1. Joint Improvement in Police Custody – Innovation and Change
Personal Interest / Experience – parallels with ADPs
Phil Eaglesham – Organisational Lead for Health Equity (Community Justice)

2. (Institute for Government, 2011)

3. Community Justice Strategic Priorities

4. Potential NHS HS Contribution
To strengthen informal, collaborative links between health and justice agencies and their contribution to community planning.
To promote smarter, joint outcomes and improvement in services and systems.
To work with others to build an evidence informed, outcome informed resource which bridges health improvement, community justice and community planning.

5. In understanding system variation, you have a number of options…
Deny / disprove the data
Distort the data to give a better message
Distort the system so that the data gives a better message
Use the data to help understand and improve

6. What route would you take to climb this mountain?
Route depends on the destination
Improvement Theory
Local Situation
Solutions

8. The Sequence for Improvement
Make part
of routine processes
Sustain the Improvements and spread the change to other locations
Test under a variety of conditions
Implement a change
Test out a change
Theory & Prediction
Develop a change
Copyright 2010 Institute for Healthcare Improvement//R Lloyd

9. The Sequence for Improvement

10. Workgroup Session Quality Indicators and Potential Data Sources
Range of challenges and useful measures in place
Some variance in the precision of the data
Does the data point to opportunities for change?
Could we generate more learning on quality and impact?
What could these potentially look like?
USING THE TEMPLATE PROVIDED> DRAFT POTENTIAL TESTS OF CHANGE
(OVER 3-6 MONTHS 2016/17)

11. Workgroup Session ‘Aim’ – what is it that you want to achieve?
Plan – ‘Change’ idea – what will you change?
Tasks, responsibilities, action, timing, your prediction
Do - What’s happening now?
Study - What actually happened? How did it compare to your prediction?
Act - What happens next? How do you modify? Scale up?
BEARING IN MIND…

12. The Value of Failed Tests
“I did not fail one thousand times;
I found one thousand ways how not to make a light bulb”
Thomas Edison