1. Insert name of presentation on Master Slide Lessons from the 1000 Lives Campaign Tuesday 29 March 2011 Dr Alan Willson

2. 1000 Lives Plus

3. Making the case… More than one in ten people admitted to hospital are harmed unintentionally by its care. There is a one in 300 chance of accidental death through errors in care. 1000 Lives Plus

4. Houston, we have a problem … PRINCE Project Management Targets Performance Management

5. What can we do? 1000 Lives Plus Clarify the outcome Build a coalition Trawl the evidence Empower the people

6. 1000 Lives Plus The Campaigns aims Reduce avoidable mortality by 1000 Reduce episodes of harm by 50,000 By improving the reliability and reducing the variation in the systems and processes that we use everyday.

7. The Campaigns map 3 million people All Hospitals, Primary Care and Ambulance services Six content areas –Leadership –Critical Care/Rapid response –Medicines –Healthcare associated infection –Surgical care –General medical and surgical care 1000 Lives Plus

8. Collaboration Peers learning from one another Support the methods Share the practice

9. 1000 Lives Plus Learning Session Objectives LS1 Get ideas Get methods Get started LS2 Get more ideas Get better at methods Get a Stride LS3 Celebrate success Get ready to sustain and spread

10. 1000 Lives Plus 1000 Lives Plus Approach 1.Concentrate on the points where these adverse events occur. 2.Create bundles of evidence-based interventions. 3.Measure compliance/reliability with these bundles. 4.Decide what outcome will be affected by reliable implementation of these bundles and measure it.

11. Case Study: Acute Stroke 1000 Lives Plus Background Why Acute Stoke? 2006 WAG – Welsh Stroke services lagging behind UK 2007 WAG – Recognition trend needed to be reversed 2008 All Wales Stroke Services Improvement Collaborative Whos involved? Welsh Assembly Government National Leadership and Innovation Agency for Healthcare Front line staff, 14 teams covering 18 acute hospitals- all collecting data

12. Evidence reviewed and bundles developed 1000 Lives Plus

13. Evidence reviewed and bundles developed 1000 Lives Plus

14. Evidence reviewed and bundles developed 1000 Lives Plus

15. Evidence reviewed and bundles developed 1000 Lives Plus

16. Evidence reviewed and bundles developed 1000 Lives Plus

17. Evidence reviewed and bundles developed 1000 Lives Plus

18. How to change the system? 1000 Lives Plus The Model for Improvement

19. 1000 Lives Plus Repeated use of the PDSA Cycle Hunches, theories, best practices Changes that result in improvement AP SD A P S D AP SD D S P A DATA Very small scale test Follow-up tests Wide-scale tests of change Implementation of change Sequential building of knowledge under a wide range of conditions

20. Evaluation Lives saved and harm avoided Reusable network for change Frontline sign up A new focus on using data: Local stories – patients & staff Management buy-in PR & Communications 1000 Lives Plus

21. 1,199 lives have been saved by NHS staff in Wales Over 50,000 episodes of harm averted Conclusion - Two years that made a difference 1000 Lives Plus

22. Campaign Achievements WHO Safer Surgery Checklist Care bundles reduce ventilator associated pneumonia Action to reduce pressure ulcers Safer dispensing of Warfarin Development of local pathways of care for chronic heart failure services WalkRounds 1000 Lives Plus

23. From experiment to expectation 1000 Lives Plus NHS WALES CORE VALUES 1000 Lives Plus Views have not changed Amplified the cause Aligned the actions

24. The next step... All Welsh Healthcare Organisations have pledged to: –Engage with all the mandatory interventions –At least a 5% reduction in mortality and harm over the next year Safer care for every patient – every where in Wales Reducing harm, waste and variation Continuing existing areas of work Adding new interventions Local measurement 1000 Lives Plus

25. What can you do? 1000 Lives Plus Clarify the outcome Build a coalition Trawl the evidence Empower the people

26. If we can improve care for one person, then we can do it for ten. If we can do it for ten, then we can do it for a 100. If we can do it for a 100, we can do it for a 1000 And if we can do it for a 1000, we can do it for everyone in Wales.