1. 2011 – A year in the life of 1000 Lives Plus
December 2011
2011 – A year in the life of Lives Plus
Insert name of presentation on Master Slide

2. January Back to Bevan seminar in partnership with the Bevan Commission
The year began with the ‘Back to Bevan’ seminar – run in partnership with the Bevan Commission.
Thought leaders from around the UK addressed the question: “Are Bevan’s founding principles for the NHS still relevant today?”
Significance – continued building on the relationship with the Bevan Commission.
Improving care, delivering quality

3. 1000 Lives Plus Events 52 learning events in 2011
National Learning Events
Major seminars
Mini-collaborative Study Days
Over 2,600 delegates
Improving care, delivering quality

4. February The 2011 Quality and Safety Survey
All staff survey – 10,320 responses
GP survey – 49% of GP practices in Wales took part
In February we launched the 2011 Quality and Safety Survey – which saw every health board and trust taking part.
Staff were invited to score statements like: “I would feel safe being treated as a patient here” and “Staff are not blamed inappropriately when mistakes are made”.
Over 10,000 staff from across NHS Wales took part.
1000 Lives Plus also ran a survey for GP practices – with over 49% of practices taking part.
The purpose of the surveys were to bring issues to the surface, generating meaningful discussion and practical actions.
A follow up report was provided to help leaders build a dialogue about cultural patterns and explore what can be done to change culture in a positive way.
Significance – engagement of NHS Wales staff in quality and safety issues – providing organisations with the data and the opportunity to improve – based on what their staff are saying.
Improving care, delivering quality

5. March 2011 saw the launch of ‘Transforming Maternity Services’
And approval for
new areas of work:
Reducing harm in primary dental care
Improving care for patients with Learning Disabilities
Improving primary care
2011 saw the launch of a number of new mini-collaboratives – including the ‘Transforming Maternity Services’ work, which was launched at the Royal College of Midwives annual conference.
The March programme board also approved the following new areas of work:
Reducing Harm in Primary Dental Care.
Improving care for patients with learning disabilities: the learning disabilities annual health check.
Improving Primary Care – prioritising Heart Failure and Anticoagulation with the addition of work on Atrial Fibrillation and an evaluation of the primary care trigger tool for 2011 – 2012.
Significance – The approach continues to use evidence based research to identify interventions and the mini collaboratives provide the opportunity to bring clinical teams together from around Wales to learn together and accelerate implementation of new ways of working.
Improving care, delivering quality

6. Major areas of work Improving Leadership for Quality
Reducing Healthcare Associated Infections
Improving Medicines Management
Improving Acute Care
Improving Surgical Care
Stroke Care
Transforming Care
Transforming Maternity Services
Improving Primary and Community Care
Mental Health
The new mini-collaboratives join an existing series of programmes committed to introducing sustained change using 1000 Lives Plus quality improvement methodology.
Improving care, delivering quality

7. Local progress ... Aneurin Bevan Health Board
And here is a very small sample of the results we are seeing ...
We don’t have time or space to provide updates on all programmes and organisations here.
However, it’s these run charts that really brings this work to life ...
Improving care, delivering quality

8. Local progress ... Cwm Taf Health Board
Improving care, delivering quality

9. Local progress ... ABM University Health Board
RRAILS
Improving care, delivering quality

10. Local progress ... Betsi Cadwaladr University Health Board
Improving care, delivering quality

11. April ‘The 1000 Lives Plus Quality Improvement Guide’ was published
April saw the publication of ‘The 1000 Lives Plus Quality Improvement Guide’.
It explains the methodology employed by 1000 Lives Plus in a simple and understandable way.
It has been well received across the health and wider public sector. With over 6,000 copies distributed.
Last month, a nursing version of the guide was produced to equip the nursing community to understand and implement the methodology.
We are currently working with other healthcare professional groups to develop similar versions.
Significance – supports our commitment to delivering a consistent and standard language for improvement.
Improving care, delivering quality

12. 1000 Lives Plus Publications
Publications available in 2011
4 white papers – 3 in production
18 How to Guides – 6 in production
6 Tools for Improvement
Improving care, delivering quality

13. May
First anniversary of 1000 Lives Plus – organisations around Wales report impressive progress:
ABM – reducing infections
Aneurin Bevan – reducing urinary tract infections
Betsi Cadwaladr – reducing sepsis
Cardiff & Vale – speeding up recovery
Cwm Taf – preventing falls
Hywel Dda – preventing bed sores
Powys – reducing risk of blood clots
Velindre – cancer trigger tool
WAST – Stroke becomes Category A
May saw the first anniversary of the programme – which was marked by progress updates from each organisation on key work being taken forward.
Significance – the national focus on improvement work – every organisation in Wales committed to improving the services they deliver.
Improving care, delivering quality

