shaun clee and helen smith collaborative launch

On the Floor and Learning to Dance:

The Highs and Lows of Setting up and Running a

Safety Collaborative in Mental Health

Shaun Clee and Helen Smith NHS South of England Improving Safety Collaborative in Mental Health

On the Floor and Learning to Dance

Content

• Programme vision

• Underpinning theory

• Collaborative workstreams

• Integrating physical healthcare

• What worked well

• Keys to success

So the Vision for the Program

was…..

5 year collaborative programme to:

1. reduce mortality rates by 15%

2. reduce adverse events by 30%

3. develop and build a culture of patient safety and quality improvement

4. build long term sustainability through increased capacity and capability

for improvement at all levels within participating organisations

5. build on existing work and integrate other national and local initiatives

into a coherent whole

6. achieve 95% reliability in all care processes identified in the

programme

7. create the ability to share learning on a regional, national and

international basis

Traditional approach to introduction of

new ideas

• Usually imposed from ‘on high’

• Piloted in one area with enthusiasts

• “If it works here – it will work anywhere’’

• Spread to entire organisation by dictat

• 12 months later it is as if the new idea had never

existed!

• Spray and Pray- but ‘hope is never a plan’

• Improvement Science is a body of knowledge that

describes how to improve safely and consistently.

• Improvement Science is not the same as Research.

• Research is designed to find out what is possible.

• Improvement Science is not the same as Audit.

• Audit is designed to find out what is actual.

• Improvement Science describes how to reduce the gap

between what is actual and what is possible.

http://health.org.uk/media_manager/public/75/Research%20scan_Improvement%20science.pdf

What is Improvement Science?

To reduce harm to users of mental health services by focusing improvement on the following:

Overall Aims of the Mental Health

Programme

Senior Leadership for safety

Safe and reliable delivery of mental health care

Getting medicines right

Improving the physical care of patients

Delivering person and family centred care

Communication and team work

What worked

well….?

Any Questions?

hsmith7@nhs.net

Shaun.Clee@glos.nhs.uk