1. TIPS REGARDING FORMATTING
HLP / ECIST winter support lessons learned (1)
Learning from Intensive Support over winter – listening to those we worked with
What worked well?
What could be better?
What impact was had?
Methodology
Five Focus Sites: qualitative interviews with staff who worked directly with ECIST / HLP; data analysis on key metrics (4 hr wait, Bed occupancy, Length of Stay and Long Length of Stay – 21 days or more)
Nine interviews conducted with representation across all sites
London-wide: survey monkey shared with AEDB chairs, CEOs, COOs and Medical Directors
19 surveys received
Focused areas: interviews and data analysis
Barnet
Enfield
Haringey
Camden
Islington
City
Barking and Dagenham
Hackney
Havering
Newham
Redbridge
Tower Hamlets
Waltham Forest
Croydon
Richmond
Wandsworth
Kingston
Merton
Sutton
Brent
Ealing
H&F
Harrow
Hounslow
K&C
Westminster
Hillingdon
Lambeth
Bromley
Bexley
Greenwich
Lewisham
Southwark
North Middlesex
Barnet Hospital
Whipps Cross Hospital
BHRUT
Queen Elizabeth Hospital
TIPS REGARDING FORMATTING
Use graphic elements, like boxes, to highlight each section of your poster.
Use space to create emphasis.
Use no more than 2-3 colours, and dark type on a light background.
Conclusions first, keep them short and to the point in the upper left-hand corner.
Simple graphs are effective graphs.
Make the text big enough to read.
Use Arial or Lato font.
ALWAYS left align the text.
Keep your headings the same size and style throughout.
Avoid chaos, keep the layout easy for the eye to follow.
Images and graphs say more than words, so keep your poster visual.
If you are using a photo, avoid web images – use at least 150 dpi, but no more than 300 dpi.
Don’t forget any other logos where necessary.
Methodology
Focused sites: interviews and data analysis on key metrics (4 hr wait, Bed occupancy, Length of Stay and Long Length of Stay – 21 days or more)
Nine interviews conducted with representation across all sites
All sites: survey monkey shared with AEDB chairs, CEOs, COOs and Medical Directors
19 surveys received
Survey findings: the quantitative feedback
Support at all points of flow
Range of types of support
High levels of satisfaction
80% of respondents felt that winter support had met or exceeded expectations, 10% said it fell below expectations and 10% were disappointed – we are following up on these 20% of responses.
Overall staff valued the support – and asked for even more practical assistance – as well as continued introduction to good practice and to people who deliver it (ie building relationships between areas)

2. TIPS REGARDING FORMATTING
HLP / ECIST winter support lessons learned (2)
What worked well (surveys and interviews)
Introducing teams to new ways of working
New tools (eg MADE, Perfect Week, LLOS reviews)
New pathways
Being on the ground – working hand in hand with the teams and helping them to make change happen
Being clear about purpose and focus – making sure everyone knew why ECIST / HLP were there
Working across the whole system
Helping operational teams to engage with clinicians – including in MDTs
Enabling and encouraging rather than directing or leading – challenging and supportive questions
Brokering introductions to good practice and to people, teams and organisations who are implementing the practice
“reassurance and challenge” Survey respondent
What could be better (surveys and interviews)
More time from the support team – and more hands-on support when there
Clarity of purpose and reason for engagement
Start early – not ‘winter’ support but year-round support for improvement
Support people to manage the complexity and variation across systems and local areas
Brokering good links with other support offers already on site
Time spent building in-house sustainability
Working with leadership to ensure top-down commitment and therefore sustainability of improvements
“more time on the shop floor and more hands on approach” Survey respondent
TIPS REGARDING FORMATTING
Use graphic elements, like boxes, to highlight each section of your poster.
Use space to create emphasis.
Use no more than 2-3 colours, and dark type on a light background.
Conclusions first, keep them short and to the point in the upper left-hand corner.
Simple graphs are effective graphs.
Make the text big enough to read.
Use Arial or Lato font.
ALWAYS left align the text.
Keep your headings the same size and style throughout.
Avoid chaos, keep the layout easy for the eye to follow.
Images and graphs say more than words, so keep your poster visual.
If you are using a photo, avoid web images – use at least 150 dpi, but no more than 300 dpi.
Don’t forget any other logos where necessary.
Impact
Reduction in LOS during support
Increase in confidence of staff to drive improvements
Early days to see improvements for patients
“greater confidence in our approach to managing long stays, particularly when engaging with clinical teams to become involved” Survey respondent
What next
Continue to review Intensive Support offer to ensure it meets need
Share outputs of this review with UEC Board, UEC Director for London and HLP / ECIST teams
Regular (eg every 6 months) learning process