Collaborating for Better CareBest Practice Partnership

Stakeholder Workshop

Friday, 14 March 2014

Dr Stephen Stericker, NICE

Regional Consultant

Welcome & introduction

Agenda

• Welcome & purpose

• 3 Interactive sessions

– Session 1 – Direction & strategic purpose

– Session 2 – Stakeholder & partner engagement

– Session 3 – Year 1 Work plan & early wins

• Working lunch and feedback

• Housekeeping

Ground rules for the day

• Collaborative working and behaviours for the benefit of patients

• Chatham house rules

• Openness and honesty

• Respect everyone’s contribution

• Think outside the box and seek radical solutions (if appropriate)

Workshop objectives

1 Understand the context of the Best Practice Partnership (BPP)

2 Review strategic purpose and direction of the BPP

3 Further develop the BPP workplan

• Accelerating adoption and diffusion in the NHS

• Increase uptake of NICE guidance

• AHSNs created – breaking down boundaries and forging new partnerships between NHS, academia and industry

• NE & NC AHSN Steering group -establish a NICE Collaborative

• NICE / AHSN partnership agreement

• Build on NE forum for NICE leads

National and local context

Timeline

2013 NE & NC AHSN

established

• Knowledge & information workstream –NEQOS to develop a regional NICE guidance collaborative

Dec 2013 - present

• Initial Scoping

February 2014

• Stakeholder Conference ‘Collaborating for Better Care’

March 2014

• Stakeholder Workshop

March 2014

• Outline Work Plan (2014-16)

April 2014

• Constitute Steering Group

1 May 2014

May 2014

• 1st Regional Best Practice Masterclass

28 May 2014

AHSN requirements for BPP

1. Underpinned and informed by academic expertise in implementation science and knowledge transfer

2. Collaborative approach – “get out what you put in”

3. Measurable

4. Accountable to AHSN but self-governing

The facilitative approach

Problem solving

Support

Sharing best

practice

Dr Jackie Gray,

Epidemiologist, NEQOS

Session 1

Direction & strategic purpose

AHSN Requirements• Deliver AHSN objectives:

– To improve patient care and population health outcomes by translating research into practice and improving quality standards and service delivery

– To create wealth and stimulate engagement with industry to promote economic growth• Ageing – Hard to reach groups (rural) – Integrated care

• Measurement• Build on local Implementation Science Academic

resource – ‘Academic Consultancy’• Regional Collaborative • Masterclasses

Governance structure

NEN

C A

HSN

Innovation, Industry & Wealth Creation

Improving Health & Standards

Knowledge & Information

Best Practice Partnership

(Hosted by NEQOS)

BPP Steering Group

(Work Plan)

Expert Reference Group (Virtual)

Community of Interest

Task & Finish GroupsPublic & Patient

Engagement

BPP aim

Increase the uptake of NICE Guidelines, Technology Appraisals and Quality Standards across North East England and North Cumbria

Implementation Science

Skills & knowledge

System development Measurement

Priorities

• All guidance!

• Ageing – Long term conditions

– Sensory disabilities

– Physical disabilities

• Integrated care– Care closer to home

– Specific populations

• Hard to reach groups (rural)

BPP values

• Collaborative methodology

• Supporting and facilitating role

• Adding value to stakeholders & AHSN members

• Creating culture of cross-organisational learning

• Non bureaucratic (small support team)

VISION

• Today is about building that shared vision

• It builds on

– Telephone survey

– Stakeholder conference – comments; postcards; evaluation

Groupwork• Discuss in your groups the direction and

purpose of the Best Practice Partnership

– What does success look like?

– What would people be doing that they are not doing now?

– What would we see/hear that we’re not seeing/hearing now?

– Is there anything else that needs to be considered

Feedback from Groups

John Woodhouse, Clarity &

Parternship

Session 2

Stakeholder & Partner

Engagement

What we know already ?

• Established & growing evidence base for implementing evidence

– ’Implementation science’ ‘Knowledge transfer’

– What does it say? How do we use it? What are the gaps? Can we fill in the gaps?

What the surveys said

• NICE Products – legitimate & relevant

• All organisations have processes for implementation

• Governance, measurement & review varies

• Difficulties = inter & intra organisational

• No systematic approach to obstacles

Areas of common purpose

• Stable platform - development and sharing

• Structured approach to common problems

• Academic insight and analysis

• Whole system – 1o / 2o / commissioner

• Disseminate effective solutions

• Develop Knowledge / Skills / Capacity

• Senate / Networks – complementary roles

Groupwork

Does this Make Sense to You?

• Success – what does it look like now?

• Year 1 – Network Building, Early Wins,

Masterclasses - WHAT

• Year 2 – Build Out, Public Health, Integration ?

• Coordination – HOW will it work?

Feedback from Groups

Jill Mitchell, Consultant, Clarity

& Partnership

Session 3 –

Year 1 work plan & early wins

Objectives, goals & initiatives

• Define a 2-year work plan for the collaborative

– Building on what’s already gone before

– Taking account of stakeholder feedback & AHSN requirements

• Sharing best practice & pockets of innovation

– Systematic process to showcase, share & scale-up

• We are all trying to solve the same problems

• Develop a framework of metrics and outcome measurement across the region

• Identify and scope areas/topics for further research

• Develop methods for implementation of best practice guidance

• Review health economy priorities to inform best practice implementation

• Develop a regional understanding of best practice implementation

• Provide an environment of shared learning and problem solving

• Develop implementation science & knowledge transfer skills

• Develop leadership capacity & capabilities

Learning & Growth

System Knowledge & Development

Metrics & Outcome

Measurement

Process

Development

ProcessSelect Topic Area

Call to Action

Gather Examples of Implementation

Share ExamplesProblem Solve

Refine Implementation

Measure & Evaluate

Topic selection

• Link to Commissioning Outcome Framework

• Link to the NICE programme

– Prospective and retrospective

• Strategic priorities across NENC

– Ageing population

– Integrated care

– Inequalities (eg rurality)

BPP Steering Group

• BPP Steering Group

– Inaugural meeting 1 May 2014

– Monthly or Bi-monthly meetings

– Membership

• Number of members– 8-10 people?

• Who should be represented?

• What expertise is required?

Groupwork

1. Review the draft work plan in your groups

– Sense-check it and what else needs to be included?

2. Discuss how the themes and priority strands of work could be set

3. BPP Steering Group

– we would welcome your thoughts

Feedback from Groups

Next steps

Dec

20

13

-p

rese

nt

Initial Scoping

(NEQOS & C&P) Fe

bru

ary

20

14 Stakeholder

ConferenceM

arch

20

14 Stakeholder

Workshop

Mar

ch 2

01

4 Outline Work Plan

(2014-16) Ap

ril 2

01

4 Constitute Steering Group

1 May 2014

May

20

14 1st Regional

Best Practice Masterclass

28 May 2014

Dr Stephen Stericker

Workshop Close