Insert name of presentation on Master Slide Professor Sue Lister Introducing quality improvement into the education of health and social care professionals

25% of the Health in Wales frontline workforce are to have education / training in Quality Improvement. We need to make it consistent with what we are teaching the new workforce ______________________________ Based on a programme developed by the NHS Institute for Innovation & Improvement which was externally evaluated. We know it works … Welsh Government Policy

To develop health and social care students to be curious about how they could improve their service, who are receptive to different ideas and are able to bring about appropriate changes by applying tools and techniques in their own professional context. The aim is to raise awareness of improvement

Levels of capability Awareness Willing to be engaged, challenge and be challenged Expert Capable of applying and adapting with confidence in complex situations. Advanced Capable of applying to most situations Core Capable of applying some aspects, to some situations with support and direction

The NHS III Project Phase 4: Embed in the Faculties of Phase 1, 2 & 3 partners Phase 2: Continue to work with the development partners Phase 2: Work with 6 additional implementation partners 07/08 Phase 1: 3 partners develop short courses in improvement External Evaluation 06/07 08/09 Phase 3: Continue to work with the phase 1 & 2 partners Phase 3: Engage with new partners for supported implementation Phase 4: Engage with new partners for supported implementation 09/10 External Evaluation Internal Evaluation

Spread and adoption Phase 1Phase 2Phase 3Phase 4 Universities Students 3472,2005,678 11,547 Increasing each year Disciplines

The key messages for students Listen to Patients – understanding what it feels like Understand the systems – don’t blame individuals Small changes can make big improvements Test improvement ideas – by using (PDSA) Cycles Measurement is vital – not all changes are improvements Work as a team – inter-professional working Others will see things differently to you – value differences Everyone has a responsibility for improvement

A model for improvement Langley et al (1996) ActPlan StudyDo How do we change? What are you trying to accomplish? How will you know that a change is an improvement? What changes can you make that will result in the improvements you seek ? Aims Measurement Ideas, hunches, other people etc. Three fundamental questions for improvement

do it in reality while on placement in a clinical setting They must at least … –Identify an issue for improvement –Process map it –Propose a change (the P of PDSA) Students need to …

Evaluation … Firm evidence that students are able to apply the learning in practice in systematic ways that produce verifiable benefit. Some evidence that practice staff are embedding student contributions in their organisation and drawing on future cohorts to ensure continuity of improvement work.

The future… … Healthcare Professional bodies & commissioners of education will require service improvement to be in the curriculum. All staff will be expected to have a understanding of service improvement. Universities Service improvement will be explicit in the curriculum and to the students. Students will have practical experience of the tools and techniques of Service Improvement. … … and patients benefit

Insert name of presentation on Master Slide Sue Lister Professor of Quality & Safety in Healthcare