14. June National Learning Event Improving care, delivering quality
Our June National Learning Event included perhaps one of the most moving and emotional sessions we’ve held – throughout the 1000 Lives Campaign and 1000 Lives Plus programme.
Dr Andrew Goodall, Chief Executive of Aneurin Bevan Health Board, chaired a session which included contributions from Clare Bowen, a mother who lost her daughter in during a tragic surgical accident and Mr Bob Redfern, a consultant neurosurgeon who reflected on an error he made in theatre.
Why are these stories important? They are a reminder of why we do what we do – and an increasing reminder of how we respond to our patients – but also our staff members, when errors occur.
Improving care, delivering quality

15. July 1000 Lives Plus work win NHS Wales Awards
Improving Quality Through Better Use of Resources Betsi Cadwaladr University Health Board - introduction of enhanced recovery after surgery, to help orthopaedic patients recover from surgery quicker and return home sooner.
Improving Patient Safety ABM University Health Board – to eliminate pressure ulcers (commonly known as bed sores) to improve patient safety.
National awards
In March, the 1000 Lives Campaign was ‘Highly Commended’ in the Patient Safety Awards and in May it was shortlisted for the ‘Best Improvement in Quality and Safety’ category.
The work of organisations taking 1000 Lives Plus work/interventions forward led to a number of wins at the NHS Wales Awards in July.
‘Improving Quality Through Better Use of Resources’ - Betsi Cadwaladr University Health Board for the introduction of enhanced recovery after surgery which is helping orthopaedic patients recover from surgery quicker and return home sooner.
‘Improving Patient Safety’ - ABM University Health Board for its work to eliminate pressure ulcers (commonly known as bed sores) as part of the 1000 Lives Plus programme to improve patient safety.
The work was also acknowledged on a national scale over the year:
In March, the 1000 Lives Campaign was ‘Highly Commended’ in the Patient Safety Awards
In May, the 1000 Lives Campaign was shortlisted for the ‘Best Improvement Quality and Safety’ category’.
Improving care, delivering quality

16. August Faculty visit to Jonkoping Improving care, delivering quality
Sweden’s 22 County Councils includes a variety of health and social care indicators, which show Jonkoping providing quality healthcare at a relatively low cost.
There are many similarities between Jonkoping and regions of Wales – an integrated healthcare system, strong focus on public health and broadly socialist tradition.
Members of the 1000 Lives Plus Faculty visited Jonkoping in August to identify what learning could be transferred to Wales with a driven, focussed effort to deliver increased quality.
Major outcome was the publication of a white paper, carrying a series of recommendations for the future of 1000 Lives Plus and its support of NHS Wales.
Significance – the ramping up of 1000 Lives Plus.
Improving care, delivering quality

17. September 1000th student joins 1000 Lives Plus Student Chapter
In September, Gemma Hayes, a first year nursing student from Bangor University, became the 1000th member of the 1000 Lives Plus Student Chapter.
The Student Chapter is an inter-professional active network for all healthcare students studying at Universities across Wales.
The goal of 1000 members has been met in less than a year, and shows the enthusiasm and commitment of students across Wales to becoming more effective and safer practitioners.
Work has also been taken forward to support educators and service to work together to facilitate and improve students experience and ultimately improve patients’ experience.
Significance – [Recommendation] NHS Wales should take all opportunities to align with academic and teaching resources.
Improving care, delivering quality

18. October Clinical director updates from around Wales
Medical Director
Nursing Director
In October, Medical Directors, Nursing Directors and Director of Therapies were interviewed on the progress their organisations were making.
Staff in Powys Teaching Health Board outline the progress made in this video now.
Significance – Greater join up across clinical specialties.
Director of Therapies
Improving care, delivering quality

19. November The Esther Project – “seeing through patients’ eyes”
In November, the programme ran a workshop on ‘The Esther Project’
A ground-breaking, established and sustained work which is taking place in Jonkoping in Sweden focussing on the needs of elderly people.
The day explored the application of learning from the Esther Project in Jonkoping and the Jo Programme in the South West Yorkshire Partnership Foundation Trust for taking forward a similar work in Wales.
Significance – Focus on working across public sector - the NHS, social services and local government in Wales.
[ Recommendation ] A patient driven NHS Wales
Improving care, delivering quality

20. December
Looking forward into 2012
Improving care, delivering quality

21. become safe … institutionalised [or] coded. It can’t take the
1000 Lives Plus … “can’t
become safe … institutionalised
[or] coded. It can’t take the
safer way forward. It must
become and remain evermore
the impatient agitator for good
change, the focus on quality.”
David Sissling, November 2011
1000 Lives Plus “can’t become safe; it can’t become institutionalised; it can’t become coded. It can’t take the safer way forward. It must become and remain evermore the impatient agitator for good change, the focus on quality. It must increasingly, as today represents, embody the patients’ interests, the patients’ voice, the patients’ experience in all it does; within its very DNA. Because by doing that I believe this challenge we have to become comparable with the best in the world is realisable - through that kind of ambition through that kind of desire for change through that focus on the patient, through the good work of everybody in this room and all the many thousands and tens of thousands who work in the NHS and all our many partners, I believe we can have a health service and a healthcare arrangement in Wales which is one of the best in the world.”
Improving care, delivering quality