1. Knowledge into Action #K2AEvent Masterclass Day 1 18 th March 2014 “The great end of life is not knowledge but action” T.H. Huxley 1825-1895 Dr Ann Wales Programme Director for Knowledge Management Ann.wales@nes.scot.nhs.uk

2. Overview To build understanding, and provide practical strategies, on how to translate knowledge into practice.

3. Why Knowledge into Action? Values: Care that is: Safe Effective Person-Centred

4. The challenge 45% of care is not based on on available evidence. (McGlynn, 2003; Grol 2003; Atlas of Variation 2013). It takes 17 years to get research evidence into routine practice. (Balas Boren 2000)

5. The issues Despite good evidence, it is difficult to get changes into practice that improve quality of care. Knowledge translation needs to occur within local systems of care. Knowledge translation needs to be personalised to an individual’s needs.

6. Strategic commitment Help practitioners to apply knowledge to frontline practice. * Embed use of knowledge in healthcare improvement. * Support practitioners and managers to translate knowledge into better health outcomes * Develop capacity and capability for translating knowledge into practice.

7. What counts as knowledge? How is knowledge generated? Once knowledge has been produced, what makes people use it? Does access to more knowledge actually help people to innovate or change? How do new ideas travel from person to person, organisation to organisation?

8. Please note down a situation from the past where you were involved in implementing a guideline or other form of evidence in practice At the end of today we will see how what you have learned might change your approach.

9. Dynamic approach

10. Co-Design Engage Many models; common principles Summarise Socialise Identify Barriers Identify Barriers Measure Impact Measure Impact “4 E” s Educate Execute Evaluate Pronovost, BMJ 2008

11. “Masterclass” “A lesson (usually in music) given to very skilful students by someone famous.” (Longman English Dictionary) Watch and listen Dialogue Advice Practice Day 1 Day 2

12. Knowledge into Action #K2AEvent Masterclass Day 1 18 th March 2014 “The great end of life is not knowledge but action” T.H. Huxley 1825-1895 Dr Ann Wales Programme Director for Knowledge Management Ann.wales@nes.scot.nhs.uk