1000livesplus.wales.nhs.uk

1. Professor Sue Lister Introducing quality improvement into the education of health and social care professionals www.1000livesplus.wales.nhs.uk Insert name of presentation on Master Slide

2. Welsh Government Policy 25% of the Health in Wales frontline workforce are to have education / training in Quality Improvement. We need to make it consistent with what we are teaching the new workforce ______________________________ Based on a programme developed by the NHS Institute for Innovation & Improvement which was externally evaluated. We know it works …

3. The aim is to raise awareness of improvement To develop health and social care students to be curious about how they could improve their service, who are receptive to different ideas and are able to bring about appropriate changes by applying tools and techniques in their own professional context.

4. Willing to be engaged, challenge and be challenged Awareness Capable of applying some aspects, to some situations with support and direction Core Capable of applying to most situations Advanced Capable of applying and adapting with confidence in complex situations. Expert Levels of capability

5. Phase 3: Engage with new partners for supported implementation The NHS III Project Phase 3:Continue to work with the phase 1 & 2 partners Phase 4:Embed in the Faculties of Phase 1, 2 & 3 partners Phase 2: Continue to work with the development partners Phase 1: 3 partners develop short courses in improvement Phase 2: Work with 6 additional implementation partners Phase 4: Engage with new partners for supported implementation External Evaluation External Evaluation External Evaluation Internal Evaluation 06/07 08/09 09/10 07/08

6. Spread and adoption

7. The key messages for students • Listen to Patients – understanding what it feels like • Understand the systems – don’t blame individuals • Small changes can make big improvements • Test improvement ideas – by using (PDSA) Cycles • Measurement is vital – not all changes are improvements • Work as a team – inter-professional working • Others will see things differently to you – value differences • Everyone has a responsibility for improvement

8. Aims Measurement Ideas, hunches,other people etc. A model for improvement What are you trying toaccomplish? Three fundamental questions for improvement How will you know that achange is an improvement? What changes can you make that will result in the improvements you seek ? Act Plan How do we change? Study Do Langley et al (1996)

9. Students need to … do it in reality while on placement in a clinical setting They must at least … • Identify an issue for improvement • Process map it • Propose a change (the P of PDSA)

10. Evaluation … • Firm evidence that students are able to apply the learning in practice in systematic ways that produce verifiable benefit. • Some evidence that practice staff are embedding student contributions in their organisation and drawing on future cohorts to ensure continuity of improvement work.

11. The future… … Universities Service improvement will be explicit in the curriculum and to the students. Students will have practical experience of the tools and techniques of Service Improvement. Healthcare Professional bodies & commissioners of education will require service improvement to be in the curriculum. All staff will be expected to have a understanding of service improvement. … … and patients benefit

12. Sue Lister Professor of Quality & Safety in HealthcareSue.ServiceImprovement@gmail.com www.1000livesplus.wales.nhs.uk Insert name of presentation on Master Slide