Our Approach to Social Innovation in

HealthDave Dawes

Community nursesCommunity nurses

The Nurse First Model

LeadershipLeadership InnovationInnovation

FinanceFinance Entre-Entre-preneurshippreneurship

The most important things in helping NHS clinicians take innovation forward were:

• attitude of senior managers in your organisation (31%)

• attitude of middle managers in your organisation (29%)

• being taught the skills & knowledge for innovation (29%)

• protected time (22%)• access to senior managers

in your organisation (17%)

How easy to access your Chief

Exec?

How easy to access your Chief

Exec?

Middle manager problem

Ideas are worthless

Execution matters

Dealing with obstacles

Dealing with obstacles

Emotional resilience

Money is the Oxygen of the NHS

Scissors of Doom

CheaperBetter

CheaperBetter

CheaperWorse

CheaperWorse

Cost moreWorse

Cost moreWorse

Cost moreBetter

Cost moreBetter

4 Pillars of Innovation

Pro

ble

m

Gre

at

Idea

Busi

ness

Mod

el

Execu

tion

Radical, incremental and

adaptive innovation

Create costed business plans

£1.2 million savings each£1.2 million savings each

£1 million = 1 admission prevented per day

£1 million = 1 admission prevented per day

Measurable personal

development

NHS Nurse FirstClinicians Cohort

% of staff who identify “lack of skills and knowledge” as a barrier to innovation

% of staff who identify “difficulty accessing senior managers” as a barrier to innovation

% of staff who identify “lack of ongoing funding” as a barrier to innovation

NHS Nurse FirstClinicians Cohort

NHS Nurse FirstClinicians Cohort

Messiness of execution

Messiness of execution

The reality of success

Examples of projects

Mental health & diabetes

Older people

•£800,000 on acute admissions

•£280,000 on community admissions

•£400,000 on GP & community services

•New service saved £740,000

100 most vulnerable elderly people used:

NutritionNutrition 12% of residents known to nutrition service

12% of residents known to nutrition service

20% over nutrition

20% over nutrition

22% under nutrition

22% under nutrition

Falls prevention

Palliative careEx offenders

Infection control

Heart disease

Speech and languageMultiple Sclerosis

Epilepsy

COPDAsthma

Wound care

Sexual health

Diabetes

Cancer

Mental health

Carer support

Staff well-being

Social isolation

IncontinenceLymphodema

Drug and alcohol

Mother and baby

www.nursefirst.org.uk