In a breakout session at the Nuffield Trust Health Policy Summit, Carol Platt and Jo Minford present on their experience at Alder Hey Children's NHS Foundation Trust
ImERSE: Improving experience through regular shadowing events
1. Inspired by children
ImERSE
Improving Experience through
Regular Shadowing Events
W Calvert1,2 , C Platt2 , J Minford1
1 Department of Paediatric Surgery, Alder Hey Children’s NHS
Foundation Trust
2 Transformation Team, Alder Hey Children’s NHS Foundation
Trust
2. Inspired by children
It is only with the heart that one can
see rightly; what is essential is
invisible to the eye.”
Antoine de Saint-Exupéry, The Little Prince
3. Inspired by children
What we are developing at Alder Hey
Implementing Patient and Family Centred Care
methodology into Quality Improvement1
Engaging medical students in quality improvement2
Providing a unique Medical Education Experience and
encouraging the development of PFCC into Tomorrow’s
Doctors
3
4. Inspired by children
Where there’s a Will……..
2012: Alder Hey & The King’s Fund – PFCCC
Acute Abdominal Pain Pathway & Surgical Decision Unit
Surgical Department Meeting; October 2013
• Medical Students already shadowed a family through
surgical day case admission.
• But we were not capturing their observations
• Could we use this opportunity to collect large
amounts of qualitative data for quality improvement
5. Inspired by children
How does it work?
Structured patient shadowing collecting direct
observations of hundreds of patient and family
experiences per year…
1
….using this in a system of continuous service
evaluation and improvement…
2
….shaping compassionate healthcare providers now
and for the future.3
6. Inspired by children
How are we doing this?
• Structured Patient Shadowing Events
ImERSE
3rd Year
Daycase Outpatients
Accident
and
Emergency
4th
Year
5th
Year
Ward Based
(Junior Dr)
7. Inspired by children
Medical Education…
Social Sciences
Patient
Safety
Quality
Improvement
Interprofessional
Education
Preparation for Practice
Patient and family
Centred Care• University of
Liverpool School Of
Medicine
Vertically integrated spiral
curriculum
Horizontal themes –
Biomedical Sciences
• Support and approval
by Dean
9. Inspired by children
Quality Improvement Matrix (AHQAS)
Positive Inconsistency
Individual / Team Excellence
Awards and Recognition
NO RISK
Positive Consistency
Staff Morale
Positive affirmation and
Perception
Publicity
NO RISK
Negative Inconsistency
Rapid Response
Immediate Reaction
Organisational Level
Clinical Level
Preventative Strategies Model
HIGH RISK
Negative Consistency
Continuous Improvement
Model
LOW RISK
+VE
-VE
CONSISTENCYLOW HIGH
EXPERIENCE
10. Inspired by children
Where do we see it going?
Trust’s Operational Manifests
Quality
Improvement
Education
PFCC Methodology and Practices
All CBU’s
Shadowing
Storytelling
Surveys
ImERSE
Daycase AED Outpatients
13. Inspired by children
Why pursue PFCC/PCC?
It’s what the public and patients want1
An empathic doctors improves patient outcomes2
It will improve everything …….3
Good afternoon. My name is Will Calvert, this is Jo Minford and Carol Platt.
We represent part of the Patient and Family Centred Care team at Alder Hey Children's Hospital.
Background – Surgical Registrar (Clinical Research Fellow for PFCC), Consultant Paediatric Surgeon and Service Improvement Lead