1. Clinician engagement for QI - What can other settings learn from community services?’ Dawn Nortman Head of Clinical Audit & Research Kent Community Health Trust (KCHT)

2. Kent Community Health NHS Trust One of the biggest providers of NHS community services More than 60 different services 5400 staff Serving a population of over 1.4 million

3. Our Area – In Kent

4. Our Area – Outside Kent

5. Exercise: What is different about engagement in community? List differences For each difference is that a positive or negative? Provide details of why it is positive or negative If a negative is there anything that can be done to overcome this?

6. What is different about engagement in Community? DifferencesPositive / Negative? More stable staff population Staff Type No centre Geography

7. Engaging Clinicians in Quality Improvement “Nothing about me without me”

8. Forums for Engaging Clinicians Meet the Execs Patient Safety / Quality Walkabouts Director of Nursing Surgeries Quality Forum

9. Forums for Engaging Clinicians Schwartz Rounds Matrons Group Lead Nurse Group First Class Care – Education Best Practice Forums

10. Leadership & Clinician Engagement

11. Example of CQC Inspection Communication and Engagement Model at KCHT Use a variety of methods to reach audience: Staffzone CQC pages Managers’ cascade of information Presentation for delivery at team meetings Updates in weekly bulletins CQC drop in sessions Director of N&Q video

12. Example of CQC Inspection Communication and Engagement Model at KCHT Need to write meaningful guidance in a language clinicians can relate to: 5 domains self-evaluation tool, poster and business card FAQ document Get feedback afterwards to assess if engagement was successful: CQC inspection survey to staff

13. Using the Example of Transformation Team Transformation Team Engaging With Staff In Service Re-Design

14. Ashford Long Term and Intermediate Care Services Engagement and Service Development Workshop

15. Using the Example of Transformation Team Goal for the day: To engage staff in the development of our services to align with potential CCG defined “Network Hubs”. Number of staff attending: 43 staff at Bands Six and Seven. Outcome: A collection of solutions to support the continued delivery of patient care in Ashford in response to new commissioning arrangements and needs locally.

16. Feedback from Participants: “Strong sense of engagement from all. Fear free forum for sharing views – really feel listened to”

17. Exercise: How would you engage clinicians in Clinical Audit? What? Who ? How? Why? Where? When? Starburst Technique

18. Using the Example of Clinical Audit at KCHT Executive Leadership – Medical Director Strong Foundations – Strategy & Policy Clear Roles & Responsibilities Department Clinical Audit Group Directorate Audit Sub-groups Directorate Audit Leads Service Audit Leads Project Leads

19. Using the Example of Clinical Audit at KCHT The skills to get involved – Training, E-learning Active Engagement / Dissemination of Learning Learning at Work Day Clinical Audit Awareness Week Clinical Audit & Research Conference

20. Advertising Department Support:

21. Advertising How Audit has Improved Quality

22. Using the Example of Clinical Audit at KCHT Flexibility Stepping Outside of Remit Proving Our Worth – MQGF, CQC Inspection

23. Using the Example of Clinical Audit at KCHT Action Plan Monitoring – every audit to completion Patient and Public Involvement Ownership

24. First Follower: Leadership and Engagement Leadership Lessons from a Dancing Guy - Video

26. Any Questions? Dawn Nortman Head of Clinical Audit & Research E-mail: Dawn.Nortman@kentcht.nhs.uk