The Early Years Collaborative is the world’s first national, multiagency Quality Improvement Collaborative, working together across Scotland to give our children the best start in life. We have more work to do to ensure our efforts are safe and effective every time, for every child. This session highlighted this new and world-leading initiative and delegates were equipped with the information and tools to make their own contribution to the collaboration. See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources

1. Chair - John Wilson – CEO NHS Fife

2. #NHSSevent
#bestplacetogrowup
@NHSFCE
@rosgray
@shirleyGlaing

3. Session outline
• Knowledge and understanding of Framework for Improvement
Dependent on your role:
• To consider what are the ingredients for success in implementing this
improvement approach for early years
• To consider the challenges to the service in taking this approach
• To identify community assets in your context that can contribute to
improvement, and how you might personally engage

4. •Using a World Café approach
• Present emerging learning in key topic areas, including
the policy line, evidence base, and emerging testing in
each work stream area
• Discuss work at the CPP level in each work stream area
• Contribute and leave your footprint on this important
work
• Have fun!
4
Breakout Objectives

5. Setting the scene
• Ros Gray – Head of the Early Years Collaborative, Scottish Government
• 5 minute video
http://developingchild.harvard.edu/resources/multimedia/videos/theo
ry_of_change/

6. 6
What are we trying to
accomplish?
How will we know that a change
is an improvement?
What change can we make that will result in
improvement?
Model for Improvement
Act Plan
Study Do
Langley, et al.

7. The fundamental improvement questions
•What are we trying to achieve?
• Know exactly what you are trying to do – have clear aims
and objectives
•How will we know that change is an improvement?
• Measuring processes and outcomes
•What changes can we make that will result in an improvement?
• What have others done? What hunches do we have?
What can we learn as we go along?

8. IHI Breakthrough Series Collaborative
Select
Topic
(develop
mission)
Planning Group
Develop
Framework
& Changes
Participants (10-100 teams)
Prework
LS 1
P
S
A D
P
S
A D
LS 3LS 2
Supports
Email (listserv) Phone Conferences
Visits Assessments
Monthly Team Reports
A D
P
S
Expert
Meetings
AP1 AP2 AP3
LS – Learning Session
AP – Action Period
Holding the
Gains

9. To ensure that women experience positive
pregnancies which result in the birth of more
Healthy babies as evidenced by a reduction of
15% in the rates of stillbirths
(from 4.9 per 1,000 births in 2010 to 4.3 per 1,000 births in 2015) and
infant mortality
(from 3.7 per 1,000 live births in 2010 to 3.1 per 1,000 live births in
2015).
Aims – 1 – station 1

10. To ensure that 85% of all children within
each Community Planning Partnership have
reached all of the expected developmental
milestones at the time of the child’s 27‐30
month child health review, by end‐2016.
Aims - 2– station 2

11. To ensure that 90% of all children within
each Community Planning Partnership have
reached all of the expected developmental
milestones at the time the child starts primary
school, by end‐2017.
Aims – 3 – station 3

12. Leadership - Station 4
• Leadership
• Getting organised for quality improvement

13. •Choose 2 stations – 15 mins each
•Each work stream - overview
(5 Minutes)
•Group discussion - current work in this work stream
(10 Minutes)
•Move on
•Final 25 minutes report out to the room
13
How We’ll Spend Our Time…

14. Area
Who are individuals and/or teams currently working on in this area? Are they currently using Quality Improvement
methods/PDSA cycles to guide their learning?
Reflecting on the emerging knowledge within this key area, what are some potential tests of change you are currently
running or could run that might accelerate this work and/or make it more impactful?
From this brainstorm, what is a test of change you can take home and test within the next two weeks?
Describe your first test(s) of change: Person
responsible
When to be done Where to be
done
Test(s) of Change:
Predict what will happen when the test is carried out:
Measures to determine if prediction succeeds:

15. 15
Report Out to the Room (25 Mins)
•Emerging learning from each station
•6 minutes each

16. That’s it for now…but just the beginning!
•Big thanks to all for your contribution
•Leave you with the words of Sir Harry Burns…