Passing the Baton

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Passing the Baton
A Practical Guide to Effective Discharge Planning

• Change Agent Team Briefing
• Lynda Chandler, Matt Wyatt Iain Roberts

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NationalLaunch

• Wednesday
• 11th June 2008
• Aberystwyth University

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Storytelling

• Increasing delayed transfers of care
• Decreasing public satisfaction
• Expanding bureaucratic complications
• Diminishing dignity and respect
• Weak private decision making
• Strong public legal responses
• More complicated unilateral excuses
• Less simple joint solutions

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Getting up to speed

1. Formation of the national Discharge Planning
   Community of Practice
2. Undertaking the Self Assessment of Discharge
   Planning in Wales
3. Publication of the national summary report Six
   Steps from DToC to EToC
4. Passing the Baton development publication and
   ongoing campaign

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All in context
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Step 1 Identify

• Run by the participants, a Community of Practice
  is an informal network of people who share a
  common interest in a specific area of knowledge
  or competence and are willing to work and learn
  together, over a period of time, to develop and
  share that knowledge.

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Step 1 Identifying

• The CoPs first purpose is to create the right
  culture of trusting relationships and then find
  simple consensus and act on it, rather than
  design detailed plans

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Step 1 Identified

• Theres plenty of talent and commitment to
  meeting the needs of individuals
• Organisation centred procedures should not
  overrule person centred systems
• Everyone agrees with the principles but its
  poorly interpreted into practice
• Each community has assigned different priorities
  to the key issues
• There are excellent examples of solutions that
  can be shared nationally

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Step 2 Debate

• In 2006 a national self assessment audit tool was
  compiled from existing guidance with 68 questions
  across Policy, Practice, Partnership and Audit.
  It was circulated to Trust Chief Executives with
  instructions to work with their local partners to
  submit a community response

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Step 2 Debating

• The SAAT encouraged organisations to work
  together to debate the issues in a local context,
  providing a framework to amalgamate that
  knowledge nationally

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Step 2 Debated

• The SAAT was accepted as a valid approach
  generating genuine responses
• The process of undertaking the SAAT signposted
  areas for development
• The intensity and range of work underway had been
  underestimated
• Some communities took the opportunity to improve
  joint working arrangements
• A number of corrective action plans were
  voluntarily submitted with the SAAT

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Step 3 Engage

• In 2007 NLIAH published Six Steps from DToC to
  EToC summarising the national results of the
  SAAT. The Six Steps referred to the principle
  recommendations of the report for which there was
  widespread support from the participating
  communities

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Step 3 Engaging

• Six Steps as it became known, was circulated
  widely and the Change Agent Team gave formal
  feedback to interested groups and organisations
  across Wales

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Step 3 Engaged

• Involvement of the patient, their family and
  carers is recognised as critical
• There is unanimous understanding of the causes of
  delays and bad experiences
• Structural frameworks and obligations do not help
  organisations to work together
• Existing commissioning methods are not able to
  provide the continuum of care
• A new emphasis on multi agency training and
  development is essential

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Step 4 Advocate

• The CoP recognised the immediate need to make
  real and sustainable change and took the
  opportunity to reform themselves into six working
  groups each taking responsibility to research and
  develop a Guide to improving knowledge and skill
  in an aspect of discharge planning.

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Step 4 Advocating

• The development gradually turned to focus on
  simple tools and the core values that drive
  behaviour, a process supported by the overseeing
  expert reference group

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Step 4 Advocated

• The Guide was conceived, developed and written by
  over one hundred Practitioners
• The participants represented every Health and
  Social Care organisations in Wales
• The Guide contains information and advice from
  practitioners, patients and carers
• Effective discharge planning depends upon many
  simple things done consistently
• The Guide has Ministerial support and will be the
  subject or an Assembly circular

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• FAQ
• What is it for?
• How does it work?
• What is in it?

