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Content ArticleIn healthcare, telling stories brings benefits to both storytellers and audience members, but also presents risks of harm. A reflective storytelling practice aims to honour stories and storytellers by ensuring there is time to prepare, reflect, learn, ask questions, and engage in dialogue with the storyteller to explore what went well and where there are learning and improvement opportunities. Healthcare Excellence Canada (HEC) is a pan-Canadian health organisation focused on improving the quality and safety of care in Canada. The HEC Patient Engagement and Partnerships team have co-developed these recommendations on how best to meaningfully share stories from those leading, providing and receiving care at Board meetings. This Case Study outlines the process HEC used to co-develop storytelling recommendations, focusing on a trauma-informed approach to create safe spaces for preparing, learning from and reflecting on stories, to clearly articulate their purpose, and to ensure the locus of control for storytelling rests with the storytellers.
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Content ArticleThe world is facing challenges emerging from multiple crises, including pandemics, wars and climate change. Against this backdrop, the Government of Japan will host the Group of Seven (G7) Summit in Hiroshima and the G7 Health Ministers' Meeting in Nagasaki, Japan, in May 2023. This article in The Lancet outlines key recommendations for G7 action to address these challenges through a human security approach and a transformation of global health architecture: Enhance resilience to public health emergencies by boosting country-led efforts to achieve universal healthcare Advance timely and equitable access to life-saving medical countermeasures as common goods Promote a multilayered approach to global health governance, including financing, that facilitates effective collaboration among state and non-state actors beyond the health sector at global and regional levels.
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Content ArticleHospital command and control centres (CCCs) are central locations within a hospital where staff can coordinate and manage the response to emergencies, disasters and other critical events. They are also often used to track and monitor the location and status of hospital staff and resources, such as beds, equipment and supplies, in order to ensure that they are used efficiently and effectively. This blog by Sukhmeet Panesar, Chief Health Officer at Monstar Labs, acts as an introduction to CCCs in healthcare. It includes information on the different types of CCC, the benefits of CCCs and the challenges they may face.
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Content ArticleThis engagement document is focused on the role of integrated care partnerships (ICPs) within statutory arrangements for integrated care systems (ICSs). It has been jointly developed by the Department of Health and Social Care, NHS England and NHS Improvement and the Local Government Association (LGA). This document focuses on the role of ICPs within systems. ICPs are a critical part of ICSs and the journey towards better health and care outcomes for the people they serve. The ICP will provide a forum for NHS leaders and local authorities to come together, as equal partners, with important stakeholders from across the system and community. Together, the ICP will generate an integrated care strategy to improve health and care outcomes and experiences for their populations, for which all partners will be accountable.
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Content ArticleIn this blog, interdisciplinary humanistic, systems and design practitioner Dr Stephen Shorrock explores the dangers of project leaders relying on assumptions about work-as-imagined, detached from the reality of contextualised work-as-done. He describes his experience working on a project in which he discovered that operational staff felt anxious and unprepared for the major changes to come. This was unacknowledged by management, and he ascribes their lack of awareness to a failure to physically and empathetically engage with the workers in the reality of the processes and systems management had designed. He highlights the importance of empathy and asks the question, "In your worlds, how connected are managers and other non-operational specialists with operational staff and the operational environment, where changes ultimately end up? Those who wish to support operational staff through change must take the role of pupil, or apprentice – not master."
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Content ArticleWith record-long waits for treatment, it has never been so important for NHS trusts to understand the level of risk to patients on the waiting lists. But while it’s one thing to assess and categorise the patients and their risks while waiting, it’s quite another to then subsequently intervene to effectively care for patients during that wait. With the use of technology, there are potentially enormous gains to be made on waiting list management, and one integrated care system is forging ahead on this front. The ICS in question is Cheshire and Merseyside. HSJ takes a look at the progress Cheshire and Merseyside are making.
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Content ArticleIn this webinar, Jane O'Hara, Professor of Healthcare Quality and Safety at the University of Leeds, outlines how understanding of the role of patients and families in supporting patient safety has developed over the past few years. She highlights the work of the Yorkshire Quality and Safety Research Group (YQSR) and looks at research demonstrating the role patients and families can play in improving the safety of healthcare systems.
