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Meeting of the West of England Academic Health Science Network Board

To be held on Wednesday 16 September 2015 Commencing at 10:45am until 1:15pm in the Dartington Suite, Wallscourt Farmhouse, University of the West of England, Frenchay Campus, Coldharbour Lane, Bristol BS16 1QY

Agenda Item: 6.3

Capacity and Capability 2015/16 – Update

1 Purpose

This paper provides an update on progress towards the establishment of the West of England Academy.

2 Context

In June 2015, the Board approved a proposal, designed with representatives from our member organisations, to develop a West of England Academy, subject to a 3 month consultation with our member organisations. The feedback from the consultation period will then help to continue to co-design this collaborative learning approach and ensure the Academy aligns with member organisations’ strategic needs.

3 Progress Update

3.1 Consultation on the West of England Academy

In order to widen the feedback we had received about the Academy strategy we:

Designed a brochure to help describe what we were trying to achieve

Designed a short survey to collect member insights on key aspects of the proposal

The brochure was sent to all Chief Executives of our member organisations from our Managing Director, and also to their Quality and their training leads.

Additionally, we are using social media to encourage feedback from a broad range of staff.

The three month consultation period will end on 16 October and responses will be analysed shortly afterwards.

3.2 Programme Governance

A Programme Steering Group is being formed, which Robert Woolley has agreed to chair. We are aiming to gain appropriate representation from clinical and management disciplines across member organisations. An overview of the governance structure is included at appendix 4.

Additionally, the draft Terms of Reference are included at appendix 5, and these will be discussed for approval at the first programme steering group meeting scheduled for 5 October.

West of England Academic Health Science Network – 16 September 2015 – Capacity and

Capability Update 2015/16

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3.3 Operational plan

The draft operational plan is included at appendix 6 for information. Timings are approximate, as we may need to adjust in light of feedback from the consultation exercise and in order to best fit in with member organisations’ needs, particularly about to best establish Improvement Coaches in each organisation.

Work has commenced on the development of the Academy learning programme. Options for the content and potential suppliers of on-line learning material for Step 1 (Understanding) will be presented to the programme steering group in early October with the aim of organising a soft launch at our annual conference on 15 October.

Plans for step 2 (Delivering) to design an intense training workshop for the initial co-horts of Improvement Coaches and support staff involved in leading improvement projects, will be developed in September with a launch aimed for Q4. However, as with other NHS trusts adopting a similar model across the UK, it is expected to take longer to develop the 3rd step (Leading) which is intended to form a faculty of improvement experts and also to help support the development of resources for Boards. We envisage that in 2015/16 we may test some options to inform a more detailed needs analysis for years 2016-18.

The South West Academic Health Science Network have indicated they are keen to work with us to develop a joint curriculum for 2016/17, that should allow us to increase collaboration and networking opportunities for colleagues and deliver a broader range of learning opportunities.

3.4 National Developments

Delivering the strategy successfully will require close alignment with deliverables from the ongoing national review of improvement and leadership development that was launched as part of the NHS Five Year Forward View and Improvement and Leadership Review. We anticipate that more intelligence will be forthcoming in the next three months.

Meetings with senior representatives from Health Education South West and the South West Leadership Academy have confirmed their strategic support to our approach and we will begin working with them in September to see how we can build a strong collaborative approach.

3.5 Patient Safety Programme

Ten candidates were selected from the West of England Academic Health Science Network catchment area to participate in the national Q Initiative programme, which is being delivered by The Health Foundation. They will be encouraged to help form and develop the clinical faculty required to deliver the work programmes.

The Health Foundation has recently invited us to submit a bid for £20k worth of funding to enable the West of England Academic Health Science Network to map the Improvement expertise within our area. The Board will recall this fits with the original intention to ‘baseline’ our present position and is an ideal opportunity to identify the current capacity we have in the area, and help measure the impact of our academy approach.

3.6 Learning Activities

We planned to deliver fewer learning events across the summer period to enable us to focus on designing a three month consultation process with members and time for more detailed planning to implement the proposed approach.

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Capability Update 2015/16

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In addition, discussions are taking place with a number of leads across member organisations with ideas for a range of events for the autumn and winter which are in various stages of scoping and planning, for delivery by our Patient Safety, Enterprise and Translation, Informatics and Quality Improvement work-streams. Please see update on learning events delivered so far in 2015/16 and those currently being planned, in appendices 1 and 2 respectively.

3.7 Patient and Public Involvement

Increasing patient and public involvement in improvement is a core element of the West of England Academy approach and the Academy has a nominated public contributor to support its strategic development. The strategy outlines a clear principle for ensuring that patient and public involvement underpins the development and direction of the Academy and helps to shape our methodology. For example, we are developing ways of working collaboratively with patients and the public to ensure all our projects have a strong element of co-design and co-production.

We also work closely with People in Health West of England, a collaboration of the West of England Academic Health Science Network, Clinical Research Network, CLAHRCWest and Bristol Health Partners. This ensures that PPI resources, learning and intelligence are shared and avoids duplication.

3.8 Enterprise and Translation

Building on the success of the first Healthcare Innovation Programme in April 2015, a second series of the three to four day health entrepreneurship ‘boot-camps‘ is being planned for March 2016. This will be delivered in partnership with SETsquared and other Academic Health Science Networks as previously. The exact content of the programme is under discussion. However, the marketing and engagement activities are starting now.

The Annual conference in October 2015 will provide an opportunity to promote the programme, through a 45 minute taster session workshops for potential applicants.

Additionally, the Enterprise and Translation team is planning a schedule of collaborative activities for the next twelve months with Medilink South West and South West Academic Health Science Network to deliver three or four events focusing on our joint areas of interest and priorities. The details are subject to continuing discussions.

3.9 Informatics

Plans are being developed to hold networking events twice a year in order to share enablers and discuss barriers to interoperability. The use of improvement science to better engage clinicians and encourage more productive stakeholder management will be explored.

4. Financial Implications

The Draft Operating plan will ensure the programme works within the financial envelope approved by the Board in June.

5. Risk implications, assessment and mitigation

There continues to be a risk that if the Academic Health Science Network does not support the development of improvement capacity and capability then the ability to increase the rate of adoption of best practice will be compromised by existing cultural factors and lack of knowledge about improvement skills in the workforce.

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Capability Update 2015/16

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6. Implications on Equalities and Health Inequalities

This work seeks to support the spread of best practice across the West of England and support a culture of Quality Improvement across the West of England.

We are working closely with our partners and with People & Health West of England to ensure good representation from populations with protected characteristics under the Equalities Act. Our current priorities are to increase the presence of those who are disabled and those from minority ethnic backgrounds in our work.

7. Recommendations

The Board is recommended to:

7.1 Note the progress made.

7.2 Approve the consultation plan.

Anna Burhouse Director of Quality September 2015

West of England Academic Health Science Network – 16 September 2015 – Capacity and Capability Update 2015/16 Appendix 1

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Completed Events and Activities 1st April to 31st August 2015

Date Event/Activity Key Aims Number attended

Comments

16 April Conference Formally launch Patient Safety Collaborative 124 QI Conference and Patient Safety Collaborative launch.

16/22/28 April

Health Innovation programme

Enterprise training 23 3 day training course open to individuals that have an idea or a proposition that they want to work up to clear business case in a structured peer learning environment.

22 April Masterclass – QI in Perinatal Mental Health

Raising awareness of the challenges faced by patients and longer term impacts on patients, carers and their families – and the NHS.

70 Designed and delivered in partnership with Gloucestershire CCG.

24 April Real time staff feedback at UH Bristol

Workshop 2 to review trial organised at workshop 1 and take forward the ‘Happy app’ solution.

6 Agreed to extend trial within Surgery ward

7 May PSC Workshop Medicines Optimisation Roadshow 71 Joint event with NHS England

8 May Human Factors Cheltenham

Raise awareness amongst members of the public about what human factors is and what they can do to increase the safety of their treatment

29 Mainly members of Gloucestershire Hospitals NHS Foundation Trust

26 May CCG Leadership workshop

Evidence into commissioning network 7 Each CCG represented

3 June ALS Facilitators – Part 2

Review actions since 1st workshop and learn further AL techniques

5 Training delivered by an external specialist who works regularly for NHS South West Leadership academy.

9 June Dementia Workshop

Develop a network to take forward cross organisation initiatives

14 Follow up to Masterclass on 24th March. Cross organisation network approach to be taken forward by Clinical lead at RUH, Bath.

10 June Sepsis Workshop 2nd workshop in series 49 Focus on primary and community care

16 June QI in Peri natal Mental Health workshop

Develop a Driver diagram and action plan improvement activities

43 Build on the work from the Masterclass. Designed and delivered in partnership with Gloucestershire CCG.

19 June NBT Faculty workshop

Develop a plan for how the Faculty will support Improvement activities

24 Include showcasing of recent Junior Doctor projects and proposed approach to Human Factors training.

West of England Academic Health Science Network – 16 September 2015 – Capacity and Capability Update 2015/16 Appendix 1

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26 June QI for Admin services

Workshop for Medical Secretaries at Weston

29 Numbers include a Design workshop with 6 managers

6 July QI for Admin services

Workshop with Consultants at Weston 6 Follow up to workshop on 26 June to ensure a ‘joined up‘ approach to implementing system improvements.

