Derek Feeley Boards on Board Opening Remarks - 22 February 2012
Boards on BoardThe Role of the Board in Quality and Safety See the problem, own the problem, fix the problem Derek Feeley 22 February 2012
Scotland’s Triple Aim + (or new readers start here)• Health (prevention and anticipation)• Healthcare Quality• Value (i.e. quality/cost)• Integration and collaboration
High Ambition – to be a world leader The ultimate aim of our Quality Strategy is to deliver the highest quality healthcare services to people in Scotland and through this to ensure that NHSScotland is recognised by the people of Scotland as amongst the best in the world. We want to achieve this aim in a way this is recognisable and meaningful to everybody.
Built on people’s priorities• caring and compassionate health services• collaborating with patients and everyone working for and with NHSScotland• providing a clean and safe care environment• improved access and continuity of care• confidence and trust in healthcare services• delivering clinical excellence
The Healthcare Quality Strategy Ambitions• Person-Centred - Mutually beneficial partnerships between patients, their families, and those delivering healthcare services which respect individual needs and values, and which demonstrate compassion, continuity, clear communication, and shared decision making.• Clinically Effective - The most appropriate treatments, interventions, support, and services will be provided at the right time to everyone who will benefit, and wasteful or harmful variation will be eradicated.• Safe - There will be no avoidable injury or harm to patients from healthcare they receive, and an appropriate clean and safe environment will be provided for the delivery of healthcare services at all times.
Priorities for progress towards our 3 QualityAmbitions – Safe, Effective and PersonCentred • Everyone gets the best start in life, and is able to live a longer, healthier life • People are able to live well at home or in the community • Healthcare is safe for every person, every time • Everyone has a positive experience of healthcare • Staff feel supported and engaged • The best use is made of available resources
Strategic Narrative; ‘20:20 Vision’ Everyone is able to live longer healthier lives, at home, or in a homely setting
Vision for Adult Health and Social Care• Older people are supported to live well at home or in the community for as much time as they can• They have a positive experience of health and social care when they need it
Integration of Health and Social Care• Legislation: – nationally agreed outcomes – joint accountability – integrated budgets across primary care, community health and social care, and some of acute care• CHP committees will be taken off the statute book and replaced by Health and Social Care Partnerships – joint and equal responsibility of the NHS and Local Authority• Jointly appointed senior accountable officer will report to the Chief Executives of the NHS and Local Authority• Annual accountability meetings will enable accountability through Boards to Ministers
The 3 curves? Viability Optimizing the Current Model Transforming the Patient Organization Inflection Point Time12 Adapted from The Second Curve, Models Ian Morrison 1996
Under the first curve…• Financial Position?• HEAT Performance?
What about….• Medication • Do you know how many medication errors occurred – last month, last quarter, last year? • Has the number gone up or down • Do you know where they occurred
Under the 2nd Curve; Acute Emergency Admissions by Practice for >75 population 2007/08 5000 4500 4000 3500 3000£/weighted head 2500 2000 1500 1000 500 0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61
Board 1, Hospital 2 – 17.8% 1.5Standardised Mortality Ratio 1.0 0.5 Oct- Apr- Oct- Apr- Oct- Apr- Oct- Apr- Oct- Apr- Dec Jun Dec Jun Dec Jun Dec Jun Dec Jun 2006 2007 2007 2008 2008 2009 2009 2010 2010p* 2011p
Board 1, Hospital 1 – 5.2% 1.5Standardised Mortality Ratio 1.0 0.5 Oct- Apr- Oct- Apr- Oct- Apr- Oct- Apr- Oct- Apr- Dec Jun Dec Jun Dec Jun Dec Jun Dec Jun 2006 2007 2007 2008 2008 2009 2009 2010 2010p* 2011p
Looking ahead to the next 2 days• Building on firm foundations – Boards on Board – January 2011 and Jim Conway – Developed through SPSP• Welcome to Jamie Orlikoff• Support from the National Leadership Unit• Recognition of expertise within the audience