1. Partners In Care Programme Webcall Two Thursday 21 st November Sustainability review, measures and next steps Dr. Lynne Maher Director for Innovation @LynneMaher1

2. Agenda for todays webcall Check in- how are you all doing? Forthcoming Webcall dates –Thursday 21 st November 2014– Sustainability Part two. Think about measurement –Thursday 30 th January 2014- Reviewing your measures. Sharing examples of capturing experience Workbook review dates- February & May 2014 Time for questions

3. New resources Kings Fund experience-based co-design toolkit http://www.kingsfund.org.uk/projects/ebcd Smart Guide to Developing Pathways using patient and carer experience http://www.networks.nhs.uk/nhs- networks/smart-guides/

4. Sustainability for Improvement Also known as “starting for success”

5. Homework Task Go through the Sustainability Model Think about your project Use the scoring system and create your own bar chart Put your name on the bar chart and e mail it to me by Monday 18 th November at the latest. If you get stuck e mail me before that! lynne.maher@middlemore.co.nz The NHS Sustainability Model

6. Who has looked at the U-Tube- Piano Stairs Auckland ?

7. Put a note in the chat box Who has a score which is 80 or higher? Who has a score which is 55 or higher? Who has a score which is below 35?

8. The scores If your overall score is above 80 Lynne will check it - 55 or higher there is reason for optimism If your overall score is 55 or higher there is reason for optimism If your score is below 35, we usually advise that you suspend the project and concentrate on improving the likelihood that it will sustain For all; work on improving the two factors that have the biggest potential Re score in about 6-8 weeks

9. Learning through Sharing Katherine Foulkes Waikato dhb

10. What you need to do Identify the two factors which are of greatest concern- where your actual score is a long way from the potential score. These are the areas that will require work. Identify the two factors which are the most positive – where your actual score is nearest to the potential score. These are the areas you should celebrate, maintain and learn from.

11. If you get stuck Let me know!

12. Baseline Measures AIM CHANGE MEASURE RAPID CYCLE IMPROVEMENT Langley et al. “The Improvement Guide: A Practical Approach to Enhancing Organizational Performance.” What are we trying to accomplish? How will we know if a change is an improvement? What changes can we make that will result in improvement? PLAN DO STUDY ACT

13. Initial thinking Work through the Model for Improvement, Aim, Change and Measure. Predict what you think is right for each of these. Use Capture as a baseline…..what is the experience now What are the additional data that you can also use for example; number of complaints, number of falls, waiting time, hospital readmissions?

14. Questions?

15. Capture

16. “If I had an hour to save the world, I would spend 59 minutes defining the problem and one minute finding solutions” Albert Einstein

17. How? Collect stories and thoughts from both patients and staff –Structured conversations –Story boards –Still photography and film provides compelling illustration –Diaries Observe patients and staff delivering and receiving the service

18. Patient pictures/storyboards/film/conversations can be highly impactful Blisters/Lumps/Ulcers/Polyp/ WartyThings/Necrosis/ Lesions/NaughtyTumour/ Aggressive/Progressing/ Precancerous

19. Experience questionnaire- developed by the NHS Institute for Innovation and Improvement adapted by many © NHS Institute for Innovation and Improvement 2009

20. Questions?

21. You have a maximum of 39 days Between today and the next call based on the following: I have been generous and allowed for 2 weeks holiday But I have calculated on a five day working week so if your input is less than five days a week you will have less days. For example if you work on this around 2 days a week you have around 16 days, if you work on this 1 day a week you have around 8 days. Webcall- Thursday 30 th January 2014- Reviewing your measures. Sharing examples of capturing experience

22. Work book Who has looked at the workbook? Download it from the webpage http://www.hqsc.govt.nz/our-programmes/consumer- engagement/work-streams/leadership-capability/co- design-partners-in-care/ Please complete: – Section 1- Preparation –Section 2- Capture –Section 6- Webex session 1, 2 and 3 –By MONDAY 10 th FEBRUARY 2014

23. Questions?