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Content ArticleThe Global Taskforce on WASH in healthcare facilities aims to provide global strategic direction and coordination to the World Health Organization (WHO) and UNICEF and to allow for information exchange and dialogue. The latest World Health Organization (WHO) data show that there are major global gaps in water, sanitation and hygiene (WASH) services in health care facilities: half of health care facilities do not have basic hand hygiene services one in five facilities have no water services one in ten have no sanitation services. WHO and UNICEF convened a series of stakeholder ‘think-tanks’ to discuss barriers to progress, coinciding with the launch of the Global Report on WASH in health care facilities. The Global Taskforce on WASH evolved from these think-tanks, and this webpage includes a link to a synthesis of their work in 2022-23. The purpose of the task force is to: encourage and hold accountable national governments to achieve the objectives established by WHA 72/7 and SDG 3 and SDG 6 reinforce calls for strong health leadership (e.g. mobilising political leaders at global events including G7, G20, UNGA) work at country level to increase demand, financing and integration of WASH in health programming and reporting support greater collaboration with other initiatives (e.g. UHC, Child/maternal health, AMR, climate smart health systems, Hand Hygiene for All).
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Content ArticleSocial movement action for knowledge uptake and sustainability can be defined as individuals, groups, or organisations that, as voluntary and intrinsically motivated change agents, mobilise around a common cause to improve outcomes through knowledge uptake and sustainability. This article in the International Journal of Nursing Sciences shares a concept analysis of social movement aimed at advancing its application to evidence uptake and sustainability in healthcare. The authors concluded that social movement action can provide a lens through which to view implementation science. Collective action and collective identity–concepts less frequently canvassed in implementation science literature–can lend insight into grassroots approaches to uptake and sustainability. The concept analysis resulted in the development of the Social Movement Action Framework.
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News Article
‘National improvement board’ to be set up by NHS England
Patient Safety Learning posted a news article in News
NHS England has launched a new framework for quality improvement and delivery, including a national board that will pick a “small number of shared national priorities”. The new document says NHSE will “establish a national improvement board, to agree the small number of shared national priorities on which NHS England, with providers and systems, will focus our improvement-led delivery work”. The review says NHSE will, among other actions: Create a “national improvement board” to “agree a small number of shared national priorities and oversee the development and quality assure the impact of the NHS improvement approach”. Set an expectation that all NHS providers, working in partnership with integrated care boards, will embed a quality improvement method aligned with the NHS improvement approach”. Incentivise a universal focus on embedding and sustaining improvement practice”, including with “regulatory incentives alongside clearer and more timely offers of support. Work with the [Care Quality Commission] to align the revised CQC well-led [inspection method] with the improvement approach. Read full story (paywalled) Source: HSJ, 21 April 2023 -
Content ArticleHow can improvement-led delivery enhance the quality of outcomes for our patients, communities and our health and care workforce? In April 2022, Amanda Pritchard requested a review of the way in which the NHS, working in partnership, delivers effectively on its current priorities while developing the culture and capability for continuous improvement. Led by Anne Eden, NHS Regional Director South East, with a steering group chaired by Sir David Sloman, Chief Operating Officer, NHS England, the review team co-developed 10 recommendations with health and care leaders that have been consolidated into three actions.
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Content ArticlePatient Participation Groups (PPGs) are generally made up of a group of volunteer patients, the practice manager and one or more of the GPs from a practice. PPGs meet on a regular basis to discuss the services on offer, and how improvements can be made for the benefit of patients and the practice. The Patients Association has produced this set of videos and resources for PPGs, including: information on why GP practices and Primary Care Networks need patient groups step-by-step guide to establishing a GP patient group reasons to have a patient group and what’s in it for the GP practice and patients effectively working together in partnership recruitment, increasing diversity and communicating with the wider patient population.
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Content ArticleThis article describes a patient led a quality improvement (QI) project, working with a multidisciplinary team including pharmacists at East London Foundation Trust (ELFT). Their goal is to develop a better process so that he – and other patients – can get the medications they need in a timely manner. Katherine Brittin, MPH, Associate Director at ELFT says, “All of our work is about how we support service users to get involved to get the best from our services and for us to respond to what matters to them.” In the article, Brittin offers tips to health systems that may be inspired by ELFT’s example.
