The Role of Networks in the Scottish Quality Agenda

1
The Role of Networks in the Scottish Quality
Agenda

• June Wylie
• Professional Practice Development Officer- Allied
  Health Professions
• Practice Development Unit
• NHS Quality Improvement Scotland

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What is Quality?
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What is Quality ?

• High quality is a measure of excellence taken
  from the customers point of view
• Whether goods or services are considered as
  high quality will depend on the customers
  perceptions
• (Management Concepts and Practice, Hannigan 1998)

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Quality Triangle
Quality
Cost
Quantity
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Quality Hair Style ?
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Scottish Quality Agenda

• Patients and the public expect the NHS to
  provide high quality care and treatment and they
  expect this to be available consistently across
  Scotland
• (Scottish Executive Partnership for Care
  2003)

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Quality Improvement Scotland

• Our aim is to support the delivery of
• Higher standards of care
• Improved outcomes for patients
• Better experiences for patients and carers and
• Better value for money

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Quality Improvement Scotland

• How
• Providing advice and guidance on effective
  practice
• Setting standards
• Reviewing and monitoring performance
• Supporting staff to improve services

9
Clinical Governance/Health Care Governance

• Clinical Governance is
• a framework through which NHS organisations are
  accountable for continuously improving the
  quality of their services and safeguarding high
  standards of care by creating an environment in
  which excellence in clinical care will flourish
• ( Clinical Governance in Primary Care,
  Zwanenberg and Harrison)

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Health is a People Business

• Putting patients at the heart of health service
• What makes a quality service
• from a patients point of view?
• Communication
• Information
• Respect
• Time
• Help/ Advice

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• People remember the weakest link

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People Business

• Staff
• Clear Role
• Support
• Supervision
• Training/Education
• Time CPD
• Manageable workload
• Development Opportunities

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(No Transcript)
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What makes a good network

• Infrastructure
• Clear directions
• Help/advice
• Information
• Support
• Reliable

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Healthcare Map

• Aims, Objectives, Role of CI/PD forum
• Objectives
• Membership
• Stakeholder analysis
• Clear work programme by August 2004
• Measurable Deliverables

• Resources
• QIS -AHP Practice Development Officer
• National Chairs support
• Network administration
• Wed site administration
• Network events
• National Conference
• NHS Boards ?
• NHS Operating Divisions ?
• Professions ?

• Changing Landscape
• Redesign process accelerating
• Pay Modernisation
• ?profile of AHP
• CHP role in future delivery of health care
• Increased patient expectation
• Role development/blurring of boundaries of all
  professions
• Continued financial pressures
• Integrated Training of AHP
• Role of MCN
• Changing Demographics
• Workforce

• Staff
• Time for CE/PD activity
• Access to IT
• Easily accessible evidence relevant to clinical
  practice
• Network opportunities
• Access to local support and recognition
• Clear direction
• Clearly understood role and equity of opportunity

• Systems/Processes Structures
• National CE/PD Forum role, remit
• National CE groups role, remit
• National Chairs
• Regional Reps
• Network Leaders
• Reporting Structures/Accountability
• Local Structures

• Patients
• High quality service that is measured and results
  shared
• Standardised care across Scotland
• Patient focused service
• Rapid Access to health care professional

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AHP Clinical Effectiveness Networks

• Background
• Attempts by AHP to engage with clinical
  Governance and Clinical Effectiveness Agenda
• Duplication of effort
• Lack of awareness of work going on around country
• Lack of support/structure

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AHP Clinical Effectiveness Project
Project Steering Group
SLT
PT
OT
POD
DT
Taking one profession and 2 regions as an example
Regional Rep Tayside
MDT Group
Regional Rep Glasgow
MDT Group
musculoskeletal
Resp
Neuro
paeds
falls
elderly
Neuro
Resp
paeds
elderly
musculoskeletal
falls
Each Uniprofessionali group has 15 regional rep
and 3 academics who lead speciality networks in
their region and feed into a regional MDT group
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Impact of Networks

• Network participants reported that networks had
• Made a considerable impact on their ability to
  engage in CE activities
• Supported the implementation of CE
  practice/improved patient care
• Helped to address training needs
• Raised the profile of the profession
• Assisted in the development and implementation of
  CE workplans

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Future of Networks

• National recognition and support
• Measurable deliverables for QIS
• Route for contact by Health Dept/NES/QIS/SIGN
• Programmes of work for clinical specialties
• Support mechanism for all AHP wanting to deliver
  an evidence based service

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Work In Progress
Uni Disciplinary fora
Professional Special Interest groups
AHP Managers groups
Regional reps
Network leaders
National Advisory Committees eg stroke
CCI
National Priority Working Groups
Stroke
Critical Care/Surgery
HEIs
Older People
Scottish AHP Clinical Effectiveness Practice
Development Forum
Mental Health
NES
Unscheduled Care
Chronic Disease
Cardio/respiratory
Musculoskeletal
SE Health Dept
Paediatrics
Learning Disabilities
QIS
Professional Bodies
Managed Clinical Networks
Local Divisions/Boards
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Work In Progress
Uni Disciplinary fora
Professional Special Interest groups
AHP Managers groups
Regional reps
Network leaders
National Advisory Committees eg stroke
CCI
National Priority Working Groups
Critical Care/Surgery
Stroke
HEIs
Older People
Scottish AHP Clinical Effectiveness Practice
Development Forum
Mental Health
NES
Unscheduled Care
Chronic Disease
Cardio/respiratory
Musculoskeletal
SE Health Dept
Paediatrics
Learning Disabilities
QIS
Professional Bodies
Managed Clinical Networks
Local Divisions/Boards
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The Role Of Networks for AHPs

• Mechanism for requesting reps for national groups
  or committees
• Share best practice
• Increase evidence base
• Increase confidence of staff
• Improve continuity of service
• Improve safety and efficiency
• Increase access to funding support
• Raise profile of AHP contribution to health care
• Improve quality of care

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• Great health care professionals do not make a
  great healthcare.
• Great health care professionals interacting
  well with all of the other elements of the health
  care system make great health care
• Don Berwick 2002