient Safety FrameworkImproving culture for quality
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Why is excellence hard?
Understand human and system performance Reduce the likelihood of error Identify the reasons for rule violations Make it easier to do the right thing
Understanding human errorUnderstanding rule violationSystems thinking
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Understand variation
Learn techniques for measuring and exploring variation in performance, between teams and individuals, and over time
Develop plans for effective recording and analysis of data about variation
Apply the 360 Degree Appraisal model to use information for improvement rather than judgement
Detecting & measuring variationUnderstanding variationDiscussing variation with colleagues
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Design better solutions
Reduce error-producing conditions Improve teamwork and communication Improve processes and tasks Eliminate obstacles to effective working
The London ProtocolHuman factors engineeringSBAR communication
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Plan & communicate strategy
Review your current approaches to strategic planning & implementation
Brainstorm more effectively using creative tools Use driver diagrams to avoid “silver bullet” thinking Show staff where their contribution fits Make programmes easier to track and evaluate
Driver diagramsMaking a case for changeCreating a compelling vision
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The Model for Improvement
Understand why traditional change strategies are hard work and inefficient
Appreciate the principles of small step change Practice using the PDSA methodology to test and refine change
ideas
Reflection & discussionKaizen principlesThe Model for Improvement
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Measuring improvement
Understand the different strategies required for research, judging care and improving care
Learn how to measure in real time using statistical process control Choose indicators to provide knowledge, not just data Understand and track variation in real time Avoid acting on impulse Select the right strategies for investigating variation Measure and understand demand, workload and patient flow
Run charts & Statistical process controlUnderstanding variation
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Understand processes
Develop methods and skills for mapping processes as they actually are
Identify the parts of your system that serve patients best, using value stream mapping
Pinpoint the changes necessary to maximise the benefit of your hard work
Create the ideal future processes for your patients
Task-oriented process mappingValue stream mappingThe power of observation
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Improve reliability
Understand the impact of poor reliability in your practice’s processes
Use simple methods to develop more standardised approaches to common and high risk processes
Prioritise the areas to improve, using FMEA Redesign processes to improve reliability Achieve almost total reliability with barriers, mitigations and
redundancies Select the right indicators to measure improvements and
unintended consequences
Design for reliabilityFailure Mode & Effects AnalysisChoosing metrics
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Engage patients
Use new methods to engage patients and carers in highlighting improvement opportunities
Apply the evidence about what patients want to your practice Use experienced based design principles to get better results Help patients to improve patient safety Improve concordance and satisfaction with shared decision
making Plan new evidence based programmes to improve self care and
community care
Experience Based Design360 Degree Patient Safety AppraisalThe new Engagement Cycle
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Spread innovation
Appreciate why innovations often spread slowly Assess your local readiness to share learning and collaborate for
improvement Plan new structures and processes to spread innovation within
and between practices Take a lead on improving care within your locality
The NHS Institute Spread ToolStakeholder analysisPeer support
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Sustain improvement
Understand the reasons why improvements and innovations are often not sustained
Embed sustainability principles in your plans are sustainable from the outset
Apply specific strategies to improve sustainability
Sustainability ModelReflection & discussion
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Building a cultureof continual improvement
Understand & measure your safety & quality culture Choosing & changing priorities Being proactive Engaging the right people Empowering every member of staff to be a change agent Building sustainable change programmes
Innovation culture evaluationInnovation culture planning toolUnderstanding drive (Pink)
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Leading peoplein transition
Lead people as effectively as you lead change Developing your leadership style Diagnosing the causes of apathy and opposition to change Using tools to support people through transition Understanding differences in people’s motivation Using different influencing styles to build motivation and
commitment Planning changes in people
The Transition Model (Bridges)Strength Deployment InventoryReflection & discussion