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Event
ICS Delivery Forum 2023 – London
Sam posted an event in Community Calendar
untilPublic Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register -
Event
ICS Delivery Forum 2023 – Bristol
Patient Safety Learning posted an event in Community Calendar
untilPublic Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register -
Event
ICS Delivery Forum 2023 – Leeds
Patient Safety Learning posted an event in Community Calendar
untilPublic Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register -
Event
ICS Delivery Forum 2023 – Manchester
Patient Safety Learning posted an event in Community Calendar
untilPublic Policy Project's second phase of its integrated care policy programme will centre around the ICS Delivery Forum. The Delivery Forum will build on the foundations of the ICS Roadshow, continuing to connect key health and care stakeholders at a localised debate and networking. However, the Delivery Forum will focus on developing impact-driven, results-orientated insights. Working in close collaboration with ICSs and crucial providers, PPP is creating a programme that highlights exactly how ICSs are making place based, personalised care a reality and the impact this is having on individual citizens and communities. Rather than discuss issues such as health inequalities in broad framing and terminology, the Delivery Forum will ask local systems leaders and stakeholders to demonstrate exactly how integrated care systems can affect change in key health and care challenges. The Delivery Forum will also provide a helping hand to ICBs grappling with workforce challenges and service pressures by connecting system leaders with on the ground innovators and industry experts. Audiences will consist of local ICS leaders and representatives from the NHS, social care, primary care and local government, as well as community workers and social prescribing specialists. Further, the ICS Delivery Forum will engage with patients and end-users to gather first-hand experience of receiving care within a system in dire need of reform. This event is free for the Public Sector– including, NHS Organisations, Local Authorities, academics, researchers, non-for-profit and third sector providers and charitable sectors. Register -
Content Article
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This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Jonathan talks to us about the importance of leadership in creating a safety culture and the role of Patient Safety Learning in fostering collaboration and establishing standards for patient safety. -
Content ArticleAqua recently convened a selection of expert panellists to a round table discussion, chaired by Professor Ted Baker, to consider ‘what does safety look like at a system level?’ and discuss the key issues and help support the development of Integrated Care Systems. This report captures the key themes covered in this discussion.
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Content Article
Sam Freeman Carney, Health Policy and Improvement Lead at Parkinson's UK, explains how critical it is that people with Parkinson’s get their medication on time and how, on World Parkinson’s Day last year, a group of healthcare professionals who live with Parkinson’s themselves decided to take action.- Posted
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Content ArticleImperial College Healthcare share a poster on their strategic goals and their values and behaviours.
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Content ArticleIn this blog, Dr Timothy Ferris, NHS England National Director of Transformation and Rachel Power, Chief Executive at The Patients Association, look at patient access to health records. Dr Ferris writes about NHS England's ambition that patients are able to see their GP health record "at the touch of a button" and Rachel explains why it's important that patients have access to their records. Three patients also share why they find digital access to their records so useful.
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Event
Systems partnerships and the Hewitt Report
Patient Safety Learning posted an event in Community Calendar
untilThe focus of GGI’s April health and care leaders webinar is systems partnerships and the Hewitt report, in conversation with Rt Hon Patricia Hewitt, a former Secretary of State for Health and now a Chair of an ICB. The Hewitt Report on systems partnerships and governance will really frame how boards will lead during this next crucial year for the NHS. With an election next year, all NHS board members will be navigating their way through financial and performance pressures of the likes never seen before. How the new ICBs behave will impact every single NHS board. In a ‘Chatham House Rule’ session this will be a valuable chance to understand the forces at play and what individual NHS directors need to understand in terms of context and direction. The webinar will be chaired by GGI Chief Executive Professor Andrew Corbett-Nolan. Register -
Content ArticleOn 1 July 2022, Integrated care systems (ICSs) were placed on a statutory footing. ICSs are partnerships of organisations that come together to plan and deliver joined up health and care services, and to improve the lives of people who live and work in their area. Following their introduction, on the 18 November 2022, the Government announced that it would commission an independent review into the oversight of ICSs, considering how to best enable them to succeed, balancing greater autonomy and robust accountability, to be led by former Secretary of State for Health, the Rt Hon Patricia Hewitt. This report sets out the findings of this review.
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Content Article
This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Lesley talks to us about how personal stories enrich our understanding of data, drive real quality improvement and remind us that healthcare is all about people. She also explains how her own personal experience drives her work to improve healthcare experiences for patients and their families.
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