ahsn stakeholder event centre for life, newcastle tuesday 23 rd june 2015 patient safety...
TRANSCRIPT
AHSN Stakeholder Event
Centre for Life, NewcastleTuesday 23rd June 2015
Patient Safety Collaboratives:the North East approach
Tony Roberts, Interim Programme LeadCate Quinn, Interim Programme Manager
Regionally-based system-wide integrators- Improving the health and wealth of the country -
AHSN NENC• Improve health & wealth• Partnership
– Research– Practice– Industry
• Members– Trusts, CCGs, Universities
• Stakeholders– Local Authorities, Industry, NIHR Clinical Research
Networks, Clinical Networks, Other NHS bodies and organisations, Public Health, LETB, NEQOS, NHS England
Improving Health
Clinical Programmes
Quality Improvement Collaborative
Data Integration
Programmes
Celebrating Success
Patient Safety Collaborative
MeasurementTechnology
adoption
Medicines Optimisation
Patient and Public
Involvement
Telehealth
“The most important single change in the NHS in response to this report would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.”
Berwick Report, August 2013
Responding to Francis and Berwick
• A network of 15 patient safety Collaboratives across England
• Tackle the leading causes of harm to patients using QI, innovation & evidence based solutions, supported centrally
• Offer staff, users, carers and patients the opportunity to work together locally to tackle specific safety concerns
• Build patient safety and improvement capability – quality and safety science education across professional groups
• Raise awareness – create energy, build a safety movement• Ambition - will be the largest and most comprehensive
collaborative improvement initiative in the world• Will (must) work cross sector and cross service
What is the patient safety collaborative programme and what will the Collaboratives look like?
The North East legacy
• Many organisation-based initiatives, clinical networks and partnerships and collaborative projects
• Safer Care North East (led by former NE SHA)• Investing in Behaviours (led by NHS England North, in
collaboration with the Health Foundation)• Leadership and Quality Improvement programmes (led by North
East Leadership Academy and North East Transformation System)• Mortality monitoring • Measurement tools commissioned from NEQOS• Collaborating for better care - NICE Best Practice Partnership• Academic experts
Progress so far
• Steering group has met 3 times, chaired by Professor Richard Thomson and agreed TORs. Membership remains open to review but includes patient and public representatives.
• Process to appoint small team to run the PSC• Call for proposals January 2015: ~£450K
– 22 projects received, 6 projects funded• Funded projects began in April 2015• Link to Health Education North East Faculty of Patient Safety
The collaborative so far: projectsProjects adopted from AHSN
Medicines optimisation
ThinkSAFE
Lithium safety
Hip fracture
PSC Project call 2014/15
Serious infections (CAP/Sepsis)
Pressure ulcers
Deteriorating child
Acute Kidney Injury
Falls
Preventing hip fractures
Topic area Patient Safety Topic
The ‘essentials’
Leadership Measurement
NHS Outcomes Framework improvement areas
Venous Thrombo-embolism
Healthcare Associated Infections
Pressure Ulcers
Maternity Medication
Errors Deterioration in
children
Other major sources of death and severe harm
Falls Handover
and Discharge
Nutrition and hydration
Acute Kidney Injury
Missed and delayed
diagnosis
Deterioration of patients
Medical Device Errors
Sepsis
Vulnerable groups for whom improving safety is a priority
People with Mental Health
needs
People with Learning
Disabilities Children Offenders
Acutely ill older people
Transition between
paediatric and adult care
National Collaborative priorities
Baseline patient safety metrics
• An approach is developing locally: The second version is with acute Trusts for comment
• 186 indicators in the public domain (no new measures at this stage)
• Helpful in identifying priorities• Need to acknowledge the difficulty in answering the two
key questions:– Is the NHS getting safer?– If it is, what contribution to that are PSCs making?
Conclusions
• Patient Safety Collaboratives have a key role in helping organisations work together on patient safety for system improvement
• We need to build on our strengths as a region and focus on the priorities
• The projects we fund aim to reach across the whole pathway of care for patients and engage as many of you as possible
• We will measure what we do to see if, working together, we’re having the impact on safety we all desire
• The links to HENE and to the Q Initiative will help us build capability and capacity
Contacts
Tony RobertsInterim Programme [email protected]
Cate QuinnInterim Programme [email protected]