1. The journey continues…
Cohorts 1-3
The journey continues…

3. The Cohorts Cohort Pts invited & confirmed Pts assessed & recruited
Pts attended
Carers attended
Failed to continue
Main outcome, test of change 1 12 11 10 7
Goal setting 2 8
Concerns checklist 3 6
Recruitment process

4. What Worked Well Clinics Exercise class
engagement, risk assessment, identify concerns, person centred approach, reduced prep for pharmacy, fully explore emotional well being & cognitive function with psychologist & refer on if required
Exercise class
evidence of improvement over 5 weeks
Goal setting education & weekly feedback on goals
Peer support, staff involvement

5. What Worked Well Education/facilitated discussions after class
Cohort 2 increased peer support via these sessions
Concerns checklist
Embraces person centred care
Shapes content of week 5 (easier with small numbers)
Ensures ownership of tasks within team
GP letters post programme
Highlights outstanding pharmacy issues
HADS & MOCA results
Physio outcomes, referrals

6. What Worked Well Volunteers Team work Improvement Advisor
Excellent in cohort 1 for initial ice breaking, encouragement during class
Real value in patient AND carer volunteers in cohort 2
Added value to education/facilitated discussion sessions
Fed into weekly feedback with great points
Team work
Communication, what’s app!
Improvement Advisor
Model for improvement threaded through all cohorts

7. What We Noticed/Learned
Psychology
Importance of split session with patients & carers
1:1 beneficial when numbers allow
Increasing reports of earlier input required
Physiotherapy
Education on fatigue management useful but needed earlier
Cohort 2 younger & fitter – would’ve benefited earlier in recovery
Be flexible, every cohort is different
Twitter
Platform to reach wider audience
Promote Inspire within organisation

8. How Did It Feel
More relaxed environment to spend ‘quality’ time with patients
Team are feeling more confident in process, expectations, individual roles
Cohort 3 pro’s and con’s
Less group discussion, less peer support
Far more 1:1 individualised input
Felt apprehensive at times

9. How Did It Feel 3 month reviews are great!
Confirm you have had an impact
Evidence of improvement in outcome measures
Peer support lovely to see
Real sense of achievement from everyone (staff, patients, carers)

10. What We Plan To Test Next
Concerns checklist on a bigger scale
Add distress thermometer
Trial different venue
?community
Pros & cons
Recruitment process
Investigate reasons for FTA
Text reminder for clinic

11. What We Need Help With Pharmacy Ideas around recruitment process
Bridging gap between ICU and InS:PIRE
?resources
?telephone calls, point of contact pre InS:PIRE
?structured ward visits pre d/c home
Pharmacy
Development of medicines reconciliation form

12. What We Could Help With Spread of concerns checklist
Goal setting, self management
Happy to welcome other sites to Ayrshire 
Happy to visit other sites for support 