This document summarizes a stakeholder workshop for a Best Practice Partnership (BPP) collaboration between the North East and North Cumbria Academic Health Science Network. The workshop included sessions on the BPP's strategic purpose and direction, stakeholder engagement, and a proposed 1-year work plan. The BPP aims to increase adoption of NICE guidance across the region through an implementation science approach. A 2-year work plan was drafted focusing on networking, showcasing innovations, developing metrics, and research. Feedback was gathered from groups on refining the vision, priorities, governance structure, and work plan. The BPP steering group will oversee the collaboration and have its inaugural meeting in May 2014.

1. Collaborating for Better Care
Best Practice Partnership
Stakeholder Workshop
Friday, 14 March 2014

2. Dr Stephen Stericker, NICE
Regional Consultant
Welcome & introduction

3. Agenda
• Welcome & purpose
• 3 Interactive sessions
– Session 1 – Direction & strategic purpose
– Session 2 – Stakeholder & partner engagement
– Session 3 – Year 1 Work plan & early wins
• Working lunch and feedback
• Housekeeping

4. Ground rules for the day
• Collaborative working and behaviours for the
benefit of patients
• Chatham house rules
• Openness and honesty
• Respect everyone’s contribution
• Think outside the box and seek radical
solutions (if appropriate)

5. Workshop objectives
1 Understand the context of the Best
Practice Partnership (BPP)
2 Review strategic purpose and direction
of the BPP
3 Further develop the BPP workplan

6. • Accelerating adoption and
diffusion in the NHS
• Increase uptake of NICE guidance
• AHSNs created – breaking down
boundaries and forging new
partnerships between NHS,
academia and industry
• NE & NC AHSN Steering group -
establish a NICE Collaborative
• NICE / AHSN partnership
agreement
• Build on NE forum for NICE leads
National and local context

7. Timeline
2013 NE &
NC AHSN
established
•Knowledge &
information
workstream –
NEQOS to
develop a
regional NICE
guidance
collaborative
Dec 2013
- present
•Initial
Scoping
February
2014
•Stakeholder
Conference
‘Collaborating
for Better
Care’
March
2014
•Stakeholder
Workshop
March
2014
•Outline Work
Plan
(2014-16)
April
2014
•Constitute
Steering
Group
1 May 2014
May
2014
•1st Regional
Best Practice
Masterclass
28 May 2014

8. AHSN requirements for BPP
1. Underpinned and informed by academic
expertise in implementation science and
knowledge transfer
2. Collaborative approach – “get out what you
put in”
3. Measurable
4. Accountable to AHSN but self-governing

9. The facilitative approach
Problem
solving
Support
Sharing
best
practice

10. Dr Jackie Gray,
Epidemiologist, NEQOS
Session 1
Direction & strategic purpose

11. AHSN Requirements
• Deliver AHSN objectives:
– To improve patient care and population health outcomes
by translating research into practice and improving
quality standards and service delivery
– To create wealth and stimulate engagement with industry
to promote economic growth
• Ageing – Hard to reach groups (rural) – Integrated care
• Measurement
• Build on local Implementation Science Academic
resource – ‘Academic Consultancy’
• Regional Collaborative
• Masterclasses

12. Governance structure
NENCAHSN
Innovation, Industry &
Wealth Creation
Improving Health &
Standards
Knowledge &
Information
Best Practice Partnership
(Hosted by NEQOS)
BPP Steering Group
(Work Plan)
Expert Reference Group
(Virtual)
Community of Interest
Task & Finish Groups
Public & Patient
Engagement

13. BPP aim
Increase the uptake of NICE Guidelines, Technology Appraisals and
Quality Standards across North East England and North Cumbria
Implementation
Science
Skills &
knowledge
System
development Measurement

14. Priorities
• All guidance!
• Ageing
– Long term conditions
– Sensory disabilities
– Physical disabilities
• Integrated care
– Care closer to home
– Specific populations
• Hard to reach groups (rural)

