England Centre for Practice Development Flourishing People, Workplaces and Care

1. England Centre for Practice DevelopmentFlourishing People, Workplaces and Care Centre Directors: Carrie Jackson, Professor Jan Dewing, Professor Kim Manley CBE

2. Our beliefs about Practice Development • Transforming care and services so that they are person-centered, safer and more effective • Ensuring best evidence and research informs everyday practice • Enabling people to flourish • Creating good places to work

3. Our aim is to “Develop transformative partnerships that demonstrates excellence in academic and professional practice thereby enriching the individuals, teams, organisations and communities we serve” (Jackson and Webster 2011)

4. Our Key Business Strands: • Engaged Scholarship and Research in Practice Development • Workforce and Organisational Development • Work based learning relevant to Practice Development • Consultancy practice

5. What do we mean by Practice Development? Practice Development is • “a continuous process of developing person-centred cultures. It is enabled by facilitators who authentically engage with individuals and teams to blend personal qualities and creative imagination with practice skills and practice wisdom. The learning that occurs brings about transformations of individual and team practices. This is sustained by embedding both processes and outcomes in corporate strategy”. IPDC members, cited by Manley, McCormack, and Wilson, 2008

6. A glimpse into The ESHT NHS Trust & CCCU partnership Prof Jan Dewing & Alice Webster

7. Key activities • Joint appointment • Positioned strategically- influence and bigger picture view • Works at micro, mesoand macro levels • Enhance rigour and quality of key projects and initiatives • Embed PD within Nursing Midwifery and AHP Strategy and test a new theoretical model • Establish locally and nationally innovative projects that will lead to bigger Trust wide application and/or development of research opportunities • Grow skilled enablers or facilitators to develop a ‘can do’ culture • Develop active learning/ work based learning culture • Provide new opportunities for CCCU to support WBL

8. ENERGY VITALITY IMPACT INNOVATION QUALITY IMPROVEMENT Person centred practice COMPLIANCE FLOURISHING Person centred patterns Person centred moments THRIVING PERFORMING TIME Dewing 2013 in press

9. Examples from ESHT Patient experience strategy (2012-3) • Short time scale with a ‘must do’ • Band 7 Therapist worked part time to co ordinate the strategy • Massive stakeholder consultation commenced • 8 core commitments Some key outcomes include: • Engagement with seldom heard groups • Genuine input and critique from service users which has changes look, content and priorities in the strategy • Working with service users to enable them to contribute to learning programmes for clinical leaders and managers • Focus on user stories and data and data from observations of practice • Challenged the patient experience team to examine their ways of working in the Trust • Paper on the strategy development submitted to an international peer reviewed journal Trust patient care documentation project (2011-13) • 2 years • 1 F/T nurse to facilitate and Prof as project lead • Action research approach with 10 cycles Some key outcomes include: • Practitioner led governance groups set up for divisions/hospitals and community services • Effective peer review introduced • Development of ICP documents for specialist services • Development of integrated core multi-professional documents (IPDs) for all adult, maternity and children’s services. • Service user input • Strong person-centred feature in adult IPD • Strong focus on communication, consent and capacity (commended by Regional Auditors) • A Trust based work based learning module on improving quality of documentation in practice with CCCU

10. EKHUFT Shared Purpose Framework integrating Shared Values

12. Workplace Programmes: Supporting staff with an integrated approach to: Facilitating inquiry, evaluation & innovation Inquiry, evaluation & innovation Masters level accreditation/Clinical doctorate/PhD • Quality Improvement, • Practice Development, • Service Improvement • Workplace Inquiry Facilitating service improvement across organisation Improvingpatient flow across the patients’ journey & organisational effectiveness To be explored Facilitating quality improvement Improving the patients experience, enabling and demonstrating harm free and evidence informed care Masters accreditation Graduate/ Masters accreditation Facilitating Team Effectiveness • Leadership for effective teams, safe and person-centred cultures. The clinical leadership programme Facilitating individual effectiveness Undergraduate/Masters level accreditation Using the workplace as the main source of learning for individual effectiveness

13. Value Added for the University • Strong partnership and influence • Scholarship of application • Faculty of Practice model • Creative writing spaces • PD Associate roles/shadowing • Communities of Practice • Masterclasses and workshops • International Practice Development Schools • Curriculum Innovation

14. Developing a Web of Interconnections globally • Working together on political platforms to influence and shape healthcare especially in times of crisis • Commenting in the media about controversial health issues • Mobilising (through the internet) stakeholders voices and political actions

15. To find out more!!!