1. RTC General Integration Diagram *Interactive version For further information or to advise of any changes please contact: Vicky Thompson National Programme Leader – LBC & RTC v.thompson@nhs.net Or David Thomson NHS Quality Improvement Scotland. Mental Health Projects Manager, Directorate of Implementation, Improvement and Support & National ICP Coordinator, Patient Safety and Performance Assessment Unit dthomson2@nhs.net

2. The following presentation is a PowerPoint based version of an interactive diagram which helps focus on where key drivers and work streams align, crossover and run parallel. The diagrams are generated from the developments and successful role out of ‘Releasing Time to Care’. These diagrams will evolve as services develop and progress towards excellence. This capacity for change reflects and promotes the principles of quality improvement and the necessity for on-going cycles of improvement as key. General Integration Diagram *Interactive version

3. 18 weeks Collaborative Releasing Time To Care Living & Dying well Little Things Make A Big Difference Joanna Briggs Institute Healthcare Acquired Infections Health Facilities Scotland Catering Standards Scottish Patient Safety Programme Better Together Programme Nursing Midwifery Workforce Workload Planning Clinical Quality Indicators Tissue Viability Programme Falls Programme Nutritional Care Programme Leading Better Care Long Term Conditions Collaborative High quality, safe, effective and person centred care Key areas of consideration. *It should be noted that this list is not exhaustive and may alter through time

4. Releasing Time to Care: Modular Content The Productive Ward Modules: Patient Hygiene Ward Round Nursing Procedures Patient Observations Admissions and Discharges Shift Handover Meals Medicines Knowing How We’re Doing Well Organised Ward Patient Status at a Glance The Productive Community Hospital Ward Modules: Admissions and Discharges Forward Planning MDT Working Handover Patient Flow Managing Drug Administration Good Stock Management Patient Involvement Clinical Leadership Knowing How We are Doing *All modular houses are underpinned with Ward Leader’s, Project Leader’s and Executive Leader’s Guides Click for examples of practice

5. Foundation Modules Knowing How We Are Doing Patient Status at a Glance Well Organised Ward / Good Stock Management Community Hospital Modules

6. RTC Meals Module Click for RTC information Tissue Viability Click for tissue viability online Nutritional Care Click for information on nutritional care Pressure area care CQI Click for information on the CQI Food, fluid & nutrition CQI Click for information on the CQI Click here for information on improvement methodologies - PDSA Health Facilities Scotland Catering Standards Click for HFS standards

7. RTC Medicines / Managing Drug Administration Click for RTC information Joanna Briggs Institute (JBI) Click here for information on JBI Scottish Patient Safety Programme Click here for information on the Scottish Patient Safety Programme Click for information on improvement methodologies - LEAN

8. RTC Patient Hygiene Click for RTC information Healthcare Associated Infections (HAI) Click for information on HAI Tissue viability Click for tissue viability online Nutritional Care Click for information on nutritional care Pressure area care CQI Click for information on the CQI Food, fluid & nutrition CQI Click for information on the CQI Living & Dying well Click for Information on living & dying well Joanna Briggs Institute (JBI) Click here for information on JBI Click to view improvement methodologies associated with Process Mapping

9. RTC Ward Round Click for RTC information Consider principles of SBAR (Situation-Background- Assessment-Recommendation) Click here for information on SBAR

10. RTC Shift Handovers / Handovers Click for RTC information Consider principles of SBAR (Situation-Background- Assessment- Recommendation) Click here for information on SBAR

11. RTC Patient Observations Click for RTC information Falls Click for information on Falls Tissue viability Click for tissue viability online Nutritional Care Click for information on nutritional care Joanna Briggs Institute (JBI) Click for information on JBI Scottish Patient Safety Programme Click here for information on the Scottish Patient Safety Programme Consider principles of SBAR (Situation-Background- Assessment- Recommendation) Click here for information on SBAR Falls CQI Click for information on the CQI Pressure area care CQI Click for information on the CQI Food, fluid & nutrition CQI Click for information on the CQI

12. RTC Admission & Planned Discharge / Admission & Discharge Click for RTC information 18 Week Referral to Treatment Collaborative Click here for information on 18 week RTT Long Term Conditions Collaborative Click here for Information on LTC

13. RTC Nursing Procedures Click for RTC information Healthcare Associated Infections (HAI) Click for information on HAI Tissue Viability Click for tissue viability online Nutritional Care Click for information on nutritional care Pressure area care CQI Click for information on the CQI Food, fluid & nutrition CQI Click for information on the CQI

14. RTC Forward Planning Click for RTC information 18 Week Referral to Treatment Collaborative Click here for information on 18 week RTT Nursing & Midwifery Workforce & Workload Planning Click for the NMWWP toolkit

15. RTC MDT working Click for RTC information Consider principles of SBAR (Situation -Background- Assessment- Recommendation) Click here for information on SBAR

16. RTC Patient Flow Click for RTC information 18 Week Referral to Treatment Collaborative Click here for information on 18 week RTT

17. RTC Patient Involvement Click for RTC information Better Together Programme Click here for information on Better Together Little Things Make A Big Difference Click here for information SCN Questionnaire (link to follow)