1000 Lives Plus Update Andrew Cooper Monday 5 September 2011 Insert name of presentation on Master Slide

Update First anniversary – May 2011 National Learning Event – June 2011 Endorsements from new Minister for Health and Chief Exec, NHS Wales Annual Quality Framework New areas of work Communications New structure for programme New website and e-newsletter Astronaut WebEx Improving care, delivering quality

Performing at Your Personal Best A WebEx seminar with Dr Dafydd Williams Wednesday 14 September 3.45-5.00pm Arrange for groups to attend from your organisation

Primary Driver Secondary Drivers Improving medicines management Deliver and sustain excellent services that meet the needs of patients and maximise clinical outcomes. Treat patients well and help them with their problems Deliver safe, high quality services Provide timely access to services. Primary Driver Secondary Drivers Improve stroke care Transforming Theatres Deliver Effective care pathways & pro- active community orientated care Depression Rapid Response to acute illness Reduce harm and variation Enhanced recovery after surgery Zero tolerance of HCAI Hospital acquired pressure ulcers Reducing HCAI Improving critical care Hospital acquired thrombosis Improving medicines management Falls prevention in the community Dementia Stroke rehab Improve cardiac services Acute cardiac/CHF TIA’s Acute stroke Transforming maternity Services Improve mental health care Improve cancer care ‘Focus on’ pathways Transforming Care Improve major trauma & Acute illness services Improve elective care Engage workforce Leading the way to quality and safety improvement Zero tolerance of pressure ulcers Deliver timely access to services Improve end of life care Improve clinical leadership BBV hepatitis action plan The driver diagram provides the detail of the secondary drivers in the Annual Quality Framework and highlights how these are linked to 1000 Lives Plus programmes. It is important to note that some AQF requirements are not currently reflected in 1000 Lives Plus programme.   The AQF includes a significant element of clinical improvement “target areas” which are derived from several policy areas including the 1000 Lives Plus programme. In many cases, assurance against these areas will require a changed approach from traditional target monitoring. For example “an explicit policy of zero tolerance” is not amenable to single number or “traffic light” assessment. Unchanged, Welsh Government monitoring would consist of individual returns to a number of places. For Health Boards and Trusts there is the potential to use target area information as part of their overall assessment of risk and capability. But, the AQF as it stands does not provide this coherent. A stronger role in AQF assessment for Boards will make them better equipped to build local ownership of improvement across their own organisations. A template primary care report introduced this year by Welsh Government has demonstrated how transparency and comparability can be achieved whilst ensuring ownership remains at local level. 4

1000 Lives Plus 1000 Lives Plus is a national improvement programme, supporting organisations and professionals, to deliver the highest quality and safest healthcare for the people of Wales. Improving care, delivering quality

Improving care, delivering quality Improvement programmes Engaging patients Faculty Student Chapter Quality Improvement Methodology Publications and resources, Events and Communications support Improving care, delivering quality