10 July QI for Admin services

Workshop with Patient Access Team at Weston

19

23 July Informatics workshop

Interoperability and the Road to Digital maturity

45 Networking event

TOTAL 564

West of England Academic Health Science Network – 16 September 2015 – Capacity and Capability Update 2015/16 Appendix 2

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Appendix 2 - Learning Events and Activities planned – at 31st August 2015

Date Event/Activity Comments

9 September Medical Leaders Masterclass - Reading Organising and delivering on behalf of NHS England

17th September

Safer care through Early Warning Scores

Patient Safety event in conjunction with NIHR CLAHRC West

17 Sept Enhancing facilitation Skills Organised in partnership with People & Health West of England (PHWE)

18th September

Medical Leaders Masterclass - Gatwick Organising and delivering on behalf of NHS England

5-7 October Mental Health Collaborative Patient Safety event with 2gether

14 & 15 Oct Building Research Partners Organised in partnership with People & Health West of England (PHWE)

15 October West of England Academic Health Science Network Annual Conference

4th November Medicines Optimisation Collaborative Patient Safety Collaborative event

11th November

Medical Leaders Masterclass - Taunton Organising and delivering on behalf of NHS England

17 November Critical Appraisal for PPI Organised in partnership with People & Health West of England (PHWE)

w/c 23 /11 Sepsis event Nathalie Delaney to confirm date 2/9

26 November West of England Emergency Laparotomy launch event

27th November

Embedding patient and carer experience into QI. QI Workshop in conjunction with RUH Bath.

November Workshop – Principles of Pragmatic Evaluation - will build on themes identified at a national meeting with NHS England and NIHR.

To be organised and delivered in partnership with CLAHRCwest and Bristol Health Partners.

Autumn Telehealth for CKD Workshop to engage stakeholders in a project being led from NBT

Autumn On-line QI toolkit for Mental Health professionals In conjunction with NHS Confederation and Monitor.

Autumn CCG Leadership Series – MSK workshop Network and share best practices across CCG’s

Development of the programme for the day is being led by the GP Clinical Evidence Fellows.

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Capability Update 2015/16 Appendix 3

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West of England Academy Brochure

West of England Academic Health Science Network – 16 September 2015 – Capacity and

Capability Update 2015/16 Appendix 3

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West of England Academic Health Science Network – 16 September 2015 – Capacity and Capability Update 2015/16 Appendix 4

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West of England Academy – Programme Governance Structure

CCG’s Acute’s Community Providers Mental Health Providers

Universities

Banes Bristol Gloucestershire North Somerset South Gloucestershire Swindon Wiltshire

Gloucestershire Royal Hospitals North Bristol RUH, Bath Swindon (GWH) UH Bristol Weston

Bristol Community Hospitals Gloucestershire Care Partnership North Somerset CH SEQOL Sirona

AHP 2gether

University of Bath University of Bristol University West of England

Ambulance Service Other Partners

SWAST Industry Advisory Group HESW SW AHSN

West of England AHSN

Senior Executive Team

Programme Steering Group

(members to be determined)

West of England AHSN

Board

Operational Programme Governance

West of England AHSN

Academy Liaison Group

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Key Responsibilities

West of England AHSN Board – Meets Quarterly (June, September, December and March)

West of England - Academy Liaison Group (Liz Dymond, Hildegard Dumper, Ann Remmers, Nina Cross, Dave Evans)

Review and approve annual plan – including sanction of budget Ensure the programme is aligned with the business plan Overview progress of programme against annual plan Share views/comments to support improved delivery

Inform relevant elements of the programme with workstream knowledge/expertise

Support the shaping of project outcomes

Support engagement with key representatives across member organisations and with PPI

Support the building of relationships with other appropriate national and local improvement and health care learning and development providers

Support the design, organisation and delivery of learning events relevant to own workstreams

West of England Senior Executive Team (SET) – Meets weekly Programme Steering Group – to meet Quarterly (dates to be agreed)

Review progress of the cross workstream programme against the annual plan and set remedial action where considered appropriate

Ensure the Academy approach aligns with the national strategy for improvement and leadership development

Sign off project lifecycle and significant scope changes Support the building of relationships with other appropriate

national and local improvement and health care learning and development providers

Approve emergent requests for Academy support from member organisations

Overview the programme and ensure it supports cross workstream initiatives

SET members to lead and support the delivery of workstream learning events

Approve the curriculum for the Improvement Learning programme

Influence strategic direction of Academy for benefit of all member organisations

Review progress of the programme against plan and support remedial action where considered appropriate

