1. The Innovation Pathway I+R=CE2
V11.June2017 Sue Palmer Hill, Head of IRCE

3. Situation
‘Innovation, Health and Wealth, Accelerating Adoption and Diffusion in the NHS (DH 2011).
Trust commitment to innovation
Trust strategy DIGBQ
‘I’= Innovate to improve Quality
NEW ‘Innovation Pathway’ trust wide strategic approach, empowers individuals, teams and services to innovate, explicitly so that they can develop their practice, demonstrate their clinical effectiveness, design and test new solutions to meet developing service need and improve patient outcomes. I+R=CE2.

4. Background
Evidence many opportunities can be realised through a collaborative cultural that embraces Innovation & Research as part of core activity:
Develop a sustainable organisation: the ability to demonstrate high quality, clinical effectives of services leads to increased efficiency and evidence to support tenders and attract new business.
Innovation to improve quality: design and test new solutions to meet developing service need and improve patient outcomes
Grow staff capability: attracting and retaining the best quality staff and improving their working lives.
Develop in partnership: actively co-creating initiative solutions to new service need acknowledging the service user/patient contribution. Encourages interdisciplinary working, urging staff to develop synergies between areas, both within and beyond the trust. Working with commercial companies and academic organisations as partners
Quality at the heart of all we do: improved quality of patient care with the skills set developed contributing to wider trust initiatives around quality improvement.

5. What’s in a name?
Innovation - ‘IDEAS’ , doing things differently, thinking about change and improvement +
Research and Evaluation – ‘TESTING IDEAS’, acknowledges the requirement for evidence base to practice. =
Clinical Effectiveness (‘CE’) – WHAT WORKS AND WHY’ needs to be relevant and applied to clinical care: includes NICE guidelines/National & professional standards and auditing to show effectiveness
2 ‘DO IT’ is the ambition to impact on Quality Improvement
I+R=CE2

6. I+R=CE2 Mission Statement
“Innovating today with you, improving tomorrow for all”
Trust mission statmewnt first

7. 5C’s of the I+R=CE2 E Embed a Culture Build Capability and capacity
Clinical Effectiveness - deliver ‘What Works’
Collaborative partnerships - develop and strengthen
Customers -build strong synergistic relationships with patients/public/stakeholders

8. Assessment I+R=CE2 is everybody's responsibility
Responsibility of all registrants/health care staff to participate in IRCE activity.
Change is not an activity that can be taken forward in isolation. We need to work together, empower teams/services and include service users/patients as subject matter experts
The pathway must be supported with access to specialist knowledge/skills/support - IRCE Team
a ‘Framework’ for Management and Governance of the Innovation Pathway is needed so risks can be understood/managed and impact can be capture.

9. The Innovation Pathway
???
???
CIP EBM Clinical quality
???
transformation
transformation
100’s of innovative Ideas
Quality Improvement
AHSN
IDEAS FORUM
CLAHRC
Quality Improvement
NIHR
Clinically Effectiveness
NICE
AUDIT

10. Ideas Forum Peer review
Knowledge, skills and expertise in research and evaluation design
Governance and project delivery expertise
Access to external partners for collaboration and support, eg. academic links, the National Institute for Health Research (NIHR) CLAHRC, Clinical Research Network delivery team, AHSN
Links to funding
Resources/Training
Management of intellectual property
publishing
Develop/support Ideas Champions

11. Ideas Champions promote and encourage IRCE thinking within their teams
to assist innovators in their team/service to facilitate cross- departmental co-operation for the development or adoption of an innovation idea.
act as a point of contact between their team and the IRCE Team
highlight IRCE projects to the Ideas Forum
assist the IRCE Team in the appraisal of externally sourced research and/or innovation ideas, by providing opinions on the potential clinical benefits and the likely feasibility of implementing those ideas within their teams.
to support the development of the Innovation pathway, by highlighting relevant issues faced by their department or clinical specialty.

12. Framework for Management and Governance
Reporting
Quality Forum
IRCE Team
Innovation/Adoption
service improvement
Service development
IRCE ideas developed and implemented with peer support
Support
Ideas Forum
IRCE Committee
Trust/Programme Management/
transformation
Directorates
Ideas Champions
team meetings

13. Management & Governance
Capture Innovation at teams meetings
Report via directorate structures
Capture Ideas via Ideas forum
Ideas Forum/Directorates/ audit reports into IRCE Committee
IRCE Committee reports to Quality Forum

14. Recommendations adopt the Innovation Pathway I+R=EC2 trust wide
Include I+R=EC2 in all job descriptions /adverts/ job plans
Engage and support individuals, teams/ services/ directorates/ Trust Board to think about the ‘Innovation Pathway’, ensure discussed and captured in team meetings
Identify and grow Ideas Champions within teams
Ideas Champions support the Innovation Pathway in their teams/services, capture via team meetings
support/develop Ideas Champions Ideas via Ideas Forum with the IRCE team

15. Resources All employees of the trust
Highly trained, academically-able professional workforce.
‘experts by experience’ Service Users/Patients/carers /members
Teams/services, directorates, Board
Trust reporting structures
CQC self assessments
Specialist support:
IRCE team
Quality Team
PMO
LGSS
Library services
Ideas Forum
IRCE Committee
NHS Innovation Tool kit
External resource eg. colleagues from other providers, formal and informal networks, universities, commercial companies, charities regional & national organisations that support innovation and research.

16. Please comment to: Sue Palmer Hill, RGN, MSc
Head of Innovation Research and Clinical Effectiveness
Northamptonshire Healthcare NHS foundation Trust
Mob: