1. Tuesday 29 September 2009
‘Count me in!’
Paul Williams

2. Two years to make a difference
The 1000 Lives Campaign is aiming
to save an additional 1,000 lives and
to avoid up to 50,000 episodes of harm in
Welsh healthcare between 21 April 2008
and 21 April 2010.

3. What’s been achieved? Management buy-in A new focus on using data
Local stories – patients own stories
Frontline sign up

4. What’s been achieved?
Reductions in hospital mortality
A focus on harm

5. And we have learned about creating change
Develop integrated solutions
Patient centred
High quality, safe and effective care
Clinical and managerial leadership
Staff involvement at all levels

6. Clinician Involvement
Outcome focus
Local interpretation
Measurement and peer contest/learning
Visible leadership which understands, facilitates, and is consistent

7. Greenhalgh criteria It must have clear relative advantage
It must have compatibility with the user’s values and ways of working
Complexity must be minimised
Users will adopt more readily if innovations allow trialability
There must be observability, that is it must be seen to deliver benefit
Reinvention is the propensity for local adaptation

9. Thank you
The commitment and enthusiasm of NHS staff has been amazing – thank you

10. Why did we need a Campaign?
Modern healthcare is increasingly complex
Better outcomes
Greater risk

11. Action still needed at all levels:
Must measure harm
Must ‘Be Open’
Must be the top priority of Boards

12. “Staffordshire hospital scandal: the hidden story”
The Daily
Telegraph
22 March 2009

13. Jönköping County
Council
Finance IT
Access HR

14. Jönköping County Council
Politics
Structures
Partners
Finance IT
Access HR

15. Jönköping County Council
Politics
Structures
Partners
Patient Experience
Finance IT
Access HR

16. Realigning Wales Focus on outcome and harm
Build effective organisations
Collaboration and cooperation
5 year plan
Support our people

17. The Board’s Role

18. The Executive’s Role Establish Executive Accountability
Address Culture at all levels
Demonstrate visible leadership behaviour
Use patient stories
Establish aims and monitor system level measures
Orientate Board agendas
Address Board level learning and education

19. The Healthcare Professional’s Role
Champions of safety
Stewardship of resources
The Patient’s Role
To question, ask, insist and support
Tell their story – help us learn

20. ‘Transforming Care’
Releasing time to transform care – new programme launches in November
Thanks to successful pilot sites for all your achievements

21. Conclusion We know we can make services safer We have achieved so much
We must make it core business
5 year plan
It unites us

22. The clock is ticking
There are just
204 days to go

23. Photo of Paul Williams with ‘Count me in
Photo of Paul Williams with ‘Count me in!’ banner – taken on the morning of LS3 and inserted into powerpoint before presentation starts.