Workshop by Wendy Stobbs, Health Innovation Manchester: Sustainability plan for PReCePT at the North West Coast Maternity and Neonatal Learning System: PReCePT Celebration event on Wednesday 20th November at Haydock Park Racecourse

1. SUSTAINABILITY- WENDY STOBBS

2. Planning for Sustainability
2
1. Some models
are useful
2. Where are
you now?
3. Where do
you want to
be?
4. Some plans
are good
5. What now?

3. “The challenge is not
starting, but continuing
after the initial
enthusiasm has gone”
Ovretveit 2003 Making QI continuous
IN TRUTH
THE SUSTAINABILITY QUESTION IS
ONE WE SHOULD ASK AT THE START
NOT THE END OF THE PROCESS
3

4. 4

5. 5
The 11 factors of sustainability

6. Implementation Approaches for Adopt & Spread
6
Pilot Project
•Small scale
•Significant
learning from
implementation
Toolkit
•Developed
resources for
consistency
•Training days
Data
•Badgernet
•GMEC Maternity
Dashboard
•Admin support
Clinical
leadership
•Funded Clinical
Leads
•Funded
PReCePT
Champions
•Missed case
reviews
PreCePT- What did we do as a collaborative?

7. Key elements
7
Successful
Implementation
Small scale
pilot prior to
full rollout
Communication
of change to
key providers
with clinical
evidence
Build engaging
team & create
resouce pack
Financial
backing of
clinical
champions
Dashboard of
data/admin
support
Key point of
contact from
System
leaders/ groups

8. 8
A model for sustainability that might help

9. 9
Staff – Organisation - Process

10. 10
Relative importance
Where to put your energy!

11. 11
Radar plotting can help
Total Scores PReCePT
Process total score 31.1
Staff total score 52.4
Organisation total score 16.5
Sustainability total score 100.0

12. 1. Complete your own
trust-level Assessment
2. Are there any gaps?
3. Are there some
elements you aren’t 100%
confident on?
12
Time to plan……..
20 mins

13. vs
Appreciative Inquiry

14. THANK YOU!
14

15. SOAR –
PReCePT
Time to plan your own SOAR
15

16. SOAR/ Dream/ Vision Activity
Strengths
• What are the good safety practices you already do to embed PReCePT?
• What practical tools do you use to support PReCePT?
Opportunities
• What are the opportunities for improving how you are delivering PReCePT?
• What are the opportunities for learning from other organisations doing PReCePT?
Aspirations
• What do you want to do and achieve to support patient safety and the PReCePT programme?
• Imagine a year from now you have consistently achieved 100% of MgSO4 for appropriate
cases -what would this look and feel like?
Resources/Results
• What resources do you need to meet your aspirations and to maximise your opportunities?
• What would it look like as you improve?
• What results would you be seeing?
• In what ways could you celebrate and promote your achievements?
Take 15
minutes to
complete
a Team
SOAR

17. Reflection moment
Review your Sustainability scoring
• Any gaps?
• What actions can you plan/ develop to address these?
Review your SOAR
• Are there any opportunities you can work on as a team?
• How can you ensure your focus on PReCePT embeds as
‘business as usual’?

18. 1. Our high impact actions 2. One action that we commit to delivering or testing in the next 90 days:
3. Why is it important? 4. Changes required to help achieve
the action in 90 days
5. Who’s involved and who could be involved: 6.How do we know we’ve made a difference?
(measures)
Actions in next 30 days: Actions in next 60 days: Actions in next 90 days: Help required:
Organisation Name
What will we do in
the next 60 days?
Aim What do you want to achieve?
Education
Data
Monitoring
Why is this important – to
patients/ staff
Team - and other stakeholders?
What will we do in
the next 30 days?
What will we do in
the next 90 days?
Who do you need
to help who isn’t
directly involved?
Resources?
What changes will need to
happen to succeed in 90
day plan?
Measures to demonstrate
improvement
Improvement/change idea

19. Sustainability
Any needs from us?
- Health Innovation Manchester
- Innovation Agency?