1. Presenter Improving Quality Together: Making Improvement a Habit

2. Dominique Bird National Programme Lead 1000 Lives Improvement Service Public Health Wales

3. Population of 3 million Served by 7 Health Boards and 2 Trusts – cross primary, secondary and community services 84,000 staff NHS Wales

4. Decisions about change Knowledge about what change is needed

5. Improvement led by the front

6. Team working

7. Students leading improvement “Language such as ‘she’s been padded’ and ‘we’ve given her pads’ are regularly heard in situations such as handover rather than saying we will do 2 hourly toileting” Design and implement a leaflet titled ‘Be in the know, don’t wrap and go.’ –A 14% increase in patients not using any continence aids by night and a 43% increase by day; –A 29% decrease in the use of ‘nappy pads’ by night and a 61% decrease by day

8. Improvement led by the front

9. So how did we do it? Common language of improvement Focus on person-centred care Consolidation of quality improvement in NHS Wales to date Learning programme of quality improvement skills: –Quality improvement backbone for NHS Wales –Integrated in learning & development –Integrated into practice

10. IQT Learning Programme 3 levels of development: –Bronze – what – 2 hours –Silver – how – 3 days –Gold – teach - network Complemented by Board level development.

11. So how are we doing?

12. “Improving Quality Together will release some of the untapped potential that we’ve got in the workforce, enabling everyone to have the understanding and permission to make small changes that will make things better for patients,” Rachel Robins, Nurse Metrics Lead

13. Thank you! Diolch! Merci! www.iqt.wales.nhs.uk dominique.bird2@wales.nhs.uk