1. Working in collaboration with NHS Improvement
Guide to AHPs4PH Public Health and Prevention Quality Improvement Collaborative
Working in collaboration with NHS Improvement
Title slide with embedded images

2. NHS Improvement National Team
AHPs4PH Team
Name
Organisation
Role
Laura Charlesworth
AHPs4PH
Programme Lead, Senior Responsible Officer AHPs4PH and Mentor
Linda Hindle
AHPs4PH/PHE
Project Team and Mentor
Anna Lowe
Naomi McVey
NHS England
Senior Advisor and Mentor
Charlene Mulhern
PHE
Jacqueline McKenna, MBE
Director of Nursing Leadership
NHS Improvement
NHS Improvement National Team
Joanne Fillingham
Clinical Director AHPs
Senior Responsible Officer NHSI
Ruth Olaitan
Project Support Officer NHSI
TBC
Project Team Lead NHSI

3. Background
AHPs4PH was developed in 2016 as a community of interest for Allied Health Professionals (AHPs) and their teams. The group provides a platform to share and promote good practice, stay up to date with current policy and guidance and ultimately, help equip AHPs to improve the health of the public. It now has more than 2200 members and is a vibrant online community.
The AHPs4PH team developed the AHPs4PH Advocates campaign. The scheme which ran for the first time last year, consisted of selected AHPs being supported to deliver a service improvement (SI) project related to Public Health using recognised quality improvement (QI) framework within their service. The rationale for this development is;
To encourage implementation of small-scale public health improvement projects.
To build capacity amongst AHPs with QI methods.
To build capacity in PH leadership in AHPs.
To develop a suite of SI/PH case studies.
To test out the feasibility of this approach (i.e. cohort of supported SI/PH AHPs).
To grow the AHPs4PH network
AHPs4PH want the Advocate scheme to be a meaningful development opportunity for AHPs. This year AHPs4PH have the support of NHS Improvement to run the Advocates scheme again using a 30, 60, 90 day collaborative approach and the model for improvement.

4. Communications – National & Local level
Programme structure
LAUNCH DAY
30 DAY
60 DAY
90 DAY
Spread and sustain
Communications – National & Local level

5. Model for Improvement Aim Measures Ideas
What are we trying to accomplish?
How will we know that a change is an improvement?
What change can we make that will result in improvement?
Act
Plan
Study Do
Be specific! - SMART
E.g. Decrease falls - Where?
By how much? By When?
Aim
Measures
Ideas
Basic model for improvement – IHI model, there are a number of other approaches; slightly different but as effective (lean / six sigma). I personally find this model very accessible and easy to remember .
PDSA cycles most people are happy with; key point of continuous improvement is that PDSA cycles, i.e. multiple PDSA’s in a row will help refine and solve problems.

6. Objectives and desired outcomes
Short term aims of this project are:
To support 25 Advocates to implement a SI project related to public health.
To equip Advocates to use an quality improvement methodology.
To complete projects within the timescale.
To create a suite of case studies based on completed projects.
To ensure that individuals consider the impact of their project where appropriate.
To inspire further change across a wider network of AHPs through a broad dissemination programme.
To develop the network of Advocates so that they can support future cohorts.
Longer term aims
To increase the awareness of public health and prevention as everyone’s business.
To improve care services by ensuring public health interventions are at the heart of everything we do.

7. How will the programme measure achievement of the purpose / outcomes?
Outcome
Measure % 1.
To support 25 Advocates to implement a SI project related to public health.
Survey post collaborative
100% advocates said they were supported by the AHPs4PH and NHSI team 2.
To equip Advocates to use an quality improvement methodology.
100% of advocates felt equipped to use quality improvement methodology to deliver their projects 3.
To complete projects within the timescale.
Dates of submission of posters
90% or projects complete their final poster on time. 4.
To create a suite of case studies based on completed projects.
Case study completion
90% of projects will create a case study that will be considered for publication on NHS Improvement Hub. 5.
To ensure that individuals consider the impact of their project where appropriate.
Individual impact metrics for each project
Every project, 100%, will have adopted metrics to demonstrate impact of their project.
Each project will develop bespoke measures to assess the impact of the changes they are making – these will be agreed and developed locally. 6.
To inspire further change across a wider network of AHPs through a broad dissemination programme.
Stakeholder engagement and dissemination plan
100% of projects will have a stakeholder engagement and dissemination plan 7.
To develop the network of Advocates so that they can support future cohorts.
Membership of AHPs4PH
100% of advocates will be invited to be a member of AHPs4PH

