1. Should we Sign up to Safety? Aim – reduce harm to patients by 50% in three years Secondary Care Strategic Governance meeting

2. 5 pledges Signing up means signing up to 5 pledges which are ;. Put safety first. Commit to reduce avoidable harm in the NHS by half and make public the goals and plans developed locally. Continually learn. Make their organisations more resilient to risks, by acting on the feedback from patients and by constantly measuring and monitoring how safe their services are. Honesty. Be transparent with people about their progress to tackle patient safety issues and support staff to be candid with patients and their families if something goes wrong. Collaborate. Take a leading role in supporting local collaborative learning, so that improvements are made across all of the local services that patients use. Support. Help people understand why things go wrong and how to put them right. Give staff the time and support to improve and celebrate the progress 2Presentation title - edit in Header and Footer

3. Why is there a campaign? Sign up to Safety is designed to help realise the ambition of making the NHS the safest healthcare system in the world by creating a system devoted to continuous learning and improvement. This ambition is bigger than any individual or organisation and achieving it requires us all to unite behind this common purpose. We need to give patients confidence that we are doing all we can to ensure that the care they receive will be safe and effective at all times. 3Presentation title - edit in Header and Footer

4. Choosing areas of focus 4Presentation title - edit in Header and Footer

5. Aim: 2 stones lighter by May! Aim: 2 stones lighter by May! Energy Out Energy In Walk daily commute Stairs not lift Exercise Reduce alcohol intake Eat Less Driver diagrams – weight loss example 5 Pedometer Gym work out 3 days Squash weekends No pub weekdays Take packed lunch Low fat meals

6. Detect every patient at risk from Acute Kidney Injury by the end of September 14 Interventions must link to Aims Strategic Aims Primary DriverSecondary Driver Change/ Projects Reduce harm by 50% in 3 years

7. Driver diagrams On the left we depict outcome. As we move right we drill down into the network of causes that drive the outcome, from ‘primary’ to ‘secondary’ drivers. On the right we depict ideas for system changes that might ultimately impact the outcome. Reduce harm by 50% Primary Driver Primary Driver Primary Driver Primary Driver Change S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver S econdary Driver