Support a ‘systems’ approach to embedding improvement training within member organisations (ie mandatory/induction, etc)

Agree proposals for formal evaluation of elements of the programme

Support the development of the Improvement Learning programme

Support the development of a generic recruitment plan and selection process for Improvement Coaches

Agree the content of the training material to be delivered to Improvement Coaches

Overview the development of learning and development resources for the Improvement Learning programme – and to

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Support initiatives to establish formal recognition for learning activities via accreditation/certification/CPD points, etc

Approve a generic recruitment process for Improvement Coaches

Approve branding for the Academy Approve the communication and engagement strategy for the

programme Support mitigating action to manage risks, issues and

dependencies Review any formal evaluation of work within the programme Promote the ‘West of England Academy’ with member

organisations and other relevant organisations.

support the Improvement Coaches in driving local improvement activity

Ensure the development and delivery of all learning material fit with the West of England Academic Health Science Network‘s PPI strategy

Support and overview the testing of local ‘Pop up improvement hubs’

Support the development of engagement and communication plans and their implementation – including the use of social media

Promote the ‘West of England Academy’ with member organisations and other relevant organisations.

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Capability Update 2015/16 Appendix 5

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Draft Programme Steering Group Terms of Reference

West of England Academy Programme Steering Group

Terms of Reference

1. Background

Healthcare across the West of England benefits from talented individuals delivering examples of best practice by leading and embedding quality improvement within organisations. However, there are several key workforce capability and capacity factors that need to be addressed in order to increase the number of healthcare professionals who are knowledgeable and confident to deliver improvement work.

This local position reflects a wider national picture in England and both the Francis report and subsequent Berwick report, that considered the systematic learning required in the NHS from the Mid Staffordshire hospital review, emphasised how the capacity of staff to recognise and address the need for continuous improvement is a key skill requirement for the future of NHS healthcare.

The key aim of the West of England Academy is to accelerate improvement and encourage greater innovation by creating optimal conditions to grow workforce capability by building a learning and delivery network. This will be achieved in an inclusive way through a culture of partnership and collaboration, so the Academy will evolve through a process of co-creation with member organisation’s to ensure it meets their needs.

Access to the resources of the Academy should be distributed in an equitable way, according to need; acknowledging that not all of our members are at the same stage of their improvement capability and capacity journey.

Additionally, the Academy will continue to be the ‘umbrella’ and brand for all learning and development opportunities offered to staff and PPI representatives/public contributors across member organisations by all workstreams within the West of England Academic Health Science Network. So in addition to learning initiatives that develop improvement capability, the Academy will deliver learning events for Enterprise and Translation, Informatics, Patient and Public involvement and Patient Safety.

2. Purpose

The purpose of the Programme Steering Group is to determine the strategic direction for the Academy and overview the development of the work programme by monitoring the scoping, planning and implementation of individual projects and work packages. The Programme Steering Group will ensure sustainable solutions are delivered that truly benefit all member organisations, through members of staff gaining knowledge and developing skill in the use of improvement science and tools.

Where appropriate, the Programme Steering Group will take decisions sought by the Programme Manager and/or make recommendations to the West of England Academic Health Science Network’s Board.

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Capability Update 2015/16 Appendix 5

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3. Specific Responsibilities

Influence the strategic direction for the Academy ensuring it delivers benefits for all member organisations and their staff

Review progress of the programme against plan and support remedial action where considered appropriate

Support a ‘systems’ approach to embedding improvement training within member organisations (i.e. mandatory/induction training, etc)

Review proposals for formal evaluation of elements of the programme

Support and approve the development and implementation of the Academy Learning programme

Approve the ‘Passport’ to confirm knowledge and practical use of Improvement science and tools

Support the development of a generic recruitment plan and selection process for Improvement Coaches

Overview the content of the training material to be delivered to Improvement Coaches

Overview the development of learning and development resources for the Improvement Learning programme – and to support the Improvement Coaches in driving local improvement activity

Ensure the development and delivery of all learning material fits with West of England AHSN’s PPI strategy

Support and overview the testing of local ‘Pop up Improvement hubs’

Support the development and delivery of an Engagement and Communication plan with relevant stakeholders

Promote the ‘West of England Academy’ with member organisations and other relevant organisations.

Ensure the planning and delivery of projects within the programme, assess equalities impact and can demonstrate that they will contribute to reducing health inequalities – where relevant.

