Transformation and Change Blog - May

01 May 2019

Intro

Hello and welcome to the latest Transformation and Change Blog for May 2019. This month we focus on a Quality Improvement Networking event we were thrilled to host at Sycamore House in Ellesmere Port.

Quality Improvement Network event

Cheshire and Wirral Partnership NHS Foundation Trust (CWP) hosted a Mersey Internal Audit Agency (MIAA) Quality Improvement Network Event on Friday 12 April. After being given free rein to organise the day’s topics, CWP and MIAA worked together planning the day thoroughly, to ensure its smooth running and engaging content.

A host of speakers were on-hand to talk about their area of expertise. Speakers included Cathy Walsh associate director of patient care and carer experience, David Wood associate director of safe services, Dr Fiona Pender strategic clinical director for the children and young people care group, Dr Ian Davidson consultant psychiatrist, and quality lead and Clair Haydon strategic lead for complex care, among others.

The event took place at CWP’s Learning and Development centre, Sycamore House. Among those attending the event was a host of CWP staff and we also enjoyed attendance from some of those who access CWP services. External delegates came from North West Borough Healthcare NHS Foundation Trust, University of Liverpool, NHS Wirral Clinical Commissioning Group and, of course, MIAA.

The ‘Friday feeling’ was in the air during registration over a hot drink at 9am. Chatter around the days topics were in full swing, as everyone took their seats.

The presentations

We started with a warm welcoming speech by Dr Anushta Sivananthan, followed by our first speaker Cathy Walsh, who kindly talked us through ‘Co-production and Outstanding for caring’. This exciting topic outlined CWPs training roles available for people with lived experience, detailing how this work supporting people to be the best they can be.

Next, we enjoyed a talk from Claire Maidment and Val Sturgess on the outstanding work achieved in ‘The Starting Well Service’. It explained how a Quality Improvement (QI) Strategy began in 2015 after a Care Quality Commission (CQC) inspection for the service returned a rating of ‘requires improvement’. After three years hard work and the implementation of a new service model, the CQC rating is now ‘good’ as an overall judgement and ‘Outstanding’ for caring, this is such a great achievement!

You could see how impressed everyone in the room felt and questions were asked as how this was even achieved being such a demanding task! However, with all the fantastic and enthusiastic CWP staff involved, and our continuous improvement ethos, the task was completed diligently.

Dr Pender then guided us through the brilliant ‘Children and Young Peoples out-of-hours line’ service. She explained how this advice line is available for anyone and everyone within Cheshire and Merseyside seeking mental health advice about a child or young person. One of the slides had examples of some of the positive feedback from people who accessed the service. This resulted in great engagement and good questions were asked that Dr Pender kindly answered.

An array of other amazing topics were discussed such as the ‘Getting it Right First Time’ (GIRFT) programme. This aims to improve the quality of care within NHS England by reducing unwarranted variations. In true QI style, the idea of identifying best practice and sharing it with other Trusts is a key driver. GIRFT is led by frontline clinicians, all of whom have expertise in their areas of review,  meaning that all data is reviewed by people who understand its implications. Having already had such brilliant outcomes, Dr Ian Davidson is now national clinical lead for GIRFT crisis/acute MH and Clair Haydon is now a clinical advisor with the NHSE team working to support the GIRFT MH rehabilitation stream. CWP are lucky to have such input into this national programme and on wider healthcare quality.

James Partington Quality surveillance specialist, then presented the use of data packs given to CWP managers to aid their quality improvement planning. This clearly explained presentation engaged the whole room and James was questioned at the end and, given that he helped design the data packs, he was happy to oblige.

Many thanks go to all our other speakers; Mike Caulfield is a clinical driver on the roll-out of the massive ongoing project Red2Green, and gave another highly-engaging talk. Maureen Dyke for her informative presentation on improvements in pressure ulcer care, this touched on how pressure ulcers pose a significant risk to health and how a quality measure was implemented to reduce the number of people affected.

Josie Worthington and Dr Sadia Ahmed, who explained the quality improvement project regarding dementia, enabling a quicker process for diagnosis and improving the quality of the patient pathway. Closing the session we had the lovely Kate Baxter explaining part of a Quality Improvement project looking into restraint reduction.

We wish to thank all of our speakers and attendees of the event; we hope you enjoyed it as much as we did!

To learn more about Quality Improvement in CWP and future events please email cwp.transformation_and_change@nhs.net

Transformation and Change Team:

Safieh Fraser – Transformation Manager

Lauren Connah – Transformation Manager (on Maternity Leave)

Beccy Cummings – Transformation Manager

Mike Babbs – Project Manager

Kyle Blackwood – Transformation Project Officer

Lauren Greenhill – Transformation Project Officer

 

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