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ESPO Conference 2014

ESPO Conference 2014. “Patient Safety, Good Governance and Regulation” Hugh McCaughey Chief Executive, South Eastern HSC Trust 9th May2014. Safety in Healthcare

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ESPO Conference 2014

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  1. ESPO Conference 2014 “Patient Safety, Good Governance and Regulation” Hugh McCaughey Chief Executive, South Eastern HSC Trust 9thMay2014

  2. Safety in Healthcare “Health care is complicated, and, even when the staff and clinicians are doing their very best (which is most of the time), errors occur and problems arise for patients that no one intends” Don Berwick, former President & CEO of the Institute for Healthcare Improvement

  3. Patient Safety in the UK

  4. How does society view safety? • Anecdotal • No comprehensive system of evidence • Headlines + stories • Failure+scandal How Safe is it? How to Measure safety? Why did Regulators not identify?

  5. “For hospitals, the focus on a ‘whole institution’ rating may prompt management to better performance, but quality of care for patients is delivered at more of a service level, for example in departments or specialties or wards.” Rating providers for quality: a policy worth pursuing? A report for the Secretary of State for Health: summary March 2013, Nuffield Trust

  6. Nuffield report on Ratings • We conclude that the overall approach to ratings should allow complex organisations to be assessed at different levels and to promote service-specific ratings where possible; • We suggest that any rating should include measures of safety, effectiveness and user experience Rating providers for quality: a policy worth pursuing? A report for the Secretary of State for Health: summary March 2013, Nuffield Trust

  7. What are we doing in SET Questions to ask clinicians/services • How can you prove your service is safe? • What is your teams objective? • What is success to you + your team? • Can you evidence you learn lessons? • What do users think – is it valued? • What Outcome(s) are you achieving? Can you answer those questions?

  8. Safety in SET Some Questions to ask • your service is safe - SAFETY • your teams objective QUALITY • success to your team + • What do the people think EXPERIENCE • What are the implications if you cant?

  9. SET Approach - SQE Our Goal...for every service: Assure its SAFE Improve the QUALITY Test the EXPERIENCE

  10. SQE in SET What do we want: All not some services Assurance what we do is safe Outcomes + Evidence based A Learning + Improvement Culture Users at the heart “Bottom up Culture of Safety + Improvement”

  11. “The standards (to be enforced by the regulator) should be a clear fundamental set of standards, driven by the interests of patients, and devised by clinicians; a “bottom up” as opposed to a “top down” system”. Nuffield Report on Hospital Ratings July 2013

  12. How do we evidence safety?

  13. What about Culture + Motivation • Evidence proves the right culture + motivated staff get better outcomes • An organisation committed to Safety + Quality has happier staff

  14. “A culture of learning can produce a safer and better NHS. The likelihood of such a culture thriving in the NHS depends, more than on anything else, on how you, the senior leaders, behave, speak and invest” Don Berwick, former President & CEO of the Institute for Healthcare Improvement

  15. Is SQE changing our Culture? YOU CAN CHANGE SAFETY CULTURE

  16. Some Final Reflections or Challenges • How well do we assess the system of Safety? • How well do assess the Culture, Mood + Values? • How well do we educate our public and media?

  17. THANK YOU

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