4. Programme Management

Responsibility for management of the overall programme and the individual projects that fall within the scope of the programme will sit with the Quality Improvement Team of the Evidence into Practice workstream at the West of England Academic Health Science Network.

5. Programme Steering Group Membership

The membership of the Programme Steering Group should reflect the views of all members and participation in the group has been sought from a broad range of local healthcare disciplines, ie medical, nurse, management, primary care, community care, secondary care, mental health and the local ambulance service.

It is proposed the membership of the Programme Steering Group be subject to regular review in order to ensure appropriate overview and support can be provided to the programme, plus representing to position of the broad range of member organisations.

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Capability Update 2015/16 Appendix 5

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Na R Board Job Title

Name Programme Responsibilities

Title Organisation

Robert Woolley Chair Chief Executive Officer UH Bristol

Andrew Seaton Member Director of Safety Gloucestershire Hospitals

Christos Vasilakis

Member Director, Bath Centre for Healthcare Innovation & Improvement

University of Bath

Tracy Moyle-Maton

Member Public Contributor West of England AHSN

Dr Guy Rooney

Member Medical Director Great Western Hospitals, Swindon

Helen Blanchard

Member Director of Nursing and Midwifery

RUH, Bath

Alison Moon

Member Transformation & Quality Director

Bristol CCG

Emma Wood

Member Director of Human Resources

SWAST

Jeremy Maynard

Member GP

North Somerset CCG

Steve Arnett

Member AWP

Anna Burhouse Member Director of Quality West of England AHSN

David Evans

Programme Manager

QI Programme Manager West of England AHSN

6. Frequency and structure of meetings

The Programme Steering Group will meet four times a year with the addition of exceptional meetings to be organised if required.

Suitable venues for meetings will be organised to minimise travelling times for Steering Group members.

Where it is not possible for members to attend face to face meetings, feedback to papers should be provided in advance so they can be included in discussions at the formal meeting.

All Programme Steering Group meetings will have summary minutes taken, recording key decisions reached in meetings and any agreed action points. These minutes will be distributed to Programme Steering Group members within a week.

Robert Woolley has agreed to chair meetings and will nominate a deputy from the Steering Group membership where he is unable to attend.

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Capability Update 2015/16 Appendix 5

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7. Reporting Arrangements

The Programme Steering Group will report to the West of England Academic Health Science Network Board, which meets quarterly (March, June, September and December).

8. Administration details

Administrative support will be provided by the West of England Academic Health Science Network

Programme and Project management will be provided by the West of England Academic Health Science Network Quality Improvement team.

Agenda and papers will be circulated at least five working days before meetings.

All correspondence will be via e-mail where possible.

9. Quorum

The group shall be ‘quorate; when four members (not including the Programme Manager) are in attendance or linked via conference / video link.

10. Review

These terms of reference will be reviewed as required by the Programme Steering Group.

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Operating Plan (September 2015 – March 2016)`

2016-17

4 11 18 25 2 9 16 23 30 6 13 20 27 4 11 18 25 1 8 15 22 29 5 12 19 26 4 11 18 25

EstablishProgramme Steering Group (PSG)

Gather responses from invitations to join PSG

Brief and engage with individual PSG members

Issue papers for 1st meetings

PSG meetings (say 6 weeks before board from 2nd meeting on)

Consultation exercise

Survey closes

Annual Conference

Review outputs and consider modifications to strategy

Feedback to member organisations

Engagement and Communication (Promotion)

Agree Branding for the Academy

Engage with Board members of member organisations

Set up and promote Linkedin page

Upgrade web based toolk it with learning material and case studies

OngoingTwitter feed

Progress updates to Board

Academy Learning Programme

Develop outline content/approachfor steps 1&2 - for PSG approval

Design a 'passport' to support the programme - for PSG approval

Launch programme at annual conference

Develop a co-ordinated approach for step 3 (including formalising a Faculty)

Organise an approach to offer CPD points (to be determined)

Recognise completion of steps 'formally' with University partner (tbc) Initial meeting being

plannedExplore 'systems' approach to embedding improvement training (mandatory/induction, etc)

Improvement Coaches

Develop a generic recruitment process for member organisations to use

Co-ordinate selection process

Design content of initial 2 day workshops (including a workbook)

Organise and deliver induction workshops

Design learning material for Improvement coaches to use (for web based toolk it)

Design and deliver ongoing training for Improvement coaches

Learning Events (for all workstreams) - separate Academy timetable

Planning and delivery

Develop joint cirriculum with South West AHSN

Other programme elements

Agree KPI measures for programme (from Driver diagram menu) at 2nd PSG

Formally evaluate progress and impact

West of England Academy - Programme Plan Summary

MarchJanuary September October November December February