Knowledge agents: developing and sustaining innovation and improvement fellowships Liz Maddocks-Brown, Professor Bill Lucas, Sue Mann, Christopher Burton, Nicki McNaney, Sue Hooton and Cathy Howe - presentation from the Health and Care Innovation Expo 2014

1. Knowledge agents:
Developing and sustaining
innovation and improvement
fellowships

2. Professor Bill Lucas
Co-Lead, Health Foundation
Improvement Science Programme
Liz Maddocks-Brown
Capability and Faculty Development Manager
NHS Improving Quality
and colleagues…

3. NHS Improving Quality
Founded on 1st April 2013, the single national improvement body for
NHS England, driving quality improvement, and transformational change across
the health and care system .
Our aim
“To embed improvement and change expertise through science, knowledge and skills, so
that improving quality and outcomes can be everyone’s business, in an ever changing
environment.”
Fellows and fellowships are an essential part of our
capability building strategy

4. Knowledge agents: developing and sustaining
innovation and improvement fellowship
• Understand more about the different kinds of fellowships and how they
create new knowledge and lead to innovations
• Explore connections between other initiatives ( communities or practice)
led by many different organisations
• Join with the health foundation, NHS Improving Quality, Universities UK,
to create a set of innovative design principles and ways of really
harnessing the potential and strengthen the experience and impact of
fellowships

6. fellowship
noun
1. friendly association, especially with people
who share one’s interests
2. a group of people meeting to pursue a
shared interest or aim
3. a guild or corporation
4. the status of a fellow of a college or society

8. IHI - Health
Foundation
Dimensions
Quality
Improvement
CLAHRC
Scottish Patient
NWL
Safety Fellows
Health
Foundation
GenQ
Darzi Clinical
NIHR Knowledge
Health Foundation
Health Foundation IS
fellows
mobilisation
IS PhDs
Fellows
Fellows
Project based








Seniority
Mid career 40!
Variable
Mid career
Mid career
Early clinical career
Varied
Varied
Mid - senior
Duration
12 months
12 months
10 months
2 years part time
2 years
3 years
3 years
Qualification








Protected time

1 day / week


0.5 WTE



Background
Clinical
Clinical
Clinical
Multi disc.
Clinical mostly
Clinical or research
Any
Multi disc.
Hybrid
managers
medical
Patients
Focus
QI methods and
Research on a
Leadership development +
application in
Hybrid
Hybrid
QI methods and
application in
specific study
research in IS theory,
practice
practice
question
methods and
implementation
Cross disciplinary 







Leadership








Self directed




Sort of

Learning
Bespoke
Residentials with IS
Structured input
Bespoke
As provided for
Action Learning,
theory practice. Int.
and Learning
PhDs students by
leadership development,
Forum. Study tour
sets
host university
individual coaching






10
21
9

Mentoring



?
Remain linked in




35
50 ish
90+
Structured input

with org
Numbers to date
18 pa
th
41 fellows in Y 1

9. Practice
Research

10. Structured
Unstructured

11. National
Local

12. Low cost
High cost

13. Early career
Senior

14. A life in the day of….
Chris Burton
Sue Mann
Cathy Howe

15. KNOWLEDGE MOBILISATION FELLOWSHIPS
“Through innovative practice and systematic study of that practice KMR Fellows should
advance knowledge and understanding about research use, influence and impact.”
10 fellows
in 2 rounds
2013/14
HEI
Academics
Methodologies
Knowing
NHS
Practitioners
Leadership skills
Doing

16. Camden and
Islington
Southwark and
Lambeth
NHS – Sexual and
Reproductive health
Procurement of services in
new landscape, what does
good look like?
Local Authority and
voluntary sector
New collaborative
arrangements
Sexual and
Reproductive
Health Services
Academic – UCL
Institute for Women’s
Health
Theories of decisionmaking/Evidence of
effectiveness/Impleme
ntation factors/data/
Users

17. Small Group Discussion
Which aspects of fellowship strike
you as likely to develop and
sustain innovation?
How might your organisation be
interested?

18. How do we work?
Our business model - small core national team
•
•
•
•
Only do what a national body should do
Leveraging and aligning work across the system for maximum benefit:
NHS LA, HEE , NIHR, Universities UK, THF
Commissioning from a range of delivery partners and working with
strategic investment partners
Use programme funding to bring in time limited capacity aligned to the
business plan

19. Next steps with Fellowships
Test
Design
Scope
Launch
and
spread
capacity
aligned
to the
business
plan

20. Next Steps
…and introducing Nicki McNaney

21. An Invitation to Join Us

22. bill.lucas@winchester.ac.uk
liz.maddocks-brown@nhsiq.nhs.uk