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Opportunities and challenges of implementing evidence based programmes: putting evidence into action. #NSCC18 # evidenceintopractice @NSPCC. Ground rules. Aims. By the end of this workshop we will have…. Explored ways we can support more evidence to be used in practice;
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Opportunities and challenges of implementing evidence based programmes: putting evidence into action #NSCC18 #evidenceintopractice @NSPCC
Aims • By the end of this workshop we will have…. • Explored ways we can support more evidence to be used in practice; • Discussed the challenges to taking on evidence based programmes; • Why implementation is so important and critical to success; • Shared our experience of taking EBP’s to scale including: • Overcoming barriers • Developing leaders and champions • Ensuring readiness • Understanding your product • Developing your scaling model • Influencing organisational change
NSPCC – a brief history The NSPCC was founded in 1884 to protect children from abuse and neglect and to support vulnerable families. Established in Wales since 1900. Campaigns & Policy Research & Evidence 1889. The NSPCC persuaded Parliament to pass 'The Children's Charter’ 1970 NSPCC helped shape government policy on setting up Child Protection Registers 1987 The NSPCC launched the first in a string of highly successful awareness campaigns to protect and extend children's rights. 1968 The NSPCC Battered Child Research Department started raising awareness of physical abuse to children. Training & Consultancy 1989 The NSPCC National Training Centre opened to develop the skills of child protection workers. Frontline support for families 1948 The NSPCC continued to grow alongside the introduction of local government children's services, and appointed Women Visitors to help meet the growing demand for family supportservices. Helpline & Childline 1991 The NSPCC Child Protection Helpline 2006 ChildLine joins the NSPCC
NSPCC today….. 29 UK service centres, developing & delivering 20+ services, scaling up 6
We amplify what the NSPCC does by taking our evidence-based programmes to scale and working in partnership with external organisations to help many more children.
Activity 1Q1Discuss on your tables/groups – do any of you currently use evidence based programmes/services? If so what? And who introduced them?Q2What were the challenges of implementing the evidence based programme?
Activity 2QWhat does good or successful implementation of an evidence based programme look like?
Stages of implementation Exploration stage Installation stage Initial implementation Full implementation/ operation Innovation/ Sustainability Pre implementation 2 – 4 years from first use First use - Day 1
Behavioural theories tell us That knowledge is not enough to make most people change their behaviour. They need the desire to change and feel that it is possible. Clear rationaland reason as towhy this change needs to happen. How better is the future Successful changes in behaviour have three things in common Rider Emotionalbuy-in which leadsto well motivated managers and staff. How will it help families andchildren Supportive systems and processes Elephant, Rider & Pathdeveloped by Chip & Dan Heath https://youtu.be/X9KP8uiGZTs Path Elephant
Activity 3QWhat solutions can you think of for organisations to be able to more successfully implement evidence based programmes?
Challenge 1 Challenge Evidence is not enough, diffusion, networking & Knowledge exchange all have a place but wont secure adoption. Training is not enough, only 5% of training is ever really used in practice if no additional support given A passive approach to implementation is not enough, we need a purposeful and proactive approach to using implementation science. Need to consider Diffusion of innovation theory and market take up. Solution – dispersal Needs a package of pre and post implementation support to make it a success Need to understand your market and context into which you are scaling and implementing You need support to ‘disperse’ your EBP – proactive marketing
Challenge 2 Challenge Implementing in ‘real world’ contexts is often challenging, and special attention must be paid to preparing the ground for the uptake of services Our partners cited challenges around: • squeezed resources and capacity • precarious funding • disruption linked to staff turnover and organisational restructuring Solution – prepare the ground Introduced rigorous readiness assessments to offer transparency about the costs, time, infrastructure and commitment required to implement services. Pre-implementation discussions Strategic briefings help potential partner pre-empt organisational barriers and resource shortfalls and think through the challenges of funding services sustainably
Challenge 3 Challenge Without the backing from the right people at the very start it is very challenging for organisations to implement new programmes or services. People will go back to what they have always done. Lack of strategic buy in Lack of understanding about financial commitment No ring fenced resources Solution – help take root • Attain enthusiastic buy-in at senior levels, visible from outset and sustained • Explain upfront financial commitment & commissioning as ‘core’ business • Work with senior managers to get allocated/dedicated personnel or protected time to use the tool or deliver the service • Help them understand importance of allocating time to managers as well as front line staff to attend training on the service • Look for self-selecting service ‘champions’, peer support, management support and consistent levels of supervision
Challenge 4 Challenge The developer of an evidence based programme has an active role to play in supporting implementation. Adopting organisations asked us for: • clearer guidance on core and flex elements of EBP • more instruction on the practical aspects of delivery • help in formulating workable solutions when resources are stretched, whilst balancing model fidelity • spaces and events to share learning: communities of adopting organisations Solution – support to flourish Licences and contracts that are clear on the core and flex of the EBP Support local solutions with post implementation support and flex for local context Created clear implementation manuals and guidance for delivery of programme Created shared learning spaces and Community of Practice events so that adopting organisations can share their experiences and innovations Regular newsletters, sharing learning etc.
Challenge 5 Challenge It takes several years for adopted services to become established. We need to continue learning about services as they bed into their new settings. It can take 2-4 years before EBP’s become ‘business as usual’ – does not provide quick outcomes The progress of implementation has not always been linear, so may need to be tracked over time Implementation in new settings has thrown up unanticipated uses or audiences for our tools and programmes Solution – establish and thrive Develop services from start that can be scaled Supporting adopting organisations to recognise and see longer term outcomes from using EBP’s Share learning with our partner organisations and share our theoretical models for scaling and implementing We will continue to collaborate with our partners to develop our learning around successful implementation and sustainability and share our learning.
