© NHS Institute for Innovation and Improvement, 2010 Sarah Collins- Emerging Leader Specialist Dietitian/Improvement Researcher Julia Hickling- Sponsor/ AQuA Director Development of COPD Improving Outcomes Pack

The Team AQuA Team NHS NW NHS NW Respiratory Team NHS Lung Improvement NW Respiratory patient group Outside organisations NHS outside of NW Vanguard VALS

NHS Vanguard Programme Resources and Tools  Seminars  Expert tuition  Belief in ‘us’ as emerging leaders as agents of change SUPPORT VALS SPONSOR TEAM Personally My Story I reconnected with values and reasons why passionate about improving health and reducing health inequalities “ I don’t want to see patients on a ward awaiting a below knee amputation at the point of diagnosis of diabetes...” THE PATHWAY FAILED NOT THE PATIENT Provided Structure and Focus Importance of metrics and measurements Opportunity to think differently and creatively

Mark 1/ Version 1 Develop a web based resource to demonstrate how NW organisations can improve outcomes for COPD Care across North West. Reducing mortality Developed against NICE Quality Standards for COPD Aligns data/ knowledge/ improvement opportunity The Business Critical Project Mark 2/ Version 2 Promote importance of self management for people with LTC Address culture change Identify savings to reducing mortality and also improving quality of experience Addresses operating framework around Quality of experience Linked to National LTC QIPP work- stream Test measurements of LTC 6 Lessons learnt = pursue energy matrix and sustainability sooner rather than later, strengthen engagement- developing a steering group and senior support within project

The Impact And putting Learning into Practice On Project 1 Difficult to quantify Early days demonstrating project weakness.... Individual teams will be measuring decreases in mortality Improvement of patient satisfaction and outcomes PREMS and PROMS On Project 2 Outcomes embedded from outset= LTC6 Improvement in quality of experience patients and staff Increased stakeholder engagement AIM to demonstrate reduction in avoidable admissions/ complications Ensure care at right place at right time Empowered patients Decreased mortality Personal impact A switch from apathy to YCMAD On The System spread learning via eCLN Networks, AQuA members, Project teams

Project 2 Built into the plan to spread from the beginning. Sharing learning from National pilot sites of Diabetes Year of Care to incorporate care planning into LTC services, and also from Co Creating Health around culture change for self management support. Sharing with future emerging clinical leaders via eCLN Local network to embed improvement methodologies and quality into everyday practice Project 1 AQuA COPD IOP accessed by over 100 people to date Spread via respiratory network virtually online and via workshops Organisations tasked with aligning to their QIPP plans and measuring improvements. Found examples of good practice in data capture, using data and benchmarking to drive change. Whole system redesign and new COPD ‘pathways ‘being developed in Ashton Wigan and Leigh. Onward Spread of the Learning and Project