Presentation is loading. Please wait.

Presentation is loading. Please wait.

Sustainability & Spread

Similar presentations

Presentation on theme: "Sustainability & Spread"— Presentation transcript:

1 Sustainability & Spread
Maureen Fallon Assistant Director Innovation & Improvement, Cardiff and Vale University Health Board

2 Sustainability Means…….Holding the improvements and evolving as required ALTHOUGH…….. history tells us that 1/3 of all major improvement initiatives in healthcare fail to achieve the sustainable changes needed to meet their planned objective. Take 2 minutes to discuss possible reasons WHY with your neighbour?

3 Session objectives 1 2 3 Introduce the Sustainability Tool
Factors influencing SDM uptake 2 Top Tips for embedding, sustaining and spreading SDM 3 Life beyond MAGIC in Cardiff and Newcastle – ‘walking the talk’

4 Sustainability Tool

5 Sustainability Tool Process Staff Organisation Or, put another way,
Credibility of the evidence Adaptability Benefit beyond helping patients Monitoring progress Behaviours Training and involvement Senior leaders Clinical leaders Fits with the goals and culture (internal and external) Infrastructure Or, put another way, the Micro (local team level); the Meso (the department/practice level) the Macro (the organisation level)

6 Team level ingredients
Does your team agree that SDM is important? Do you have support from the key members in the team? Have you got an interested patient advocate? Are you able to access SDM skills training?

7 Dept/Practice level ingredients
Credibility of the evidence – be able to demonstrate a positive impact on staff and an improved patient experience e.g. what are the benefits beyond helping patients? In South Tyneside CCG, shared decision making was a key component of the referral management scheme (project focused on improving the quality of referrals). Focus on General Surgery, Orthopaedics and Gynaecology. The results included: reduced referrals improved patient satisfaction and engagement with secondary care £500k savings in one year.

8 Patients’ knowledge post diagnostic consultation
Measuring impact of change in clinical practice (Option Grid) Patients’ knowledge post diagnostic consultation Here you can see the difference in knowledge at the end of diagnostic consultation between the first and second sets of data. Massive improvement between two sets of data. A few possible explanations: Small numbers Particularly intelligent group of patients ;-) Team galvanised by seeing first set of data Option Grid The only two questions that the majority of patients are still not getting right – effect of radiotherapy on breast size and length of time for radiotherapy – are NOT included in the Option Grid. 8

9 Dept/Practice level ingredients
SUREScore Monitoring progress – be able to demonstrate that patients are involved in their care and that their views are listened to e.g. simple tools such as SUREScore or more detailed tools such as DQM’s (Cardiff) and SDMQ’s (Newcastle) Did you discuss the different treatment options for you? Did you discuss the risks and benefits of the different options? Did you discuss what is important to you in your treatment? Yes No Unsure

10 Organisation level ingredients
EXTERNAL INTERNAL Fits with the organisation’s culture: ‘Caring for people, keeping people well’. QI agenda – patient centredness CQUIN ‘A promise to learn – a commitment to act’ ‘…patients and their carers should be PRESENT, POWERFUL and INVOLVED at all levels of healthcare organisations’

11 Summary & Top Tips Ensure the ‘conditions are right:
Identify your aim – does it fit with the direction of travel? Going it alone rarely works…. remember Renal…Adopt a team approach. Access to training/ AGILE Engage your Patient Experience/PALS teams at the outset Evaluation – how will you know a change is an improvement? Organisation levers

12 Life beyond MAGIC Both Newcastle and Cardiff are engaged in an Evaluation study, sponsored by the Health Foundation; The teams continue to collaborate to ensure Sustainability and Spread; Newcastle has well established links with Health Education North East in the undergraduate curriculum. Opportunity to expand across all levels of inter-professional education as part of a regional strategy; Cardiff is engaged in discussions with Public Health Wales with a focus on SDM as a pillar of the Welsh Co-Production agenda The Health Foundation continue to play an important role in enabling ‘Walking the Walk’


Download ppt "Sustainability & Spread"

Similar presentations

Ads by Google