Collaborating for Quality A New Partnership for

Improvement

SAMD 10th Nov 2010

Eileen Moir Dr Brian RobsonNurse Director Medical Director

Co-Directors Implementation & Improvement Support

NHS QIS is changing

SimplifyFocusDataImplementation

ProportionateSelf assessmentData

ImprovementReliabilityReduce variationData The QI Hub

QI Hub – What is it all about?

• Collaboration between NES, NHSHS, NHS QIS, NSS, IST and SGHD

• A coherent and cohesive national approach to supporting QI

• Maximising resources – the whole is greater than the sum of its parts

• Brokering access to resources and support to realise ‘world class’ ambitions of the H/C Quality Strategy

Develop the Quality Improvement Hub, reflecting a new partnership for improvement between NHS National Services Scotland (NSS), NHS Quality improvement Scotland (QIS), NHS Heath Scotland, NHS National Education for Scotland (NES), and the Scottish Government Health Directorates Improvement and Support Team (IST).

Scottish Government, May 2010

The QI Hub aims to bring improvement science into everyday work and language of NHS staff and to support demonstrable improvement in patient care through quality improvement activity.

Building national and local QI capacity and capability

Building on sound foundations• Global ‘Improvement Movement’

(SPSP)• Bringing coherence to implementation

and improvement support methodology(NHS QIS/IST)

• Drawing on NES’ developing educational infrastructure for QI

• Measurement for Improvement (NSS/ISD)

We are not alone …

A National Collaboration

The NHS Scotland Quality Improvement Hub works in partnership by providing a coordinated national resource to care teams and organisations.

Providing :•Implementation support – flexible and responsive•Education and learning about QI – Accessible and relevant•Measurement of QI which is meaningful•Facilitating QI networks for NHS staff

Progress to date

• The Quality Improvement Hub –”Delivering to improve” – April 2010

• Our approach – Partnership, initiation, shaping the development, set up, action planning, execution plan, launch, go live and implementation

• Stakeholder consultation – May 2010• Stakeholder event – Shaping the development –

June 2010• Formulation of work programme aligned to Quality

strategy and national priorities• Ongoing stakeholder engagement

Stakeholder Feedback – Some Key Messages

Hub concept broadly welcomed but…

• Be slim and responsive• Develop consistent methodologies• Make data for improvement more

accessible• Demonstrate value for money• Major in clinical engagement • Utilise wide range of communications

media• Be ambitious but don’t become

disconnected

Building Will

• Empowering frontline staff• Leadership for improvement• Consistent methodologies • Integrated approach• Flexible and responsive• Outreach skill building – capacity and

capability

Our Framework and essentials

Embedding an improvement culture

• Winning the hearts and minds of the staff• Focusing on improvement not targets• Develop testing and innovation

– What to test ……how to test • Leadership and culture• Integration - Making it daily work • Creating infrastructure• Creating capability and capacity• Measurement that has meaning

Making it happen....

• Coordinating centre - Elliott House• Evidence into Practice Portal –

virtual communities• Data Systems Manager – link to ISD• Building a Community of

Improvement Practitioners (Directory)

• Planned and ‘bespoke’ programmes

So what ?• Are Medical Directors familiar with the Hub

development?• Can you see value in this approach?• What would you look for from the Hub?

Any questions brian.robson@nhs.net or jane.murkin@nhs.net