Safer Care

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• Safer Care

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Our mission

• The NHS Institute for Innovation and Improvement
  supports the NHS to transform healthcare for
  patients and the public by rapidly developing and
  spreading new ways of working, new technology and
  world class leadership.

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The way we work
Local Improvement Hubs
Working methodology Clinical systems
improvement Going Lean in the NHS Sustainability
guide
Improvement leaders guides Learning
modules Involvement framework HR/OD/WFP network
Graduate programmes Board development Clinical
development programmes
Build on what we know and generate new knowledge
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• Our Priority Programmes
• Delivering Quality and value
• No Delays
• Safer care
• Care outside of hospital
• National Innovation centre (NIC)
• Building capacity

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Safety First Chief Medical Officers
reportDec 2006

• Harm to patients should not be viewed as an
  acceptable part of modern Health care
• Sir Liam Donaldson CMO Dec 2006
• Aiming for a NHS where all staff have the energy,
  confidence and Skills to eliminate harm to
  patients.

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Safety First NHS Institute key deliverables

• 11 NHS Institute to work with medical Royal
  Colleges and others to ensure that advances are
  made in education training to support patient
  safety
• 3 The National Patient Safety Forum should
  oversee the design and implementation of a
  national patient safety campaign-focussed
  initiative. The objective of this initiative
  should be to engage, inform and motivate clinical
  staff and healthcare providers to address the
  challenge of providing safer healthcare.
• Key challenge for the Institute as this work
  moves us from product development to delivery

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Education and training - year 1

• Existing staff
• Patient Safety Course October 2007 prototype /
  evaluate
• Virtual Faculty made up of credible experts
  that will teach, inspire and advise.
• Clinical Systems Improvement and training
• Reliability event early 2008 learn from events,
  fail safe the system.
• Global Trigger Tool audit the case notes, what
  intervention could have stopped the incident
  happening.
• Working with other Key Groups

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Patient Safety course-how to deliver
improvements in safety

• Initially targeting our PPN sites, then evaluate
  course-
• 4 days
• Model for Improvement
• Reliability
• Culture (receptive context)
• Process redesign
• Measurement
• Infrastructure
• Business case for safety
• 2 follow up days to support implementation
• Doctor and nurse pairing with CE attending last
  day

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The Leading Improvement in Patient Safety Network
of 21 Trusts
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Education and Training

• New Staff
• Improvement modules in under-graduate training
• York St John, with new partners, Edgehill
  University (Liverpool) and University of
  Northumbria
• Teesside, with new partners , University of
  central Lancashire and University of
  Wolverhampton
• Warwick , with new partners , Imperial College
  London and University of Derby
• Working with the Royal Colleges

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Receptive Culture

• Building Partnerships for Quality and Safety
• Quality and Safety Academy for leadership teams -
  top team learning
• Clinical Faculty NHS and private sector experts
• Human Factors training /Martin Bromleys story
• Experience Based Design with patients who have
  had MRSA
• HSJ CONGRESS MAY 2008 (NHSI, NPSA, and others)

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Campaign

• Very early stages of planning and thinking
• Patient safety forum (safety first point 3)
• Based on the Social movement theory release the
  energy
• Learning from IHI 100K LIVES and 5m Lives
  campaign
• NPSA, Health Foundation, NHS Institute -
  partnership working

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What we plan to deliver
Aiming for an NHS where all staff have the
energy, confidence and skills to eliminate harm
to patients
Develop staff skills
Help lead NHS campaign
Build network of experts
Proposed deliverables
Creating a strong network
Training for existing senior leaders
Co-leading the campaign
Global Trigger Tool (secondary care)
Clinical faculty developed
Helping shape and set up the campaign
Event and paper on reliability
21 acute trusts supported to set the pace
Supporting activities to be agreed
Joint events with Royal Colleges
Developing senior leaders
Compelling communications
Executive Quality Academy for boards
Martin Bromley DVD
Roll out courses following testing
Leading Improvement in Patient Safety course for
Trust leaders
Experience Based Design work with MRSA patients
Training for new and current staff
SPC training to support safety work
Expanding into Primary care
Clinical Systems Improvement training
Primary care Global Trigger Tool developed and
training provided
Incorporating safety into improvement modules for
undergrad clinical training
Year 1
Key Expected delivery to the NHS
Years 2 and 3
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Releasing Time to CareThe Productive
WardGetting it right first time
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NHS Institute Safety Team

• Simone Jordan Executive lead / Director of
  Learning
• Kate Jones Priority Programme Head
• Lou James - Associate
• Penny Pereira
• Ali Tongue Associate
• Rebecca Bartholomew Associate
• Debbie Savage Administrator
• Early days and a huge agenda to deliver
• Firstname.surname_at_institute.nhs.uk
• www.institute.nhs.uk