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Advancing Quality Alliance


Issue 12 October 2011

CEO Update

One of the most stressful aspects of my job when I was a hospital Chief Executive was the responsibility for providing safe and effective care for those patients who need help from the NHS in an emergency. We know that emergency admissions can often be avoided with the right level of support in the community and joined up working between services. We also know that emergency admissions can result in a poor experience and sometimes poor outcomes for patients. The North West has a higher level of emergency admissions than any other part of the NHS and tackling this is a major priority for all AQuA members. I'm pleased that this edition of AQuA News carries the formal launch of the report which we have produced on Reducing Emergency Admissions, which is featured on page 3. A major conference on 17th November will discuss lessons from this report and consider what further work AQuA can do to support our membership in providing the right kind of service for those who are in the most urgent need of it.


to date with all the latest developments in AQuA. In this issue you'll find:

· AQuA to launch Improving Outcomes Pack for Chronic Obstructive Pulmonary Disease · COPD awareness campaign · Long Term Conditions · Launch of AQuA Reducing Emergency Admissions Report · Advancing Quality News - Hundreds attend AQ roadshows - Find out more about Advancing Quality in mental health - AQ Orthopaedic specialists share best practice · Mental Health News - Update on Mental Health Work in the Academy and Observatory - Mental Health Lecture Series · Shared Decision Making Update · AQuA Academy News Update - Advanced Training Programme for Health Care (ATP) - AQuA Improvement Methodologies Cohort 5 - Safety Express Programme update ­ 12 October celebration event - Productivity Learning Exchange - Dr Imai ­ From the Kaizen Institute - `Quality Improvement for Finance' Programme · North West Alliance of Chief Operating Officers Bursary Programme · AQuA Members' Web Portal

your regular newsletter which keeps you up

For more information about any of the above, please contact the AQuA marketing and communication team: [email protected] 0161 206 8938


AQuA to launch Improving Outcomes Pack for Chronic Obstructive Pulmonary Disease

AQuA has been working with the North West Respiratory network, other respiratory leads and wider AQuA members to develop an "Improving Outcomes Pack" (IOP) for Chronic Obstructive Pulmonary Disease (COPD). The COPD IOP will provide access to a suite of information to help inform regional, local and organisational quality and service improvement. The COPD pack is designed around quality standards in the outcomes strategy for COPD. IOPs include access to disease specific dashboards, benchmarking, strategic analysis and clinical best practice. AQuA plan to develop a suite of further IOPs for other disease areas including Asthma, Diabetes and Chronic Kidney Disease. · For any further information on IOPs, to suggest disease areas you'd like packs developing for, or to express an interest in being involved in helping develop future packs please contact Alison Shead at: [email protected]

Long Term Conditions

Do you want to hear about the AQuA Long Term Conditions programme? We are running a series of WebEex sessions to promote the up and coming work: A total of four WebEx sessions will be delivered some of which have already been done, the next one will be Tuesday, 1 November 2011, from 3.00 - 4.00pm. · To enrol colleagues in a repeat of this WebEx please click here, or go to: https:// aqua.webex. com/mw0306ld/ mywebex/default. do?siteurl=aqua · If you've missed them all, you can hear a recording by clicking here or going to: https://aqua.webex. com/aqua/ldr.php? AT=pb&SP=MC&rID =13318962&rKey=6 23BFCC5291C065F

COPD awareness campaign

One of the objectives in the Outcomes Strategy for COPD and Asthma 2011 is to identify people with COPD, early. We know that around 100,000 people with COPD in North West of England don't know they have it and hence have not presented themselves to their GPs. This World COPD day ­ 16 November 2011, the NHS North West Respiratory Clinical Pathway team would like to support local teams in their drive to identify the missing cases of COPD by generating awareness about lung health and Chronic Obstructive Pulmonary Disease. The team has prepared posters and other material, with support from British Lung Foundation, to highlight the symptoms of COPD. Also, Blow football is being used to highlight lung health. This is being done through a NW Blow Football Challenge. Respiratory teams across North West are encouraged to organise blow football games in their organisations, with their patients and with public in general on or around World COPD Day. Playing blow football highlights lung health to the player and they are being encouraged to listen to their lungs. Teams are encouraged to share pictures and videos of blow football matches on the NHS North West Respiratory facebook page. This will help spread the message through social network and increase reach of the message. · For more information please write to the team's project manager at Preeti.sud 2

