Collaborative working for service improvement

1. PL0600 INTERPROFESSIONAL WORKINGSW0607 COLLABORATIVE PRACTICE FOR SERVICE IMPROVEMENT (SOCIAL WORKERS) Collaborative working for service improvement

2. Aims of Today • To introduce you to the module – Inter-professional Working • To revisit the concepts of inter-professional working • To develop your understanding of the benefits of patient/service user and carer involvement in making services safer • To enable you to understand the concepts of service improvement • To enable you to engage with the concepts of systems theory, improvement theory and leadership of change • To critique current practice in relation to service improvement • To provide you with a framework to apply service improvement principles to practice for the benefit of users and carers

3. Aims of Module To provide a critical appraisal of: • a) the rationale for inter-professional, patient/ client/ service user focused health and social care delivery. • b) the underpinning evidence base for providing an inter-professional service in a specific practice area and/or patient/ client/ service user group in relation to safety and service improvement. • c) the factors influencing the ongoing improvement and delivery of an inter-professional service in a specific practice area and/or patient/ client/ service user group. • Social Workers: This module is one of four modules that together comprise learning, teaching and assessment of your level 6, 100 day placement. Therefore this module provides you with opportunity to contribute to the demonstration of competence relating to the National Occupational Standards units 3, 5, 6, 7, 8, 11, 14, 15, 16, 17, & 19.

4. Module Learning Outcomes On completion of the module the students will be able to: • a) appraise the rationale for safe inter-professional working in patient/ client/ service user focused health and social care delivery. • b) critically discuss the nature and types of evidence underpinning the provision of a person centred, inter-professional service in a specific practice area and/or to a patient/ client/ service user group in relation to safety and service improvement. • c) critically analyse the range of factors affecting the ongoing improvement and delivery of inter-professional, evidenced based, health and social care in relation to a specific practice area and/or to a patient/ client/ service user group. • d) explore the implications of the debates within a, b and c (above) for service improvement and their own future role as a member of the inter- professional team.

5. Module Learning Outcomes for Social Workers • By the end of the module student should be able to: • Critically appraise the value of their profession specific contribution in collaborative, inter-professional service improvement (NOS Units 5, 6, 8, 11, 14 &17) • Critically analyse the range of factors affecting the delivery of evidence based collaborative working within and between different practice settings (NOS Units 3, 5, 6, 7 & 17) • Understand the relevance of user/carer perspectives in inclusive, collaborative service improvement (NOS Units 3, 5, 6, 7 & 8) • Demonstrate and critique effective communication with other professionals in a collaborative, practice based learning setting (NOS Units 5, 6, 7, 11, 15, 16 & 17) • Critically appraise their inter-professional service improvement learning experience and its implications for their continuing professional development (NOS Units 14, 15, 16 & 19) • Demonstrate fitness to practice in accordance with Codes of Practice for Social Care Workers

6. Module assessment - overview • Stage 1 – undertake a service improvement project related to your practice experience. • Social workers to do this in collaboration with practice assessor as evidence towards NOS. • Stage 2 – Present your project, in the form of an electronic poster, to a supportive group who will give you feedback on your work • Social workers – poster to be discussed with Practice Assessor for formative feedback prior to stage 3. • Stage 3 – submit an A4, hard copy of your poster with a bullet point annotation (max 500 words) based on feedback received during assessment and your experience in the service improvement process • Social Workers will produce a 600 word reflective critique instead of the bullet points mentioned above.

7. Stage 1 - Your Project • You should plan and if possible undertake, a small scale practice based project focused on improving the service user experience and their safety in the system. • This should be small and realistic, it is likely that you will be proposing change and not necessarily implementing the plan in the time you have available • It should be based on the real experience of a service user or carer, an experience where they may have been at risk and where they think their experience could be improved. • Changes can be small, focused on your own behaviour change or bigger, proposing changes to larger systems. The choice is yours. However students have in past benefited from actually carrying out the project and learning from the experience.

