1. Welcome WAVE 3 Learning Event 1 Part 1
Programme Supported By

2. Introduction Please feel free to tweet as we go along @sharemydialysis
Re- Introduce the teams ask to confirm if any new members today :
Wolverhampton (Stacey Robinson)
Stevenage (Siobhan)
Sheffield (Veena)
Sunderland (Laurna)
Stoke (Helen Barlow – new)
Nottingham (Alison)
Re-Introduce – Core team & Research team – Jo and Steve
Confirming the main messages for today
Building on the Collaborative we have started
Learning from the first small steps of all our PDSA cycles and RESEARCH DATA RETURNS
Recognising that SHAREHD (like the rest of the NHS Organisation) is using Quality Improvement to :
identify what can be improved
articulate the change / test what works and why but also what does NOT work and why
There are multiple views on what is good, what is important, what is relevant
Need to understand there are multiple angles and there is always improvements that can be made
BUT – key importance is WHY are we doing this
Do the numbers really matter ?
What matters is that sharing care with the patients is the right thing to do.
This is not the start or the end but a culture change to make Continuous Improvement and Shared Care the norm.
Please feel free to tweet as we go along
@sharemydialysis
#whyidosharedcare

3. Your Team
John Bibby QI Expert

4. Housekeeping Free Wifi Fire Alarm Test Security Mobiles
Toilets Health & Safety Refreshments

5. Shared Haemodialysis Care
"The objective of Shared Haemodialysis Care is for people who receive dialysis at centres to have the opportunity, choice and information to participate in aspects of their treatment and thereby improve their experience and their outcomes. This requires a collaborative approach between health care professionals and patients : without patient involvement at every level it would be misdirected and irrelevant".

6. Scaling Up Implementation SHAREHD Programme Aims
SHAREHD Reported AIMS –
Patients participating in 5/14 tasks will increase by 30% above baseline in 6 months
Patients dialysing independently will increase by 50% by programme end
Non reported Expected OUTCOMES -
Improve patient self-management skills irrespective of Patient health literacy level
Use health care resources more effectively through greater patient participation – does NOT increase delivery costs
Improve patient experience and HCP job satisfaction
Provides opportunity to increase delivery model flexibility to extend to self care locations, HHD and drop in centres.
Health literacy
David from Sheffield

7. What have we found so far ?
Each unit and trust has contextual variation (+ve and –ve)
Measures are important but we need to measure choice
Patterns to implementation hence development of a roadmap
Patients usually want to do SHC staff and process get in the way
Resilience and Tenacity and working together will get you there
Formal Research Analysis now started initial data looks promising
Ask by show of hands who is going to
NKF
Manchester Home therapies

8. Leeds Patient Video

9. The waves Lead Wave TRUST Dr Sandip Mitra 2 Central Manchester
Dr Saeed Ahmed 1
Sunderland
Dr Praveen Jeevaratnam
E&N Hertfordshire
Dr Nicola Kumar
Guys & St Thomas
Dr Jyoti Baharani
Heart of England
Dr Elizabeth Garthwaite
Leeds
Dr Albert Power
North Bristol
Dr Alastair Ferraro
Nottingham
Dr Veena Reddy
Sheffield
Dr Babu Ramakrishna
Wolverhampton
Dr Mark Lambie
North Midlands
Dr Paul Laboi
York
Dr Asheesh Sharma 3
Liverpool
Dr Veshal Dey
Ayrshire & Arran
Dr Ying Kuan
Western Trust
Dr Jennifer Hanko
Belfast
Dr Didem Tez
South Tees
Dr Clara Day
QE Birmingham

10. Wave 3 – Objectives Validate the Toolkit and Roadmap
Confirm the content and delivery of a Repeatable LEARNING EVENT package
Confirm Methods for local adaption of Patient Co-Production in SHC
Reinforcement of the Evaluation and Creation of transferable Key Performance Indicator (KPI) measures
Sustaining Shared Care
Ask by show of hands who is going to
NKF
Manchester Home therapies

11. Your Quality Improvement Network
Action Period Calls
A Shared Vision
Sharing resources
Co Production
Quality Improvement
Learning events
Teams of HCP and Patients
Toolkits and Roadmaps
Sustainability Plans
Patient focus Group
Team to Team Support
“patients & staff working
together sharing ownership & control”
“turning reflective
learning into action”
Action learning
Liz Hill-Smith 27/01/2016
That "change support" I mention in last slide underpins each of these. Shared Vision needs to be shared with the "money and resource" people, the Team needs to include them, Comms plans needs to hit their buttons etc. Although you can choose your sites to ensure this sponsorship is there at the start, ongoing effort will be no doubt be needed to maintain and embed this through the project duration.
Patients competitive about their bloods – motivation, open days, patient
“making Shared Care everyone’s
responsibility”
“real world
co-production”

12. Todays Agenda Arrivals Introduction, Getting started Break
Getting to know you
Nottingham top tips
Lunch
Using QI to progress Shared Care
Stevenage Top Tips
Action planning & Parallel Patient Focus group
Considering co-production
Final Wrap up
Departures

13. For being part of the Movement
Thankyou
For being part of the Movement