“Don’t waste a good crisis!”First attributed to M. F. Weiner in an article in the journal MedicalEconomics entitled ―Don’t Waste a Crisis — Your Patient’s or YourOwn.‖ Weiner meant by this that a medical crisis can be used toimprove aspects of personality, mental health, or lifestyle.
Safety Quality ReliabilityCulture of Learning Informed Decision-Making
Systems and processes are only as good as the people who work within them
LEADERSHIP COMMUNICATIONS RELATIONSHIPS CULTUREBEHAVIOURS MULTI-DISCIPLINARY TEAM WORKING
Role of Standards It is a key driver in quality and safety Acts as an impetus to recognise good practice and address poor performanceResponsive Regulation Ensures that only fit providers/professionals are providing services, care and support Should be fair, proportionate, risk-based and objective
2012Launch and support understanding of Standards forSafer Better Healthcare (SBHC)Using Standards for SBHC to monitor where concerns2013Full monitoring programme for Standards for SBHC2014+Licensing of healthcare facilities
Regulatory Pyramid punishment Shame for inactionEducation and Persuasion about a problem
Responsive Regulation awards Informal praise for progressEducation and persuasion about a strength
National Standards for Better Safer HealthcareQuality Dimensions:• Person-Centred Care and Support• Effective Care and Support• Safe Care and Support• Better Health and Well-being
National Standards for Better Safer HealthcareDelivering the Quality Dimensions – delivering improvements within the dimensions depends on capability and capacity in four key areas:• Leadership, Governance and Management• Workforce• Use of Resources• Use of Information
National Standards for Safer BetterHealthcare: Themes
Working with RegulatorsImperative that regulators work together to improvequality and safety and reduce burdenHealth and Social Care Regulatory ForumMemoranda of Understanding: Health and SafetyAuthority, Medical Council, CORU…Joint inspections where appropriate
Opportunities for Working Together – The HowRegular engagement and information sharingInvolvement and consultation on the development ofnew activitiesInforming required guidanceOpen door for discussions on improving quality andsafetyProvide education, awareness and training on QImethodologiesPromote national QI initiatives
Opportunities for Working Together – The WhoClinical Engagement as a priorityLink with all professional collegesLink with unionsMeetings with CMO, CNO, Pharmacist, Ambulance andallied health professionalsOngoing relationship with frontline staff and middlemanagement on Patient Safety and Quality initiatives
―Quality is never an accident. It is always theresult of high intention, sincere effort, intelligentdirection and skilful execution. It represents the wise choice of many alternatives. . . Quality also marks the search for an ideal afternecessity has been satisfied and mere usefulness achieved.‖ William A. Foster, 1917-1945
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