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Patient Safety Collaboratives 
NHS 
PLAN ON A PAGE 
In partnership with 
TheAHSNNetwork
AHSN Networks
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Introduction 
NHS Improving Quality and NHS England are working nationally with the Academic Health Science Networks to provide support and 
opportunities for the Collaboratives to learn from each other, ensuring the most effective and successful solutions are rapidly spread 
and adopted across England. 
For the next five years, each Collaborative will support individuals, teams and organisations to build skills and knowledge about 
patient safety and quality improvement to create space and time to work on the challenges, and provide opportunities to learn from 
each other. 
The programme is borne out of Professor Don Berwick’s report last year into the safety of patients in England and builds on learning 
from the Francis and Winterbourne View recommendations. The report, A Promise to Learn – a commitment to act, made a series of 
recommendations to improve patient safety; and called for the NHS ‘’to become, more than ever before, a system devoted to 
continual learning and improvement of patient care, top to bottom and end to end.’’ 
Aligned with and supporting the ‘Sign up to Safety’ campaign, the programme aims to make the NHS the safest healthcare system in 
the world by creating the culture to support a system devoted to continuous learning and improvement. 
This resource summarises the Patient Safety Collaboratives current priority plans. Some of these plans are in consultation with 
partner organisations and may be subject to change. 
For more information please visit our website at: www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
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EMAHSN has consulted and engaged with our partners to 
develop consensus on key patient safety priorities [see below]. 
We will: build alliances to optimise and share existing best 
practice support and enable organisations to accelerate the 
pace and scale of improvement activities. 
cheryl.crocker@nottingham.ac.uk 
07808647120 www.emahsn.org.uk @EM_AHSN 
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GMAHSNPatientSafetyCollaborative–PlanonaPage  
OctǦDec ‘14 JanǦMarch ‘15 AprǦJun ‘15 JulyǦSept ‘15 OctǦDec ‘15 JanǦMar ‘16 
PatientÇŚ 
owned care 
Identify what makes a 
patient feel safe when 
taking medicinces 
Qualitative 
exploration with 
patient groups 
Utilise output to informwork streams e.g. what does good patient information look like, 
supporting mechanisms for onÇŚgoing 
Patient access to their 
data 
Link to connected healthcare monitoring below 
      
 
 
Point of care testing Increase the uptake of point of care testing for anticoagulant 
monitoring – 3 CCGs participating 
Patient decision aids Work with designer of NICE CG Patient Decision Aid to support evaluation and 
understanding of GP educational needs in using this tool 
Supported selfÇŚcare  
selfÇŚmanagement 
From identified sites / CCGs support the uptake in selfÇŚmonitoring and selfÇŚ 
management – 3 CCGs participating 
Solving 
problems 
Understand baseline 
data 
Utilising existing database sources to 
understand patient safety in terms of 
medicines utilization, linked to the 
harms in PSC safety topics 
     
        
 
Governance GM AHSN will coÇŚordinate programme, source and analyze information andmeasurement from across the local health economy and 
provide feedback 
Build leadership  
workforce capabilities 
in safety 
     
 
AQUA programme inc advanced team training (12 teams of 6), PS champions training (40 people), improvement practitioner modules 
240 places) and Sign up to Safety Network launch and 6 month engagement for all AHSN members (up to 160 attendees) 
Health Foundation ’Closing the Gap’ programme for Board Level Collaborative on safety (10 localities), commencing in Feb 15 
Connected healthcare 
monitoring 
        
Utilise capabilities of existing systems that allow patients access to their records eg. Renal Pt View, and adapt, 
adopt and spread 
RealÇŚtime monitoring 
 measurement 
  
 
Increase uptake of FARSITE inGP 
practices across AHSN footprint from 
25% to 60% by March ‘15 
    
Increase uptake of FARSITE inGP practices across AHSN footprint from 25% to 60% by 
March ‘15 
Social networking  
media 
Working with FT to design and run a 
Hackathon for young adults with 
Diabetes 
New 
mechanisms 
for care 
Evidence the 
interventions which 
improve adherence 
         
     
     
Work with colleagues in Primary Care Patient Safety Translation Research Centre to align current evidence, 
further advance research studies and spread of PINCER studies. 
 
 
Drug safety 
monitoring in real 
world 
Identify and work with 2 sites for utilisation of GP practice level safety dashboards designed 
by Primary Care Patient Safety Translation Research Centre, refine prior to spread of tool. 
Early adoption of 
evidence, research  
technology 
Launch  deploy 
Innovation Nexus 
(IN)ÇŚ review and 
support of SME 
developments 
 
 
Ongoing IN delivery with evaluation of impact and return on investment. 
In partnership with NICE design an audit tool for the uptake of NICE guidelines for Medicines Management in 
Nursing homes 
Identify unmet health 
care needs and 
support development 
Technology 
Innovation Fund – 
Nutrition and 
Hydration ÂŁ80k 
Technology 
Innovation Fund – 
Medicines 
Optimisation ÂŁ80ÂŁ 
 
