“National Patient Safety Collaborative Programme” The National Patient Safety Collaborative Programme, launched on the 14th October 2014 will be the largest patient safety initiative ever attempted in the world. Led by the 15 Academic Health Science Networks and supported by NHS England and NHS Improving Quality, they will be undertaking a challenging programme of work over the next 5 years. This session will outline the actions to date and the next steps moving forwards.

1. The Patient Safety
Collaborative Programme
2014-2019
NHS Quality: Improving
Patient Care Conference
Sarah Tilford
26 November 2014Network

2. Responding to Francis and
Berwick
“The most important single change in the
NHS in response to this report would be
for it to become, more than ever before,
a system devoted to continual learning
and improvement of patient care, top to
bottom and end to end.”
Berwick Report, August 2013

3. For NHS staff and clinicians
• Participate actively in the improvement of systems of
care.
• Acquire the skills to do so.
• Speak up when things go wrong.
• Involve patients as active partners and co-producers
in their own care.

4. For patients and carers
• As far as you are able, become active partners in
your healthcare and always expect to be treated as
such by those providing your healthcare.
• Speak up about what you see – right and wrong.
You have extraordinarily valuable information on the
basis of which to make the NHS better.

5. Responding to Francis and
Berwick
“Following Don Berwick’s recommendation, NHS
England will establish a new Patient Safety
Collaborative Programme across England to
spread best practice, build skills and capabilities in
patient safety and improvement science, and to
focus on actions that can make the biggest
difference to patients in every part of the country.
They will be supported to systematically tackle the
leading causes of harm to patients. The
programme will start in April 2014.”
The government’s response to Francis
and Berwick, November 2013

6. Patient safety collaboratives
• AHSN footprint
• 2-5m population
• Locally owned and run
• Majority of funding devolved
to support local improvement
programme activity
• National support for;
• change packages/
interventions;
• knowledge sharing;
• consistent measurement;
• networks/communities.

7. A different kind of collaborative
• Locally driven and led
• Designed in partnership
• Provide support, co-ordination & rapid spread and
adoption
• Developing capacity & capability for QI & Safety
• Variation on traditional breakthrough model
• Far reaching, all levels, whole system

9. A Theoretical Framework

10. NHS IQ Role
• A small national supporting / coordinating function
• Developing joint approaches with partners to:
o Measurement - expert group, baseline metric
development and national aggregation
o Leadership and Culture
o Capability building
o Programme evaluation and ROI
o Partner with patients and carers
• Provide QI and change expertise nationally
• Develop programme support materials
• Do what adds value nationally - help align work, connect
and join up the dots

11. Collaboratives progress to date (1)
• 15 patient safety collaboratives established in each AHSN
across England and confirmed in July 2014
• Event held on 14th Oct 2014 to formally launch patient safety
collaboratives, supported by SoS and National Medical
Director
• Patient Safety Collaborative Programme Board established–
Chaired by Norman Williams with membership from DH,
NHS England, NHS IQ, AHSNs, NHS Leadership Academy,
‘Sign up to Safety’ campaign
• Leadership and Measurement groups being established and
developing strategies with AHSNs
• Funding devolved to AHSNs as contract uplift – recruiting
posts etc

12. Collaboratives progress to date (2)
• Local engagement with member organisations and
establishment of patient safety priorities ongoing
• AHSN’s connecting with organisations that have ‘signed up to
safety’ to ensure alignment
• Developed first stage improvement work plans for 2014/15
that have been shared across all collaboratives.
• Developing patient and carer engagement plans as a
foundation of the work
• Developing a central system that enables shared learning
and practical implementation of good practice

13. The operational model
National Patient Safety Collaborative Programme - Operational Model
Pressure Ulcers VTE
Medication
Errors HCAI Maternity Falls
AHSN
1 x x x
2 x x x
3 x x x
4 x x
5 x x
6 x x x
7 x x
8 x x
9 x x
10 x x x
11 x x x
12 x
13 x x x
14 x x
15 x x
Leadership and Measurement
NHS IQ
Accelerated
Learning Groups
Evidence
Toolkits
Social media
Campaigns
Spread

14. Cluster groups
• Primary focus: leadership and measurement
• First 5 - Medicines, AKI, mental health, pressure
ulcers, deterioration & sepsis
• Groups focus on topic specific improvement
• Bringing expertise together with practical application
• Examine the evidence and guidance
• Peer support and problem solving
• Accelerate and share learning across the NHS

15. Principles:
• Build on existing pockets of excellence
• Co-produce - avoid duplication and share notable
practice and resources
• Establish ‘how’ to implement current evidence
• Test and refine new ways of working – where
evidence may be lacking
• Influence levers and drivers in the system to support
safer care
• Staff and patients – tools, skills and support
• Take & share learning, build networks e.g. SPSP
• Align with other initiatives – making safety
everyone’s business e.g. SU2S

16. 16

17. NHS England’s national patient safety plan

18. THANK YOU
Sarah.tilford@nhsiq.nhs.uk
Barbara.zutshi@nhsiq.nhs.uk
#saferNHS
Improving health outcomes across England
by providing improvement and change expertise.