Leadership for safety - learning from Scotland. Joanne Matthews, Head of Safety, Healthcare Improvement, Scotland and Jane Murkin, Head of Patient Safety and Improvement, NHS Lanarkshire
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
2. Session Aims
•Share the safety journey in Scotland from a..
-national and local perspective
-reflecting a policy commitment to safe , effective and person centred care
-translating this to care at the bedside
4. Aims:
To deliver the highest quality healthcare services to the people of Scotland
For NHSScotland to be recognised as world- leading in the quality of healthcare it provides
6. 5.2 million people
£12 billion
14 Health Boards
8 Support Boards
Emphasis on partnership and collaboration
Moving to health and social care integration
7. “Safe, effective and
person-centred care which supports people to live as long as possible at home or in a homely setting.”
Sustainable delivery
of the Quality Strategy
8. Quality of Care
Primary Care
Integrated Care
Safe Care
Unscheduled and Emergency Care
Person Centred Care
Care for Multiple and Chronic Illnesses
Health of the Population
Early Years
Health Inequalities
Prevention
Value & Financial Sustainability
Innovation
Efficiency & Productivity
Workforce
12 Priority Areas for Action
ROUTE MAP TO THE 20:20 VISION
9.
10. The SPSP Journey….
Compelling vision
Common goal
- aim high
Evidence-based
interventions
Model for
Improvement
Knowledge & skills
Collaboration
31. Lessons for Leadership in changing culture
Culture change and continual improvement come from what leaders do, through their commitment, encouragement, compassion and modelling of appropriate behaviours.
•Berwick Report 2013
32.
33. For improvement to flourish it must be carefully cultivated in a rich soil bed ( a receptive organisation), given constant attention ( sustained leadership), assured the right amounts of light( training and support) and water
( measurement and data) and protected from damaging.
Stephen Shortell
43. Safety is a process of enquiry
Source: Vincent C, Burnett S, Carthey J. The measurement and monitoring of safety. The Health Foundation, 2012.
www.health.org.uk/publications/the-measurement-and-monitoring-of-safety
Has care been safe
in the past?
Are our clinical
systems &
processes reliable?
Is care safe today?
Will care be safer in the future?
Are we responding
& learning
& improving?
44. It is not easy
It takes time
Achieve reliability before spreading
Measuring safety
Moving from scale testing to universal spread
Expanding into other areas......
Learning
47. 10 Patient Safety Essentials
Hand Hygiene
PVC Bundle
Surgical Brief & Pause
VAP Bundle
CVC Insertion
CVC Maintenance
General Ward Safety Brief
Early Warning Score
ICU Daily Goals
Leadership Walk rounds
48. Aim
Primary Drivers
Secondary Drivers
Through continually improving healthcare delivered in Scotland, we will reduce events that cause harm to people.
Strategic Priority
Ensure safety and quality are organisational priorities
Provide leadership and oversight to ensure delivery of programme
Actively develop your safety culture
Infrastructure
Develop and utilise local capacity and capability in QI
Effective measurement systems
Programme management
Effective communication
Manage transitions of care
Point of Care
Acute Adult
Maternity and Children Quality Improvement Collaborative
Primary Care
Mental Health
Organising for
the future
49. We have a Plan
At board level sufficient capacity and capability to delivery the safety aims
Capacity of the system to effectively use data to drive improvements
Capacity of the system to undertake large scale spread and sustain improvements
Effective systems to evaluate impact and capture key learning
A national infrastructure to ensure effective delivery and support locally
Integration across all safety programmes and wider