Scope Allmembers across GM e.g. Community hospitals, nursing homes, district nursing teams, acute hospitals, mental healthcare, commissioning 
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Health Innovation Network Patient Safety Collaborative - 
Patient Safety from Board to Bus Stop 
The Health Innovation Network (HIN) is embarking on a five-year 
programme to support NHS organisations in South London in achieving 
their patient safety aims, from Board to Bus Stop. The HIN Patient Safety 
Collaborative (PSC) will be built with over time with patients and carers, 
frontline staff, Board leaders and other stakeholders, working together across 
the whole healthcare system - from hospitals to patients own homes - to co-design 
interventions and initiatives to reduce avoidable harm, save lives and 
embed a patient safety culture. 
Our embedded aims are to support South London health and social care 
organisations to: 
• Develop strong leadership and to set an early collective tone and approach 
for improvement 
• Ensure that patients and carers are at the heart of our programmes, actively 
involved in both design and delivery of projects 
• Identify evidence-based and reliable practice (locally, nationally and 
internationally), and to scale up and spread this in a sustainable way 
• Embed a safety culture and help spark social movements for safer care 
through broad staff involvement 
• Develop improvement capability within organisations and leaders 
• Help staff analyse, monitor and learn from safety and quality information 
• Be a national exemplar of practice, and to create strategic partnerships with 
other exemplars 
• Develop interventions and initiatives which can be applied or adapted to all 
care settings. 
We are working with our stakeholders to understand which patient safety 
issues should be prioritised, and how a collaborative approach might be able to 
add value to what organisations are already doing to meet national 
requirements. The programme will also be closely linked with national and local 
initiatives, including ‘Sign up to Safety’, Quality Accounts, Safety Thermometer, 
NHS Change Day, and King’s Health Partners Safety Connections programme. 
Priorities identified for potential early action identified include: pressure ulcers, 
falls, catheter-associated urinary tract infection (CAUTI), deteriorating patient, 
and medications safety (insulin management). In year one, plans are under way 
to scale up the following interventions: 
• Right Insulin, Right Time, Right Dose – a breakthrough collaborative focused 
on reducing harm to diabetic patients through better insulin management. 
• No Catheter, No CAUTI – a collaborative to reduce harm from CAUTIs by 
improving appropriate urinary catheter management in patients in hospital 
and following discharge. 
• A range of interprofessional interventions are being explored, including a 
potential interdisciplinary ‘rounding’ offer and development of communities 
of practice. 
All interventions will be underpinned by a strong measurement function 
supporting front line staff, and focused work with local education 
commissioners to scope educational needs in priority areas and to ensure that 
these needs can be met. A faculty of experts will act as critical friends for the 
PSC, advising on proposals, evaluating impact, and acting as coaches, 
facilitators and mentors for PSC projects and for HIN member patient safety 
initiatives. Over time, we will evaluate impact, and embed programmes, 
ensuring sustainability in the long-term. We will also deliver stretch targets 
(expanding work to cover additional priority areas), develop commercial 
partnerships, and explore innovative technologies that support patient safety.
IMPERIAL COLLEGE 
Patient Safety Programme HEALTH PARTNERS 
VISION PROJECTS DESCRIPTION OF ACTIVITY MEASURING IMPACT 
Our vision is to support 
organisations to 
embed safety in every 
aspect of their work. 
This means: 
‹ Patient and carer 
views are obtained 
and heard at all 
levels as a critical 
indicator of safety 
‹ There is a strong 
ethic of team 
working and shared 
responsibility for 
patient safety 
‹ Effective safety 
measurement and 
monitoring systems 
are in place in all 
clinical settings 
‹ Clinical processes, 
practices, equipment 
and environment are 
standardised and 
ZPTWSPÄLK 
Patient Safety 
Champion 
Network 
Our programme will deliver: 
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involvement and participation in patient 
safety improvement initiatives across NWL 
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issues and protocols amongst senior staff 
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practice among partner organisations 
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doctors’ induction across NWL 
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and reduction in prescribing errors 
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to reduce variation 
Foundations 
of Safety Best 
Practice Forum 
‹ NWL wide series of expert forums for nominated Board executives, non-executives, 
senior leaders, commissioners and patient representatives. 
‹ Participants will be able to foster shared best practice and innovation to 
deliver organisational and cultural change. 
Safety 
measurement 
and monitoring 
‹ Collaboration with NHS trusts to test and further develop – through 
application in practice – a holistic framework for measuring and monitoring 
safety, developed by the Centre for Patient Safety and Service Quality 
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Prioritisation 
of research 
‹ Research to identify clinician and patient views on the key priorities for 
patient safety in primary care, mental health and cancer care. 
‹ Provides crucial intelligence to support future initiatives within these domains. 
Prescribing 
improvement 
model 
‹ Pilot improving pharmacists’ provision of feedback to doctors on their 
prescribing errors, which aims to support better communication between 
pharmacists and doctors. 
Standardising 
junior doctor 
inductions 
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mortality 
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a single communication channel for key safety messages to be delivered 
to this group. 
Contact us 
For more information contact our Patient Safety 
team on: 
ea@imperialcollegehealthpartners.com 
Website: www.imperialcollegehealthpartners.com 
Twitter: @ldn_ichp 
‹ 5VY[OLZ[3VUKVU53^PKLUL[^VYRVMZLY]PJLZLYZHUKJP[PaLUZ 
supporting and promoting their involvement in the design and delivery 
of the Partnership’s patient safety work programme. 
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NENCPatientSafetyCollaborativeplanͲonͲaͲpage2014/15 
Measuredusingthefollowingsuccesscriteria 
x Havingclearmeasurableobjectivesat 
programmeandprojectlevels 
x Improvementsinpatientsafetyas 
measuredbymilestonesandKPIs 
x BiͲmonthlyprogressreportsshowing 
projectdevelopmentandspreadof 
improvement. 
x Matchfundingandwealthcreationused 
asacriteriaforinvestment. 
x AHSNadditionalfundingsoughtthrough 
businessdevelopmentopportunities. 
Objective1:Leadershipandaccountability 
Toensurethatthereisleadershipand 
accountabilityforsafetythroughoutthe 
system 
Objective3:Transparency,reliability, 
resilience,learningandimprovement 
Tofosterasafetycultureoftransparency, 
reliability,resilience,continuallearningand 
improvement,basedonsoundsafety 
science 
Objective4:Workingingenuine 
partnership 
Todevelopgenuinepartnershipsbetween 
thosewhogivecareandthosewhoreceive 
caretoimprovetheirsafety 
Deliveredthrough: 
• Effectivegovernanceatproject,AcademicHealthScienceNetworkandnationallevels 
• MembershipofnationalSteeringgroup 
• MembershipofMeasurementandcommunicationssubͲgroups 
