1. What can we learn about safety and frailty?
Jo Evans
Senior Improvement Advisor and Programme Lead – Safer Salford

2. A workshop of two halves
A common understanding of safety
Safety in the context of frailty

3. Where does safety fit?
STEEEP Principles* as outlined in the IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century
S – Safe Care: The patient's safety comes first.
T – Timely Care: Patient care will be delivered in the most timely manner possible.
E – Effective Care: Patient care will be based upon the best science available.
E – Efficient Care: Patient care will avoid waste of time, money, and resources.
E – Equitable Care: Access to care will be provided to all in an equitable manner.
P – Patient-Centered Care: Patients will participate fully in care decisions.

4. How do you know you are safe?
What information and data do you use to think about safety? – write on post-it notes for later

5. Avoiding sleepless nights
Safer Salford will learn from the latest thinking about safety in health and care, applying this to ensure care delivered in Salford is the safest in the UK.
Measuring and Monitoring of Safety Framework
(Vincent et al, 2013)

6. Safer intelligence in practice
Available online at

7. Safer intelligence in practice
Number of falls
Number of falls risk assessments completed and who completed by
Where falls occur and in what population group?
How are we completing our risk assessments?
Has this changed over time?
Are there other factors we need to be aware of?
Measuring performance
Measuring safety
Improving safety
What happened?
How did this happen?
Triangulating information to support learning

8. Are we mature?
Think about your role in your setting on a day-to-day basis
Consider how often and in what format you use data and information related to safety
Highlight the section which best matches YOUR experience
Collect individually on paper and then get whole group to assess on the whiteboard.
In second workshop give time to complete individual assessment and review whiteboard, but not in depth.

9. Are we measuring the right things?

10. Proposed GM frailty standards

11. Safety and frailty?

12. What do we want to learn? The “standards”
What measure could give us the right information?
What question do we want to answer?
How does this interact with the wider system?
How can we share this learning?
Identifying and assessing frailty
Frailty care planning
Frailty interventions and care
Draw on whiteboard, get measures written down earlier on post it notes stuck on this board in the appropriate section

13. What do you want the next group who come in here to know / focus on?
Closing comments
What do you want the next group who come in here to know / focus on?
What do you want the