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Co-producing quality improvement
The document discusses co-production in quality improvement within health services, highlighting the importance of involving service users in shaping standards and practices. It presents experiences from NHS Quality Checkers, emphasizing training, empowerment, and the successful implementation of feedback into care settings, particularly for dementia care. Key themes include the necessity of continuous engagement with patients and caregivers to enhance service delivery and communication strategies.
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Co-producing quality improvement
- 1. Co-producing quality improvement withpeople who use services to deliver what matters to them
- 2. NHS Quality Checkers ScottDurairaj Director of Patient and Carer Experience Sussex Partnership NHS Foundation Trust
- 3. My journey withQuality Checkers Suzie Fothergill
- 4. About Skills forPeople • Helping people to speak up and have more control over their lives
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- 6. How it started •Working with local tenants with learning disabilities • We listened to what mattered to them • We created It’s My Life standards for Supported Living
- 7. How it started •We became Quality Checkers so we could check how well local services measured up
- 8. Spreading our message •We joined together so we could learn more and work all over the country • ASL • Paradigm • Housing providers • Service providers • REACH
- 9. Helping others todo the same • After making Quality Checks all over the UK we made some training and a handbook of materials so other people could become Quality Checkers
- 10. What is goodsupport • It’s like making a cake • You need good quality ingredients for any cake • But only the person who tastes the cake can say if it is right for them
- 11. And now... • Wehave checked hundreds of services • We have trained hundreds of Quality Checkers
- 12. Since 2011 • Wecreated the Good Health for all Standards working with GP Practices in Tyneside and Sunderland. (All about reasonable adjustments) • We made a Guide for Health Quality Checkers, with everything they need to carry out a health quality check
- 13. Association of QualityCheckers • We worked with others to set up the new Association • I am the first Chairperson
- 14. My journey • Mywork is just about the most important thing in my life • The bad things which happened to me have helped me to do my job • I use my experiences to help other people
- 15. My journey • Longstay hospital • Skills for People • Programme Committee • Volunteer: training social workers; and people due to move out of hospital • Board of Directors • Employee
- 16. What works? • Time,time, time • It has taken me many years to learn my job and become an expert • I have learned lots • I have changed a lot • Co-production doesn’t happen overnight
- 17. What helps? • Supportto do my job: in the way I CHOOSE Travel, taxis, overnight stays, a comfy chair • Easy information in the way I choose (calendar, timesheets, job role, notes / films) • Easy training – on the job, and in a group
- 18. What helps? • Praisefor my successes • Opportunities to try new things, stretch myself • Support to help me take on each new challenge
- 19. What helps? • Ifeel equal • I decide how we do things along with my team
- 20. Most important • Ihave made people’s lives better • I have become a leader and know that people trust what I say • I am part of a team. My ideas are valued and acted upon • Friendship • I was born to do this!
- 21. Working for equalrights for all people with learning disabilities
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- 25. My work life– then and now
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- 27. Working together onthe NHS Quality Checkers Project
- 28. Tel: 0113 2426619 Email: info@changepeople.org Web: www.changepeople.org Facebook: www.facebook.com/changepeople Twitter: www. twitter.com/changepeople_
- 29. Co-Producing an AlwaysEvent in Dementia Care Ashford and St Peters NHS Hospital Foundation Trust
- 30. Since December 2015,we have been gathering information and data from a number of sources, including: – Survey of carers for patients with dementia; measuring their experience and satisfaction – Detailed, bed-side, information from patients and their loved ones regarding their experiences, what matters to them and ideas for improvement – Visits to community dementia groups – Filmed interviews with carers and staff
- 32. Key themes forimprovement - We Will Always… – Take a detailed handover from your loved one / carer to help us understand who you are and your likes and dislikes – Provide a daily update to your loved one / carer about your day – Aim to understand YOU, your likes and dislikes, and how we can best support you in hospital
- 33. Following a successfulmeeting with carers and key staff members, the following aim statement was created: – We will ALWAYS engage dementia patients and their carers in meaningful two-way communication.
- 34. Co-designing the AlwaysEvent – The working group met to brainstorm new ideas and select favourite ideas to trial – Leadership staff were present but staff from the pilot site could not attend at short notice due to staffing problems – The carers recommended a communication diary for staff and carers to input. This would allow for information aside from medical info to be shared more easily – Ward/MDT staff can update entries with patients activities/progress throughout the day and respond to any questions from carers
- 35. Challenges – Staff notinvolved in the co-design event aired concern that it was more paperwork to fill out. It is essential that the staff are made available for the co-design event – Solution – a second mini event is organised with carers and staff to re-visit the idea of a day sheet and other tools supporting two way meaningful communication
- 36. In summary: – Co-productionand engagement with patients and carers was less challenging than with the pilot area staff. It is essential that the staff from the pilot site are fully engaged and empowered – The Always Event continues at ASPH with further sessions planned with carers and staff in the pilot site to ensure that staff can ALWAYS deliver the needs of the patients and carers