Durham and TeessidePatient Safety Conference

Teesside University Tuesday 31st March 2015

Patient Safety Collaboratives:the North East approach

Tony Roberts, Interim Programme LeadCate Quinn, Interim Programme Manager

Regionally-based system-wide integrators- Improving the health and wealth of the country -

AHSN NENC• Improve health & wealth• Partnership

– Research– Practice– Industry

• Members– Trusts, CCGs, Universities

• Stakeholders– Local Authorities, Industry, NIHR Clinical Research

Networks, Clinical Networks, Other NHS bodies and organisations, Public Health, LETB, NEQOS, NHS England

Improving Health

Telehealth

“The most important single change in the NHS in response to this report would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.”

Berwick Report, August 2013

Responding to Francis and Berwick

• A network of 15 patient safety Collaboratives across England

• Tackle the leading causes of harm to patients using QI, innovation & evidence based solutions, supported centrally

• Offer staff, users, carers and patients the opportunity to work together locally to tackle specific safety concerns

• Build patient safety and improvement capability – quality and safety science education across professional groups

• Raise awareness – create energy, build a safety movement• Ambition - will be the largest and most comprehensive

collaborative improvement initiative in the world• Will (must) work cross sector and cross service

What is the patient safety collaborative programme and what will the Collaboratives look like?

The North East legacy• Many organisation-based initiatives, clinical networks and

partnerships and collaborative projects• Safer Care North East (led by former NE SHA)• Investing in Behaviours (led by NHS England North, in collaboration

with the Health Foundation)• Leadership and Quality Improvement programmes (led by North

East Leadership Academy and North East Transformation System)• Mortality monitoring • Measurement tools commissioned from NEQOS• Collaborating for better care - NICE Best Practice Partnership• Academic experts

Progress so far

• Steering group has met 3 times, chaired by Professor Richard Thomson and agreed TORs. Membership remains open to review but includes patient and public representatives.

• Process to appoint small team to run the PSC• Call for proposals January 2015: ~£450K

– 22 projects received, 6 projects are in detailed contract negotiation, 2 more for resubmission to next call

• Funded projects to begin in April 2015• Link to Health Education North East Faculty of Patient Safety

Topic area Patient Safety Topic

The ‘essentials’

Leadership Measurement

NHS Outcomes Framework improvement areas

Venous Thrombo-embolism

Healthcare Associated Infections

Pressure Ulcers Maternity

Medication Errors

Deterioration in children

Other major sources of death and severe harm

Falls Handover

and Discharge

Nutrition and hydration

Acute Kidney Injury

Missed and delayed

diagnosis

Deterioration of patients

Medical Device Errors

Sepsis

Vulnerable groups for whom improving safety is a priority

People with Mental Health

needs

People with Learning

Disabilities Children Offenders

Acutely ill older people

Transition between

paediatric and adult care

National Collaborative priorities

Baseline patient safety metrics

• An approach is being developed locally• Indicators in the public domain (no new

measures at this stage)• Helpful in identifying priorities• Need to acknowledge the difficulty in answering

the two key questions:– Is the NHS getting safer?– If it is, what contribution to that are PSCs making?

Conclusions

• Patient Safety Collaboratives have a key role in helping organisations work together on patient safety for system improvement

• We need to build on our strengths as a region and focus on the priorities

• The projects we fund aim to reach across the whole pathway of care for patients and engage as many of you as possible

• We will measure what we do to see if, working together, we’re having the impact on safety we all desire

Contacts

Tony RobertsInterim Programme LeadTony.Roberts@stees.nhs.uk

Cate QuinnInterim Programme ManagerCQuinnSolutions@gmail.com