Tuesday 29 September 2009 ‘Count me in!’ Paul Williams

Two years to make a difference The 1000 Lives Campaign is aiming to save an additional 1,000 lives and to avoid up to 50,000 episodes of harm in Welsh healthcare between 21 April 2008 and 21 April 2010.

What’s been achieved? Management buy-in A new focus on using data Local stories – patients own stories Frontline sign up

What’s been achieved? Reductions in hospital mortality A focus on harm

And we have learned about creating change Develop integrated solutions Patient centred High quality, safe and effective care Clinical and managerial leadership Staff involvement at all levels

Clinician Involvement Outcome focus Local interpretation Measurement and peer contest/learning Visible leadership which understands, facilitates, and is consistent

Greenhalgh criteria It must have clear relative advantage It must have compatibility with the user’s values and ways of working Complexity must be minimised Users will adopt more readily if innovations allow trialability There must be observability, that is it must be seen to deliver benefit Reinvention is the propensity for local adaptation

Thank you The commitment and enthusiasm of NHS staff has been amazing – thank you

Why did we need a Campaign? Modern healthcare is increasingly complex Better outcomes Greater risk

Action still needed at all levels: Must measure harm Must ‘Be Open’ Must be the top priority of Boards

“Staffordshire hospital scandal: the hidden story” The Daily Telegraph 22 March 2009

Jönköping County Council Finance IT Access HR

Jönköping County Council Politics Structures Partners Finance IT Access HR

Jönköping County Council Politics Structures Partners Patient Experience Finance IT Access HR

Realigning Wales Focus on outcome and harm Build effective organisations Collaboration and cooperation 5 year plan Support our people

The Board’s Role

The Executive’s Role Establish Executive Accountability Address Culture at all levels Demonstrate visible leadership behaviour Use patient stories Establish aims and monitor system level measures Orientate Board agendas Address Board level learning and education

The Healthcare Professional’s Role Champions of safety Stewardship of resources The Patient’s Role To question, ask, insist and support Tell their story – help us learn

‘Transforming Care’ Releasing time to transform care – new programme launches in November Thanks to successful pilot sites for all your achievements

Conclusion We know we can make services safer We have achieved so much We must make it core business 5 year plan It unites us

The clock is ticking There are just 204 days to go

Photo of Paul Williams with ‘Count me in Photo of Paul Williams with ‘Count me in!’ banner – taken on the morning of LS3 and inserted into powerpoint before presentation starts.