• Delegationtonationallaunchevent. 
Deliveredthrough: 
• Buildingsystemwidecapabilityforstaffandpatientsinpatientsafetyimprovementscience. 
• Creatingenvironmentsandopportunitieswherepeoplecancometogethertolearnfrom 
eachother,includingregionalengagementandprojectlearningevents 
Deliveredthrough: 
• Systematicspreadofqualityimprovementsacrosshealthandsocialcare. 
• Tobeinnovative,whilstgroundedinevidenceandusingtriedandtestedmethods 
• Tobuilduponexistinginitiativesandstimulatenewideaslinkedtonationalandlocal 
priorities 
Overseenthroughthefollowinggovernance 
arrangements: 
x Accountable toNHSImproving 
Quality/NHSEnglandatanationallevel. 
x ABoardandExecTeamthatare 
credible,engagedandactiveinsupport 
oftheAHSNobjectives 
x ClearleadershipfromSRO,supported 
byasmallcoreteam 
x AwellrunSteeringGroup, 
representativeofandresponsiveto 
constituentstakeholdersandprojects 
x RobustmanagementofSLAsand 
projectͲspecificcontractsforallfunding 
x Proactiveandvibrantcommunication 
ensuringbroadstakeholderawareness 
andengagement 
Objective7:SignuptoSafety 
Toalignwithandcomplementthe 
ambitionsofthe‘SignuptoSafety’ 
campaign 
Deliveredthrough: 
• Locallyownedandstructuredqualityimprovementinitiativesleadingtotransformational 
change 
• Activemanagementofthecirca£465kofPatientSafetyCollaborativefunding(£275from 
nationalpotandÂŁ190kfromexistingAHSNbudget) 
• Ensuringimprovementsaremeasurableandsustainable 
Objective6:Tocollaborate 
ToenableNHSstaffintheNorthEastand 
NorthCumbriatohavetheopportunityto: 
worktogetherinacollaborativeway,both 
insideandoutsidetheirownorganisations 
andwithnationalandinternational 
expertise 
Deliveredthrough: 
• AfocusonpatientͲcentredapproaches,whichengagethepatientinunderstandingand 
managingtheirownsafetyinaccordancewiththeirwishes. 
• TocoͲproducesolutionsinvolvingstaffandpatients 
Deliveredthrough: 
• Peoplebeingsupportedtoengagewithalllevelsoftheorganisationswithinwhichthey 
work 
• Bringingtogetherpatientsandcarers,nationalandinternationalsafetyexpertisewith 
practicalexperience,inpartnershipwithNHSEngland,NHSImprovingQuality,andother 
national,internationalandlocalbodiesinterestedinimprovingsafety 
• Beinginclusiveofallhealthsectors,withparityofmental,physicalandpsychological 
health,inparticularfocussingonsafetyacrosscareboundaries 
• WorkinginpartnershipwithotherAHSNswherethereareopportunitiestoshareexpertise 
Deliveredthrough: 
• Encouraginglocalorganisationstosignuptothecampaignandtodevelopcredibleplansto 
achievethecampaignobjectives 
• Helpparticipantsinthenationalpatientsafetyfellowshipschemetoachievetheir 
objectiveslocally,throughnetworkingandothersupport 
Objective2:Creatingtheconditionsfor 
safety 
Tocreatetheconditionsthathelpprevent 
patientsafetyincidentsfromoccurringin 
thefirstplace,engenderingasenseofpride 
Objective5:Improvementprogramme 
TodeliverasystemͲwide,locallyowned 
andled,programmethatdeliversyearon 
yearimprovementsinsafety 
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North West Coast Academic Health Science Network 
Patient Safety Collaborative 
Organisations involved to date 
NWC AHSN has involved all of its NHS partners – providers, 
commissioners and improvement bodies (AQuA, HAELO and NW 
Leadership Academy) in the development of its proposals and plans for 
the PSC (please visit www.nwcahsn.nhs.uk for details of colleague 
organisations). On 17 September, NWC AHSN held a stakeholder 
engagement event to which all of its NHS and academic partners were 
invited. The event was designed to gain agreement on a number of 
clinical and action priorities proposed by the AHSN. Organisations 
unable to send representatives have been consulted on the outcomes of 
the day. 
Priority areas of work 
NWC AHSN will ensure that all of the current NHS England requirements 
are met. Based on outputs from its recent enagement event, its clinical 
safety priorities will be medicines optimisation; management of sepsis; 
transition between paediatric and adult care; and hydration. It has 
already agreed a contract with a provider for a significant element of its 
medicines optimisation work. 
Its priority areas for action will be providing Board level development in 
safety; providing safety training and development to staff working at 
patient care level; agreeing a regional policy on patient safety; setting up 
learning networks around safety improvement themes; developing 
safety champions or leads in each organisation; and undertaking 
technology reviews to identify solutions to safety issues. 
High level workplan/approach 
NWC AHSN will continue to use the principle of working with existing 
structres and resources, unless they are patently unfit for purpose. 
To drive and accelerate the Patient Safety agenda, NWC AHSN has 
issued, with a short turnaround, a number of Preferred Supplier 
Agreements to regional improvement bodies for support to its 
improvement themes (which will be at the heart of how the PSC brings 
about improvement); building leadership capacity and capability; 
networking; board development; and measurement and data analysis. 
NWC AHSN has asked all its suppliers to work within the established 
structures for patient, carer and community engagement. 
Contact 
North West Coast Patient Safety Collaborative 
C/O North West Coast Academic Health Science Network, Vanguard 
House, Daresbury Sci Tech, Keckwick Lane, Daresbury, Warrington, 
Cheshire, WA4 4AB 
Philip Dylak, Programme Manager (Patient Safety) 
T: 01772 520282 
M: 07538 022771 
E: philip.dylak@nwcahsn.nhs.uk
North West Coast Patient Safety Collaborative 
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Oxford Academic Health Science Network 
Patient Safety Collaborative 
Achieving safe health care has the potential to bring very great benefits 
to patients, families and all involved in the delivery of care. The impact 
of even small improvements in patient safety is massive, both in terms of 
reducing the disease burden and in the huge economic benefits of safer 
healthcare. Many safety initiatives are in progress in the Oxford AHSN 
geography in acute NHS hospitals, community and mental health 
settings and in the patient’s home. The bodies involved in this work 
include NHS acute trusts, NHS community trusts, NHS mental health 
trusts, care homes, social care bodies within county councils, care 
commissioning groups, universities and pre-existing collaboratives and 
federations. 
The Oxford Academic Health Science Network Patient Safety 
Collaborative (PSC) will initially focus on a small number of clinical 
programmes but also act as an umbrella and coordinating centre for the 
many important patient safety initiatives, both practice and research, 
within the Oxford AHSN geography of Berkshire, Buckinghamshire, 
Bedfordshire and Oxfordshire. The PSC will work alongside the clinical 
networks within Oxford AHSN’s Best Care programme and ultimately be 
accountable to the Oxford AHSN Partnership Board on which all NHS 
providers, CCGs and Universities are represented. 
The principal aims of the PSC will be to: 
• Develop safety from its present narrow focus on hospital medicine to 
embrace the entire patient pathway 
• Develop and sustain clinical safety improvement programmes within 
the Oxford AHSN 
• Develop initiatives to build safer clinical systems across the Oxford 
AHSN 
• Collaborate and support sister safety programmes both nationally and 
internationally. 
Early priorities are: 
• The active engagement of patients and carers 
• The development of a safety information system for the PSC 
• Establishment and support of programmes on acute kidney injury, 
medication safety, pressure ulcers and safety in mental health 
• Developing capacity and capability in leadership for safety 
improvement. 
The PSC has chosen to focus on a small number of core areas in the first 
