1. Supporting NHS Wales to Deliver World Class Healthcare All Wales Stroke Services Improvement Collaborative Learning Session One 21 st October 2009

2. Slide 2 The Collaborative Approach Changing the Conversation Michelle Price Programme Manager NLIAH

3. Slide 3 IHI Breakthrough Series Collaborative Model FebruaryJulywe’re here

4. Slide 4 Topics TIA Services Early Rehabilitation- from day 7 to week 7

5. Slide 5 Successful Collaboratives Evidence-based Gaps between best and current practice Real examples of how improvements can be made Professionals feel the proposed improvement is important and are motivated to achieve it Strategically important Sharing of ideas and learning to stimulate ideas and motivation to change

6. Slide 6 WIFM Factor Improve the quality of patient care Professional development (new skills) Work with a wider range of peers Share good practice and lessons learnt Improve professional co-operation Start a change culture Exposure to new ideas Achieving measurable improvements quickly

7. Slide 7 The Successful Team has: The Successful Team has: Active support of leadership MDT input with common agreed aims Ideas for improvement A clear understanding of the roles and responsibilities Clear communication lines within and without the team A Champion who will maintain the momentum An effective Project Lead

8. Slide 8 Project Lead Has drive and determination Is self motivated Is close enough to frontline to know what’s actually going on, but has enough authority to actually make things happen Has the support of the whole team and leadership Will have to Communicate within and without the team Engage and motivate clinicians Co-ordinate meetings, data collection and PDSAs Attend project lead meetings

9. Slide 9 Lessons from Year One Get it “on the agenda” Get the right project lead Start with data collection Share your data Meet regularly Communicate Don’t try to get it perfect first time

10. Slide 10 In Summary “We have been trying to improve stroke services for years, but haphazardly. Having support of AWSSIC has made a huge difference in providing guidance and support continuously - enabling wider participation, a more focussed approach, better data collection. The value has been the structure of regular meetings for information, knowledge and networks. The data collection tool and the continued supportive visits from the programme manager to point us in the right direction reinforce positives and encourage us all”