Creating a service

Idea

Creating a service

Networking / consultation

Identify the need

Find funding

Create a project plan

Business Plan

Creating a serviceCreate a project plan

Aims

Indicators of success / outcomes

Target

Monitoring

Objectives

Evaluation

Creating a serviceCreate a project plan

Client pathway

Policies and procedures

Consent forms

Considerations for therapy / patients charter

Leaflets

Patient information

Recording information / client notes

Communicating with other professional

Gathering information for monitoring and evaluation

Organisational chart

Creating a serviceRecruitment

Training & CPD requirements

Job description

CRB

Insurance

Contract

Person Specifications

Interviews

References

Advertising

Creating a serviceAdapting the project

Clinical Governance

Audit

Patient feedback

Staff feedback

Team Meetings

Referrer Feedback

Creating a serviceAdapting the project

• The aim of audit is to identify how closely your practice relates to best practice as described by standards, clinical guidelines or other sources of best practice.

• A systematic examination of current practice to assess how well you are performing against set standards (i.e. allows you to measure performance against targets)

• Analyse systematically the quality of care provided and to monitor improvements.

• It is a useful tool for showing you where you are and helping you decide where you want to be in the future.

• A variety of methods may be used in performing an audit (e.g. observing practice, examining case records, activity levels)

• The outcomes of the audit are compared with the set standards.

• Any deficit is addressed by implementing changes, which in turn are re-audited to measure their effectiveness.

Audit

Creating a serviceAdapting the project

Audit Cycle

Identify a topic / issue/ problem

Set standards / goals

Collect data and measure quality

Identify if change is needed

If needed, decide on a strategy for

change

Implement change

Measure effectiveness of

change

Creating a serviceAdapting the project

Clinical Governance

• Continuously improving the quality and effectiveness of the service

A system of being accountable for:

• Maintaining / safeguarding existing high standards

• Ensuring that patients receive the highest possible quality of care

• Creating an environment which aims for clinical excellence

Creating a serviceAdapting the project

Clinical Governance

Must be willing to:

• To accept that there may be scope for improvement

• To accept that as demands and needs change, the project might

need to change to maintain the existing good service

• Look out for the need to change / adapt

• Make the changes / adaptations

• Continually review the situation

Creating a serviceAdapting the project

Clinical Governance

Risk avoidance

Well trained staff

Continued Professional Development

Clear procedures and guidelines (policies and procedures)

Safe environment

Risk management

Creating a serviceAdapting the project

Clinical Governance

Poor performance

Early recognition

Decisive intervention

Effective self regulation

Feedback on performance

Complaints procedure

Creating a serviceAdapting the project

Clinical Governance

Quality Methods

Good practice spread

Clinical policies evidence based

Lessons learned from failure

Improvement processes integrated

Clinical audit

Creating a serviceAdapting the project

Clinical Governance

Culture

Open and participative

Good leadership

Education and research valued

Patient / carer participation

Ethos of teamwork

Creating a serviceAdapting the project

Clinical Governance

Infrastructure

Access to evidence

Time allowed to plan

Training and development strategies

Information technology supports practice

Integrated Care Pathways

Creating a serviceAdapting the project

Clinical Governance

Coherence

Goals of individual, team and organisation aligned

Excellent communications

External partnerships forged

Professional and Organisational Accreditation

Cost effectiveness

Creating a service

Sustainability

Keeping up with the changing needs of the service user

Funding if original funding is time limited

Continued promotion of the service

Creating trust in those who would refer to you

Spreading the news about good practice and outcomes

Partnership working

Networking

Outreach Children’s Project

Gave a talk at a local community children’s centre about Freshwinds.

Identified that families would like to access service but too far for them to come.

Attended local Birmingham Children’s Fund Meetings as a way of letting relevant people know about Freshwinds’ Children’s Project

Contacts made through these meetings led us to successfully submit a funding bid to the Birmingham Early Years Development and Childcare Partnership for an outreach therapist to attend at an inclusive play scheme based at the children’s centre.

The funding bid had to be adapted to the criteria of the funder – e.g. incorporating educational elements and giving priority to children up to the age of 5 years.

At an inclusive play scheme

Outreach Children’s ProjectCreate a project plan

Aims

Indicators of success / outcomes

Target

Monitoring

Objectives

Evaluation

Outreach Children’s Project

Aims

To contribute to the holistic picture of health and well-being (physical, emotional, psychological and social well-being) of

children with life-threatening and life-limiting health conditions, and their families, through the safe provision of

complementary therapies, and access to information about complementary therapies, within the setting of an inclusive

play scheme, held at the children’s centre.

Outreach Children’s Project

Objectives• To provide individual complementary therapy sessions (in at least one type of therapy) for the child, siblings and parents/carers

• To educate carers and children (where appropriate) in some basic complementary therapeutic skills (relevant to the therapy that the therapist is qualified in) that can be utilised by themselves, thus empowering them to look after themselves / their child.

• To offer staff and volunteers within the play scheme the opportunity to experience a complementary therapy session, to access education about the therapy and to learn some basic therapeutic skills, so that they are able to give informed advice to carers regarding complementary therapies.

• To act as a resource of information about the complementary therapy that the therapist is qualified in, as well as about the principles of holistic care, including giving talks and demonstrations

Outreach Children’s Project

Indicators of success

• Parents/carers and children (where appropriate) report positive benefits to their or their child’s health and well-being as a consequence of having access to the complementary therapy

• Carers and children (where appropriate) make use of learned basic therapeutic skills to help with their or their child’s health and well-being

• Carers and children (where appropriate) feel better able to make informed decisions about complementary therapy

• Staff and volunteers feel better able to give informed advice about complementary therapy

Outreach Children’s Project

Targets

• On average, for each play scheme day attended by the therapist, to provide therapy for at least 3 individuals (children, carers or staff/volunteers), excluding days put aside for group talks/demonstrations

• Within a 12 month period, to provide at least 2 sessions of talks or demonstrations or basic skills sessions

Outreach Children’s ProjectMonitoring

• Feedback questionnaires after talks, demonstrations or basic skills sessions to assess immediate impact

• Feedback questionnaires after individual therapy sessions to assess immediate impact

• Feedback questionnaires to all participants at the end of the year to assess overall and long-term impact of the service

• Record the number of therapy sessions provided

• Record the number of people who have accessed therapy sessions

• Record the number of talks, demonstrations or basic skills sessions done and the attendance at them

Afternoon groups

Funding & Networking

Monitoring and evaluation

Policies and procedures

Working safely with children