instance. We are conscious that further consultation needs to take place 
with a wide range of partners and that the full programme of work will 
only emerge gradually. The priorities set out here should be seen as a 
starting point and not a definitive account. 
In time we hope to develop programmes which will address risks and 
systems vulnerabilities across the system and which are oriented towards 
building a safer healthcare system. Our longer term aim must be to 
design safe systems of care rather than address individual safety and 
quality issues.
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UCLPartners’ Patient Safety Programme: A collaborative 
approach to sustained improvement in patient safety 
The aim of the UCLPartners programme is to build, develop and support 
improvement capabilities for front-line staff and to improve patient 
safety outcomes for a population of six million people across our 
partnership. Our focus is on progressively reducing avoidable harm and 
embedding safety through an ethos of building continuous improvement into 
routine practice at scale; establishing safety as normal practice across 
UCLPartners. Nine design principles inform our approach. These are: 
• To have meaningful patient, carer and family involvement 
• To make partnership initiatives relevant to local priorities; embedding safety 
into mainstream delivery 
• To make safety relevant to the mainstream front line of care 
• To build networks across the partnership and promote shared learning 
• To ensure educational and trainee involvement and build leadership capacity 
in safety 
• To ground work in authentic and rigorous time series measurement 
• To support partner organisations to build improvement capacity and capability 
at scale 
• To implement core informatics enablers for safe care 
• To ensure robust evaluation. 
Our approach to measurement will align teams’ understanding of where they 
are currently and where the highest priority areas for attention lie. This is 
rooted in four simple questions: 
• Do you know how good you are? 
• Do you know where you stand relative to the best? 
• Do you know how much variation exists, and at what level in your system? 
• Do you know your rate of improvement over time? 
UCLPartners will ensure the safety and improvement work draws from and 
informs/supports work in other regions and AHSNs wherever it usefully can. 
We are focusing on informing commissioning priorities and approaches to 
better align the whole system in supporting safety and improvement most 
effectively. 
UCLPartners 
Academic Health Science Partnership 
Building on existing foundations 
UCLPartners’ patient safety programme builds on improvements and learnings 
gained from existing UCLPartners collaborations including, the Deteriorating 
Patient Initiative, which over the last three years has grown to involve 16 acute 
trusts across UCLPartners’ geography. 
Our priorities are derived from patient and population need matched to partner 
organisations’ current safety priorities and their views on where partnership 
working can add most value to local safety efforts. A small team, rooted in the 
efforts of clinicians and front line teams across the partnership, will report to the 
UCLPartners Executive, via a Programme Board chaired by Clare Panniker, Chief 
Executive of Basildon and Thurrock University Hospitals NHS Foundation Trust. 
The initial priorities include sepsis and acute kidney injury (AKI). Discussions are 
ongoing with partners regarding other partnership-level priority areas, for 
example, falls and pressure ulcers. Each of these areas contributes to our overall 
aim of reducing mortality across the partnership, and, crucially, each is also 
amenable to a whole health system approach – i.e. relevant in all settings from 
care homes/usual place of residence to the acute hospital. 
Each of UCLPartners’ integrated AHSN programmes is placing further and more 
explicit emphasis on patient safety. These programmes include: cardiovascular, 
mental health, neuroscience, children and young people, cancer and complex 
patients. Their priority areas are currently being determined. 
About UCLPartners 
UCLPartners is an academic health science partnership with over 40 higher 
education and NHS members, including 23 acute, mental health and 
community NHS organisations. Through UCLPartners, members collaborate to 
improve health outcomes and create wealth for a population of over six million 
people in north east and north central London, south and west Hertfordshire, 
south Bedfordshire, and south west and mid Essex. 
Tel: 020 7679 6633 www.uclpartners.com
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WessexPatientSafetyCollaborative 
WorkingtoimprovesafetyforpatientsinHampshire,Dorset,Isleof 
WightandSouthWiltshire 
WessexPatientSafetyCollaborativeSupportTeam 
WessexAHSNChiefExecutive– MartinStephens 
DirectorofPatientSafetyCollaborative– KeithLincoln 
ClinicalLeadforPatientSafetyCollaborative– ProfessorJaneReid 
PatientSafetyCollaborativeManager– GeoffCoper 
(emailsto:firstname.lastname@wessexahsn.net) 
PrioritySafetyTopics 
SubjecttoaLaunchandListeneventon11Nov14wheretheemphasiswillbeoncoͲ 
designandcoͲproduction,theWessexPatientSafetyCollaborativewilllookto 
addressthefollowingareasinthefirstinstance: 
The‘essentials’ 
LeadershipandMeasurement 
Othersourcesofpotentialharm 
MedicationErrors 
TransfersofCare– toincludereducedreadmissions,improvedpatientandcarer 
experience,reducedoutofhoursreferralsandfewerspecificharmse.g.AKI. 
CurrentPosition 
Priorityareasofwork 
• Engagewithmembers,partnersandwiderstakeholderstoachieveawarenessof 
thePSCandbuyͲintotheprogramme 
• AsuccessfulLaunchandLearneventforWessexPSC(11th Nov)toidentifyareas 
ofworkandachieveparticipationfromallstakeholders.Also,tohighlightthe 
alignmenttoSignuptoSafetytosupportorganisationsincomplimentaryactivity. 
• BaselinepatientsafetytopicsacrossWessex 
HighLevelWorkplan 
Oct14Ͳ NationalPSClaunchevent.DevelopoverarchingPSCplanincludingaims, 
objectives,strategicdeliveryplansthatalignwiththenationalprogramme 
measurementstrategy. 
Nov14Ͳ WessexPSClaunchevent– identifyareasofpatientsafetytobeaddressed 
bythePSC.Consolidateinformationandlearningfromlaunchevent. EstablishPSC 
SteeringCommittee. Communicatelauncheventoutcomeswithstakeholders. 
Dec15IdentifyinitialareasforPSCtotackleandstarttocoͲordinateinterested 
stakeholdersforqualityimprovementevents. Engagesupporttobuildquality 
improvementcapabilitywithinWessex. 
Organisationsengagedasof30Sep14 
ProviderTrusts 
IsleofWightNHSTrust 
TheRoyalBournemouthChristchurchHospitalsNHSFoundationTrust 
PooleHospitalNHSFoundationTrust 
SalisburyNHSFoundationTrust 
UniversityHospitalSouthamptonNHSFoundationTrust 
PortsmouthHospitalsNHSTrust 
DorsetCountyHospitalFoundationTrust 
HampshireHospitalsNHSFoundationTrust 
DorsetHealthcareUniversityNHSFoundationTrust 
SolentNHSTrust 
SouthernHealthNHSFoundationTrust 
SouthCentralAmbulanceServiceNHSFoundationTrust 
SouthWesternAmbulanceServiceNHSFoundationTrust 
ClinicalCommissioningGroups 
LocalAuthorities 
NorthEastHampshireandFarnham 
DorsetCountyCouncil 
IsleofWight 
HampshireCountyCouncil 
FarehamGosport 
IsleofWightCouncil 
NorthHampshire 
PortsmouthCityCouncil 
Dorset 
SouthamptonCityCouncil 
Portsmouth 
WiltshireCountyCouncil 
SouthEasternHampshire 
SouthamptonCity 
OtherStakeholders 
WestHampshire 
LocalMedicalCommittee 
Wiltshire(Sarum locality) 
HealthwatchHampshire 
HealthwatchDorset 
Universities 
Bournemouth 
SouthamptonSolent 
Portsmouth 
Southampton 
Winchester 
WessexAcademicHealthScienceNetwork,InnovationCentre,Southampton 
SciencePark,2VentureRoad,Chilworth,SouthamptonSO167NP 
Tel: 02382020840 
20
Yorksh 
Patient Safet 
͚ŽƚƚŽŵ-up 
ire and Humb 
ety Collaborative (2014 
up, from the top͛ 
   
