Sign up to Safety campaign - national considerations - Dr Suzette Woodward, campaign director for the Sign up to Safety campaign 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

1. Sign up to Safety
Creating a patient safety movement

2. We crave meaning and purpose in life and one way to find it is to connect to a cause larger than ourselves
Some of the greatest successes in the world have come from movements to address inequities or injustices from slavery to hunger

3. So many social problems in the twenty-first century seem intractable and insoluble
We explore Mars and embed telephones in wristwatches but we can’t seem to keep patients and families safe in our hospitals and community

4. The NHS – The facts
•In the NHS there are currently in England (unless stated):
–211 clinical commissioning groups (including 152 authorised without conditions)
–160 acute trusts (including 101 foundation trusts)
–56 mental health trusts (including 41 foundation trusts)
–34 community providers (18 NHS trusts and 16 social enterprises)
–10 ambulance trusts (including 5 foundation trusts)
–c.8,000 GP practices
–c2300 hospitals in the UK
•In 2013 the NHS employed 147,087 doctors, 371,777 qualified nursing staff, 154,109 qualified scientific, therapeutic and technical staff and 36,360 managers
•Managers and senior managers accounted for 2.66 per cent of the 1.364 million staff employed by the NHS in 2013

5. So what's the size and scale of the patient safety problem?
•The NHS deals with over 1 million patients every 36 hours
•Studies show that 1 in 10 patients are harmed while receiving care
•Most of this is minor but sadly there are 3000 avoidable patient deaths reported each year

6. The good news is that experts are gaining a much better understanding of how we can improve patient safety
There is an emerging science of how best to make a difference

7. Some of the different approaches to making a change
•Implementation science
•Quality and Safety Improvement
•Campaigning and social marketing
•Social media and movements and movement principles
•Large scale change programmes
•Collaboratives

8. Motivation

9. You can HELP
•Hope
–Promote the campaign principles that while it is important to understand what goes wrong we all need to hope that things can be better
•Energy
–Channel your energy to support the campaign
•Love
–Love what you do – you will want to do it well
•Pledge
–Your own personal actions to improve patient safety

10. Our shared cause

11. A unified English Patient Safety Programme

12. 5 pledges
1 personal safety improvement plan
1 safety lead and 1 campaign volunteer
Align with AHSN and Patient Safety Collaborative Programme
SIGN UP
What does participation mean for an organisation?

13. 5 pledges
1 personal safety improvement plan
Join the team and become a volunteer
Promote the campaign
SIGN UP
What does sign up mean for an individual?
Universities – could commit to ensuring all healthcare students will learn the knowledge and skills to prevent avoidable harm Students – could make a personal pledge and create a personal improvement plan

14. A different kind of leadership
•The vision of leadership offered by community organising is not of the ‘single leader’
•Instead, it is a kind of leadership that Harvard professor Marshall Ganz refers to as a “snowflake” — a web of interdependent leaders who support others in becoming leaders
•For Ganz, this is the difference between leadership as a position, and leadership as a practice:
•We’re approaching leadership as a practice, not leadership as a position…It’s about accepting responsibility for enabling others to achieve purpose under conditions of uncertainty

15. Snowflake Leadership
Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England

16. Campaign Organisers
Local campaigners
NHS CareMakers
Safety Fellows
Safety Hubbies
Participant Safety Leads
System Safety Leads
AHSNs and Patient Safety Collaboratives
= Regional hub organiser

17. Roles
Safety Lead One or more
individuals in your organisation who
will lead on the sign up to safety
improvement work
Local Campaigners One or
more individuals in your
organisation who will lead on the
sign up to safety campaign work
Volunteers As many people
who want to be volunteers to
support the campaign across
England

18. Volunteers
•Sign up to Safety will use an innovative approach to creating a wider campaign team through the use of volunteers as part of its virtual campaign team.
•There are three factors that will support this approach:
1.A specific, time-limited challenge: Individuals will not be asked to sign up as volunteers forever, just to do their bit to help make this campaign achieve its aims – this may be for any time up to 3 years
2.Clarity of purpose: the volunteers will have a brief role description and a person specification – so they know what they are doing and they are the right people to do it - they will be well briefed throughout their time as a volunteer
3.Given something in return: Volunteering can make a significant contribution to personal and professional growth – they will be a vital part of something important

19. Embracing social media and joining forces
@signuptosafety
1,393 followers
#signuptosafety
#su2s

20. Involving patients in preventing harm
•Safety briefings
•Checklists for patients
•Simple and helpful leaflets
•Videos
•Top tips

22. Embracing fun ways to share information
•Whatsapp groups
•Yammer
•Twitter
•Webinars
•Sketchnotes

24. System
Policy, Standards, Regulation and Oversight
Care Quality Commission
Monitor
NHS Trust Development Authority
NHS Litigation Authority
Health Education England
NHS England
MHRA
NICE
Ombudsman
Department of Health
Patient Groups
Improvement and support
AHSNs
Patient Safety Collaboratives
Sign up to Safety
NHS IQ
NHS England
Information, knowledge and learning
National Reporting and Learning System and safety indicators
Health and Social Care Information Centre
Alert compliance
Claims, complaints, patient feedback

25. Strategy and Advisory group
•To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton
•To support coordination of patient safety initiatives and help align activity related to patient safety to ensure a consistent approach across the NHS in England
•To facilitate partnership working in relation to patient safety between key stakeholders
•To ensure the individual stakeholders and initiatives add value to the whole

26. Milestones
Launch call for experts to support improvement Nov 14 Increased participation from 12 to 60 (Wave 2) by end Dec 14 Campaign strategy including measurement and evaluation completed and launched by end Dec 14 Launch call for volunteers Jan 15 Increased participation from 60 to 120 (Wave 3) by June 2015 Second Year; Anniversary announcement 24 June 15
5 pledges
1 personal safety improvement plan
1 safety lead and 1 campaign volunteer
Align with AHSN and Patient Safety Collaborative Programme
SIGN UP
1,356 followers
Strategy and Advisory group
•To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton
= Regional hub organiser
Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England

27. So if you wonder about your purpose want a positive impact on the world around you and you care about your legacy
Join our movement
and …
Sign up to safety
Via: http://www.england.nhs.uk/signuptosafety/about/