1. Introducing 1000 Lives Plus
27th October 2011
Introducing 1000 Lives Plus
Sue Lister
Insert name of presentation on Master Slide

2. CoventryUniversity Sue Lister
Service & Quality Improvement in Healthcare,
Coventry University
UK IHI Open School Chapter Co-ordinator
Institute for Healthcare Improvement. Cambridge, MA, USA.

3. Sue Lister Teaching Faculty Member,
NHS Institute for Innovation & Improvement,
Warwick University Campus, Coventry, England   

4. Introducing service improvement into the preregistration education of health & social care professionals

5. The Vision
Every single person is capable, enabled and encouraged to work with others to improve their part of the service.
Discipline of improvement in health and social care
(Penny 2003)

6. The aim is to raise awareness of improvement
To develop health and social care students to be curious about how they could improve their service, who are receptive to different ideas and are able to bring about appropriate changes by applying tools and techniques in their own professional context.

7. Levels of capability Awareness Core Advanced Expert
Willing to be engaged, challenge and be challenged
Expert
Capable of applying and adapting with confidence in complex situations.
Advanced
Capable of applying to most situations
Core
Capable of applying some aspects, to some situations with support and direction

8. Levels of capability Awareness Core Advanced Expert
Improvement modules in pre-registration training
Expert
Capable of applying and adapting with confidence in complex situations.
Advanced
Capable of applying to most situations
Core

9. 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.

10. The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk
Phase 1:
3 partners develop short courses in improvement
Evaluation
06/07
07/08
08/09
09/10

11. Spread and adoption Phase 1 Number of Universities 4
Characteristic
Phase 1
Number of Universities 4
Number of Students
347
No of Clinical Disciplines 8

12. The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk
Phase 2:
Continue to work with the development partners
Work with 6 additional implementation partners
Evaluation
Phase 1:
3 partners develop short courses in improvement
06/07
07/08
08/09
09/10

13. Spread and adoption Phase 1 Phase 2 Number of Universities 4 10
Characteristic
Phase 1
Phase 2
Number of Universities 4 10
Number of Students
347
2,200
No of Disciplines 8 20

14. Key messages Students need to …
Really listen – understanding what it feels like to be a patient / service user
Understand the systems
Small changes can make big improvements
Test improvement ideas – by using Plan, Do, Study, Act (PDSA) Cycles
Measurement is vital – not all changes are improvements
Work as a team – inter-professional working
Others will see things differently to you – value the differences
Everyone has a responsibility for improvement

15. Students need to … do it in reality while on placement in a clinical setting
They must at least …
Identify an issue for improvement
Process map it
Propose a change (the P of PDSA)

16. The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk
Phase 2:
Continue to work with the development partners
Work with 6 additional implementation partners
Evaluation
Phase 1:
3 partners develop short courses in improvement
Phase 3: Continue to work with the phase 1 & 2 partners
Phase 3:
Engage with new partners for supported implementation
09/10

17. Spread and adoption Phase 1 Phase 2 Phase 3 Number of Universities 4
Characteristic
Phase 1
Phase 2
Phase 3
Number of Universities 4 10 32
Number of Students
347
2,200
5,678 / year
No of Disciplines 8 20 23

18. Evaluation …
Firm evidence that students are able to apply the learning in practice in systematic ways that produce demonstrable benefit.
Some evidence that practice staff are embedding student contributions in their organisation and drawing on future cohorts to ensure continuity of improvement work.

19. The Plan 06/07 07/08 08/09 09/10 www.1000livesplus.wales.nhs.uk
Phase 4: Embed in the Faculties of Phase 1, 2 & 3 partners
Phase 2:
Continue to work with the development partners
Work with 6 additional implementation partners
Evaluation
Phase 1:
3 partners develop short courses in improvement
Phase 3: Continue to work with the phase 1 & 2 partners
Phase 3:
Engage with new partners for supported implementation
Phase 4:
06/07
07/08
08/09
09/10

20. 2010 / 2011 …on going & increasing
47 Universities, undertake projects to improve patient care.
1,547 students, from 25 health & social care disciplines.
…on going & increasing

21. … … patients will benefit
In summary … …
Universities
Service improvement will be explicit in the curriculum and to the students.
Students will have practical experience
of the tools and techniques of Service Improvement.
Healthcare
Commissioners of education will require service improvement to be in the curriculum.
All staff will be expected to have a understanding of service improvement
… … patients will benefit

22. Any questions?