Collaboration for Leadership in Applied Health Research and Care

Northwest London

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London

is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London

Next steps for Day of Care Survey:

stakeholder mapping and starting a PDSA

cycle

Professor Derek Bell

Stuart Green

7th December 2017

NIHR CLAHRC Northwest London

Objectives

• Review DOCS data to identify local priorities for

improvement

• Develop a stakeholder map for an improvement

initiatives

• Initiate a Plan-Do-Study-Act cycle?

NIHR CLAHRC Northwest London

NIHR CLAHRC Northwest London

NIHR CLAHRC Northwest London

NIHR CLAHRC Northwest London

What area should your team prioritise?

NIHR CLAHRC Northwest London

Quality improvement at CLAHRC NWL

• Use data to recognise

problems and

prioritise action

• Identify and engage

stakeholders

• Build success from

small ‘trials of change’

NIHR CLAHRC Northwest London

Our principles

Understand variation

Manage stakeholders

Use Plan-Do-Study-

Act cycles

NIHR CLAHRC Northwest London

Stakeholder mapping

• Important to recognise…

– The different people involved in delivering care relating to area of change

– How different parts of the healthcare system work and identify where improvements are needed

– That it is necessary to reconcile different perspectives about how to make improvements

NIHR CLAHRC Northwest London

Who is a stakeholder?

Anyone who has influence over or interest in the success of your improvement

Collaboration for Leadership in Applied Health Research and Care

Northwest London

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London

is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London

Stakeholder Map Matrix In

fluence

Interest

LOW

LOW HIGH

HIGH

NIHR CLAHRC Northwest London

Activity: Map your stakeholders

Stakeholder Matrix How to get started:

• Write the names or job

titles of your project’s

stakeholders on your

matrix

Consider:

• Their levels of interest

• Their influence over the

success of your project.

NIHR CLAHRC Northwest London

Influ

en

ce

Interest

LOW

LOW HIGH

HIGH

Project Stakeholder Map v.2

LETBs

Medical

school ->

curriculum

for meds op

Social

services local

caretaking

Local policy

academics

University

pharmacy

schools NICE

prescribing

guidelines

Foundation

programme

providers

pharma

London

chief

pharmacist

Trust

executives

Foundation

trusts Local

area

team

directors

Health and

wellbeing

boards Quality

surveillance

groups

CCG

prescribing

/ meds

mgmt.

team

NHE

pharmacy

lead

Frontline

staff Acute

medical

doctors

patients

families

OT

Carers

Direct

caregivers e.g.

healthcare

assistants and

frontline nurses

researchers

board

Drs nurses

pharmacists

Minister of

Health

AHP

prescribers

Drug

companies

Patient

groups

Police

Public Services

Supermarkets

Social workers

Faith and religious leaders

pharmacist

Elderly

care Drs

Ethnic

reps

Finance

director

GP/ CCG NICE

CNWL/

WLMH

clinicians

prescribers

pharmacists

London

office

CCGs

Payer

CCG

trust

Dept of

health

England

Acute trust

meds op

boards

YELLOW- acute

GREEN- broader impact –

commissioners/policy

Pink - community/intermediate

Service line

directors

(local budget

holders)

Educational

bodies

(deaneries)

Health watch

Researchers

Community

nurses/midwives/

psych workers

Unheard people

Community-

pharmacist

Repeat prescription

generators

Specialist voluntary

groups

Care home

management/ Staff

Frontline

staff GP

CCG

pharmacists

Patient/ carer

Community

matron

Elderly

care MDT

Collaboration for Leadership in Applied Health Research and Care

Northwest London

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London

is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London

Communications plan

Collaboration for Leadership in Applied Health Research and Care

Northwest London

The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London

is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London

Stakeholder management

Who

/role

What do we want

them to do, when

?

What are

their

motivations?

What will we

do, who,

when?

Next step

NIHR CLAHRC Northwest London

Plan-Do-Study-Act cycles

NIHR CLAHRC Northwest London

Why use PDSA cycles?

Source: NHSIQ

NIHR CLAHRC Northwest London

Why use PDSA cycles?

Source: NHSIQ

NIHR CLAHRC Northwest London

Benefits of PDSA cycles

• Able to try ideas out sooner than later

• Test lots of ideas in a short time frame

• Try things out under different conditions

• Increase degree of belief that an idea works before scaling up

• Fail fast and learn as you go

• Reduce any risks associated with change because testing on a small scale

• Lower time commitment makes it an easier sell to stakeholders

NIHR CLAHRC Northwest London

Activity: Initiate PDSA cycle

PLAN:

What exactly will we do?

Who will do it:

Where:

When (duration):

What: Prep needed?

What data will we need to measure?

How will this data be collected (how often?):

Who will collect it?

What criterion will we use to decide on success?

How many patients will we test this on?

PREDICTION:

We predict that…

NIHR CLAHRC Northwest London