15. BPP values
• Collaborative methodology
• Supporting and facilitating role
• Adding value to stakeholders & AHSN
members
• Creating culture of cross-organisational
learning
• Non bureaucratic (small support team)

16. VISION
• Today is about building that shared vision
• It builds on
– Telephone survey
– Stakeholder conference – comments; postcards;
evaluation

17. Groupwork
• Discuss in your groups the direction and
purpose of the Best Practice Partnership
– What does success look like?
– What would people be doing that they are not
doing now?
– What would we see/hear that we’re not
seeing/hearing now?
– Is there anything else that needs to be considered

18. Feedback from Groups

19. John Woodhouse, Clarity &
Parternship
Session 2
Stakeholder & Partner
Engagement

20. What we know already ?
• Established & growing evidence base for
implementing evidence
– ’Implementation science’ ‘Knowledge transfer’
– What does it say? How do we use it? What are
the gaps? Can we fill in the gaps?

21. What the surveys said
• NICE Products – legitimate & relevant
• All organisations have processes for
implementation
• Governance, measurement & review varies
• Difficulties = inter & intra organisational
• No systematic approach to obstacles

22. Areas of common purpose
• Stable platform - development and sharing
• Structured approach to common problems
• Academic insight and analysis
• Whole system – 1o / 2o / commissioner
• Disseminate effective solutions
• Develop Knowledge / Skills / Capacity
• Senate / Networks – complementary roles

24. Groupwork
Does this Make Sense to You?
• Success – what does it look like now?
• Year 1 – Network Building, Early Wins,
Masterclasses - WHAT
• Year 2 – Build Out, Public Health, Integration ?
• Coordination – HOW will it work?

25. Feedback from Groups

26. Jill Mitchell, Consultant, Clarity
& Partnership
Session 3 –
Year 1 work plan & early wins

27. Objectives, goals & initiatives
• Define a 2-year work plan for the collaborative
– Building on what’s already gone before
– Taking account of stakeholder feedback & AHSN
requirements
• Sharing best practice & pockets of innovation
– Systematic process to showcase, share & scale-up
• We are all trying to solve the same problems

28. • Develop a framework of metrics and
outcome measurement across the
region
• Identify and scope areas/topics for
further research
• Develop methods for
implementation of best
practice guidance
• Review health economy priorities to
inform best practice implementation
• Develop a regional understanding of
best practice implementation
• Provide an environment of shared
learning and problem solving
• Develop implementation science &
knowledge transfer skills
• Develop leadership capacity &
capabilities
Learning &
Growth
System
Knowledge &
Development
Metrics &
Outcome
Measurement
Process
Development

31. Process Select Topic Area
Call to Action
Gather Examples of
Implementation
Share ExamplesProblem Solve
Refine
Implementation
Measure &
Evaluate

32. Topic selection
• Link to Commissioning Outcome Framework
• Link to the NICE programme
– Prospective and retrospective
• Strategic priorities across NENC
– Ageing population
– Integrated care
– Inequalities (eg rurality)

33. BPP Steering Group
• BPP Steering Group
– Inaugural meeting 1 May 2014
– Monthly or Bi-monthly meetings
– Membership
• Number of members
– 8-10 people?
• Who should be represented?
• What expertise is required?

34. Groupwork
1. Review the draft work plan in your groups
– Sense-check it and what else needs to be
included?
2. Discuss how the themes and priority strands
of work could be set
3. BPP Steering Group
– we would welcome your thoughts

35. Feedback from Groups

36. Next steps
Dec2013-present
Initial
Scoping
(NEQOS &
C&P)
February2014
Stakeholder
Conference
March2014
Stakeholder
Workshop
March2014
Outline
Work Plan
(2014-16)
April2014
Constitute
Steering
Group
1 May 2014
May2014
1st Regional
Best
Practice
Masterclass
28 May 2014

37. Dr Stephen Stericker
Workshop Close