1. Innovation & Improvement at HEEM Orlando Hampton Head of Improvement Programmes Health Education East Midlands orlando_hampton orlando.hampton@nhs.net #inspireQI #loveourlearners Mel Homan MH OT / HEEM Project Manager Health Education East Midlands HEEM_Melhoman melanie.homan@nhs.net

2. www.hee.nhs.uk

4. Aims Tell you three things Make three offers to you Squeeze that all into 30 minutes

5. www.hee.nhs.uk Lean: adding value, eliminating waste, striving for improvement. How the workplace was organised and managed. improve services for the customer supporting a positive work environment for staff running an effective, high performing organisation Point One: Origins of Lean

6. www.hee.nhs.uk Point Two: Improvement and innovation in the NHS

7. www.hee.nhs.uk Balancing Lean in the NHS: 2013 NHS Scotland QI Hub, 2013, 2011 www.institute.nhs.uk

8. www.hee.nhs.uk Sustaining improvement at organisation level www.institute.nhs.uk

9. www.hee.nhs.uk 2011 1.Reduce variation 2.Better metrics and information 3.Systematic delivery mechanisms 4.Incentives and investments 5.Procurement for quality & value 6.Develop our people 7.Leadership in innovation 8.Mandate the adoption Latest incarnation

10. www.hee.nhs.uk How this happens IHW, 2011 Derby Hospitals Prototype, testing and manufacture with commercial provider DH Flyer BBC article Expo (London) The Improvement Network

11. www.hee.nhs.uk In an AHP context ? IHW, 2011

12. www.hee.nhs.uk Barriers to innovation as an AHP in the NHS

13. www.hee.nhs.uk Barriers to innovation in the NHS IHW, 2011

14. www.hee.nhs.uk What makes “diffusion” happen? IHW, 2011

15. www.hee.nhs.uk Models as a timeline

16. www.hee.nhs.uk Models as a timeline InnovateAdoptDiffuse Top downHorizontalBottom upBrainstormingSix hatsFresh eyes

17. www.hee.nhs.uk Models as a timeline LEAN: Add value and eliminate waste InnovateAdoptDiffuse Top downHorizontalBottom upBrainstormingSix hatsFresh eyes IMPACT: Any outcome to service or participants

18. www.hee.nhs.uk 7 – centre right How the model grows into change

19. www.hee.nhs.uk Eliyahu Goldratt... “All models are wrong but some are useful”.

20. www.hee.nhs.uk inspire.enable.accelerate.share Point Three: Improvement at HEEM

21. www.hee.nhs.uk Inspire There is no shortage of great ideas in the NHS but we need to improve the way we test them, evaluate them and then share them. Education plays a central role in this and is our focus.

22. www.hee.nhs.uk Enable Too many innovations stay in one team or organisation and are not made available for everyone to benefit. Developing partnerships across sectors, professions and organisations to enable sharing is a key part of what we do.

23. www.hee.nhs.uk Accelerate We work in a coordinating role with staff, universities, local authorities and other partners to ensure that the benefits of research and innovation in education are rapidly translated through education into benefits for patients.

24. www.hee.nhs.uk Share We are working towards making innovation everyone’s business. In order to achieve this we want to adopt a culture which welcomes change and creativity in the way we work. We want to work towards strengthening our relationships with our stakeholders and drive towards a culture of sharing good practice.

25. www.hee.nhs.uk Improvement at HEEM

26. www.hee.nhs.uk Innovation at HEEM

27. www.hee.nhs.uk Covers all areas of the LETB Good progress with sharing of training, resources and learning across areas in Primary Care, Secondary Care Example: Pilot for whole practice learning in GP surgery Survey and training for internal LETB staff: Capuchin Working with partner organisations such as EM Leadership Academy operation and emerging leaders training & AHSN Capturing existing resources, updating them to context of new architecture, ensuring learning isn't lost AHP Physio from Derby Hospitals won HEEM funded place at IHI Quality 2014, reflections coming soon Starting to link into trust led transformation programmes through education, best practice, comms and OD Building improvement and innovation capacity and capability in HEEM

28. Higher Education Institutions (HEI’s) Known QI activity and training in HEEM remit / Network Unknown but perceived activity still being scoped Capuchin Activity outside of HEEM direct remit but shared l earning / working HEI Other: Bands 1-4, LBR, CPD, Apprentices, Post Grad Building Capacity and capability for innovation and improvement in Health Education East Midlands Leadership Academy Programmes (Nat & Local ) Academic Health Science Network PGME GP Foundation Schools Medical schools Royal Colleges Dentists PGME NHS IQ Trust Trust and organisation based programmes

29. Higher Education Institutions (HEI’s) Known QI activity and training in HEEM remit / Network Unknown but perceived activity still being scoped Capuchin Activity outside of HEEM direct remit but shared l earning / working HEI Other: Bands 1-4, LBR, CPD, Apprentices, Post Grad Building Capacity and capability for innovation and improvement in Health Education East Midlands Leadership Academy Programmes (Nat & Local ) Academic Health Science Network PGME GP Foundation Schools Medical schools Royal Colleges Dentists PGME NHS IQ Trust Trust and organisation based programmes AHP’s

30. www.hee.nhs.uk Adoption and Spread at HEEM

31. www.hee.nhs.uk Three offers This slideshow and its references The adoption and spread starter kit Opportunity to share the content of the Institute of Healthcare Improvement 2013 and 2014 conference content

32. www.hee.nhs.uk Resources and references NHS Scotland Quality Improvement Hub: www.qihub.scot.nhs.ukwww.qihub.scot.nhs.uk The Lean Enterprise Academy: www.leanuk.org/healthwww.leanuk.org/health The (former) Institute: http://www.institute.nhs.uk/innovation/innovation/introduction.html http://www.institute.nhs.uk/innovation/innovation/introduction.html The Improvement Network (for now): http://www.tin.nhs.uk/innovation-nhs-east-midlands http://www.tin.nhs.uk/innovation-nhs-east-midlands Health Education East Midlands Innovation Directorate: http://heeminnovation.co.uk/ http://heeminnovation.co.uk/ Innovation Health and Wealth linklink HEEM Innovation site http://heeminnovation.co.uk/http://heeminnovation.co.uk/ Institute for Healthcare Improvement http://www.ihi.org/http://www.ihi.org/ The Health Foundation link link

33. www.hee.nhs.uk ‘Heavier than air flying machines are impossible’ Lord Kelvin, president, Royal Society, 1895 #HEEMahp #inspireQI #loveourlearners