8. Stage 1 cont…. • The key point is that you can demonstrate your understanding of the concept of service improvement • It will also need to demonstrate that you have developed the skills to analyse, from a system perspective, an issue related to patient/ service user/ carer safety and understand how you could use service improvement tools to effect change. • Examples will be provided on the e learning portal for reference • This project will provide the basis of your summative module assessment

9. Examples from previous student projects Communication – how do you speak service users, can you improve their feeling of being safe in the system? Ever explained something to someone in such a way that it heightened their anxiety and thought that you could have handled it better? Information giving – could information be provided in a better way to service users/carers to protect them in the system? E.g. Midwifery project to raise awareness of the IP team in a maternity department about the maternity information in other languages freely available on the web. Added to a local care-plan checklist of things to consider in an initial assessment Interprofessional information sharing – how do we communicate in teams to minimise the risk of harm to service users ? E.g. Local implementation of national guidance on timely dispensing of medication – stickers on notes, information for patients, posters etc all already available, but the local implementation improved the service user experience in that local setting or Physio student’s implementation of a “traffic light” system on white board by the patient’s bedside indicating to the wider team the patient’s mobility level

10. Examples from previous student projects cont…. • Improving existing practice – how can existing work be enhanced through small scale improvements? • E.g. offering hand wipes with meals in a hospital ward, small scale for the student but with the potential for real impact on the hospital system in the longer term • Practice in an emerging area – how are you utilising your specialist skills in a ‘non traditional’ area to reduce service users/ patients/ carers’ risk from harm? • E.g Implementation of a “nurture group” in a primary school, opportunity to showcase the potential contribution the SW role can make to a school environment and the experience of vulnerable children in an education setting • Educating others about your role – how can you do this in order to improve the service offered and what is its impact on safety? • E.g. Implementation of an information leaflet for police custody staff about the role a social worker can play in supporting parents of young offenders, including contact information to be given to parents

11. Interprofessional buddy group • In your seminars you will be put into small IP buddy groups • Students last time found this a supportive way to undertake the module • It is not a requirement that you physically meet outside of the timetabled sessions. However you may find it useful to swap contact details so you can provide each other with peer support and perhaps offer a different perspective on project ideas and progress • This peer support will be useful in your assessment and reflection on Interprofessional implications of your project and your learning experience.

12. Stage 2 - Your presentation (see module handbook for more details) • As a professional you will be expected to be able to confidently speak to groups of other professionals in the course of your work or possibly at conferences. This assessment offers an opportunity to practise this core professional skill. • Your SI project will be presented in the form of a conference standard, electronic poster. • This is summatively assessed using a set of criteria • It will be presented to your small interprofessional buddy group and your assessor. There may also be a service user and/or a placement provider representative to give you feedback/ discussion on the presentation • A seminar two weeks prior to your assessment will provide an opportunity to work with your buddy group to share your idea and get formative feedback prior to undertaking the summative presentation

13. Stage 3 – Reflecting on your learning • A hard copy of your poster presentation will be submitted with a bullet point summary of your key learning on the back of it. • Reminder: Social Workers will produce a 600 word reflective critique instead of the bullet points mentioned above. This will be included in your practice portfolio, submitted at the end of placement. • In addition to your presentation, this final stage will contribute to your final mark. • There will be an overall mark awarded. • See module handbook for more detail.

14. Finally…. • Your experience today will take you through the stages you will need to go through in your projects.

15. What Is Improvement? Definition: Continually working together to improve the experience and outcomes for patients and service users; Looking for other ways to provide health and social care, that continuously improves the way it meets the needs of those who depend on it and the working lives of staff who provide it.

16. Involving users, carers, staff and public How to involve and understand the experience and needs of your patients, service users, their carers and your colleagues Process And Systems Thinking How to understand your work processes and systems and all the linkages within them, looking for ways to increase capacity and reduce demand and waste Key Improvement Themes Personal and organisational development How to recognise and value differences in style and preferences, including yourself, and build a culture that supports improvement Making it a habit; initiating, sustaining and spreading How to build improvement into daily work: making it something that we don’t think about as special but we just get on and do it

17. What Does Improvement Involve? Improvement is having the VISION to look at the way you work and the CREATIVITY to do things differently “Vision is seeing the potential hidden in the chaos of the moment”William Van Dusen Wishard

18. What Does Improvement Involve? Having the belief in yourself and others that you have the power to improve and to install an IMPROVEMENT CULTUREthat welcomes change! “When building a culture of improvement, you need to work like a farmer, planting seeds and nourishing the ground.”Marshall 2002

19. What Does Improvement Involve? Having improvement knowledge, skills, tools and techniques – and knowing how to use them! “Knowing is not enough; we must apply. Willing is not enough; we must do.” J Wolfgang von Goethe

20. Making Improvements within complex Systems 1. Structures 2. Processes 3. Patterns Source: Frijot Capra 2002

21. What next? • The rest of today’s seminars will introduce you to the tools and techniques needed for service improvement and give you hands on experience at using them • This will help with undertaking your project and assessment • Any questions?