1. Faculty of Patient Safety Jon Hanson Chair of Faculty of Patient safety

2. SIPC HF presentation Sept 11

6. Patient First Empower the patient Invest in Growth and staff development Transparency

7. PRISM I Preventable deaths due to problems in care in English acute hospitals: a retrospective case record study 100 adults who died 2009 in 10 acute hospitals Medical reviewers identified problems contributing to death and judged if they were preventable Judged 5.2% (~12,000) of deaths having a 50% or greater chance of being preventable

9. AHSNs can excel, lead and provide a catalyst for local improvements To ensure continual patient safety learning sits at the heart of healthcare in England To create the largest and most comprehensive collaborative patient safety programme in the world

10. . The five Sign up to Safety pledges Putting safety first. Commit to reduce avoidable harm in the NHS by half and make public our locally developed goals and plans Continually learn. Make our organisation more resilient to risks, by acting on the feedback from patients and staff and by constantly measuring and monitoring how safe our services are Being honest. Be transparent with people about our progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong Collaborating. Take a lead role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use Being supportive. Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate progress. The five Sign up to Safety pledges Putting safety first Continually learn Being honest Collaborating Being supportive 3 year shared objective to save 6000 lives

11. Since June 2014 NHS Choices provides hospital level display Patients and public can see how performing on Key Safety Indicators

12. National Patient Safety Alerting System (NaPSAS) Launched Jan 2014 Timely dissemination of safety information to providers Builds on best elements of the National Patient safety Agency (NPSA) system 3 stage alerting system

13. “The single most important change in the NHS … would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end”

14. Health Foundation and NHS England £2 Million Diverse range of individuals to improve quality of healthcare Initial cohort 150-250 collaborate to determine long term design and structure of Q Just completed first 3 co-design events

16. HEE NE Patient Safety Faculty Est Feb 2015

17. Aim of faculty Set strategic direction on behalf of HEE NE in delivering patient safety agenda 4 major work streams –Human Factors –Simulation –Technology Enhanced Learning –Learning from clinical incidents and never events Work closely with other Patient safety agencies regionally and nationally

18. Who? HEE NE Representatives: –Chair – Faculty of Patient Safety –Clinical Human Factors Lead –Clinical Simulation Lead –Quality Manager –Quality Officer –Associate Director of Operations –Directors of Postgraduate School (Primary Care, Foundation or Specialty) –Postgraduate Dental Dean Trust representatives at least one to be from an acute trust and one from a Mental Health Trust HEI Representatives Chair of the PSC Steering Group Chief Executive of the AHSN Director of NEQOS Member of regional Mortality Group CCG representation Lay Representation Trainee Representation

20. Simulation – Kate Williamson 8 HENE funded Faculty training courses Ultrasound Sim lab opened at Teesside Collaborative multi-professional projects involving acute school & Northumbria Uni, City Hospital Sunderland and Sunderland Uni Facilities expansion- CDDFT, South Tyneside and Friarage Development of a Northern Simulation Group - Working with North West and North Yorkshire and Humber to share good practice

21. Human Factors- Dave Murray Regular programme of informal HF Forums – free interactive events to discuss implementation of HF, rotate around region) Human factors training day May 2016 Teesside & Northumbria Unis now offer Masters level study in HF in Healthcare (2 nd cohort of HENE funded Teesside HFPgC just started) Discussions with schools as to how to deliver HF in their curricula (Surgery) Collecting data as to who is delivering what to whom locally.

22. Technology- Networks Region sepsis group established- Share practice, developing regional training package (core the same with bolt ons for different establishments/staff groups)- linking Nationally NEWS group to be established Signup to safety leads App for Quality improvement work

23. Collaboration Regular meetings the Faculty of Patient Safety, simulation and Human factors groups – identify work streams and priorities Working closely with PSC and regional Mortality group Following Successful 1 st Conference in April 15- Joint conference with PSC 5th April 2016 at Teesside University qnorth group established

24. q north

28. A long term ‘home’ connecting those doing improvement from across the North East and Cumbria Seeks to support people in their existing improvement work: making it easier to share ideas, enhance skills and make changes that benefit patients What is q north

29. q north - patient safety partners to offer partnerships initially across the region from all disciplines and organisations involved in health care Aim- raise the profile of patient safety work in the region, link people together to share ideas and encourage cross discipline/site working to promote safety

30. q north partner submit outlines of their planed work in abstract form mentorship coaching in aspects of patient safety work (human factors, methodology etc.) free access to BMJ quality and a QI App aid data collection and standardise reports completed projects would be displayed at our annual patient safety conference with prizes given for the best projects Facilitate the establishment of networks of similar work streams across the region

32. q north

33. Questions Patient Safety Faculty