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NHS North West DoNs Conference
- 1. Welcome Chris Jeffries Acting Director of Workforce and Education NHS NW
- 21. SUCCESS Directors of Nursing Conference 1 September 2011
- 23. The Beginning
- 24. Manchester
- 26. Shaping the Future of Nursing in the North West
- 27. 1 st Annual Director of Nursing Conference
- 28. 1 st Annual Director of Nursing Conference
- 31. MRSA
- 32. C Difficile
- 33. Mixed Sex Accommodation Number of Breaches
- 34. Quality Assurance - Francis
- 40. AQ : A Progress Report *UK Year One Position reflects the AQ programme’s overall Composite Quality Score per clinical area for October 2008 – September 2009. ** UK Year Two Position reflects the AQ programme’s overall Composite Quality Score per clinical area for October 2009 – March 2010 ***US Year One Position reflects the HQID overall Composite Quality Score per clinical area for October 2003 – September 2004. Note: while similar, the measures analysed within each clinical group for the year one HQID project are not identical to those used in year one of the AQ project. For a full list of the HQID initial measure set go to www.qualitydemo.com Clinical Area UK Year One Position * UK Year Two Position ** US Year One Position *** AMI 92.55% 96.89% 89.31% CABG 96.76% 96.94% 87.34% HF 62.11% 69.95% 69.60% HK 88.97% 92.73% 87.52% PN 76.32% 81.55% 73.72%
- 41. Stroke 90:10 drove up standards in stroke care Phase 2 teams joined Phase 1 teams joined 90%
- 43. Collaborative Improvement Aim By April 2011 participating organisations will have improved adjusted mortality by at least 10 points during 2010 – 2011 as measured by CHKS or Dr. Foster.
- 44. The Collaborative Rate of Improvement – Dr Foster
- 45. The Collaborative Rate of Improvement - CHKS
- 48. Nursing Standard – Nurse of the Year 2011 Fiona Murphy – Royal Bolton FT
- 49. Hazel Holmes – Director of Nursing Liverpool Heart and Chest Hospital NHS FT Travel Scholarship
- 50. Honours Awards 2007 - 2011 29 New Years/Birthday Honours Awarded to North West Hospital Staff since 2001
- 51. Leadership
- 53. LEADERSHIP
- 54. Energise for Excellence Where did it start:
- 55. Energise for Excellence Safer Nursing Care Tool (AUKUH) HURST PANDA Birth Rate+ E Rostering Productive Care Safety Express High Impact Actions Essence of Care NW Care Indicators Productive Care Safety Express High Impact Actions Nurse Sensitive Outcome Measures Real-time Monitoring Experience Based Design Single Sex Accommodation Patient Stories High Impact Actions Real-time Monitoring Health and Well Being Get Staffing Right Deliver Care Measure Impact Patient Experience Staff Experience
- 57. NHS Confederation Launch 2011
- 61. NHS North of England
- 62. How wonderful it is that nobody need wait a single moment before starting to improve the world Anne Frank
- 63. The New Mental Health Strategy for England Dr Hugh Griffiths National Clinical Director for Mental Health
- 70. Mental Health Strategy A strategy to transform the mental health and well-being of the nation An ambition to mainstream mental health and achieve ‘parity of esteem’ with physical health The aim for mental health to be ‘everyone’s business’ – all of Government, employers, education, third sector
- 74. A Call to Action
- 79. Safety Express Maxine Power QIPP Safe Care National Work Stream Lead Department of Health [email_address]
- 80. The only thing that exceeds my admiration for the NHS is my hope for the NHS. I hope that you will never, never give up on what you have begun. I hope that you realize and reaffirm how badly you need, how badly the world needs, an example at scale of a health system that is universal, accessible, excellent, and free at the point of care – a health system that is, at its core, like the world that we wish we had: generous, hopeful, confident, joyous, and just. Donald Berwick, July 1, 2008
- 81. The NHS in 2040 Abby – student nurse paediatrics 2012 - 15 Charlotte – student nurse Adult branch 2012 - 15
- 82. Our challenge Equivalent to the number of patients with new stroke?
- 83. Can we ‘engineer’ pace and scale? Preventable cases? 29,000 8,000 49,222
- 84. Our research into the issues
- 86. What is harm free care? Pressure Ulcer Fall Catheter Infection VTE HFC Patient 1 √ x x x x Patient 2 x x x x √ Patient 3 x √ x x x Patient 4 x x x √ x Total 75% 75% 100% 75% 25%
- 87. Benefits
- 88. What have we learned? Patients affected
- 90. One Programme: Four Harms
- 92. Frontline Teams Measuring 4 Harms at the point of care NHS Safety Thermometer Pressure Ulcers Harm from falls Urinary catheters VTE Risk assessment & treatment New VTE Harm Free Care
- 96. Policy fit
- 98. Measuring HARM
- 100. What will they say about us?
Notas del editor
- Cases prevented 23,151 & 5,788
- The changes we will introduce are based on empirical evidence, widely recognised in best practice guidelines but simplified for execution. This simplification should not be misinterpreted as ‘dilution’. Our experience of improving healthcare quality has clearly shown that focussing a small number (3-4) key interventions and figuring out strategies for local implementation are key to breakthrough improvement. The rationale is clear, find the key interventions which make the biggest difference and implement reliably for every patient, all the time. However, in requiring that four clinical specialist areas work together with frontline teams to create a single plan for harm free care this design concept forces teams to agree on a single model, for example, in the active risk management domain clinical specialists in pressure ulcers and falls are moving towrds intentional or hourly rounding to manage ‘risk’, by combining their requirements in a single rounding proforma we can deliver against multiple agendas with the ultimate design being a form which is elegantly designed to accommodate ALL areas.