Launch of AQuA Reducing Emergency Admissions Report

In the North West, more patients attend and are admitted via A&E departments than anywhere else in England except for London. Every part of Reducing Emergency Admissions ties in with the Quality, Innovation, Productivity and Prevention (QIPP) programme which is all about ensuring that each pound spent is used to bring maximum benefit and quality of care to patients. As a consequence, AQuA sees this as a priority. In recent years health policy in England has clearly aimed to shift the provision of some elements of care out of hospitals and into a community setting. The policydrivers for this shift are associated with three common goals: 1. Improve health and wellbeing for patients 2. Achieve greater patient satisfaction 3. More cost effective provision of health care In support of this, AQuA has produced a Reducing Emergency Admissions Report for its Members that aims: · To explore the rise in emergency attendances and conversions to admissions via Accident and Emergency (A&E) departments in the North West over the last 12 months. · To give examples regionally and nationally on different interventions designed to offer patients an alternative to attending A&E departments and clinicians a safe and effective treatment plan for patients which avoids, if at all possible, an admission to hospitals. · To distil current initiatives into actions for healthcare commissioners and providers to consider which would assist in managing demand ­ where the definition of managing demand is "meeting needs in the most efficient and patient centred manner ­ not denying access". · Describe interventions which would be high impact and have ease of implementation. View the Reducing Admissions Report on the AQuA Member Web Portal:

August 2011

Reducing Emergency Admissions

Reducing Emergency Admissions


Diary Alert ­ November, 17, 2011 Managing Emergency Demand Event

This half day event on Managing Emergency Demand will include a key speaker presentation by Professor Matthew Cook, National Clinical Director for Urgent and Emergency Care at the Department of Health. Further details will be communicated shortly. In the meantime, for further information, please contact: [email protected]

AQuA News October 2011


Advancing Quality News

Advancing Quality

Hundreds attend AQ roadshows

AQuA's Advancing Quality team has been out on the road throughout September and October hosting a number of roadshows across the North West. Advancing Quality (AQ) is AQuA's flagship programme and improves patient outcomes by focusing on adherence to key, evidence-based clinical interventions. It supports improvement by using robust measurement and benchmarking and a shared learning approach. Trusts are scored by how well they perform in several clinical areas including heart failure, hip and knee replacement surgery, pneumonia and dementia. The roadshows visited Preston, Bolton, Ashton and Chester with more than 250 attendees from acute and foundation trusts, PCTs, clinical commissioning groups and health networks celebrating the success of AQ and learning more about the latest programme developments. Exhibitors included AQ's partners; Clarity Informatics, the Commissioning Business Service and the Audit Commission. Each roadshow began with an introduction from Lesley Kitchen, Advancing Quality Programme Lead, who announced funding for the programme had been confirmed for 2012/13, before giving an insight into AQ, how it evolved and what it has achieved so far. This was followed by a number of short presentations from the exhibitors and AQ clinical leads giving their perspective on the programme. The audience also heard about the link between AQuA's Long Term Conditions programme and how it links with AQ along with updates on some of the potential shadow measures due to be implemented later this year Following the presentations, the attendees were invited to browse the exhibit stands for demonstrations on the latest AQ tools now available, including the online networking website, Clarity Connect, and interactive reporting tool, AQ Analyser. AQ's Lesley Kitchen said: "The feedback from attendees has been very positive so we're certain that overall we achieved the twin aims of celebrating the success of AQ to date and raising awareness of what is coming next. "We would like to thank everybody who took the time out of their day to attend and learn more about AQ and also to all our exhibitors who helped us create an informative and successful event." All slides and materials from the roadshows have been uploaded to Connect for AQ members to access. Go to for further details.

· AQ Clinical Lead, Jeff Ball, talking at the Chester roadshow

· Delegates at the Ashton Roadshow

· Elizabeth Bradbury, AQuA Director, presents at the Ashton roadshow


Find out more about Advancing Quality in mental health

AQuA members wanting to find out more about the latest Advancing Quality developments are invited to an information event this month focusing on mental health. Advancing Quality (AQ) improves patient outcomes by focusing on adherence to key, evidence-based clinical interventions. It supports improvement by using robust measurement and benchmarking and a shared learning approach. The programme, which originally focused on five clinical areas such as heart failure, pneumonia and hip and knee replacement surgery, expanded into mental health earlier this year and now works in first episode psychosis and dementia. AQuA members who are participating in AQ, or those who want to find out more about the programme, are invited to attend a half-day session, 10am -12:30pm, at The Gujarat Centre in Preston on Monday 31st October. There will be information on the evolution of AQ, including how the programme developed, how it applies to mental health and the results so far. Lesley Kitchen, AQ programme lead, said: "There have been a lot of developments in Advancing Quality since we expanded into mental health, so this event will be the ideal opportunity for everyone involved with AQ, including provider trusts, PCT commissioner or GP leads, to make sure they are fully updated to get the maximum benefits from participating in AQ."

AQ Orthopaedic specialists share best practice

Hospitals participating with Advancing Quality's hip and knee data collection have been sharing examples of best practice at the latest Orthopaedic Collaborative. The group was welcomed by Steve Hodgson, AQ clinical lead and orthopaedic consultant at Royal Bolton Hospital, who gave an overview of some of the latest hip and knee data collection results as well as an update on the new measure developments. The collaborative was then handed back to the AQ teams as project leads from Blackpool and Wyre Hospitals NHS Foundation Trust, Countess of Chester NHS Foundation Trust and Aintree University Hospitals NHS Foundation Trust showcased storyboards on how AQ is working for them and sharing their examples of best practice. Following the storyboards, the group welcomed guest speaker Bill Ryan, the North West representative from the Royal College of Surgeons, who spoke about training in trauma and orthopaedics.

All materials from the collaborative are available to download from Connect, AQ's new online networking portal. To access Connect, visit The next AQ collaborative will focus on Pneumonia and takes place on Friday 11th November at Mercure Bolton West (formerly the Ramada Jarvis) from 10am ­ 12:30pm. To register, click here or go to event_detail.asp?event_id=132

Full details of the event and how to register, is available by clicking here or going to detail.asp?event_id=126

AQuA News October 2011


Mental Health News

Mental Health News

Update on Mental Health Work in the Academy and Observatory

October saw the first meeting of the Mental Health Data and Intelligence group. Representatives from the six mental health member organisations met to review the `Mental State of the North West: health variations relating to mental illness' a report being developed by Jason Pickles from the Observatory and Karen Tocque an AQuA affiliate. The report sets out a summary of mental health data in the following sections; · Introduction · Did you know? · Population · Spend and Costs · Care · Cross Cutting Themes · Conclusion The report got very positive feedback as organisations were able to see data relating to inequalities and performance in relation to their `patch'. The feedback and discussion highlighted areas in which further analysis is required and how we understand the differences between organisations. There was a strong commitment from the group to work with the observatory to improve the quality and use of information to help improve services. A similar discussion is due to take place with the mental health commissioners in early November after which a bi monthly meeting will be set up for providers and commissioners to progress this work. In line with the two programmes of work being led by the Mental Health team, further data analysis is being carried out in relation to Dementia and Safer Care. An initial list of health and Social Care Dementia indicators has been drawn up and these will be shared with members at the Large Scale Change Dementia events being led by NHS NW which were highlighted in last month's newsletter. Click here for details or go to http://www. The aim is to identify a core set of indicators that will form the basis of a health and social care dementia dashboard which will help clusters identify priorities for improvement. At the Mental Health Safer Care event in September an initial draft analysis of the Mental Health National Patient Safety Agency (NPSA) data was presented to delegates. The first step is for AQuA to work with the member organisations to identify differences in definitions and then consider if and how this data can be used to measure and monitor harm reduction programmes. For further information please contact: [email protected] or Bernie.O'[email protected]


