Upload
nhs-improving-quality
View
662
Download
0
Embed Size (px)
DESCRIPTION
Leadership for safety - learning from Scotland. Joanne Matthews, Head of Safety, Healthcare Improvement, Scotland and Jane Murkin, Head of Patient Safety and Improvement, NHS Lanarkshire Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014 More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Citation preview
Scotland's
Patient Safety Journey
Leadership & Culture , National & Local perspective
Session Aims
• Share the safety journey in Scotland from a..
-national and local perspective
-reflecting a policy commitment to safe , effective and person centred care
-translating this to care at the bedside
http://www.scottishpatientsafetyprogramme.scot.nhs.uk/programme
2008 Launch
15 % Reduction in Mortality 30%
reduction in Adverse Events
Aims: To deliver the highest quality healthcare services to the people of Scotland For NHSScotland to be recognised as world-leading in the quality of healthcare it provides
Creating the conditions
5.2 million people £12 billion 14 Health Boards 8 Support Boards Emphasis on partnership and collaboration Moving to health and social care integration
“Safe, effective and person-centred care which supports people to live as
long as possible at home or in a homely setting.”
Sustainable delivery of the Quality Strategy
Quality of Care
Primary Care
Integrated Care
Safe Care
Unscheduled and Emergency Care
Person Centred Care
Care for Multiple and Chronic Illnesses
Health of the Population
Early Years
Health Inequalities
Prevention
Value & Financial
Sustainability
Innovation
Efficiency & Productivity
Workforce
12 Priority Areas for Action
ROUTE MAP TO THE 20:20 VISION
The SPSP Journey….
Compelling vision
Common goal - aim high
Evidence-based interventions
Model for Improvement Knowledge & skills
Collaboration
Leadership
Rogers, E. M. (2003). Diffusion of innovations. New York, Free Press.
Roger’s Adopter Categories
Values
Behaviour Mindset
Quality Improvement & Methodology
Improvement Skills Model creating the conditions
Toolkit
Measurement for Improvement
Communication
Teams
• Local
• Board
• National
• International
Teams
Safety Culture
Safety Culture
National to local
• Rhetoric to reality
• No assurance
• Don't bring me bad news
• Infrastructure
• Leadership
• Spread to soon
• Culture
Stories and Culture
• Easy to focus on ‘failures’
And forget how often things go right
Out of adversity comes opportunity Benjamin Franklin
Lessons for Leadership in changing culture
Culture change and continual improvement come from what leaders do, through their commitment, encouragement, compassion and modelling of appropriate behaviours.
•Berwick Report 2013
For improvement to flourish it must be carefully cultivated in a rich soil bed ( a receptive organisation), given constant attention ( sustained leadership), assured the right amounts of light( training and support) and water
( measurement and data) and protected from damaging.
Stephen Shortell
Culture
Progress towards our aims
90% of all practices in Scotland completed the Safety Climate Survey, by April 2014
Participate
Results
Feed-
back
Learning
Improvement
Safety
Climate
Survey
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
Workload Communication Leadership Teamwork Systems
Scotland’s Safety Climate April 2014
Safety Climate Survey Results Clinical vs Non Clinical
00000
Success , Challenges & Learning
Local Success
Safety is a process of enquiry
Source: Vincent C, Burnett S, Carthey J. The measurement and monitoring of safety. The Health Foundation, 2012.
www.health.org.uk/publications/the-measurement-and-monitoring-of-safety
Has care been safe
in the past?
Are our clinical systems &
processes reliable?
Is care safe today?
Will care be safer in the future?
Are we responding & learning
& improving?
It is not easy
It takes time
Achieve reliability before spreading
Measuring safety
Moving from scale testing to
universal spread
Expanding into other areas......
Learning
Spread
qihub.scot.nhs.uk
Older People in Acute Care
Spread
10 Patient Safety
Essentials Hand Hygiene
PVC Bundle
Surgical Brief & Pause
VAP Bundle
CVC Insertion
CVC Maintenance
General Ward Safety Brief
Early Warning Score
ICU Daily Goals
Leadership Walk rounds
Aim Primary Drivers Secondary Drivers
Through continually
improving
healthcare
delivered in
Scotland, we will
reduce events that
cause harm to
people.
Strategic Priority
Ensure safety and quality are organisational priorities
Provide leadership and oversight to ensure delivery
of programme
Actively develop your safety culture
Infrastructure
Develop and utilise local capacity and capability in QI
Effective measurement systems
Programme management
Effective communication
Manage transitions of care
Point of Care
Acute Adult
Maternity and Children Quality Improvement
Collaborative
Primary Care
Mental Health
Organising for the future
We have a Plan
At board level sufficient capacity and capability to delivery the safety aims
Capacity of the system to effectively use data to drive improvements
Capacity of the system to undertake large scale spread and sustain improvements
Effective systems to evaluate impact and capture key learning
A national infrastructure to ensure effective delivery and support locally
Integration across all safety programmes and wider
Questions
www.scottishpatientsafetyprogramme.scot.nhs.uk www.qihub.scot.nhs.uk
Joanne Matthews Head of Safety in Healthcare
Scottish Patient Safety Programme Healthcare Improvement Scotland
Jane Murkin
Head of Patient Safety & Improvement NHS Lanarkshire