ber 
14-2019) 
Our patient safet 
involving every 
health and learni 
Mobilising fron 
organisations, w 
frontline teams f 
patient experien 
ractical su 
safety collaborative will build o 
eryone from cleaners to consul 
learning disability services. 
ntline teams to focus on those 
s, we will reduce patient harm 
on our successful patient safe 
sultants, in both community s for independent safety imp 
xperience, and share learning acro 
t t help tners be 
safety work with frontline team 
and 
hospital settings, includin 
se areas of safety that are m 
m, increase the capability of o 
provement, improve patient 
oss Yorkshire and Humber. 
most important to our partner 
our partner organisations and 
atient safety culture among staff, i 
Our aim is to use evidence an 
High Reliability O isatio 
fo safety, i in 
ms, 
ing mental 
er 
s their 
taff, improve 
and 
practical suppo 
͚ďŽƚƚŽŵ-ƵƉ ĨƌŽ 
Our Model of Patien 
ort to our partners beco 
ŵ ƚŚĞ ƚŽƉ͛͘ 
f Patient Safety Improvemen 
come Organisatio 
t 
isations for improving 
CQC 
care 
er 
ic 
Wide 
publ 
NHSE 
networks 
Evidence-based 
x Effectivenes 
x Patient safe 
x Assessing patien 
x Improvement 
x Accessing t 
x Safety measure 
d resources for safety impro 
ovement 
search evidence 
ams 
m level 
g. PRASE) 
eness Matters summaries of re 
safety huddles for frontline tea 
patient safety culture at team 
ent data close to frontline 
the patient voice in safety (e.g 
x Managing t 
x Online safet 
Ref:140925 
easurement and monitoring fra 
tensions between learning and 
safety training resources 
Roundtable discussions Ÿ 
Action Learning SetsŸ Peer r 
Ÿ 
Ÿ Act 
framework 
performance 
Masterclasses 
eer review methods 
Further information: 
provement Academy, 
te for Health Research 
AHSN Im 
Bradford Institute 
www.improve 
Tel: 01274 383926 
ementacademy.org 
21
22

