The Innovation Pathway I+R=CE2 V11.June2017 Sue Palmer Hill, Head of IRCE

Situation ‘Innovation, Health and Wealth, Accelerating Adoption and Diffusion in the NHS (DH 2011). Trust commitment to innovation Trust strategy DIGBQ ‘I’= Innovate to improve Quality NEW ‘Innovation Pathway’ trust wide strategic approach, empowers individuals, teams and services to innovate, explicitly so that they can develop their practice, demonstrate their clinical effectiveness, design and test new solutions to meet developing service need and improve patient outcomes. I+R=CE2.

Background Evidence many opportunities can be realised through a collaborative cultural that embraces Innovation & Research as part of core activity: Develop a sustainable organisation: the ability to demonstrate high quality, clinical effectives of services leads to increased efficiency and evidence to support tenders and attract new business. Innovation to improve quality: design and test new solutions to meet developing service need and improve patient outcomes Grow staff capability: attracting and retaining the best quality staff and improving their working lives. Develop in partnership: actively co-creating initiative solutions to new service need acknowledging the service user/patient contribution. Encourages interdisciplinary working, urging staff to develop synergies between areas, both within and beyond the trust. Working with commercial companies and academic organisations as partners Quality at the heart of all we do: improved quality of patient care with the skills set developed contributing to wider trust initiatives around quality improvement.

What’s in a name? Innovation - ‘IDEAS’ , doing things differently, thinking about change and improvement + Research and Evaluation – ‘TESTING IDEAS’, acknowledges the requirement for evidence base to practice. = Clinical Effectiveness (‘CE’) – WHAT WORKS AND WHY’ needs to be relevant and applied to clinical care: includes NICE guidelines/National & professional standards and auditing to show effectiveness 2 ‘DO IT’ is the ambition to impact on Quality Improvement I+R=CE2

I+R=CE2 Mission Statement “Innovating today with you, improving tomorrow for all” Trust mission statmewnt first

5C’s of the I+R=CE2 E Embed a Culture Build Capability and capacity Clinical Effectiveness - deliver ‘What Works’ Collaborative partnerships - develop and strengthen Customers -build strong synergistic relationships with patients/public/stakeholders

Assessment I+R=CE2 is everybody's responsibility Responsibility of all registrants/health care staff to participate in IRCE activity. Change is not an activity that can be taken forward in isolation. We need to work together, empower teams/services and include service users/patients as subject matter experts The pathway must be supported with access to specialist knowledge/skills/support - IRCE Team a ‘Framework’ for Management and Governance of the Innovation Pathway is needed so risks can be understood/managed and impact can be capture.

The Innovation Pathway ??? ??? CIP EBM Clinical quality ??? transformation transformation 100’s of innovative Ideas Quality Improvement AHSN IDEAS FORUM CLAHRC Quality Improvement NIHR Clinically Effectiveness NICE AUDIT

Ideas Forum Peer review Knowledge, skills and expertise in research and evaluation design Governance and project delivery expertise Access to external partners for collaboration and support, eg. academic links, the National Institute for Health Research (NIHR) CLAHRC, Clinical Research Network delivery team, AHSN Links to funding Resources/Training Management of intellectual property publishing Develop/support Ideas Champions

Ideas Champions promote and encourage IRCE thinking within their teams to assist innovators in their team/service to facilitate cross- departmental co-operation for the development or adoption of an innovation idea. act as a point of contact between their team and the IRCE Team highlight IRCE projects to the Ideas Forum assist the IRCE Team in the appraisal of externally sourced research and/or innovation ideas, by providing opinions on the potential clinical benefits and the likely feasibility of implementing those ideas within their teams. to support the development of the Innovation pathway, by highlighting relevant issues faced by their department or clinical specialty.

Framework for Management and Governance Reporting Quality Forum IRCE Team Innovation/Adoption service improvement Service development IRCE ideas developed and implemented with peer support Support Ideas Forum IRCE Committee Trust/Programme Management/ transformation Directorates Ideas Champions team meetings

Management & Governance Capture Innovation at teams meetings Report via directorate structures Capture Ideas via Ideas forum Ideas Forum/Directorates/ audit reports into IRCE Committee IRCE Committee reports to Quality Forum

Recommendations adopt the Innovation Pathway I+R=EC2 trust wide Include I+R=EC2 in all job descriptions /adverts/ job plans Engage and support individuals, teams/ services/ directorates/ Trust Board to think about the ‘Innovation Pathway’, ensure discussed and captured in team meetings Identify and grow Ideas Champions within teams Ideas Champions support the Innovation Pathway in their teams/services, capture via team meetings support/develop Ideas Champions Ideas via Ideas Forum with the IRCE team

Resources All employees of the trust Highly trained, academically-able professional workforce. ‘experts by experience’ Service Users/Patients/carers /members Teams/services, directorates, Board Trust reporting structures CQC self assessments Specialist support: IRCE team Quality Team PMO LGSS Library services Ideas Forum IRCE Committee NHS Innovation Tool kit https://nhsinnovationtoolkit.wordpress.com/ External resource eg. colleagues from other providers, formal and informal networks, universities, commercial companies, charities regional & national organisations that support innovation and research.

Please comment to: Sue Palmer Hill, RGN, MSc Head of Innovation Research and Clinical Effectiveness Northamptonshire Healthcare NHS foundation Trust sue.palmer-hill@nhft.nhs.uk Mob: 07827 319379