Despina Laparidou presents Scaling up PINCER at ISQua 2017

IMG_0923Despina Laparidou, Research Assistant at CaHRU, together with Antony Chuter, a patient representative for Scaling Up PINCER (pharmacist-led information technology intervention for reducing clinically important errors) recently attended the International Society for Quality in Health Care (ISQua) Conference at the Queen Elizabeth II Conference Centre in London (1st – 4th October 2017) and presented the preliminary findings of the Scaling Up PINCER project, funded by the Health Foundation.

IMG_1639The Main Conference offered a combination of exciting plenaries, short oral presentations and longer themed sessions, while poster and e-poster presentations were also presented throughout the duration of the conference. One of the most interesting sessions was the “A Mile in My Shoes”. A Mile in My Shoes is an interactive shoe shop that invited delegates to “(literally) step into someone else’s shoes and embark on a mile-long physical, emotional and imaginative journey to see the world through their eyes”. The session involved listening to, while wearing their shoes at the same time, unique audio stories from people working within health and social care, sharing their experiences and showing the remarkable contribution and challenges faced by those working in, and using, our health and social care system.

IMG_1634Despina and Antony gave their presentation on the morning of Tuesday 3rd October during a session on “Health Foundation Improving Quality in Community Health Services” and was very well received by the audience. PINCER is a pharmacist-led information technology intervention for reducing clinically important errors in medication management in general practices and the study’s preliminary results show early indications of improvement in most of the study’s safety indicators for gastrointestinal bleed, stroke, heart failure and acute kidney injury, but not for the two asthma indicators. The session, chaired by Will Warburton from The Health Foundation, also showcased studies, such as the “Ophelia Project” on improving health literacy for vulnerable people in the community, and “Making Waves” on Promoting a positive experience for people with COPD.

The Conference came to an end with Wednesday’s plenary and the promise to meet again in 2018 for an even more exciting ISQua Conference in Malaysia!

By Despina Laparidou

HEI Challenge for Patient Supported Quality Improvement and Education in Healthcare PPI conference

The Higher Education Institution (HEI) Challenge for Patient Supported Quality Improvement and Education in Healthcare held its Patient and Public Involvement Working Group Conference at Loughborough University on 1st October 2015. This collaborative event formed a central part of the HEI Challenge. Led by the Patient and Public Involvement working group, the overall aim of the event was to provide a forum to focus and share achievements and help identify how Universities can support developments for the future; locally, regionally and more widely.

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RachelHawleyposterWho Attended? Just over fifty people attended the event, bringing together both staff and service user perspectives. Participating universities were represented by staff, service user and learner voices. People travelled from across the region from a range of voluntary and service user led organisation including; Healthwatch Nottinghamshire, British Heart Foundation National Centre for Physical Activity and Health, Leicester – Loughborough Biomedical Research Unit, CLASH – MSK, Alzheimer’s Action Alliance, Diabetes UK, and the Carers Federation.

HThe HEI Challenge Award 2014-15, from the East Midlands Academic Health Science Network, is a unique opportunity for East Midlands Universities to foster a sustainable approach to working collaboratively for the benefit of our population and to drive positive experiences and outcomes for learners and local employers. The ultimate goal of the HEI Challenge is to collaboration to share, develop, showcase and spread work across East Midlands and surrounding Universities around the unifying topic of healthcare quality improvement.

Loughborough5Overview and highlights of the day: Conference delegates were welcomed to the event by Kristen Clements. Together Kris and Rhian Last co lead the PPI working group. The day began with a two presentations on that addressed the HEI challenge for patient supported quality improvement and education in healthcare. Rachel Hawley, Project Manager began by providing an overview of the Challenge to set the context for the day. Professor Niro Siriwardena showcased examples of patient supported quality improvement.. Participants engaged in group discussions to explore what patient supported quality improvement means to them and their organisation, each working group capturing its essence in ways that will inform future guiding principles for practice.

102915_1047_HEIChalleng1.pngThe Street Activity: The lunch time period was filled with conversations and emerging collaborations. Ten service user led / voluntary sector organisations gathered in ‘The Street’ to participate in activities aimed at stimulating conversations, hopefully leading to new collaborative projects. Participants were invited to submit project ideas to be awarded funding – further information about these projects will be shared soon. Participants engaged in a range of activities along the way; from stepper machines, to Bollywood dancing.

The afternoon began by moving into workshops activities on the following themes:

  • Loughborough3Involvement and Inclusion in action: Shahnaz Aziz, EM-AHSN; Theo Stickley, University of Nottingham and and Julie Gosling, Making Waves
  • Bridging the gap for involvement in research, education and practice: Andrew Grundy, Nottingham University and Elizabeth Rye SUCRAN
  • To train or not to train? The development for involvement: Paula Wray CLAHRC
  • Assessment of impact – The value of patient stories: Rachel White – NHS England

Keynote Showcase: Transformational change and social innovation

Loughborough4The final session showcased staff and service users coming together to share their experiences through two presentations; Phil Smith, Kidney patient champion, Emma Watson, Kidney patient centre representative along with SCAD team members, Rebecca Pritchard and Catherine Beck. Experiences were shared that clearly showed the benefits of patient supported quality improvement in action; for staff, for service users and for the organisation.

A participant said: “That was a fantastic event. I thought the blend of academic input and service user experience was just right. Some of these events are valuable but exhausting. This time I found it valuable and energizing – and much more determined to push harder“.

[su_document url=”https://communityandhealth.dev.lincoln.ac.uk/files/2015/10/PPI-Event-Report_FINAL-.pdf” responsive=”no”]Multi-morbidity, goal-oriented care, the community and equity[/su_document]

For further information or to get involved you can:

  • If you are interested in finding out more about the HEI Challenge contact Rachel Hawley, Project Manager – rhawley@lincoln.ac.uk 07711 532512
  • If you are interested in finding out more about the Patient and Public Involvement working group you can contact either Kristen Clements (K.M.Clements@lboro.ac.uk) or Rhian Last (R.Last@educationforhealth.org)

– We hope that you will help us continue the conversations:

Please follow us on Twitter: @qi_learning

Rachel Hawley

New paper published on contextual factors for quality improvement in ambulance services

EMAS - A&E 5_750A new study from CaHRU is published this month in the Journal of Evaluation in Clinical Practice entitled ‘Exploration of contextual factors in a successful quality improvement collaborative in English ambulance services: cross-sectional survey’.

EMAS - A&E 9_750The study, involving a research team from CaHRU including Viet-Hai Phung, Nadya Essam, Dr Zahid Asghar and Professor Niro Siriwardena together with Anne Spaight from East Midlands Ambulance Service NHS Trust, explored clinical leadership and organisational culture and clinical engagement in quality improvement (QI) in the Ambulance Service Cardiovascular Quality Initiative, a QI collaborative involving all twelve ambulance services in England.

EMAS - PTS 2_750The study included a survey and qualitative analysis of free text responses from paramedics. Although paramedics perceived their organisations to have low levels of clinical leadership and culture of innovation overall, leadership behaviour and uptake of QI methods was significantly greater in those respondents who were directly involved in ASCQI. The QI collaborative led to significant improvements in prehospital care for acute myocardial infarction and stroke which may have been mediated through an improvement subculture linked to the QI collaborative.

Rachel Hawley joins the Community and Health Research Unit

Rachel Hawley has recently joined the Community and Health Research Unit. Rachel was previously based at Sheffield Hallam University. She has 25 years’ experience of working with a wide range of public sector organisations at local, regional and national and European levels where patient, public and learner engagement have extensively Rachelunderpinned her experience. Holding a Master’s degree in Coaching and Mentoring from Sheffield Business School she is currently working towards my Doctorate in Professional Studies.

As researcher, coach, lecturer and author with teaching experience in the fields of healthcare leadership and management she has experience of managing high profile national projects, skilled in providing expert consultancy, leading organisational and cultural change in complex organisations with a proven track record of working through ambiguity to develop and translate national policy into local goals and practice. Her personal and organisational approach is underpinned by collaborative style, working with people to simplify the complex and find innovative and practical solutions to change for service improvement.

The HEI Challenge Award 2014-15, funded by the East Midlands Academic Health Science Network, is led by the University of Lincoln. It provides a unique opportunity for East Midlands universities (and other universities  commissioned to deliver education by Health Education East Midlands), providing education and training of health professionals in the region, to foster a sustainable approach to working collaboratively across the region’s HEIs for the benefit of the population and to drive positive experiences and outcomes for learners and local employers.

CaHRU supports Newham general practices in prescribing safety Quality Improvement Collaborative

ludwiggutmann1Prof Niro Siriwardena spoke at the first engagement event of a new multi-organisational general practice quality improvement collaborative at the Stratford Olympic Park this February. The collaborative led by Professor Martin Marshall and his team at University College London, under the auspices of the Guttmann Academic Partnership launched in 2014, will involve working with NHS Newham Clinical Commissioning Group (CCG) and UCL Partners to support safer prescribing in Newham general practice.

QIlogoProfessor Siriwardena gave an introduction to quality improvement science approaches in his talk ‘How can QI methods in general help to solve these [safety] challenges?’ at the inaugural meeting together with other experts in collaboratives, including Prof Marshall and Dr Neil Houston from NHS Scotland, and local general practitioners. The talk was based on experience from regional and national quality improvement collaboratives such as the Resources for Effective Sleep Treatment project and the Ambulance Services cardiovascular Quality Initiative. Prof Siriwardena has recently been part of a team awarded funding from the Health Foundation for a new regional collaborative aimed at ‘Improving prescribing safety in general practices in the East Midlands through the PINCER intervention.’

Niro@RSM2014._750The engagement event took place at the Sir Ludwig Guttman Health and Well Being Centre situated in the Olympic Park in Stratford, originally designed as the medical practice for the London 2012 Summer Olympics. It was well attended by general practitioners, patients and academic experts supporting the initiative and is part of the impact activity of CaHRU’s new research centre.