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Ahsn plans on a page

  • 1. Patient Safety Collaboratives NHS PLAN ON A PAGE In partnership with TheAHSNNetwork
  • 3. 3 Introduction NHS Improving Quality and NHS England are working nationally with the Academic Health Science Networks to provide support and opportunities for the Collaboratives to learn from each other, ensuring the most effective and successful solutions are rapidly spread and adopted across England. For the next five years, each Collaborative will support individuals, teams and organisations to build skills and knowledge about patient safety and quality improvement to create space and time to work on the challenges, and provide opportunities to learn from each other. The programme is borne out of Professor Don Berwick’s report last year into the safety of patients in England and builds on learning from the Francis and Winterbourne View recommendations. The report, A Promise to Learn – a commitment to act, made a series of recommendations to improve patient safety; and called for the NHS ‘’to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.’’ Aligned with and supporting the ‘Sign up to Safety’ campaign, the programme aims to make the NHS the safest healthcare system in the world by creating the culture to support a system devoted to continuous learning and improvement. This resource summarises the Patient Safety Collaboratives current priority plans. Some of these plans are in consultation with partner organisations and may be subject to change. For more information please visit our website at: www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
  • 4. 4
  • 5. EMAHSN has consulted and engaged with our partners to develop consensus on key patient safety priorities [see below]. We will: build alliances to optimise and share existing best practice support and enable organisations to accelerate the pace and scale of improvement activities. cheryl.crocker@nottingham.ac.uk 07808647120 www.emahsn.org.uk @EM_AHSN 5
  • 6. 6
  • 7. GMAHSNPatientSafetyCollaborative–PlanonaPage OctÇŚDec ‘14 JanÇŚMarch ‘15 AprÇŚJun ‘15 JulyÇŚSept ‘15 OctÇŚDec ‘15 JanÇŚMar ‘16 PatientÇŚ owned care Identify what makes a patient feel safe when taking medicinces Qualitative exploration with patient groups Utilise output to informwork streams e.g. what does good patient information look like, supporting mechanisms for onÇŚgoing Patient access to their data Link to connected healthcare monitoring below Point of care testing Increase the uptake of point of care testing for anticoagulant monitoring – 3 CCGs participating Patient decision aids Work with designer of NICE CG Patient Decision Aid to support evaluation and understanding of GP educational needs in using this tool Supported selfÇŚcare selfÇŚmanagement From identified sites / CCGs support the uptake in selfÇŚmonitoring and selfÇŚ management – 3 CCGs participating Solving problems Understand baseline data Utilising existing database sources to understand patient safety in terms of medicines utilization, linked to the harms in PSC safety topics Governance GM AHSN will coÇŚordinate programme, source and analyze information andmeasurement from across the local health economy and provide feedback Build leadership workforce capabilities in safety AQUA programme inc advanced team training (12 teams of 6), PS champions training (40 people), improvement practitioner modules 240 places) and Sign up to Safety Network launch and 6 month engagement for all AHSN members (up to 160 attendees) Health Foundation ’Closing the Gap’ programme for Board Level Collaborative on safety (10 localities), commencing in Feb 15 Connected healthcare monitoring Utilise capabilities of existing systems that allow patients access to their records eg. Renal Pt View, and adapt, adopt and spread RealÇŚtime monitoring measurement Increase uptake of FARSITE inGP practices across AHSN footprint from 25% to 60% by March ‘15 Increase uptake of FARSITE inGP practices across AHSN footprint from 25% to 60% by March ‘15 Social networking media Working with FT to design and run a Hackathon for young adults with Diabetes New mechanisms for care Evidence the interventions which improve adherence Work with colleagues in Primary Care Patient Safety Translation Research Centre to align current evidence, further advance research studies and spread of PINCER studies. Drug safety monitoring in real world Identify and work with 2 sites for utilisation of GP practice level safety dashboards designed by Primary Care Patient Safety Translation Research Centre, refine prior to spread of tool. Early adoption of evidence, research technology Launch deploy Innovation Nexus (IN)ÇŚ review and support of SME developments Ongoing IN delivery with evaluation of impact and return on investment. In partnership with NICE design an audit tool for the uptake of NICE guidelines for Medicines Management in Nursing homes Identify unmet health care needs and support development Technology Innovation Fund – Nutrition and Hydration ÂŁ80k Technology Innovation Fund – Medicines Optimisation ÂŁ80ÂŁ Scope Allmembers across GM e.g. Community hospitals, nursing homes, district nursing teams, acute hospitals, mental healthcare, commissioning 7
  • 8. 8
  • 9. 9 Health Innovation Network Patient Safety Collaborative - Patient Safety from Board to Bus Stop The Health Innovation Network (HIN) is embarking on a five-year programme to support NHS organisations in South London in achieving their patient safety aims, from Board to Bus Stop. The HIN Patient Safety Collaborative (PSC) will be built with over time with patients and carers, frontline staff, Board leaders and other stakeholders, working together across the whole healthcare system - from hospitals to patients own homes - to co-design interventions and initiatives to reduce avoidable harm, save lives and embed a patient safety culture. Our embedded aims are to support South London health and social care organisations to: • Develop strong leadership and to set an early collective tone and approach for improvement • Ensure that patients and carers are at the heart of our programmes, actively involved in both design and delivery of projects • Identify evidence-based and reliable practice (locally, nationally and internationally), and to scale up and spread this in a sustainable way • Embed a safety culture and help spark social movements for safer care through broad staff involvement • Develop improvement capability within organisations and leaders • Help staff analyse, monitor and learn from safety and quality information • Be a national exemplar of practice, and to create strategic partnerships with other exemplars • Develop interventions and initiatives which can be applied or adapted to all care settings. We are working with our stakeholders to understand which patient safety issues should be prioritised, and how a collaborative approach might be able to add value to what organisations are already doing to meet national requirements. The programme will also be closely linked with national and local initiatives, including ‘Sign up to Safety’, Quality Accounts, Safety Thermometer, NHS Change Day, and King’s Health Partners Safety Connections programme. Priorities identified for potential early action identified include: pressure ulcers, falls, catheter-associated urinary tract infection (CAUTI), deteriorating patient, and medications safety (insulin management). In year one, plans are under way to scale up the following interventions: • Right Insulin, Right Time, Right Dose – a breakthrough collaborative focused on reducing harm to diabetic patients through better insulin management. • No Catheter, No CAUTI – a collaborative to reduce harm from CAUTIs by improving appropriate urinary catheter management in patients in hospital and following discharge. • A range of interprofessional interventions are being explored, including a potential interdisciplinary ‘rounding’ offer and development of communities of practice. All interventions will be underpinned by a strong measurement function supporting front line staff, and focused work with local education commissioners to scope educational needs in priority areas and to ensure that these needs can be met. A faculty of experts will act as critical friends for the PSC, advising on proposals, evaluating impact, and acting as coaches, facilitators and mentors for PSC projects and for HIN member patient safety initiatives. Over time, we will evaluate impact, and embed programmes, ensuring sustainability in the long-term. We will also deliver stretch targets (expanding work to cover additional priority areas), develop commercial partnerships, and explore innovative technologies that support patient safety.
