1. Quality Improvement Quality, Safety & Compliance Department Richard JohnsonHead of Quality, Safety & Compliance Lana-Lee Jackson Patient Experience Manager Mark Scallan Head of Information Governance Sally Shipley Quality Improvement Manager

2. Consider…… Your top three “take-away” actions from this session. We’ll discuss these at the end.

3. Quality Improvement – through good governance. Being….. “The action or manner of governing a state, organisation" (Oxford English Dictionary)

4. Dimensions of Governance Financial Governance Human Resources Governance Clinical Governance Corporate Governance Personal Governance

5. Clinical Governance Policies, procedures, guidelines o Do you know the ones that apply? o Do your staff follow them? o How do you know? National and local dimensions o Reporting culture o Risk Management o Alerts o Clinical Audits o Learning from incidents, complaints, mortality & morbidity o Listening to patients o Trust has in place an improvement tool

6. Corporate Governance Policies, procedures, guidelines Personal accountability QBQ! – will take you 55 minutes to read Meetings – effective attend/chair/contribution Information - confidentiality, abide by Data Protection Act? Compliance o do you know that which applies to you and your service? o Are you, your staff, and your service compliant? o How do you know?

7. Personal Governance Trust Values Your effectiveness Organised Time manage Prioritise Delegate Personal Accountability Question Behind the Question - John Miller Quality Improvement Your ethos Communication Appraisal Supervision Personal Development Open Honest What can I do?

8. What is corporate governance https://www.youtube.com/watch?v=8Dl2Ft53DSU Delivering quality together North Cumbria http://www.ncuh.nhs.uk/delivering-quality-together/index.aspx Kingsfund Sam's story - integrated care http://www.kingsfund.org.uk/audio-video/joined-care-sams-story Bristol - improving the patient experience https://www.youtube.com/watch?v=piWCYkSIiT8 Learning from Midstaffs https://www.youtube.com/watch?v=Wro7Qjky-Sw Empathy video (Cleveland hospital) https://www.youtube.com/watch?v=cDDWvj_q-o8 Dumb ways to save - in the NHS http://www.youtube.com/watch?v=UOiIA_6Z1D8

9. Please share…… Your top three “take-away” actions from this session.

10. And finally….. Help! Quality, Safety and Compliance department o Listening to the patient. Learning from complaints and incidents. Risk Management. Information Governance. Clinical Audit & Governance. Policies and Document Library. Quality improvement. Intranet o Document Library. A-Z of resources and services Specialty Level Governance Improvement Tool