Jan Warner Director of Patient Safety and Performance Assessment Health and Homelessness: Sharing the Learning Jan Warner Director of Patient Safety and Performance Assessment

Focus on Implementation and Improvement NHS QIS is… A Special Health Board set up in 2003 Independent in our advice, assessment and recommendations Focus on Implementation and Improvement

Our approach is… evidence-based set within the Scottish Government policy context open and transparent collaborative

We… provide advice and guidance facilitate the implementation of continuous improvement assess performance, following up and reporting on our findings

Context – health inequalities Right Blood Right Patient @ Right Time

Today is an opportunity to… consider if and how we can add value to your work, particularly in improving services for the homeless share examples of our work learn more about existing work on quality improvement in health and homelessness look ahead

Improvement model an aim what impact Plan a method what action Do a measure how much by when Study review spread Act

Networks Accountable officers - Risk Managers Sexual health leads - midwives Suicide reviews - Non execs AHPs - PD nurses 20 x managed clinical/care networks

Improvement Example 1 Plan to reduce ventilator acquired pneumonia Do raise bed heads; daily sedation vacation Study 1 patient, 1 nurse, 1 shift – learn and adapt Act spread Result 120 days without a VAP in intensive care

Improvement Example 2 Plan introduce new controlled drug regulations Do set up network and prioritise Study 1 change, 1 area – learn and adapt Act spread through network Result safer practice – fewer errors

Times of change…

Improvement Example 3 Plan reduce suicide in patients using mental health services – concentrate on post discharge Do provide additional support in week 1 post discharge Study 1 area – learn and adapt Act spread Result 24% reduction over 14 months

Adding value ? Improvement methodology Reliability Implementation ?through Network model?

Testing the model – HH Network PDSA What could we achieve by when: impact/improvement How and who Testing options Sharing and learning

Getting on board…

What next?