  • 10. IMPERIAL COLLEGE Patient Safety Programme HEALTH PARTNERS VISION PROJECTS DESCRIPTION OF ACTIVITY MEASURING IMPACT Our vision is to support organisations to embed safety in every aspect of their work. This means: ‹ Patient and carer views are obtained and heard at all levels as a critical indicator of safety ‹ There is a strong ethic of team working and shared responsibility for patient safety ‹ Effective safety measurement and monitoring systems are in place in all clinical settings ‹ Clinical processes, practices, equipment and environment are standardised and ZPTWSPÄLK Patient Safety Champion Network Our programme will deliver: ‹ 0UJYLHZLKZLY]PJLZLYHUKJP[PaLU involvement and participation in patient safety improvement initiatives across NWL ‹ 0TWYV]LKUKLYZ[HUKPUNVMWH[PLU[ZHML[` issues and protocols amongst senior staff ‹ 0TWYV]LKZWYLHKVMPUUV]H[PVUHUKNVVK practice among partner organisations ‹ (JVTIPULKHUKYVIZ[HWWYVHJO[VQUPVY doctors’ induction across NWL ‹ (ZLJYLZPUNSLWSH[MVYTMVY JVTTUPJH[PVUHTVUNZ[QUPVYKVJ[VYZ ‹ 0UJYLHZLKWYLZJYPILYPKLU[PÄJH[PVU and reduction in prescribing errors ‹ 0UJYLHZLKH^HYLULZZVMRL`ZHML[`KYP]LYZ to reduce variation Foundations of Safety Best Practice Forum ‹ NWL wide series of expert forums for nominated Board executives, non-executives, senior leaders, commissioners and patient representatives. ‹ Participants will be able to foster shared best practice and innovation to deliver organisational and cultural change. Safety measurement and monitoring ‹ Collaboration with NHS trusts to test and further develop – through application in practice – a holistic framework for measuring and monitoring safety, developed by the Centre for Patient Safety and Service Quality *7::8H[0TWLYPHS*VSSLNL3VUKVU Prioritisation of research ‹ Research to identify clinician and patient views on the key priorities for patient safety in primary care, mental health and cancer care. ‹ Provides crucial intelligence to support future initiatives within these domains. Prescribing improvement model ‹ Pilot improving pharmacists’ provision of feedback to doctors on their prescribing errors, which aims to support better communication between pharmacists and doctors. Standardising junior doctor inductions ‹ 7YVQLJ[[VJYLH[LHYLSPHISLYL]PL^TLJOHUPZTMVY[OLHZZLZZTLU[VMHSS deaths associated with hospital care, in order to assess what proportion ^LYLH]VPKHISLHUK[OLMHJ[VYZ[OH[ZOVSKILYLJ[PÄLK Avoidable mortality research ‹ 7YVNYHTTL[VZ[HUKHYKPZLPUKJ[PVUMVYQUPVYKVJ[VYZHUK[VJYLH[L a single communication channel for key safety messages to be delivered to this group. Contact us For more information contact our Patient Safety team on: ea@imperialcollegehealthpartners.com Website: www.imperialcollegehealthpartners.com Twitter: @ldn_ichp ‹ 5VY[OLZ[3VUKVU53^PKLUL[^VYRVMZLY]PJLZLYZHUKJP[PaLUZ supporting and promoting their involvement in the design and delivery of the Partnership’s patient safety work programme. ‹ (J[ZHZHJH[HS`Z[MVYIYVHKLYJP[PaLUHUKZLY]PJLZLYLUNHNLTLU[PU53 10
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  • 13. NENCPatientSafetyCollaborativeplanͲonͲaͲpage2014/15 Measuredusingthefollowingsuccesscriteria x Havingclearmeasurableobjectivesat programmeandprojectlevels x Improvementsinpatientsafetyas measuredbymilestonesandKPIs x BiͲmonthlyprogressreportsshowing projectdevelopmentandspreadof improvement. x Matchfundingandwealthcreationused asacriteriaforinvestment. x AHSNadditionalfundingsoughtthrough businessdevelopmentopportunities. Objective1:Leadershipandaccountability Toensurethatthereisleadershipand accountabilityforsafetythroughoutthe system Objective3:Transparency,reliability, resilience,learningandimprovement Tofosterasafetycultureoftransparency, reliability,resilience,continuallearningand improvement,basedonsoundsafety science Objective4:Workingingenuine partnership Todevelopgenuinepartnershipsbetween thosewhogivecareandthosewhoreceive caretoimprovetheirsafety Deliveredthrough: • Effectivegovernanceatproject,AcademicHealthScienceNetworkandnationallevels • MembershipofnationalSteeringgroup • MembershipofMeasurementandcommunicationssubͲgroups • Delegationtonationallaunchevent. Deliveredthrough: • Buildingsystemwidecapabilityforstaffandpatientsinpatientsafetyimprovementscience. • Creatingenvironmentsandopportunitieswherepeoplecancometogethertolearnfrom eachother,includingregionalengagementandprojectlearningevents Deliveredthrough: • Systematicspreadofqualityimprovementsacrosshealthandsocialcare. • Tobeinnovative,whilstgroundedinevidenceandusingtriedandtestedmethods • Tobuilduponexistinginitiativesandstimulatenewideaslinkedtonationalandlocal priorities Overseenthroughthefollowinggovernance arrangements: x Accountable toNHSImproving Quality/NHSEnglandatanationallevel. x ABoardandExecTeamthatare credible,engagedandactiveinsupport oftheAHSNobjectives x ClearleadershipfromSRO,supported byasmallcoreteam x AwellrunSteeringGroup, representativeofandresponsiveto constituentstakeholdersandprojects x RobustmanagementofSLAsand projectͲspecificcontractsforallfunding x Proactiveandvibrantcommunication ensuringbroadstakeholderawareness andengagement Objective7:SignuptoSafety Toalignwithandcomplementthe ambitionsofthe‘SignuptoSafety’ campaign Deliveredthrough: • Locallyownedandstructuredqualityimprovementinitiativesleadingtotransformational change • ActivemanagementofthecircaÂŁ465kofPatientSafetyCollaborativefunding(ÂŁ275from nationalpotandÂŁ190kfromexistingAHSNbudget) • Ensuringimprovementsaremeasurableandsustainable Objective6:Tocollaborate ToenableNHSstaffintheNorthEastand NorthCumbriatohavetheopportunityto: worktogetherinacollaborativeway,both insideandoutsidetheirownorganisations andwithnationalandinternational expertise Deliveredthrough: • AfocusonpatientͲcentredapproaches,whichengagethepatientinunderstandingand managingtheirownsafetyinaccordancewiththeirwishes. • TocoͲproducesolutionsinvolvingstaffandpatients Deliveredthrough: • Peoplebeingsupportedtoengagewithalllevelsoftheorganisationswithinwhichthey work • Bringingtogetherpatientsandcarers,nationalandinternationalsafetyexpertisewith practicalexperience,inpartnershipwithNHSEngland,NHSImprovingQuality,andother national,internationalandlocalbodiesinterestedinimprovingsafety • Beinginclusiveofallhealthsectors,withparityofmental,physicalandpsychological health,inparticularfocussingonsafetyacrosscareboundaries • WorkinginpartnershipwithotherAHSNswherethereareopportunitiestoshareexpertise Deliveredthrough: • Encouraginglocalorganisationstosignuptothecampaignandtodevelopcredibleplansto achievethecampaignobjectives • Helpparticipantsinthenationalpatientsafetyfellowshipschemetoachievetheir objectiveslocally,throughnetworkingandothersupport Objective2:Creatingtheconditionsfor safety Tocreatetheconditionsthathelpprevent patientsafetyincidentsfromoccurringin thefirstplace,engenderingasenseofpride Objective5:Improvementprogramme TodeliverasystemͲwide,locallyowned andled,programmethatdeliversyearon yearimprovementsinsafety 12
  • 14. 13 North West Coast Academic Health Science Network Patient Safety Collaborative Organisations involved to date NWC AHSN has involved all of its NHS partners – providers, commissioners and improvement bodies (AQuA, HAELO and NW Leadership Academy) in the development of its proposals and plans for the PSC (please visit www.nwcahsn.nhs.uk for details of colleague organisations). On 17 September, NWC AHSN held a stakeholder engagement event to which all of its NHS and academic partners were invited. The event was designed to gain agreement on a number of clinical and action priorities proposed by the AHSN. Organisations unable to send representatives have been consulted on the outcomes of the day. Priority areas of work NWC AHSN will ensure that all of the current NHS England requirements are met. Based on outputs from its recent enagement event, its clinical safety priorities will be medicines optimisation; management of sepsis; transition between paediatric and adult care; and hydration. It has already agreed a contract with a provider for a significant element of its medicines optimisation work. Its priority areas for action will be providing Board level development in safety; providing safety training and development to staff working at patient care level; agreeing a regional policy on patient safety; setting up learning networks around safety improvement themes; developing safety champions or leads in each organisation; and undertaking technology reviews to identify solutions to safety issues. High level workplan/approach NWC AHSN will continue to use the principle of working with existing structres and resources, unless they are patently unfit for purpose. To drive and accelerate the Patient Safety agenda, NWC AHSN has issued, with a short turnaround, a number of Preferred Supplier Agreements to regional improvement bodies for support to its improvement themes (which will be at the heart of how the PSC brings about improvement); building leadership capacity and capability; networking; board development; and measurement and data analysis. NWC AHSN has asked all its suppliers to work within the established structures for patient, carer and community engagement. Contact North West Coast Patient Safety Collaborative C/O North West Coast Academic Health Science Network, Vanguard House, Daresbury Sci Tech, Keckwick Lane, Daresbury, Warrington, Cheshire, WA4 4AB Philip Dylak, Programme Manager (Patient Safety) T: 01772 520282 M: 07538 022771 E: philip.dylak@nwcahsn.nhs.uk
  • 15. North West Coast Patient Safety Collaborative 14
  • 16. 15 Oxford Academic Health Science Network Patient Safety Collaborative Achieving safe health care has the potential to bring very great benefits to patients, families and all involved in the delivery of care. The impact of even small improvements in patient safety is massive, both in terms of reducing the disease burden and in the huge economic benefits of safer healthcare. Many safety initiatives are in progress in the Oxford AHSN geography in acute NHS hospitals, community and mental health settings and in the patient’s home. The bodies involved in this work include NHS acute trusts, NHS community trusts, NHS mental health trusts, care homes, social care bodies within county councils, care commissioning groups, universities and pre-existing collaboratives and federations. The Oxford Academic Health Science Network Patient Safety Collaborative (PSC) will initially focus on a small number of clinical programmes but also act as an umbrella and coordinating centre for the many important patient safety initiatives, both practice and research, within the Oxford AHSN geography of Berkshire, Buckinghamshire, Bedfordshire and Oxfordshire. The PSC will work alongside the clinical networks within Oxford AHSN’s Best Care programme and ultimately be accountable to the Oxford AHSN Partnership Board on which all NHS providers, CCGs and Universities are represented. The principal aims of the PSC will be to: • Develop safety from its present narrow focus on hospital medicine to embrace the entire patient pathway • Develop and sustain clinical safety improvement programmes within the Oxford AHSN • Develop initiatives to build safer clinical systems across the Oxford AHSN • Collaborate and support sister safety programmes both nationally and internationally. Early priorities are: • The active engagement of patients and carers • The development of a safety information system for the PSC • Establishment and support of programmes on acute kidney injury, medication safety, pressure ulcers and safety in mental health • Developing capacity and capability in leadership for safety improvement. The PSC has chosen to focus on a small number of core areas in the first instance. We are conscious that further consultation needs to take place with a wide range of partners and that the full programme of work will only emerge gradually. The priorities set out here should be seen as a starting point and not a definitive account. In time we hope to develop programmes which will address risks and systems vulnerabilities across the system and which are oriented towards building a safer healthcare system. Our longer term aim must be to design safe systems of care rather than address individual safety and quality issues.
