1. The Health Foundation: support for improvement 13 September 2016 Penny Pereira, Deputy Director of Improvement

2. 2 Introducing the Health Foundation

3. 3 £120 million invested in the NHS since 2004 320 clinical teams funded to test new ideas in the NHS 370 fellows in leadership and quality improvement 148 NHS Trusts and 780 GP Practices funded in England Funded and evaluated practical change programmes in Patient Safety, Person-Centred Care and Flow

4. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources 4

5. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources 5 Flow programme, coaching support, publications Connecting 1000 of people skilled in improvement Developing system leaders Evidence and resources for Quality Improvement Testing and developing new ideas in the service Supporting scale and spread of ideas

6. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources

7. Innovation Innovating for Improvement Currently: 77 clinical teams awarded £75k for 15 month projects to test ideas that will have benefits for patients within that timescale 7 Improving pressure damage detection in the community using continuous pressure monitoringImproving pressure damage detection in the community using continuous pressure monitoring - Peninsula Community Health Developing a model of recognition and rescue of the deteriorating patient across community settingsDeveloping a model of recognition and rescue of the deteriorating patient across community settings – NHS Borders Community services examples:

8. Innovation films Pills: optimising medication in care homesFlo: telehealth for long-term conditions Bottoms up: Quality Improvement in Northern Ireland Recovery College: peer support for people with mental health conditions Goldline: 24/7 support at the end of life Available and free to view and use at: health.org.uk/powerofpeople 8

9. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources

10. Scaling Up and Spreading Improvement Currently funding 19 clinical teams to scale and spread their improvements across the UK Ideas, interventions and approaches that have been tested and shown to be successful at a small scale are able to make improvements at a larger scale Scaling Up Improvement 10 Improving medication safety in primary care Working with Nottingham University, East Midlands AHSN, 9 CCGS and 217 GP practices to scale a cost-effective, evidence-based intervention for prevention of common prescribing errors

11. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources

12. GenerationQ: Health Foundation fellowship in leadership and quality improvement Scaling Up Improvement The Four GenerationQ Leadership Domains Relational Engaging skilfully with others in complex and challenging environments Technical Making informed choices based on awareness, understanding and experience of a range of improvement methods Personal Being highly self-aware and authentic; knowing one’s own strengths, patterns, needs and limitations Contextual Enhancing local conditions to be more conducive for improvement in quality of care to happen A fully-funded leadership and quality improvement programme For senior leaders working in and with the health service: fellows remain in their place of work Academically rigorous: postgraduate qualification in Leadership from Ashridge Business School Put into practice a significant improvement project in the Fellow’s place of work 108 fellows to date http://www.health.org.uk/programmes/generationq 12

13. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources 13

14. What is Q? UK wide long term ‘home’ connecting those doing improvement from across the UK Seeks to support people in their existing improvement work: making it easier to share ideas, enhance skills and make changes that benefit patients 14

15. Offer to Q members: Benefits for organisations: 15 Database of improvement talent Morale boosting Visible support for improvement Recognition and profile Pulling in best ideas from across the UK Support for those leading change Networking opportunities Flexible, free or discounted development Platform and skills for working on cross-system challenges Cost effective skill boosting Taught input and practical peer wisdom Through members develop many others From 2017, labs will pool expertise and energy to make progress on shared challenges

16. Joining Q Anticipating 1000s of members Applicants need to demonstrate: Commitment to collaborative improvement Experience Understanding Recruitment in waves by region from November Find out more: 16 www.health.org.uk/q-initiative

17. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources

18. Flow in healthcare Flow, Cost, Quality programme : systematically improving flow in emergency care pathways Now funding Sheffield to develop the capability and capacity to improve patient flow at scale Coming soon: flow across local health and social care systems 18 ‘It's about looking at it from the patient's perspective – how do we remove the barriers and for the patient make it seem integrated? Because that's where the quality and efficiency gains lie.‘ Tom Downes, Clinical Director for Quality Improvement, Sheffield Teaching Hospitals NHS Foundation Trust

19. Our improvement work Scaling Up Improvement Innovation Leadership Development Q Improving Flow Improvement Research and Resources

20. Resources and Support for Improvement 20

21. A wider view of safety 21

22. Resources and Support for Improvement 22

23. Thank you Contact details Penny Pereira, Deputy Director of Improvement Email: penny.pereira@health.org.ukpenny.pereira@health.org.uk Twitter: @pennypereira1 For all the latest opportunities sign up for our e-newsletter via www.health.org.uk