1. Creating a service Idea

2. Creating a service Networking / consultation Identify the need Find funding Create a project plan Business Plan

3. Creating a service Create a project plan Aims Indicators of success / outcomes Target Monitoring Objectives Evaluation

4. Creating a service Create a project plan Client pathway Policies and procedures Consent forms Considerations for therapy / patients charter Leaflets Patient information Recording information / client notes Communicating with other professional Gathering information for monitoring and evaluation Organisational chart

5. Creating a service Recruitment Training & CPD requirements Job description CRB Insurance Contract Person Specifications Interviews References Advertising

6. Creating a service Adapting the project Clinical Governance Audit Patient feedback Staff feedback Team Meetings Referrer Feedback

7. Creating a service Adapting the project The aim of audit is to identify how closely your practice relates to best practice as described by standards, clinical guidelines or other sources of best practice. A systematic examination of current practice to assess how well you are performing against set standards (i.e. allows you to measure performance against targets) Analyse systematically the quality of care provided and to monitor improvements. It is a useful tool for showing you where you are and helping you decide where you want to be in the future. A variety of methods may be used in performing an audit (e.g. observing practice, examining case records, activity levels) The outcomes of the audit are compared with the set standards. Any deficit is addressed by implementing changes, which in turn are re-audited to measure their effectiveness. Audit

8. Creating a service Adapting the project Audit Cycle Identify a topic / issue/ problem Set standards / goals Collect data and measure quality Identify if change is needed If needed, decide on a strategy for change Implement change Measure effectiveness of change

9. Creating a service Adapting the project Clinical Governance Continuously improving the quality and effectiveness of the service A system of being accountable for: Maintaining / safeguarding existing high standards Ensuring that patients receive the highest possible quality of care Creating an environment which aims for clinical excellence

10. Creating a service Adapting the project Clinical Governance Must be willing to: To accept that there may be scope for improvement To accept that as demands and needs change, the project might need to change to maintain the existing good service Look out for the need to change / adapt Make the changes / adaptations Continually review the situation

11. Creating a service Adapting the project Clinical Governance Risk avoidance Well trained staff Continued Professional Development Clear procedures and guidelines (policies and procedures) Safe environment Risk management

12. Creating a service Adapting the project Clinical Governance Poor performance Early recognition Decisive intervention Effective self regulation Feedback on performance Complaints procedure

13. Creating a service Adapting the project Clinical Governance Quality Methods Good practice spread Clinical policies evidence based Lessons learned from failure Improvement processes integrated Clinical audit

14. Creating a service Adapting the project Clinical Governance Culture Open and participative Good leadership Education and research valued Patient / carer participation Ethos of teamwork

15. Creating a service Adapting the project Clinical Governance Infrastructure Access to evidence Time allowed to plan Training and development strategies Information technology supports practice Integrated Care Pathways

16. Creating a service Adapting the project Clinical Governance Coherence Goals of individual, team and organisation aligned Excellent communications External partnerships forged Professional and Organisational Accreditation Cost effectiveness

17. Creating a service Sustainability Keeping up with the changing needs of the service user Funding if original funding is time limited Continued promotion of the service Creating trust in those who would refer to you Spreading the news about good practice and outcomes Partnership working Networking

18. Outreach Children’s Project Gave a talk at a local community children’s centre about Freshwinds. Identified that families would like to access service but too far for them to come. Attended local Birmingham Children’s Fund Meetings as a way of letting relevant people know about Freshwinds’ Children’s Project Contacts made through these meetings led us to successfully submit a funding bid to the Birmingham Early Years Development and Childcare Partnership for an outreach therapist to attend at an inclusive play scheme based at the children’s centre. The funding bid had to be adapted to the criteria of the funder – e.g. incorporating educational elements and giving priority to children up to the age of 5 years. At an inclusive play scheme

19. Outreach Children’s Project Create a project plan Aims Indicators of success / outcomes Target Monitoring Objectives Evaluation

20. Outreach Children’s Project Aims To contribute to the holistic picture of health and well-being (physical, emotional, psychological and social well-being) of children with life-threatening and life-limiting health conditions, and their families, through the safe provision of complementary therapies, and access to information about complementary therapies, within the setting of an inclusive play scheme, held at the children’s centre.

21. Outreach Children’s Project Objectives To provide individual complementary therapy sessions (in at least one type of therapy) for the child, siblings and parents/carers To educate carers and children (where appropriate) in some basic complementary therapeutic skills (relevant to the therapy that the therapist is qualified in) that can be utilised by themselves, thus empowering them to look after themselves / their child. To offer staff and volunteers within the play scheme the opportunity to experience a complementary therapy session, to access education about the therapy and to learn some basic therapeutic skills, so that they are able to give informed advice to carers regarding complementary therapies. To act as a resource of information about the complementary therapy that the therapist is qualified in, as well as about the principles of holistic care, including giving talks and demonstrations

22. Outreach Children’s Project Indicators of success Parents/carers and children (where appropriate) report positive benefits to their or their child’s health and well-being as a consequence of having access to the complementary therapy Carers and children (where appropriate) make use of learned basic therapeutic skills to help with their or their child’s health and well-being Carers and children (where appropriate) feel better able to make informed decisions about complementary therapy Staff and volunteers feel better able to give informed advice about complementary therapy

23. Outreach Children’s Project Targets On average, for each play scheme day attended by the therapist, to provide therapy for at least 3 individuals (children, carers or staff/volunteers), excluding days put aside for group talks/demonstrations Within a 12 month period, to provide at least 2 sessions of talks or demonstrations or basic skills sessions

24. Outreach Children’s Project Monitoring Feedback questionnaires after talks, demonstrations or basic skills sessions to assess immediate impact Feedback questionnaires after individual therapy sessions to assess immediate impact Feedback questionnaires to all participants at the end of the year to assess overall and long-term impact of the service Record the number of therapy sessions provided Record the number of people who have accessed therapy sessions Record the number of talks, demonstrations or basic skills sessions done and the attendance at them

25. Afternoon groups Funding & Networking Monitoring and evaluation Policies and procedures Working safely with children