AQuA is delighted to announce that Bernie O'Hare has joined the Long Term Conditions and Mental Health Team. Bernie has extensive experience in service improvement having worked in NIMHE and CSIP. Bernie's most recent post was within Leicestershire Mental Health Partnership Trust where he was the programme lead for `Mental Health Payments by Results' and service redesign.


Mental Health News

Mental Health Lecture Series

· Phil Barker Mental health ethics: the elephant in the room? 24 November 2011 · Adrian Jones Nurses working as approved clinicians 19 January 2012 · Theo Stickley Mental health and the arts: Arts on Prescription 8 March 2012 Registration & Refreshments - 6.00pm Lecture - 6.30pm Buffet and Refreshments - 7.30pm To book your free place go to: mhlecturereg 01695 650715


The AQuA Mental Health Team have agreed to develop a mental health cohort of AIMS (AQuA Improvement Methods) training. The programme will include sessions on; · Improvement leadership · Project Management · Process Mapping · Model for Improvement · Measurement · Demand and Capacity · Sustainability The training will be delivered via workshops and web ex sessions over a six week period. The training will be delivered by members of the Mental Health Team as well as by trainers from the core Academy team. The aim is to deliver a course which covers key improvement methods and is tailored for a mental health audience. The programme will run in March 2012 for further information please contact: Bernie.O'[email protected]

AQuA News October 2011



Shared Decision Making Update

There have been three successful Shared Decision Making (SDM) events over the past month. All the slides and resources from the events are available via the AQuA web portal. The first was a WebEx ­ `Introduction to Shared Decision Making ­ Everything you wanted to know but were afraid to ask'. The link to listen to this WebEx is as follows: &SP=MC&rID=12961972&rKey=0E6DD90591D EF230 It is planned that this WebEx will be repeated in late January/early February for those who might have missed it the first time. The second event was a Clinical Masterclass hosted by Dr Alan Nye, with Professor Richard Thomson from the University of Newcastle talking about the MAGIC project and Dr Hilary Bekker, a decision psychologist from the University of Leeds talking about decision psychology and what effects how people make decisions. This was also the first time AQuA used actors to help demonstrate shared decision making and the new format was well received. The slide packs from the presentations are available on the web portal, under AQuA Actions, Shared Decision Making. The final event was a joint event with NHS North West - Supporting Shared Decision Making across the North West: Developing a practical and sustainable approach to shared decision making. Here, the Picker Institute reported on the findings of the SDM Pathfinder study that had been commissioned by the SHA. In addition, Angela Coulter, Director of Global Initiatives, The Foundation for Informed Medical Decision Making and Stephanie Varah, Chief Executive of the National Association of Patient Participation spoke, along with Gareth Durling who is the Policy Manager for Shared Decision Making at the Department of Health. The slide packs from the presentations and the final Picker Report are available on the web portal. There are two new events being planned for December, which have come out of feedback from the recent events that have been run and we would like to invite you to attend:


Commissioning Round Table Event, 6 December 2011, 1.30 - 4pm

This round table event is to discuss how shared decision making can be used as a commissioning tool. SDM is an evidence-based approach which supports the delivery of QIPP through improved demand management. Although this is very new in terms of its role in commissioning and there are no national experts, AQuA is responding to members who have expressed an interest in using SDM as a commissioning tool. The session will generate ideas for how SDM can be implemented to enhance quality of consultation in both primary and secondary care and potential use of incentives including CQUIN and aligning incentives along the pathway. Key Learning Outcomes/Areas for Discussion: · What is SDM? · What mechanisms are available & case studies of similar examples · How can incentives be aligned? · How can the use of SDM or a decision aid be recorded and evaluated? · What are the other requirements that need to be in place to support this: · Training · Administrative support · Other · Next steps



Musculoskeletal Shared Decision Making Workshop, 14 December 2011, 3 - 6pm,

This is a MSK (in full first) specific workshop to discuss how to implement shared decision making and use the available MSK decision aids for OA (in full first) hip and OA (in full first) Knee. This is an opportunity for teams (commissioners and providers) to meet with a range of multi disciplinary clinicians who already use shared decision making on a daily basis as well as the support staff who have developed systems to record the interactions and enable SDM to be included in the pathway. We will also consider the link with the Enhanced Recovery Programme and the potential to align SDM to improving quality across an integrated MSK care pathway? Key Learning Outcomes/Areas for Discussion: · Where is the decision within the pathway? · How do patients find out about the Decision Aids/ access them? · What if there is no decision aid available? · How is the SDM intervention recorded? · What admin/management processes need to be put in place? · How can the results be evaluated?

`Getting To Know You' workshop for AQuA Associates

A `Getting to Know You" workshop for AQuA Associates will be held on 12 December 2011 from 3.00pm - 5.30pm at Salford Royal NHS Foundation Trust's Mayo Building. The programme will be as follows: 3.00 - Registration and welcome 3.15 - Introductions 3.20 - Reflections; Your experience to date 3.50 - Group work 4.45 -Tea/coffee and an opportunity to network 5.15 - Feedback to the group 5.30 - Close If you are an AQuA Associate and would like to register for this event, or to find out more, please e-mail: [email protected] by close of play Wednesday, 7 November 2011.

Calling all AQuA Link Associates

With the changes which are currently underway across NHS organisations AQuA would like to update its Member organisation's Link Associate list.

If you would like to register for either of these events, please e-mail: [email protected]

Please can you contact Liz Ashall-Payne if you are the AQuA Link Associate in your organisation along with your email and contact numbers. All responses should please be sent to: Liz Ashall-Payne at [email protected]

AQuA News October 2011


Academy News

AQuA Academy News Update

Advanced Training Programme for Health Care (ATP)

You may be aware that Trafford have been working over the last 12 months to set up an NHS programme based on the internationally acclaimed Intermountain Healthcare's world class Advanced Training Programme in Clinical Quality Improvement. The programme is aimed at Senior NHS staff working on improvement projects within a team and covers areas such as quality improvement, process management and leadership. This is an exciting development for Trafford and has been formally supported by the NHS Institute for Innovation and Improvement and the King's Fund. AQuA is very pleased to announce through our partnership working, we are now facilitating the expansion of this excellent programme to enable teams from our member organisations with specific improvement projects to have priority places on the next 2 cohorts. The programme consists of 3 modules, the first 2 modules are delivered over 2 days each followed by a third module of one day's duration. Each programme concludes with a final presentation afternoon / evening of project work. Module 1 29 and 30 November 2011 Module 2 1 and 2 February 2011 Module 3 22 March 2012 Presentation evening May 2012 (date to be confirmed). All venues will be within the AQuA membership footprint. We would like to extend to your organisation the opportunity to participate in this programme. We can allocate places for selected teams of senior staff within your organisation. Over the coming weeks we will provide more details but ask that you keep the dates free in your diaries. If you need any more information please contact: [email protected] Please confirm your expression of interest to Sally McCairn at [email protected] by Friday, 4 November 2011.

AQuA Improvement Methodologies Cohort 5 15 December ­ 10 February 2012 Programme Timetable


15 December 2011 16 December 2011 10 January 2012 20 January 2012 3 February 2012 10 February 2012


09.00 ­ 17.00 09.00 ­ 17.00 08.30 ­ 10.00 09.00 ­ 17.00 09.00 ­ 17.00 09.00 ­ 17.00


Developing Change Planning & Learning for change WebEx 1 Measurement 3S's Spread, Share & Sustain WebEx 2


East Lancs PCT East Lancs PCT Virtual Western Cheshire PCT Western Cheshire PCT Virtual



Safety Express programme update ­ 12 October celebration event

AQuA's Safety Express teams bagged a quarter of the awards at the National Safety Express Coalition ­ Summit and Product Launch, on Wednesday, 12 October 2011, London. Approximately 156 teams took part in Nationwide Phase 1 of the Safety Express programme across the whole health economy. Six of our North West teams were shortlisted out of the 12 award categories. 1. Salford Royal NHS Foundation Trust won in the category: Patients at the Helm The team has ensured patients are fully involved in the design and delivery of Safety Express. Salford Royal has produced a really inspirational pressure ulcer film which they first shared at the first learning session of their pressure ulcer collaborative as part of their safety express work. The film has since been used at various events nationally and locally as it clearly brings home to the staff the impact that pressure ulcers have upon patients. 2. Stockport Community Health / Stockport NHS Foundation Trust won in the category Three: Whole Health Economy Engagement The team has collaborated most effectively across their whole health economy. From the start, Safety Express in Stockport has been a vibrant partnership between provider organisations. As a team they have been able to maintain communication and complete joint projects that required building relationships across the whole health economy. 3. East Lancashire Hospitals NHS Trust won in Category Four: Measurement for Improvement The team has developed an outstanding measurement plan and demonstrated their commitment to ongoing measurement for improvement. The East Lancashire Health Economy safety express team has to date undertaken 2074 patient safety thermometer surveys (as of July 2011) over the course of the programme. Consistently the teams have submitted monthly thermometer surveys within a range of 311 to 366 per month. The data is summarised and presented in a unique East Lancashire format to enable the four work streams to focus on and discuss areas for improvement or successes to date, alongside the driver diagram that was initially agreed by each team. · For a full list of the National Award Categories and winners see pages 12 and 13 overleaf.

AQuA News October 2011

Salford Royal (L-R) Dr Philip Lee (MP for Bracknell), Simon Featherstone (Divisional Director of Nursing), Chris Pearson (Deputy Director of Nursing), Natalie Curvis (Quality Improvement Lead) and Jane Cummings (Deputy Chief Executive NHS NW)


Stockport (L-R) Dr Maxine Power (National Director QIPP Safer Care work stream), Julie Wragg (Head of Quality and Governance), Nesta Featherstone (Senior infection prevention nurse) and Jim Lawless (Motivational Speaker)


East Lancashire (L-R) John Goodenough (Deputy Director of Nursing), Dr Philip Lee (MP), Jane Cummings (Deputy Chief Executive NHS NW) and Peter Weller (Associate Director of Quality and Safety)


Academy News

AQuA Academy News Update

· Continued from page 11

National Safety Express Programme Award Categories and Winners


Category One: Patients at the helm: the team who has ensured patients are fully involved in the design and delivery of Safety Express Category Two: Driven the Driver Diagram: The team who has implemented Safety Express as outlined in `the Guide' with a focus on all nine secondary drivers Category Three: Whole Health Economy Engagement: The team who has collaborated most effectively across their whole health economy Category Four: Measurement for Improvement: The team who has developed an outstanding measurement plan and demonstrated their commitment to ongoing measurement for improvement (identified by the National measurement team) Category Five: Participation in the Programme: An award for the team who has demonstrated outstanding engagement e.g. in WebExs, conference calls, learning sessions, measurement, regional meetings, events etc Category Six: Sharing Best Practice: Recognition for an individual or team whose work has been widely shared and implemented by others Category Seven: Quality Improvement Award: the team who has delivered the greatest improvement


· North Bristol · County Durham and Darlington NHS Foundation Trust · Salford Royal NHS Foundation Trust · Derbyshire County PCT · West Suffolk Hospitals NHS Trust · Solent Community Health · Community Health Stockport/ Stockport NHS Foundation Trust · Bedfordshire PCT · Barts and London NHS Trust · East Lancashire Hospitals NHS Trust · West Middlesex Hospitals NHS Foundation Trust · Kings College Hospitals NHS Foundation Trust · Bolton NHS Foundation Trust · Derbyshire Community Health Services


Salford Royal NHS Foundation Trust

West Suffolk Hospitals NHS Trust

Community Health Stockport/Stockport NHS Foundation Trust

East Lancashire Hospitals NHS Trust

Derbyshire Community Health Services

· Barts and London NHS Trust · South Tees Hospitals NHS Foundation Trust · NHS East of England · Wrightington, Wigan & Leigh NHS Trust · Kings College Hospitals NHS Foundation Trust · West Suffolk Hospitals NHS Trust

South Tees Hospitals NHS Foundation Trust

Kings College Hospitals NHS Foundation Trust


National Safety Express Programme Award Categories and Winners


Category Eight: Inspirational individuals: Two awards made in recognition of team members who have inspired others to get on board Safety Express/delivered the programme. One will be a participating team




Liam Edwards- Kings College Hospitals NHS Foundation Trust Lisa Nobes ­ West Suffolk Hospitals NHS Trust Lyn McIntyre- NHS East England Pauline Smith ­ NHS South East Coast

Category Nine: External Engagement with Safety Express: An award for an external individual, team or organisation who have made an outstanding contribution to Safety Express Category Ten: SHA contributions: This award was made to the SHA who has, as a team, made a significant contribution to Safety Express Category Eleven: Senior Leader: This award was made in recognition of a senior executive or clinical leader who has provided unparalleled support to their team in delivering Safety Express Category Twelve: The Best Publication (published and/or submitted to newsletters, Trust publications, journals etc): This award was made in recognition of shared learning and building the evidence base for safe care and improvements in patient safety

· NHS East Midland · South East Coast · Communication Team NHS West Midland, NHS East Midland and East Coast of England NA

Communication Team - NHS West Midland, NHS East Midland and East Coast of England

Lyn McIntyre ­ NHS East England

· Gill Harris ­ Wrightington, Wigan & Leigh NHS Trust · Nicole ­ West Suffolk Hospitals NHS Trust · Paul Reeves- Mid Essex Hospital Services NHS Trust · The Royal Wolverhampton Hospitals NHS Trust · Nottingham University Hospitals NHS Foundation Trust · Royal Berkshire

Paul Reeves Director of Nursing Mid Essex Hospital Services NHS Trust

Nottingham University Hospitals NHS Foundation Trust

AQuA News October 2011



AQuA Academy News Update

Productivity Learning Exchange

We are delighted to announce the launch of the Productivity Learning Exchange to support teams in delivering against one of AQuA's main areas of work - that of eliminating waste and improving productivity. Programme: Overview of concepts of Productivity Measurement for improvement AQuA Observatory Productivity products Using data to identify Productivity benefits ­ show casing the productivity benefits tool being developed by AQuA Case studies of good practice ­ highlighting the data and measurement used Workshop ­ next steps



Focus on using data and measurement to understand productivity benefits of quality improvement work

3 November 2011, 09.30am - 3.00pm Warrington Peace Centre Presenter: Helen Baxter, AQuA To book your place please contact: [email protected]

These sessions are aimed at multi professional/disciplinary groups; clinical, finance, business and service improvement professionals from providers (acute, community, primary and social care) and commissioners. The only way we can truly make an impact is to work together in partnership with patients and carers at the centre of service developments, so bring a team to the first workshop on 3 November 2011. This workshop is the first in a series of workshops and virtual learning exchanges. Following the workshop there will be monthly WebEx sessions which will focus on areas identified by the participants to facilitate learning and sharing.


Dr Imai ­ From the Kaizen Institute

Mr Imai, founder of the Kaizen Institute, will talk about the link between operational Lean and board governance and the role of the board in sustaining Lean/Kaizen activity. This invitation is open to senior leaders (board members, clinicians, managers and service improvement leads) in your organisation. 11 November 2011 Royal Bolton Hospital Musgrave House Minerva Road Farnworth BL4 0JR Registration & coffee at 09.30 Networking Lunch 12.15 - 13.00 To book, please click here or go to: id=130


`Quality Improvement for Finance' Programme

AQuA is delighted to announce the launch of a brand new programme designed to support finance colleagues in being integral to the successful delivery of quality improvement initiatives. Aims: · Connect finance to improvement tools and techniques. · Demonstrate how service redesign can improve quality and generate cost savings. · Keeping the Q in QIPP. Who Should Attend? Aspirant Directors of Finance (e.g. Deputy DOFs, Heads of Finance, Divisional Finance Managers) from both commissioner and provider organisations who are AQuA members. Participants must be working on an improvement project within their organisations or have one identified. Delivery: This programme runs from December 2011 until March 2012 and will be delivered through 3 face-to-face workshops and 2 WebEx sessions. Delivery faculty includes: · Tony Whitfield: Director of Finance, Salford Royal · Tim Evans: Chief Executive, NHS Bolton · Gary Raphael: Director of Finance, Royal Bolton Hospitals · Elaine Adam: Associate Director, East Cheshire · Chris Lloyd: Vice President, Simpler


2 December 2011


09.30 ­ 16.30


Compelling Case for Change ­ Keeping the Q in QIPP WebEx 1 Cost benefits through transformational change WebEx 2


Broughton Hub Community Rooms, Salford Virtual East Lancashire PCT

6 January 2012 26 January 2012

08.30 ­ 10.00 09.30 ­ 16.30

7 February 2012

08.30 ­ 10.00


To book your place, please click here or visit

AQuA News October 2011



The North West Alliance of Chief Operating Officers Bursary Programme

Julie Wragg, Head of Quality and Governance, Community Health, Stockport, reflects on her participation in the North West Alliance of Chief Operating Officers Bursary Programme

It is widely acknowledged that the active involvement of staff is an essential requirement for quality improvement in any organisational setting. Yet quality improvement initiatives in the National Health Service have not generally secured the full engagement of clinicians (Marshall, 2011). `Quality at the front line' is an attempt to fully engage practitioners in quality improvement. The project undertaken as part of the North West (NW) Alliance of Chief Operating Officers Bursary Programme was with a COPD team of clinicians. The broad aim of the project is to ensure that quality is embedded into community services. This project particularly focuses on demystify the meaning of quality at a strategic level down to how this is applied into practice. The team took part in a quality survey using survey monkey prior to a quality workshop. The results from the survey were used to structure the workshop. A visual map of quality was used to explain how quality is seen at a strategic level, the following were included: · The NHS Quality Governance Framework · CQIN · Transforming Community Services Quality · Indicators · Care Quality Commission Safety Outcomes · Quality Accounts True meaning of quality was discussed during the workshop and at a later meeting quality was discussed in terms patient safety, clinical effectiveness and patient experience. The team have highlighted two areas they want to focus on so that they can improve outcomes for patients they see. · To undertake patient experience surveys, this will be undertaken using electronic hand held devices which will provide real time data. · To implement one of the Transforming Community Services Quality Indicators. "An essential and very positive element of the Bursary Programme is the support received from the allocated mentor. I have learnt a lot from my mentor, Lesley Massey, Director at AQuA, and would suggest that without an experienced mentor the project would not have progressed to the time scales as it has," said Julie.

Register now for the AQuA Members' Web Portal

Last month we wrote about our Member survey and `You said ­ we did' in relation to streamlining the number of messages we send to you and of the new process we are putting in place to send out one message each week that will contain all that week's information from AQuA about events, WebEx's etc. The new process will be in place very soon and in order to access information in the new weekly message, you will need to have registered on the AQuA Member Web Portal. If you've not already done so, please register now at:



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