Joint Improvement in Police Custody – Innovation and Change Personal Interest / Experience – parallels with ADPs Phil Eaglesham – Organisational Lead for Health Equity (Community Justice)

(Institute for Government, 2011)

Community Justice Strategic Priorities

Potential NHS HS Contribution To strengthen informal, collaborative links between health and justice agencies and their contribution to community planning. To promote smarter, joint outcomes and improvement in services and systems. To work with others to build an evidence informed, outcome informed resource which bridges health improvement, community justice and community planning.

In understanding system variation, you have a number of options… Deny / disprove the data Distort the data to give a better message Distort the system so that the data gives a better message Use the data to help understand and improve

What route would you take to climb this mountain? Route depends on the destination Improvement Theory Local Situation Solutions

The Sequence for Improvement Make part of routine processes Sustain the Improvements and spread the change to other locations Test under a variety of conditions Implement a change Test out a change Theory & Prediction Develop a change Copyright 2010 Institute for Healthcare Improvement//R Lloyd

The Sequence for Improvement

Workgroup Session Quality Indicators and Potential Data Sources Range of challenges and useful measures in place Some variance in the precision of the data Does the data point to opportunities for change? Could we generate more learning on quality and impact? What could these potentially look like? USING THE TEMPLATE PROVIDED> DRAFT POTENTIAL TESTS OF CHANGE (OVER 3-6 MONTHS 2016/17)

Workgroup Session ‘Aim’ – what is it that you want to achieve? Plan – ‘Change’ idea – what will you change? Tasks, responsibilities, action, timing, your prediction Do - What’s happening now? Study - What actually happened? How did it compare to your prediction? Act - What happens next? How do you modify? Scale up? BEARING IN MIND…

The Value of Failed Tests “I did not fail one thousand times; I found one thousand ways how not to make a light bulb” Thomas Edison