Introducing 1000 Lives Plus 27th October 2011 Introducing 1000 Lives Plus Sue Lister Insert name of presentation on Master Slide

CoventryUniversity Sue Lister Service & Quality Improvement in Healthcare, Coventry University UK IHI Open School Chapter Co-ordinator Institute for Healthcare Improvement. Cambridge, MA, USA. www.1000livesplus.wales.nhs.uk

Sue Lister Teaching Faculty Member, NHS Institute for Innovation & Improvement, Warwick University Campus, Coventry, England    www.1000livesplus.wales.nhs.uk

Introducing service improvement into the preregistration education of health & social care professionals www.1000livesplus.wales.nhs.uk

The Vision Every single person is capable, enabled and encouraged to work with others to improve their part of the service. Discipline of improvement in health and social care (Penny 2003) www.1000livesplus.wales.nhs.uk

The aim is to raise awareness of improvement To develop health and social care students to be curious about how they could improve their service, who are receptive to different ideas and are able to bring about appropriate changes by applying tools and techniques in their own professional context. www.1000livesplus.wales.nhs.uk

Levels of capability Awareness Core Advanced Expert Willing to be engaged, challenge and be challenged Expert Capable of applying and adapting with confidence in complex situations. Advanced Capable of applying to most situations Core Capable of applying some aspects, to some situations with support and direction www.1000livesplus.wales.nhs.uk

Levels of capability Awareness Core Advanced Expert Improvement modules in pre-registration training Expert Capable of applying and adapting with confidence in complex situations. Advanced Capable of applying to most situations Core www.1000livesplus.wales.nhs.uk

If we can improve care for one person, then we can do it for ten. If we can do it for ten, then we can do it for a 100. If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales.

The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk Phase 1: 3 partners develop short courses in improvement Evaluation 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk

Spread and adoption Phase 1 Number of Universities 4 Characteristic Phase 1 Number of Universities 4 Number of Students 347 No of Clinical Disciplines 8 www.1000livesplus.wales.nhs.uk

The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk Phase 2: Continue to work with the development partners Work with 6 additional implementation partners Evaluation Phase 1: 3 partners develop short courses in improvement 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk

Spread and adoption Phase 1 Phase 2 Number of Universities 4 10 Characteristic Phase 1 Phase 2 Number of Universities 4 10 Number of Students 347 2,200 No of Disciplines 8 20 www.1000livesplus.wales.nhs.uk

Key messages Students need to … Really listen – understanding what it feels like to be a patient / service user Understand the systems Small changes can make big improvements Test improvement ideas – by using Plan, Do, Study, Act (PDSA) Cycles Measurement is vital – not all changes are improvements Work as a team – inter-professional working Others will see things differently to you – value the differences Everyone has a responsibility for improvement www.1000livesplus.wales.nhs.uk

Students need to … do it in reality while on placement in a clinical setting They must at least … Identify an issue for improvement Process map it Propose a change (the P of PDSA) www.1000livesplus.wales.nhs.uk

The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk Phase 2: Continue to work with the development partners Work with 6 additional implementation partners Evaluation Phase 1: 3 partners develop short courses in improvement Phase 3: Continue to work with the phase 1 & 2 partners Phase 3: Engage with new partners for supported implementation 09/10 www.1000livesplus.wales.nhs.uk

Spread and adoption Phase 1 Phase 2 Phase 3 Number of Universities 4 Characteristic Phase 1 Phase 2 Phase 3 Number of Universities 4 10 32 Number of Students 347 2,200 5,678 / year No of Disciplines 8 20 23 www.1000livesplus.wales.nhs.uk

Evaluation … Firm evidence that students are able to apply the learning in practice in systematic ways that produce demonstrable benefit. Some evidence that practice staff are embedding student contributions in their organisation and drawing on future cohorts to ensure continuity of improvement work. www.1000livesplus.wales.nhs.uk

The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk Phase 4: Embed in the Faculties of Phase 1, 2 & 3 partners Phase 2: Continue to work with the development partners Work with 6 additional implementation partners Evaluation Phase 1: 3 partners develop short courses in improvement Phase 3: Continue to work with the phase 1 & 2 partners Phase 3: Engage with new partners for supported implementation Phase 4: 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk

2010 / 2011 …on going & increasing 47 Universities, undertake projects to improve patient care. 1,547 students, from 25 health & social care disciplines. …on going & increasing www.1000livesplus.wales.nhs.uk

… … patients will benefit In summary … … Universities Service improvement will be explicit in the curriculum and to the students. Students will have practical experience of the tools and techniques of Service Improvement. Healthcare Commissioners of education will require service improvement to be in the curriculum. All staff will be expected to have a understanding of service improvement … … patients will benefit www.1000livesplus.wales.nhs.uk

Any questions? www.1000livesplus.wales.nhs.uk