2. You are now Committed….. Tel: 02476 475 816 / 02476 475 810 / Email: sandra.corkery@institute.nhs.uk

3. Once individuals have decided to join a movement, their personal experience of participating in that movement play an important role in determining how long, and how much they personally contribute to its activity. Towards a million change agents A review of the social movements literature: implications for large scale change in the NHS. Paul Bate, Helen Bevan.

5. What does it mean? Quality without Efficiency UNSUSTAINABLE Efficiency without Quality UNTHINKABLE Clinical Quality and Efficiency are Inseparable

6. How it started

7. I was familiar with the High Impact Actions programme and knew that it was possible to make a huge difference by introducing small, but significant changes…this sort of programme is fundamental to effective nursing care. Colin Iverson Tissue viability specialist, Kettering General Hospital NHS Trust

8. Impact on Quality & Productivity - Falls • In a Trust of 800 beds there are 24 falls a week • Associated health costs are 92k per year • The number of hip fractures will double by 2050 • It costs the NHS approx 1.7 billion and is associated with 14,000 deaths annually

9. Where we are • Sep 2009 Call to Action • Oct 2009 Selection of 8 HIAs • Nov 2009 Launch of HIAs @ CNO Conference • Nov 2009 to June 2010 Design of HIAs support material • June 2010 Launch of Essential Collection

10. How we are going to do it.. • Key role for SHA and Provider Trust HIA Champions • SHA Implementation Plans prepared • Regional networks / steering groups • Baseline measurement • NHS Institute Solutions/ large scale change initiative • Link with QIPP and DH Health and Wellbeing Programme

11. What makes a good campaign? • A story/narrative that people can emotionally connect with • Shared vision and passion to be the best • Leadership that develops the capacity of others • People who are motivated because what they are doing is • meaningful to them , there are common belief and values • Connecting through personal relationships • Finding those at the centre of these networks • Energy and commitment

12. Lancashire Teaching Hospitals NHS FT Blackpool, Fylde and Wyre Hospitals NHS NHS County Durham and Darlington Stockport NHS FT Salford Community Health Luton and Dunstable Hospital NHS Blackpool Abertawe Bro Morgannwg University Health Board Ipswich Hospital NHS Trust Kettering General Hospital NHS FT Colchester Hospital University NHS FT Newham Primary Care Trust Hereford Hospitals NHS Trust East Kent Hospitals University NHS FT The Western Sussex Hospitals NHS Trust

13. Community Health Oxfordshire NHS Leeds Community Healthcare Solihull NHS Care Trust Community Birmingham Royal Orthopaedic Hospital NHS NHS North Staffordshire Community Healthcare Cambridge University Hospitals NHS FT Leicester City Community Health Service Hertfordshire Partnership NHS FT Brighton and Sussex University Hospitals NHS Trust Homerton University Hospital NHS FT Sussex Partnership NHS FT Winchester and Eastleigh Healthcare NHS Trust

14. What is the Essential Collection

15. Opportunity Estimator

16. Impact on Quality & Productivity Return on Investment (ROI) • for every £1 spent on care home support from TV nurses it generated £51.56 of benefits • for every £1 spent on the falls the seven simple steps programme it generates £6.24 of benefits • for every £1 spent on focusing on supportive care and anticipatory needs it generated £2.23 of benefits • Modelling has been undertaken to generate a costs to benefits ratio

17. What we want you to do What would a ‘good’ organisation look like? • HIA Ward to Board governance • QIPP plans • Quality Accounts • CQUINs • Measurement started • Patient sponsorship of HIAs • Trust HIA champions • Education on the 8 HIAs • Visibility of results • “I am Committed” sign up • Quality, Finance & Information Teams

18. What is next ? • Integrate with QIPP plans • Regional implementation plans aligned to local • Distribute “I am committed” postcards • Organisation self assessment ………….. • Indicators • Census • Care Bundles

19. Update on measurement • Three nurse sensitive outcome indicators now refreshed in line with policy • Available at NHS Information Centre Website • Aligned to High Impact Actions • Pressure Ulcer prevention • Falls Prevention • Reducing Catheter Associated UTI’s