Key messages

NHSScotland Quality Strategy and Health Works

Anne HendryNational Clinical Lead for Quality

Key messages • Better Health Better Care development• Integrated rather than additional• Aligns policy, planning and performance• For all of us - NHS, partners and public• For the long haul

Built on people’s priorities

• caring and compassionate health services• collaborating with patients and all who work

for and with NHSScotland• providing a clean and safe care environment• improved access and continuity of care• confidence and trust in healthcare services • delivering clinical excellence

Our approach

3 Quality Ambitions• Mutually beneficial partnerships between patients, their families

and those delivering healthcare services. Partnerships which respect individual needs and values and which demonstrate compassion, continuity, clear communication and shared decision-making.

• No avoidable injury or harm from the healthcare they receive, and that they are cared for in an appropriate, clean and safe environment at all times.

• The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, with no wasteful or harmful variation.

Quality Infrastructure• Quality Alliance and Board • Governance• Workforce • Ehealth • Quality Improvement –HUB partners • Quality Measurement Framework

1 2

3 4 5

QUALITY INITIATIVES COST REDUCTION PROGRAMMES

Costs more cost neutral improves quality quality neutral reduces quality reduces costs

Quality and Value

What will it take?

• Embedding quality in day-to-day work • Greater coherence, alignment and focus • Collaboration and leadership • A shift in ethos, approach and behaviours • A focus on outcomes that matter • Setting the right targets and measures

QMF 3 Quality Ambitions

Quality Outcome Measures

HEAT

Local and national quality indicators

Nurturing Quality Doing The Right Thing Doing it Right

• Approaches • Care and supports• People

• Treatments • Interventions • Processes• Pathways • Structures

Person Centred Ambition

• Empathic encounters • Effective continuous relationships / teams• Enablement and self management• Empowerment and assets approach • Equality sensitive practice and mutuality • Ethos of workforce and organisation

Effective Ambition The most appropriate treatments,

interventions, support and services will be provided at the right time to everyone who will benefit, with no wasteful or harmful variation.

Throughout the life journey

Effective Ambition Priorities

• Early Years • Population Health Improvement • Inequalities Targeted Primary Prevention

• Complex needs

Efficiency and Productivity Delivering Quality in Primary Care Action Plan MCNs Health Works and Scottish Offer

Effective Complex Care• Long Term Conditions Action Plan• Living and Dying Well • Reshaping Care Pathways for Older People• Dementia Strategy • Delivering Quality in Primary Care Action Plan • Shifting the Balance / IRF • Rehabilitation Framework & Health Works• Multi-agency partnership

High Level Outcome Statement People with complex care needs, their

families and carers, have more choice, control and independence; feel valued, safe and informed; and are supported to live well at home or in a homely setting for as long as possible

7 Scottish Heath Offer Principles • Care plans / goal setting - work outcome• Biopsychosocial model • Enable meaningful activity and function• Good work is good for health• Early Intervention• Minimum Standards - reduce variation• Access

Discussion

How will implementing the Health WorksScottish Offer help us realise our QualityAmbitions?

What would optimise momentum and impact?

Actions for Scottish Offer National Forum? Actions for Quality Strategy team?