Safer Handover Rapid Improvement Event 9th – 11th May 2017 OUTBRIEF

Focusing on Value: Statement All information relevant to my care must be reliably communicated to me and those supporting me in a clear, accurate and unambiguous manner. It must be readily available and ensure that responsibility for actions are clearly set out (v.3)

Safer Handover Referral from primary to secondary care OUTBRIEF

Current State Key messages: Top 3 observations Differing GP Practice referral processes are a barrier to standardisation across the board. A lack of understanding of each others internal processes and the associated unintended consequences Its complicated! Top 3 waste/measures Duplication of effort for all AND unnecessary communication It can take up to 114 days for a standard referral but ONLY 30 minutes value added for patient 84 steps in the current process but ONLY 3 value added for the patient Key gaps to address in future state Multiple handoffs create risk Lack of opportunity for primary and secondary care clinicians to have a clinical conversation

Lessons Learnt It’s a miracle that patients ever get what they need! … But it happens in spite of the system because people work harder not smarter There is a huge commitment from all to change the system Technology MUST enable safe handover Recognition that silo working is no longer sustainable, reliable, efficient and, most importantly, safe

Safer Handover Improving safety of patient transfers from secondary to primary care

Current State Key messages: Top 3 observations Duplication of work and cross-checking Lack of certainty/visibility of actions and communications Unknown ownership and responsibility for elements of patient care. Top waste/measures Duplication of communications(Verbal and written) Delays in planning and process of discharge Time investigating/fact finding for clinical information Key gaps to address in future state Integrated communications/pt records/medicines records Reduction of unnecessary communications and handoffs Accurate medicines information sharing Culture change - Collaboration

Lessons Learnt It’s good to talk Assumptions and misunderstandings are rife IT can do more than we know – if we use it right IT can be a barrier – changes are needed Reducing the IT options, so everyone does it consistently, can be better.

What we need support with: Safer Handover Key Messages and Challenges Safety at handover of care is the priority for everyone Handover process needs to be simplified We want a joined up system We need to reduce the number of handovers and therefore the risk attached Support required for overcoming challenges: Support to move forward further and faster based on the momentum of this event Clarity from both organisations on how the action plan will be taken forward and owned Governance : Clinical Standards Board? Programmed into two assurance structures. Support with developing and making a collaborative approach happen IM&T that enables the system to deliver joined up, patient centric care Review of governance to ensure joint ownership, implementation and completion of actions.

Thank you!