Introducing 1000 Lives Plus 28 September 2010 Introducing 1000 Lives Plus Jan Davies Insert name of presentation on Master Slide

Introducing … 1000 Lives Plus 1000 Lives Plus aims to improve patient safety and reduce avoidable harm, waste and variation across NHS Wales. 1000 Lives Plus - Making patient safety a priority

– why it’s still important Patient safety – why it’s still important More than one in ten people admitted to hospital are harmed unintentionally by its care. There is a one in 300 chance of accidental death through errors in care. 1000 Lives Plus - Making patient safety a priority

Moving care from the board to the ward to home 1000 Lives Plus is committed to accelerating the pace of change with an urgency to spread the new ways of working so that they become best practice everywhere – it’s what our patients have the right to expect. 1000 Lives Plus - Making patient safety a priority

A national programme 1000 Lives Plus will align with several other national programmes in the five year Strategic Framework for NHS Wales It draws together existing work from the 1000 Lives Campaign and Intelligent Targets. 1000 Lives Plus - Making patient safety a priority

Working together 1000 Lives Plus includes areas in primary, secondary and community care, and provides opportunities for different teams across Health Boards and Trusts to be involved in improvement. 1000 Lives Plus - Making patient safety a priority

What’s new? Increased emphasis on patient-centred care Ongoing commitment to working across primary and secondary care New clinical areas targeted for improvement Local aims for reducing mortality and harm Safer care for every patient – every where in Wales 1000 Lives Plus - Making patient safety a priority

Embedding best practice “1000 Lives Plus is designed to ensure that the new ways of working are embedded in everyday practice, enabling everyone to meet the shared vision of putting patients and patient safety above all else.” Dr Tony Jewell, Chief Medical Officer for Wales 1000 Lives Plus - Making patient safety a priority

“It has enabled us to focus more closely on our patients and reminds me of why I went into the NHS – to save lives.” 1000 Lives Plus - Making patient safety a priority

Supporting organisations 1000 Lives Plus will support organisations by: Providing tools, techniques and interventions to reduce local harm and mortality Delivering mini collaboratives for each new programme area – which will be phased in over the next twelve months 1000 Lives Plus aims to provide organisations with the tools, techniques and interventions to support the achievement of local harm and mortality reduction. To support organisations in implementing new areas of work introduced as part of the 5 year programme, 1000 Lives Plus will deliver mini-collaboratives for each new area. We are conscious that Health Boards and Trusts will need to manage the resulting work load and therefore the mini-collaboratives will be phased (then go into details on different programmes?) 1000 Lives Plus - Making patient safety a priority

Maintenance Programme Areas Leading the Way to Safety and Quality Improvement Improving Critical Care Reducing Surgical Complications Maintaining perioperative normothermia Implementing the WHO Safer Surgery Checklist Improving the Reliability of Acute Stroke Care 1000 Lives Plus - Making patient safety a priority

Mini-collaboratives (March 2011) Preventing Hospital Acquired Thrombosis Transforming Care Improving Early Rehabilitation Following Stroke Improving Reliability of TIA (Transient Ischaemic Attack ) Services 1000 Lives Plus - Making patient safety a priority

Mini-collaboratives for 2010-11 Reducing Chronic Heart Failure (with a specific focus on primary care) Improving Rapid Response to Acute Illness Improving Mental Health Services - depression, dementia and first episode psychosis (NEW) Local Targets for Mortality and Harm Reduction (NEW) Reducing Falls in the Community (NEW) 1000 Lives Plus - Making patient safety a priority

Mini-collaboratives for 2010-11 (continued) Enhanced Recovery after Surgery (NEW) Transforming Theatres (as part of the Transforming Care area of work) Reducing Healthcare Associated Infections (with a specific focus on catheter urinary tract infections) 1000 Lives Plus - Making patient safety a priority

Mini-collaboratives introduced early 2011 Improving Medicines Management Acute Coronary Syndrome Reducing Patient Identification Errors Improving Maternity Services 1000 Lives Plus - Making patient safety a priority

Tools for improvement Improving clinical communication using SBAR Using patient stories The Model for Improvement Using the Extranet Using Trigger Tools 1000 Lives Plus - Making patient safety a priority

Thank you For your commitment For the determination to bring about change For believing that change is possible For improving the care of your patients Thank you … For the commitment of your teams For the determination to bring about change For believing that change was possible For further improving the care of your patients 1000 Lives Plus - Making patient safety a priority

If we can improve care for one patient, then we can do it for ten. If we can do it for ten, then we can do it for a 100. If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales.