Sign up to Safety

Creating a patient safety movement

We crave meaning and purpose in life and one way to find it is to connect to a cause larger than

ourselves

Some of the greatest successes in the world have come from movements to address inequities or injustices from

slavery to hunger

So many social problems in the twenty-first century seem intractable and insoluble

We explore Mars and embed telephones in wristwatches but we

can’t seem to keep patients and families safe in our hospitals and community

The NHS – The facts

• In the NHS there are currently in England (unless stated): – 211 clinical commissioning groups (including 152 authorised without

conditions) – 160 acute trusts (including 101 foundation trusts) – 56 mental health trusts (including 41 foundation trusts) – 34 community providers (18 NHS trusts and 16 social enterprises) – 10 ambulance trusts (including 5 foundation trusts) – c.8,000 GP practices – c2300 hospitals in the UK

• In 2013 the NHS employed 147,087 doctors, 371,777 qualified

nursing staff, 154,109 qualified scientific, therapeutic and technical staff and 36,360 managers

• Managers and senior managers accounted for 2.66 per cent of the 1.364 million staff employed by the NHS in 2013

So what's the size and scale of the patient safety problem?

• The NHS deals with over 1 million patients every 36 hours

• Studies show that 1 in 10 patients are harmed while receiving care

• Most of this is minor but sadly there are 3000 avoidable patient deaths reported each year

The good news is that experts are gaining a much better understanding

of how we can improve patient

safety

There is an emerging science of how best to make a difference

Some of the different approaches to making a change

• Implementation science

• Quality and Safety Improvement

• Campaigning and social marketing

• Social media and movements and movement principles

• Large scale change programmes

• Collaboratives

Motivation

You can HELP

• Hope – Promote the campaign principles that while it is

important to understand what goes wrong we all need to hope that things can be better

• Energy – Channel your energy to support the campaign

• Love – Love what you do – you will want to do it well

• Pledge – Your own personal actions to improve patient safety

Our shared cause

A unified English Patient Safety Programme

5 pledges

1 personal

safety improvement

plan

1 safety lead

and 1 campaign volunteer

Align with AHSN and

Patient Safety Collaborative Programme

SIGN UP

What does participation mean for an organisation?

5

pledges

1

personal safety

improvement plan

Join the team and become a volunteer

Promote the

campaign

SIGN UP

What does sign up mean for an individual?

Universities – could commit to ensuring all healthcare students will learn the knowledge and skills to prevent avoidable harm Students – could make a personal pledge and create a personal improvement plan

A different kind of leadership • The vision of leadership offered by community organising is not of

the ‘single leader’

• Instead, it is a kind of leadership that Harvard professor Marshall Ganz refers to as a “snowflake” — a web of interdependent leaders who support others in becoming leaders

• For Ganz, this is the difference between leadership as a position, and leadership as a practice: • We’re approaching leadership as a practice, not leadership as a

position…It’s about accepting responsibility for enabling others to achieve purpose under conditions of uncertainty

Snowflake Leadership

Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England

Campaign Organisers

Local campaigners

NHS CareMakers

Safety Fellows

Safety Hubbies

Participant Safety Leads

System Safety Leads

AHSNs and Patient Safety Collaboratives

= Regional hub organiser

Roles

Safety Lead One or more individuals in your organisation who

will lead on the sign up to safety improvement work

Local Campaigners One or more individuals in your

organisation who will lead on the sign up to safety campaign work

Volunteers As many people who want to be volunteers to support the campaign across

England

Volunteers

• Sign up to Safety will use an innovative approach to creating a wider campaign team through the use of volunteers as part of its virtual campaign team.

• There are three factors that will support this approach: 1. A specific, time-limited challenge: Individuals will not be asked to

sign up as volunteers forever, just to do their bit to help make this campaign achieve its aims – this may be for any time up to 3 years

2. Clarity of purpose: the volunteers will have a brief role description and a person specification – so they know what they are doing and they are the right people to do it - they will be well briefed throughout their time as a volunteer

3. Given something in return: Volunteering can make a significant contribution to personal and professional growth – they will be a vital part of something important

Embracing social media and joining forces

@signuptosafety

1,393 followers

#signuptosafety #su2s

Involving patients in preventing harm

• Safety briefings

• Checklists for patients

• Simple and helpful leaflets

• Videos

• Top tips

Embracing fun ways to share information

• Whatsapp groups

• Yammer

• Twitter

• Webinars

• Sketchnotes

System

Policy, Standards, Regulation and Oversight

Care Quality Commission

Monitor

NHS Trust Development Authority

NHS Litigation Authority

Health Education England

NHS England

MHRA

NICE

Ombudsman

Department of Health

Patient Groups

Improvement and support

AHSNs

Patient Safety Collaboratives

Sign up to Safety

NHS IQ

NHS England

Information, knowledge and learning

National Reporting and Learning System and

safety indicators

Health and Social Care Information Centre

Alert compliance Claims, complaints,

patient feedback

Strategy and Advisory group

• To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton

• To support coordination of patient safety initiatives and help align activity related to patient safety to ensure a consistent approach across the NHS in England

• To facilitate partnership working in relation to patient safety between key stakeholders

• To ensure the individual stakeholders and initiatives add value to the whole

Mile

sto

nes

Launch call for experts to support improvement Nov 14

Increased participation from 12 to 60 (Wave 2) by end Dec 14

Campaign strategy including measurement and evaluation completed and launched by end Dec 14

Launch call for volunteers Jan 15

Increased participation from 60 to 120 (Wave 3) by June 2015

Second Year; Anniversary announcement 24 June 15

5 pledges

1 personal safety

improvement plan

1 safety lead

and 1 campaign volunteer

Align with AHSN and

Patient Safety

Collaborative Programme

SIGN UP

1,356 followers

Strategy and Advisory group

• To coordinate and align across the patient safety programme – 1st meeting 15 October 2014, Chair Sir David Dalton

= Regional hub organiser

Creating a movement using the Snowflake Model for organising and roll out across FOUR regions building a distributed campaign community throughout the NHS in England

So if you wonder about your purpose

want a positive impact on the world around you and

you care about your legacy

Join our movement and …

Sign up to safety Via: http://www.england.nhs.uk/signuptosafety/about/