© NHS Institute for Innovation and Improvement, 2010

Sarah Collins- Emerging Leader Specialist Dietitian/Improvement Researcher Julia Hickling- Sponsor/ AQuA Director

Development of COPD Improving Outcomes Pack

The Team

AQuA Team

NHS NWNHS NW

Respiratory TeamNHS Lung

ImprovementNW Respiratory patient group

Outside organisationsNHS outside

of NWVanguard

VALS

NHS Vanguard Programme

Resources and Tools

Seminars Expert tuition Belief in ‘us’ as emerging leaders as

agents of change

SUPPORT

VALSSPONSOR TEAM

Personally My Story.......I reconnected with values and reasons why passionate about improving health and reducing health inequalities.......“ I don’t want to see patients on a ward awaiting a below knee amputation at the point of diagnosis of diabetes...” THE PATHWAY FAILED NOT THE PATIENT

Provided Structure and Focus

Importance of metrics and measurements

Opportunity to think differently and creatively

• Mark 1/ Version 1• Develop a web based resource to

demonstrate how NW organisations can improve outcomes for COPD Care across North West.

• Reducing mortality• Developed against NICE

Quality Standards for COPD• Aligns data/ knowledge/

improvement opportunity

The Business Critical Project

Mark 2/ Version 2 • Promote importance of self

management for people with LTC• Address culture change• Identify savings to reducing

mortality and also improving quality of experience

• Addresses operating framework around Quality of experience

• Linked to National LTC QIPP work-stream

• Test measurements of LTC 6• Lessons learnt = pursue energy

matrix and sustainability sooner rather than later, strengthen engagement- developing a steering group and senior support within project

The Impact...... And putting Learning into Practice

On Project 1

• Difficult to quantify• Early days

demonstrating project weakness....

• Individual teams will be measuring decreases in mortality

• Improvement of patient satisfaction and outcomes PREMS and PROMS

On Project 2• Outcomes

embedded from outset= LTC6

• Improvement in quality of experience patients and staff

• Increased stakeholder engagement

• AIM to demonstrate reduction in avoidable admissions/ complications

• Ensure care at right place at right time

• Empowered patients• Decreased mortality

Personal impact

• A switch from apathy to YCMAD

On The System........spread learning via eCLN Networks, AQuA members, Project teams

• Project 2• Built into the plan to spread from

the beginning.• Sharing learning from National

pilot sites of Diabetes Year of Care to incorporate care planning into LTC services, and also from Co Creating Health around culture change for self management support.

• Sharing with future emerging clinical leaders via eCLN

• Local network to embed improvement methodologies and quality into everyday practice

• Project 1• AQuA COPD IOP accessed by over

100 people to date• Spread via respiratory network

virtually online and via workshops• Organisations tasked with aligning

to their QIPP plans and measuring improvements.

• Found examples of good practice in data capture, using data and benchmarking to drive change.

• Whole system redesign and new COPD ‘pathways ‘being developed in Ashton Wigan and Leigh.

Onward Spread of the Learning and Project