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Ronseal

• Its aimed at frontline Health and Social Care
  staff to help improve discharge planning and the
  journey through care
• The impact of implementing the Guide needs to be
  understood and advocated throughout partner
  organisations
• To sustain the learning it must be incorporated
  within operational and strategic training and
  development plans

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Using in practice
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Whats in it
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Back to today

• To discuss and raise awareness of the national
  launch of Passing the Baton on Wednesday 11th
  June 2008
• To determine the best approach and arrangements
  for a local Passing the Baton launch and campaign

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NationalLaunch

• Wednesday
• 11th June 2008
• Aberystwyth University

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Expectations

• Passing the Baton has been written by the
  Discharge Planning Community of Practice, a
  national forum of practitioners and managers
  representing every health and social care
  organisation in Wales. Aimed at supporting
  frontline staff, the Guide provides practical
  advice to improve the journey through care.

• This launch is aimed at a broad audience
  including policy leads, executives, heads of
  service, managers, specialist practitioners and
  frontline health and social care staff who are
  interested in improving and influencing, how we
  do, what we do. Adoption of the Guide will be
  the subject of a national circular.

• The publication is not an isolated event and an
  ongoing campaign, led by the Community of
  Practice, is already gaining momentum to generate
  and support local improvement work. The NLIAH
  Change Agent Team will also be working with
  individuals and organisations responsible for
  education, to formalise and accredit the Guide
  within a national Training Framework.

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Showcase

• Are you doing a great job and would like to tell
  people?
• At the Launch there will be a room set aside to
  display posters and examples of some of the great
  work going on in Wales to improve the journey
  through care.
• There is significant interest across Wales in how
  to develop the necessary relationships and
  systems to facilitate effective discharges and
  transfers of care. The best work often goes
  unnoticed and we want to change that. Passing the
  Baton aims to maximise this knowledge and
  experience and emphasises that success will
  depend on many simple things done consistently.
• We want to showcase examples of this successful
  work from large formal projects to small local
  tools and everything in between. There are no
  specific guidelines for the content of
  submissions, so have a go if you have
• Designed new documentation, tools and techniques
• Developed people with the right knowledge and
  skills
• Created teams with complementary talent and
  experience
• Undertaken some joint working to gain a better
  understanding
• Implemented new structures or systems of working
• Showcase submissions can be in the form of a
  single poster or a display of materials, no
  bigger than A0 (84x119cm). Submissions should
  either be delivered to NLIAH by Friday 5th June
  2008 or brought on the day of the event where
  exhibitors will have access to the Showcase Room
  from 900am.
• If you need some help or advice to produce your
  submission, please get in touch with members of
  the Change Agent Team detailed on the last page.

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Programme
0900 Showcase Room Open to Exhibitors
1000 Registration Refreshments
Morning Session What is Passing the Baton? Morning Session What is Passing the Baton? Morning Session What is Passing the Baton?
1100 Welcome Introduction
1110 Understanding the Challenge To be confirmed
1130 Getting to the Starting Line Lynda, Matt Iain Change Agent Team
1200 Relay Rules Tessa Shellens Morgan Cole Solicitors
1300 Lunch Showcase
Afternoon Session Why is Passing the Baton? Afternoon Session Why is Passing the Baton? Afternoon Session Why is Passing the Baton?
1400 Introduction to Back to Values
1405 How We Do, What We Do Stories from Service Users
1430 Questions for the Panel Leaders from the Welsh Assembly Government
1500 On Your Marks! Nigel Walker Head of Sport BBC Wales
1530 Refreshments, Networking Close
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Booking Information

• To book your place at the Launch please contact
  the event coordinator Lisa Conway, at the
  National Leadership and Innovation Agency for
  Healthcare
• lisa.conway_at_nliah.wales.nhs.uk
• NLIAH, Innovations House, LLANHARAN CF72 9RP
• ? 01443 233333 or ? 01443 233329 direct line
• www.nliah.wales.nhs.uk
• When booking please let us know of any special
  dietary or access requirements you may have.

• For further information regarding Passing the
  Baton or other NLIAH Programmes, please contact
  the Change Agent Team
• ? lynda.chandler_at_nliah.wales.nhs.uk
• Matt.wyatt_at_nliah.wales.nhs.uk
• Iain.roberts_at_nliah.wales.nhs.uk

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Local campaign

• Principle Contacts
• Influential People
• Access to forums
• Support from CAT
• Logistics Resources
• Long Term Tactics
• Improvement Work