1. Insert name of presentation on Master Slide Introducing 1000 Lives Plus 4 March 2011 Jan Davies

2. Introducing … 1000 Lives Plus 1000 Lives Plus aims to improve patient safety and reduce avoidable harm, waste and variation across NHS Wales. 1000 Lives Plus –Improving care, delivering quality

3. Patient safety – why it’s still important More than one in ten people admitted to hospital are harmed unintentionally by its care. There is a one in 300 chance of accidental death through errors in care. 1000 Lives Plus - Improving care, delivering quality

4. 1000 Lives Plus is committed to accelerating the pace of change with an urgency to spread the new ways of working so that they become best practice everywhere – it’s what our citizens have the right to expect. Moving care from the board to the ward to home 1000 Lives Plus - Improving care, delivering quality

5. Lemon Juice www.1000livesplus.wales.nhs.uk In 1601, James Lancaster successfully conducted an experiment to illustrate the effectiveness of lemon juice to prevent scurvy. When did the British Navy adopt this treatment? 1.1602 2.1689 3.1757 4.1796

6. Lemon Juice www.1000livesplus.wales.nhs.uk In 1601, James Lancaster successfully conducted an experiment to illustrate the effectiveness of lemon juice to prevent scurvy. When did the British Navy adopt this treatment? 1.1602 2.1689 3.1757 4.1796 (195 years later)

7. Treatment of Scurvy www.1000livesplus.wales.nhs.uk Stephen J. Bown - Scurvy: How a Surgeon, a Mariner, and a Gentleman Solved the Greatest Medical Mystery of the Age of Sail; St. Martin's Press, 2004  In 1601 lemon juice, as a protective against scurvy, is recorded by James Lancaster.  In 1612, Woodall recommended citrus fruit for protection against scurvy on sea voyages.  In 1753 James Lind published A Treatise on the Scurvy which portrays his experiment on-board the ship Salisbury in 1747.  From 1772 to 1775 sailors on historic voyages with Captain James Cook remained free from scurvy.  In 1796 lemon juice was officially introduced in the British Navy as a prophylactic against scurvy.  In 1865 British Board of Trade adopted the policy for the merchant marine.

8. A national programme 1000 Lives Plus will align with several other national programmes in the five year Strategic Framework for NHS Wales It draws together existing work from the 1000 Lives Campaign and Intelligent Targets. 1000 Lives Plus - Improving care, delivering quality

9. Supporting teams and organisations 1000 Lives Plus will support you by: Providing tools, techniques and interventions to reduce local harm and mortality – How to Guides Delivering mini collaboratives for each new programme area 1000 Lives Plus - Improving care, delivering quality

10. Increased emphasis on patient-centred care Ongoing commitment to working across primary and secondary care New clinical areas targeted for improvement Local aims for reducing mortality and harm Safer care for every patient – every where in Wales What’s new? 1000 Lives Plus - Improving care, delivering quality

11. Programme Areas Leading the Way to Safety and Quality Improvement Improving Critical Care Reducing Surgical Complications –Maintaining perioperative normothermia –WHO Safer Surgery Checklist Improving the Reliability of Acute Stroke Care 1000 Lives Plus - Improving care, delivering quality

12. Mini-collaboratives (2010) Preventing Hospital Acquired Thrombosis Transforming Care Improving Early Rehabilitation Following Stroke Improving Reliability of Transient Ischaemic Attack TIA) Services 1000 Lives Plus - Improving care, delivering quality

13. Mini-collaboratives for 2010-11 Improving Rapid Response to Acute Illness Improving Mental Health - depression, dementia and first episode psychosis Reducing Falls in the Community Enhanced Recovery after Surgery Transforming Theatres Reducing Catheter Associated Urinary Tract Infections 1000 Lives Plus - Improving care, delivering quality

14. Mini-collaboratives introduced 2011 Transforming Maternity Services Improving Medicines Management Acute Coronary Syndrome 1000 Lives Plus - Improving care, delivering quality

15. Tools for improvement The Model for Improvement Improving clinical communication using SBAR Using patient stories Using Trigger Tools 1000 Lives Plus - Improving care, delivering quality

16. “It has enabled us to focus more closely on our patients and reminds me of why I went into the NHS – to save lives.” 1000 Lives Plus - Improving care, delivering quality

17. 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.