NHS Quality conference - Sarah Tilford

The Patient Safety

Collaborative Programme

2014-2019

NHS Quality: Improving Patient Care Conference

Sarah Tilford26 November 2014Network

“The most important single change in the

NHS in response to this report would be

for it to become, more than ever before,

a system devoted to continual learning

and improvement of patient care, top to

bottom and end to end.”

Berwick Report, August 2013

Responding to Francis and

Berwick

• Participate actively in the improvement of systems of

care.

• Acquire the skills to do so.

• Speak up when things go wrong.

• Involve patients as active partners and co-producers

in their own care.

For NHS staff and clinicians

• As far as you are able, become active partners in

your healthcare and always expect to be treated as

such by those providing your healthcare.

• Speak up about what you see – right and wrong.

You have extraordinarily valuable information on the

basis of which to make the NHS better.

For patients and carers

“Following Don Berwick’s recommendation, NHS

England will establish a new Patient Safety

Collaborative Programme across England to

spread best practice, build skills and capabilities in

patient safety and improvement science, and to

focus on actions that can make the biggest

difference to patients in every part of the country.

They will be supported to systematically tackle the

leading causes of harm to patients. The

programme will start in April 2014.”

The government’s response to Francis

and Berwick, November 2013

Responding to Francis and

Berwick

• AHSN footprint

• 2-5m population

• Locally owned and run

• Majority of funding devolved

to support local improvement

programme activity

• National support for;

• change packages/

interventions;

• knowledge sharing;

• consistent measurement;

• networks/communities.

Patient safety collaboratives

• Locally driven and led

• Designed in partnership

• Provide support, co-ordination & rapid spread and

adoption

• Developing capacity & capability for QI & Safety

• Variation on traditional breakthrough model

• Far reaching, all levels, whole system

A different kind of collaborative

A Theoretical Framework

NHS IQ Role

• A small national supporting / coordinating function

• Developing joint approaches with partners to:

o Measurement - expert group, baseline metric

development and national aggregation

o Leadership and Culture

o Capability building

o Programme evaluation and ROI

o Partner with patients and carers

• Provide QI and change expertise nationally

• Develop programme support materials

• Do what adds value nationally - help align work, connect

and join up the dots

Collaboratives progress to date (1)

• 15 patient safety collaboratives established in each AHSN across England and confirmed in July 2014

• Event held on 14th Oct 2014 to formally launch patient safety collaboratives, supported by SoS and National Medical Director

• Patient Safety Collaborative Programme Board established–Chaired by Norman Williams with membership from DH, NHS England, NHS IQ, AHSNs, NHS Leadership Academy, ‘Sign up to Safety’ campaign

• Leadership and Measurement groups being established and developing strategies with AHSNs

• Funding devolved to AHSNs as contract uplift – recruiting posts etc

Collaboratives progress to date (2)

• Local engagement with member organisations and establishment of patient safety priorities ongoing

• AHSN’s connecting with organisations that have ‘signed up to safety’ to ensure alignment

• Developed first stage improvement work plans for 2014/15 that have been shared across all collaboratives.

• Developing patient and carer engagement plans as a foundation of the work

• Developing a central system that enables shared learning and practical implementation of good practice

The operational modelNational Patient Safety Collaborative Programme - Operational Model

Pressure Ulcers VTE

Medication

Errors HCAI Maternity Falls

AHSN

1 x x x

2 x x x

3 x x x

4 x x

5 x x

6 x x x

7 x x

8 x x

9 x x

10 x x x

11 x x x

12 x

13 x x x

14 x x

15 x x

Leadership and Measurement

NHS IQAcceleratedLearning Groups

EvidenceToolkitsSocial mediaCampaignsSpread

Cluster groups

• Primary focus: leadership and measurement

• First 5 - Medicines, AKI, mental health, pressure

ulcers, deterioration & sepsis

• Groups focus on topic specific improvement

• Bringing expertise together with practical application

• Examine the evidence and guidance

• Peer support and problem solving

• Accelerate and share learning across the NHS

Principles:

• Build on existing pockets of excellence

• Co-produce - avoid duplication and share notable

practice and resources

• Establish ‘how’ to implement current evidence

• Test and refine new ways of working – where

evidence may be lacking

• Influence levers and drivers in the system to support

safer care

• Staff and patients – tools, skills and support

• Take & share learning, build networks e.g. SPSP

• Align with other initiatives – making safety

everyone’s business e.g. SU2S

16

NHS England’s national patient safety plan

THANK YOU

[email protected]

[email protected]

#saferNHS

Improving health outcomes across England

by providing improvement and change expertise.