Transforming Healthcare Services: A Case Study in Collaboration and Integration
NHS Tayside and Dundee City Council collaborated to transform community rehabilitation services, leading to integrated OT services, efficient decision-making, and improved patient outcomes. Lessons learned included staff and user consultations, data analysis, governance enhancements, and team structures.
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Spotlight Session 4 #nhss4
NHS Tayside: Dundee Community Rehabilitation and Enablement Service
Community Rehab Team Enablement Service Social Work Occupational Therapy 3
Baseline (May 2015) 3 separate teams No common vision/goals 2 separate IT systems Limited therapy input in Enablement Duplication in (OT) provision
The story of Ms O. - 90+ year old - Lives alone - Housebound for the last couple of years - Cognitive decline - Falls risk - No service input
Transformational change (1 year on) Integrated OT service Dedicated therapist input in Enablement Single shared IT system Joint decision-making across the 3 teams
Lessons learnt 1 Staff and user consultations bottom-up process 100+ staff and users consulted Co-production approach in 1 Dundee ward
Lessons learnt - 2 Collection, collation and analysis of data Dispelling myths and agreeing on facts Analysis of client pathways (to identify improvement areas)
Lessons learnt - 3 Governance and integration infrastructure Senior management champions (NHS & Council) Establishment of a joint decision-making forum Agreeing Standard Operating Procedures Agreeing an exit strategy
The team Operational team: Stuart Fordyce, Karen Lesslie and Tracy Oram (Dundee City Council); Jean Driscoll, Janice McNee and David Johnston (NHS Tayside); Christina Cooper (Dundee Voluntary Action) Strategic Board: Matthew Kendall and Wendy Reid (NHS Tayside); Alexis Chappell and Denise Morton (Dundee City Council)
Any questions? Contact details: Joke Delvaux (project manager) Telephone: 07740937788 Email: jokedelvaux@nhs.net
Healthcare Improvement Scotland: Testing a Framework for the Measurement and Monitoring of Safety
Measuring and monitoring safety #THFSMP #nhsscot16 #NHSS4 13 http://www.health.org.uk/publication/measurement-and-monitoring-safety
34,000 #THFSMP #nhsscot16 #NHSS4
UK-wide testing Test sites #THFSMP #nhsscot16 #NHSS4 Image https://commons.wikimedia.org/wiki/File:Uk_outline_map.png
Daily Monthly Weekly Ward safety briefs Ward safety information Hospital safety brief Monthly board and decision making groups Weekly operational forums #THFSMP #nhsscot16 #NHSS4
NHS Tayside Past Harm Integration and learning Reliability MDT communication Sensitivity to Operations Anticipation and Preparedness Past Harm Past Harm Integration and learning Reliability Integration and learning Safety Planning Reliability Safer Medicines Sensitivity to Operations Anticipation and Preparedness Anticipatio n and Preparedn ess Sensitivity to Operations Past Harm Past Harm Past Harm Past Harm Past Harm Past Harm Integration and learning Reliability Integration and learning Reliability Integration and learning Reliability Medication errors Integration and learning Integration and learning Integration and learning Reliability Reliability Reliability Anticipation and Preparedness Sensitivity to Operations Anticipation and Preparedness Sensitivity to Operations Anticipation and Preparedness Sensitivity to Operations Anticipation and Preparedness Sensitivity to Operations Anticipation and Preparedness Sensitivity to Operations Anticipation and Preparedness Sensitivity to Operations #THFSMP #nhsscot16 #NHSS4 Source: Vincent C, Burnett S, Carthey J. The measurement and monitoring of safety. The Health Foundation, 2013
Want to find out more? e: JoThomson@nhs.net @JoThomsonQI t: 0131 623 4350 e: Julia.Scott@borders.scot.nhs.uk @juliajcs40 t: 01896 826707 e: Morag.MacRae@nhs.net t: 01382 740749 #THFSMP #nhsscot16 #NHSS4
Health and Social Care Alliance Scotland: Transforming Self-Management in Scotland
Our vision is for a Scotland where people who are disabled or living with long term conditions and unpaid carers have a strong voice and enjoy their right to live well.
The ALLIANCE projects 2020 Route Map to the 2020 Vision for Health and Social Care
Transforming Self Management in Scotland Self Management Strategy Funding Activities Awareness Raising Sharing Learning Influencing change
Thank you @kevingeddes7 #SelfManagement
