Safety, Quality and Patient Safety, Quality and Patient Experience ProgrammeExperience Programme

David HillDavid HillAssociate Medical DirectorAssociate Medical DirectorSouth Eastern HSC TrustSouth Eastern HSC Trust

The South Eastern TrustThe South Eastern Trust

• Integrated Health and Social Care Trust• Budget of c. £500m• 12,000 staff• Serves a population of c. 400k• One acute, two local hospitals and two community

hospitals • Aging population

Equity and excellence:Equity and excellence:Liberating the Liberating the

NHSNHS

•put patients at the heart of everything the NHS does

•focus on continuously improving those things that really matter to patients - the outcome of their healthcare

•empower and liberate clinicians to innovate, with the freedom to focus on improving healthcare services

Safety, Quality and Safety, Quality and Experience (SQE) Experience (SQE)

SQE Training Programme: aims SQE Training Programme: aims

• Build capacity and capability to support clinical teams in driving safety & quality in their own areas

• To develop an understanding of methods of continuous improvement

• To experience the learning of being involved in an improvement project

Develop a Culture of Continuous Improvement

Participants – health and social Participants – health and social carecare

• 2011/12 – 55 participants, 11 mentors and 15 projects

• 2012/13 – 77 participants, 22 mentors and 29 projects

The SQE Programme: content

9 month duration

3 compulsory elements:•Monthly Learning session•IHI Open School online modules•Participate in a team service improvement project

“Final event” presentation evening with prize

Project examplesProject examples• Acute Kidney Injury checklist

• Urinary Catheter Bundle in Primary Care

• Falls reduction in Care of the Elderly

• Medicines Reconciliation in Surgery

• Improved evidence of decision making in Social Work Interventions

• Reduction of unallocated cases in Ards Gateway team

• Excessive surgical fasting times

• Improving VTE risk assessment through post take ward-round checklist

• Pain management in cognitively impaired patients

• Service user engagement with vulnerable adults to improve outcomes

Monthly learning sessionsMonthly learning sessions

• The IHI international perspective• The local strategic perspective• Patients for Patient Safety – Kevins

Story• Human factors in healthcare• Lean and 5S model• Spread and sustainability• Improvement in primary-secondary care

interface• Presentations to peers and mentors X3

Learning gained & relevance?Learning gained & relevance?

Pre & Post Evaluation of Learning from Pre & Post Evaluation of Learning from the SQE Programme 2012the SQE Programme 2012

Pre & Post Evaluation of Learning from the SQE Pre & Post Evaluation of Learning from the SQE Programme 2013Programme 2013

Learning for future programmes?Learning for future programmes?

• Protected time for attendance• More social care examples• Progression from participant to mentor• Fewer IHI modules• Greater junior staff invovlement• Project choice freedom

Team effortTeam effort