1. SHAREHD Roadmap & Toolkit
For use alongside
Collaborative Learning Events Or
As individual Trust initiative
V.6 draft

2. Shared Care Driver diagram
The following generic diagram has been produced as a result of the input form multiple events, workshops and courses. It is a living tool and will continue to evolve
Many of the components are generic and can support trust in looking to identify where they are good at aspects of where change can be made.
Remember you CANNOT and do NOT have to do everything, chose the areas you want to focus first then when that has been improved start to take on other areas.
So onto the Roadmap.
Gosh I hear you sigh… why are we bothing with that as well
… Recognised that everyone is at different stages
But there are common themes and common steps - the roadmap tries to put this together for others to see and use
Even if you are well established this can still be relevant as it can help when you need to encourage a new unit in your trust to get started ?

3. Example Linkage of Shared Care Global Aim to Sustained Change
Primary Drivers
Secondary Drivers
Change Ideas
Measures
PDSAs
Environment /Operation efficacy
PDSA 1
Sustain 
SHARED CARE
All levels of Patient
Engagement
PDSA 3
Increase numbers
Provide facilities for Patients to monitor Blood Pressure in Waiting Room
Commissioning & Commercial
Facilitate for Patients to be Active in their Care
PDSA 2
Identify barriers
Weekly monitor
On the left is our overall aim – we want to increase Shared Care
Primary drivers are the things that have a direct impact on the overall improvement goal They are the FACTORS that Cause the outcome
To the right of the primary drivers – are the secondary drivers
Secondary Drivers and the factors the influence the Primary drivers – 1 secondary driver can influence multiple Primary drivers
PDSA 1
How to measure
Improvement Ramp
All levels of Staff Engagement

4. Generic Shared Care Driver Diagram
Primary Drivers
Outcome
Secondary Drivers
Data Compliance
Commissioning &
Commercial
ICHD Capacity
Maximisation of Efficiencies
Effective Workforce Planning & Comms
Environment /
Operation
Efficacy ie “TIME”
Correct Cultural Environment
Correct Physical Environment
Increased Shared
Care
Equipment Availability
Increased Health Literacy
Facilitation of Patient Centred Flexibility “what matters to me”
All Levels of
Patient Engagement
Increased Renal pathway and choices awareness
Increased confidence & Trust
Control of disease / treatment
Staff Education / Awareness / Skills
Increased Renal pathway and
choices awareness
Directorate KPIs and uPDATES
All Levels of
Staff Engagement
Policies and Procedures

5. Generic Shared Care Driver Diagram

6. Tools & Change Ideas Data Compliance ICHD Capacity / Funding available
Secondary Driver
Tools & Change Ideas
Primary Driver
CQUIN
Data Compliance
Renal registry Tasks data
Audit Trails
Exxpand HHD
ICHD Slot flexibility
ICHD Capacity / Funding available
Our of Hours Dialysis (Sunderland)
Commissioning & Commercial
Self Care Units (York)
SC embedded into routine through culture change
Maximisation of Efficiencies
Peer Support
Dedicated machines

7. Tools & Change Ideas Effective Workforce Planning & Comms
Secondary Driver
Tools & Change Ideas
Primary Driver
Shared Care Lead allocated and manages comms
Effective Workforce
Planning & Comms
Shared Care Huddle
Consistent of approach between staff so patients do not get confused.
Environment /
Operation
Efficacy
Patient Status Communication Log
Correct Cultural
Environment
SHC Visibility – Lanyards / Badges / Armbands
Awareness posters
Training Space
Correct Physical
Environment
Create Area for hand Washing X
Equipment Available X

8. Tools & Change Ideas Increased Health Literacy
Secondary Driver
Tools & Change Ideas
Primary Driver
Increased Health Literacy
PREMS
PROMS
Achievement Notification's
(eg certificates)
Facilitation of Patient Centred Flexibility “what matters to me”
Flexibly Dialysis Times
Early Starts for Self Care patients
Patient Engagement
Increase Patients monitoring Blood pressure in waiting room (Nottingham)
Facilitate Patients Involvement to be active in their care X
Increase Patients documenting post HD weights (Sunderland)
Self care Bays, HHD
Increased Renal pathway and
choices awareness
Patient Information days
Pre Dialysis Introductions
Increased confidence & Trust
121 links patient to staff
Control of disease / treatment X

9. Tools & Change Ideas Staff Education / Awareness / Skills
Secondary Driver
Tools & Change Ideas
Primary Driver
Staff & Patient Induction
Management SHC Course
Staff Education / Awareness / Skills
Nurse SHC Course
Media & Advertising
Display results
Regular Directorate review update (Powerpoint slide)
Directorate KPIs and uPDATES
Define Standard KPIS
All Levels of
Staff Engagement
Included in job descriptions
Policies and Procedures
Consistent Patient documentation
Regular Staff and Patient audits