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  • 18. 17 UCLPartners’ Patient Safety Programme: A collaborative approach to sustained improvement in patient safety The aim of the UCLPartners programme is to build, develop and support improvement capabilities for front-line staff and to improve patient safety outcomes for a population of six million people across our partnership. Our focus is on progressively reducing avoidable harm and embedding safety through an ethos of building continuous improvement into routine practice at scale; establishing safety as normal practice across UCLPartners. Nine design principles inform our approach. These are: • To have meaningful patient, carer and family involvement • To make partnership initiatives relevant to local priorities; embedding safety into mainstream delivery • To make safety relevant to the mainstream front line of care • To build networks across the partnership and promote shared learning • To ensure educational and trainee involvement and build leadership capacity in safety • To ground work in authentic and rigorous time series measurement • To support partner organisations to build improvement capacity and capability at scale • To implement core informatics enablers for safe care • To ensure robust evaluation. Our approach to measurement will align teams’ understanding of where they are currently and where the highest priority areas for attention lie. This is rooted in four simple questions: • Do you know how good you are? • Do you know where you stand relative to the best? • Do you know how much variation exists, and at what level in your system? • Do you know your rate of improvement over time? UCLPartners will ensure the safety and improvement work draws from and informs/supports work in other regions and AHSNs wherever it usefully can. We are focusing on informing commissioning priorities and approaches to better align the whole system in supporting safety and improvement most effectively. UCLPartners Academic Health Science Partnership Building on existing foundations UCLPartners’ patient safety programme builds on improvements and learnings gained from existing UCLPartners collaborations including, the Deteriorating Patient Initiative, which over the last three years has grown to involve 16 acute trusts across UCLPartners’ geography. Our priorities are derived from patient and population need matched to partner organisations’ current safety priorities and their views on where partnership working can add most value to local safety efforts. A small team, rooted in the efforts of clinicians and front line teams across the partnership, will report to the UCLPartners Executive, via a Programme Board chaired by Clare Panniker, Chief Executive of Basildon and Thurrock University Hospitals NHS Foundation Trust. The initial priorities include sepsis and acute kidney injury (AKI). Discussions are ongoing with partners regarding other partnership-level priority areas, for example, falls and pressure ulcers. Each of these areas contributes to our overall aim of reducing mortality across the partnership, and, crucially, each is also amenable to a whole health system approach – i.e. relevant in all settings from care homes/usual place of residence to the acute hospital. Each of UCLPartners’ integrated AHSN programmes is placing further and more explicit emphasis on patient safety. These programmes include: cardiovascular, mental health, neuroscience, children and young people, cancer and complex patients. Their priority areas are currently being determined. About UCLPartners UCLPartners is an academic health science partnership with over 40 higher education and NHS members, including 23 acute, mental health and community NHS organisations. Through UCLPartners, members collaborate to improve health outcomes and create wealth for a population of over six million people in north east and north central London, south and west Hertfordshire, south Bedfordshire, and south west and mid Essex. Tel: 020 7679 6633 www.uclpartners.com
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  • 21. WessexPatientSafetyCollaborative WorkingtoimprovesafetyforpatientsinHampshire,Dorset,Isleof WightandSouthWiltshire WessexPatientSafetyCollaborativeSupportTeam WessexAHSNChiefExecutive– MartinStephens DirectorofPatientSafetyCollaborative– KeithLincoln ClinicalLeadforPatientSafetyCollaborative– ProfessorJaneReid PatientSafetyCollaborativeManager– GeoffCoper (emailsto:firstname.lastname@wessexahsn.net) PrioritySafetyTopics SubjecttoaLaunchandListeneventon11Nov14wheretheemphasiswillbeoncoͲ designandcoͲproduction,theWessexPatientSafetyCollaborativewilllookto addressthefollowingareasinthefirstinstance: The‘essentials’ LeadershipandMeasurement Othersourcesofpotentialharm MedicationErrors TransfersofCare– toincludereducedreadmissions,improvedpatientandcarer experience,reducedoutofhoursreferralsandfewerspecificharmse.g.AKI. CurrentPosition Priorityareasofwork • Engagewithmembers,partnersandwiderstakeholderstoachieveawarenessof thePSCandbuyͲintotheprogramme • AsuccessfulLaunchandLearneventforWessexPSC(11th Nov)toidentifyareas ofworkandachieveparticipationfromallstakeholders.Also,tohighlightthe alignmenttoSignuptoSafetytosupportorganisationsincomplimentaryactivity. • BaselinepatientsafetytopicsacrossWessex HighLevelWorkplan Oct14Ͳ NationalPSClaunchevent.DevelopoverarchingPSCplanincludingaims, objectives,strategicdeliveryplansthatalignwiththenationalprogramme measurementstrategy. Nov14Ͳ WessexPSClaunchevent– identifyareasofpatientsafetytobeaddressed bythePSC.Consolidateinformationandlearningfromlaunchevent. EstablishPSC SteeringCommittee. Communicatelauncheventoutcomeswithstakeholders. Dec15IdentifyinitialareasforPSCtotackleandstarttocoͲordinateinterested stakeholdersforqualityimprovementevents. Engagesupporttobuildquality improvementcapabilitywithinWessex. Organisationsengagedasof30Sep14 ProviderTrusts IsleofWightNHSTrust TheRoyalBournemouthChristchurchHospitalsNHSFoundationTrust PooleHospitalNHSFoundationTrust SalisburyNHSFoundationTrust UniversityHospitalSouthamptonNHSFoundationTrust PortsmouthHospitalsNHSTrust DorsetCountyHospitalFoundationTrust HampshireHospitalsNHSFoundationTrust DorsetHealthcareUniversityNHSFoundationTrust SolentNHSTrust SouthernHealthNHSFoundationTrust SouthCentralAmbulanceServiceNHSFoundationTrust SouthWesternAmbulanceServiceNHSFoundationTrust ClinicalCommissioningGroups LocalAuthorities NorthEastHampshireandFarnham DorsetCountyCouncil IsleofWight HampshireCountyCouncil FarehamGosport IsleofWightCouncil NorthHampshire PortsmouthCityCouncil Dorset SouthamptonCityCouncil Portsmouth WiltshireCountyCouncil SouthEasternHampshire SouthamptonCity OtherStakeholders WestHampshire LocalMedicalCommittee Wiltshire(Sarum locality) HealthwatchHampshire HealthwatchDorset Universities Bournemouth SouthamptonSolent Portsmouth Southampton Winchester WessexAcademicHealthScienceNetwork,InnovationCentre,Southampton SciencePark,2VentureRoad,Chilworth,SouthamptonSO167NP Tel: 02382020840 20
  • 22. Yorksh Patient Safet ͚ŽƚƚŽŵ-up ire and Humb ety Collaborative (2014 up, from the top͛ ber 14-2019) Our patient safet involving every health and learni Mobilising fron organisations, w frontline teams f patient experien ractical su safety collaborative will build o eryone from cleaners to consul learning disability services. ntline teams to focus on those s, we will reduce patient harm on our successful patient safe sultants, in both community s for independent safety imp xperience, and share learning acro t t help tners be safety work with frontline team and hospital settings, includin se areas of safety that are m m, increase the capability of o provement, improve patient oss Yorkshire and Humber. most important to our partner our partner organisations and atient safety culture among staff, i Our aim is to use evidence an High Reliability O isatio fo safety, i in ms, ing mental er s their taff, improve and practical suppo ͚ďŽƚƚŽŵ-ƵƉ ĨƌŽ Our Model of Patien ort to our partners beco Ĺľ ƚŚĞ ƚŽƉ͛͘ f Patient Safety Improvemen come Organisatio t isations for improving CQC care er ic Wide publ NHSE networks Evidence-based x Effectivenes x Patient safe x Assessing patien x Improvement x Accessing t x Safety measure d resources for safety impro ovement search evidence ams m level g. PRASE) eness Matters summaries of re safety huddles for frontline tea patient safety culture at team ent data close to frontline the patient voice in safety (e.g x Managing t x Online safet Ref:140925 easurement and monitoring fra tensions between learning and safety training resources Roundtable discussions Ÿ Action Learning SetsŸ Peer r Ÿ Ÿ Act framework performance Masterclasses eer review methods Further information: provement Academy, te for Health Research AHSN Im Bradford Institute www.improve Tel: 01274 383926 ementacademy.org 21
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  • 25. To find out more about NHS Improving Quality: www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx @NHSIQ #saferNHS enquiries@nhsiq.nhs.uk Improving health outcomes across England by providing improvement and change expertise Published by: NHS Improving Quality - Publication date: November 2014 Š NHS Improving Quality (2014). All rights reserved. Please note that this product or material must not be used for the purposes of financial or commercial gain, including, without limitation, sale of the products or materials to any person.