Chair - John Wilson – CEO NHS Fife

#NHSSevent#bestplacetogrowup@NHSFCE@rosgray@shirleyGlaing

Session outline

• Knowledge and understanding of Framework for ImprovementDependent on your role:• To consider what are the ingredients for success in implementing this

improvement approach for early years • To consider the challenges to the service in taking this approach• To identify community assets in your context that can contribute to

improvement, and how you might personally engage

•Using a World Café approach• Present emerging learning in key topic areas, including the

policy line, evidence base, and emerging testing in each work stream area

• Discuss work at the CPP level in each work stream area• Contribute and leave your footprint on this important work• Have fun!

4

Breakout Objectives

Setting the scene

• Ros Gray – Head of the Early Years Collaborative, Scottish Government• 5 minute videohttp://developingchild.harvard.edu/resources/multimedia/videos/theory_of_change/

6

What are we trying toaccomplish?

How will we know that a change is an improvement?

What change can we make that will result in improvement?

Model for Improvement

Act Plan

Study Do

Langley, et al.

The fundamental improvement questions

•What are we trying to achieve?• Know exactly what you are trying to do – have clear aims

and objectives•How will we know that change is an improvement?

• Measuring processes and outcomes•What changes can we make that will result in an improvement?

• What have others done? What hunches do we have? What can we learn as we go along?

IHI Breakthrough Series Collaborative

Select Topic

(develop mission)

Planning Group

Develop Framework & Changes

Participants (10-100 teams)

Prework

LS 1

P

S

A D

P

S

A D

LS 3LS 2

Supports

Email (listserv) Phone Conferences

Visits Assessments

Monthly Team Reports

A D

P

SExpert

Meetings

AP1 AP2 AP3

LS – Learning Session

AP – Action Period

Holding the Gains

To ensure that women experience positivepregnancies which result in the birth of moreHealthy babies as evidenced by a reduction of15% in the rates of stillbirths (from 4.9 per 1,000 births in 2010 to 4.3 per 1,000 births in 2015) and infant mortality (from 3.7 per 1,000 live births in 2010 to 3.1 per 1,000 live births in 2015).

Aims – 1 – station 1

To ensure that 85% of all children withineach Community Planning Partnership havereached all of the expected developmentalmilestones at the time of the child’s 27 30‐month child health review, by end 2016.‐

Aims - 2– station 2

To ensure that 90% of all children withineach Community Planning Partnership havereached all of the expected developmentalmilestones at the time the child starts primaryschool, by end 2017.‐

Aims – 3 – station 3

Leadership - Station 4

• Leadership• Getting organised for quality improvement

• Choose 2 stations – 15 mins each• Each work stream - overview

(5 Minutes)• Group discussion - current work in this work stream

(10 Minutes)• Move on• Final 25 minutes report out to the room

13

How We’ll Spend Our Time…

Area

Who are individuals and/or teams currently working on in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning?

Reflecting on the emerging knowledge within this key area, what are some potential tests of change you are currently running or could run that might accelerate this work and/or make it more impactful?

From this brainstorm, what is a test of change you can take home and test within the next two weeks?

Describe your first test(s) of change: Person responsible

When to be done Where to be done

Test(s) of Change:

Predict what will happen when the test is carried out:

Measures to determine if prediction succeeds:

15

Report Out to the Room (25 Mins)

•Emerging learning from each station• 6 minutes each

That’s it for now…but just the beginning!•Big thanks to all for your contribution•Leave you with the words of Sir Harry Burns…