8. Project scope, exclusions & approach
The Advocates project is a development of the AHPs4PH community of practice supported by NHS Improvement.
Each project will be supported by AHPs4PH and NHSI, however each individual Advocate will "own" their project and will be supported locally by their own team, department & trust.
The Advocates will not be funded by AHPs4PH and therefore must have local support to ensure feasibility of their project and the requirements of the Advocates programme .
The aim of the project will recruit an initial cohort through expressions of interest promoted by NHSI, professional bodies and the AHPs4PH social media accounts.
The AHPs4PH team will select Advocates from the expressions of interest using pre-determined criteria. This will take into consideration feasibility of the project and ensure geographical range and ensure that a range of professions are represented within the cohort.
Configuration strategy - All ideas implemented locally are "owned" by the individual/local trust and not AHPS4PH. However any published work should outline that the project was completed as an AHPs4PH Advocate. Advocates must agree to acknowledge the support given by AHPs4Ph in all disseminated and future communications.
Risk Management strategy - Individual projects must comply with local H&S policies; it is the responsibility of the Advocate to ensure this.

9. Programme events
All project team members will be required to attend the following:
Launch Event: -10th May - Manchester
30 day Event: - 15th June - London
60 day Event: - 17th July - Birmingham
90 day Event: - 13th September- London
Further event to be scheduled to review project updates.
In between these events we will be on hand to support you via and telephone.
These events are FREE to attend. Travel & subsistence costs need to be covered by your organisation.

10. In preparation for the programme launch event:
Identify the clinical areas to participate in the collaborative (start small)
Map where you are currently with regard to the specific area you are focusing on improving, reviewing evidence base, policies and procedures.
Think about collation of baseline data (template to follow)
Think about who can support you – building a team.
Delivering an improvement project may require a team of people to support you. Alongside your manager, who will be required to be informed and supportive of the project, your Director of Nursing/Chief Nurse will also be informed via the NHSI regional nurse and invited to be the executive sponsor. Other expertise you may wish to gain for help and support might be: other clinical colleagues, project management support (PMO office) or finance (if you are wanting to demonstrate cost gain). Membership of the team needs to be relevant to the clinical area & improvement topic chosen. The team will not be required to attend the events.

11. Launch day and post launch day
Listen to previous advocates projects and journey.
Learn about improvement methodology (in practice), including Driver diagrams, Process mapping, PDSA cycles, Measuring for improvement etc.
Learn about methodology to demonstrate impact.
Agree your improvement project / area of focus.
Review baseline data and prepare to collect data throughout the course of the programme.
Complete a process map on your chosen area of improvement and submit to the programme.
Update your Trust Board of your participation in the improvement work
Start testing changes in your selected clinical areas, remembering to populate your PDSA template.
Attend 30 day event

12. Event 2 (30 Day event)
Share and Learn about improvements (PDSAs) tried and tested by your peers
Learn about measurement for improvement to enable you to collect data & understand the impact of your changes
Prepare a Stakeholder engagement and dissemination plan to share your improvement journey with colleagues in your trust. To be shared at the 60 day event
Prepare a poster to share your tests of change at the next event.
Attend 60 day event

13. Event 3 (60 day event) Share learning via posters with peers.
Learn about methods to scale and sustain changes
Capture the learning about how you have improved quality of care
Calculate the cost avoidance from scaling up the project across your organisation
Prepare a launch video / presentation to share with the rest of your organisation to spread this work in your trust. You will showcase this at the celebration event

14. Event 4 (90 day event) Celebrate successes of your improvement work
Share and learn ideas to scale and sustain improvement in your organisation
Identify further areas of (potential) support required to sustain changes/improvements
Prepare material to showcase successes as per you dissemination plan.

15. Next Steps
Consider the commitment required to participate in this programme – this includes attendance at all events and completion of activities between each programme stage.
Think about what improvement project/change idea you would like to implement utilising quality improvement in your area of practice and the support of a network to do so.
Speak to your line manager and/or AHP lead for support and sponsorship.
If you are interested in participating, please submit an expression of interest to with
your name, profession, organisation
an outline describing what you feel you can contribute the advocate role
an overview of your change/improvement idea (public health and prevention focused and supports the delivery of AHPs into Action impact one)
recognition of the commitment needing to be made (including attendance at the four events)
the name of the project sponsor within your organisation who has given agreement to your involvement.
Between 21st March – 2nd April 2018.
Contact any of the AHPs4PH team via for further details.