Alumnus Adrian Parry-Jones reflects on IS4


Programme graduate, Salford Royal’s Honorary Consultant Neurologist, Dr Adrian Parry-Jones, commends the Improvement Science for Leaders (IS4L) course.

IS4L is a team based, 12 months long training programme in improvement science which blends face-to-face training, web-based learning, improvement coaching and site visits. Participants also have access to international experts in the field of improvement.

Adrian’s IS4 project, in 2015/16, was to reduce the percentage of patients with strokes, caused by bleeding on the brain (intracerebral haemorrhage), who die within one month of admission to the Greater Manchester Comprehensive Stroke Centre.

Intracerebral haemorrhage or ICH causes 1 in 10 strokes but accounts for a far higher proportion of death and disability. For those that do survive, over half remain dependent on others for day-to-day care.

The project at Salford Royal, developed the ‘ABC-ICH’ intervention, which resulted in a 10% reduction in 30 day mortality rate (from 35% to 25%); meaning, out of ICH affected stroke patients, about two extra lives are saved each month.

‘The IS4 course was my introduction to improvement science’ said Adrian. ‘As well as providing the knowledge and tools, the programme encouraged our team to be more ambitious with targets and focus on crucial patient outcomes. That resulted in a project which has saved more lives.

‘The course also built my confidence which, subsequently, encouraged me to make, what turned out to be, a successful application for a Connected Health Cities project. This builds on the IS4 stroke work in scope, scale and complexity.’

Adrian recently presented his team’s IS4 work on the ‘Acute Bundle of Care for Intracerebral Haemorrhage’(ABC-ICH) to the UK Stroke Forum which earned him the Warlow Prize.

The 2018 IS4L programme will begin again in June. Hosted by Haelo, IS4L partners include MAHSC as well as GMAHSN and NHS Quest.

The 2019 iteration of the programme is open for applications in December 2018 at a cost of £15,000. Teams are expected to identify funding before applying for the programe. NHS Quest members are able to put forward a team each year as a benefit of their membership.

See the prospectus and application form here.  Details on previous IS4 cohorts and their projects can be found here.

‘Quality improvement really flies when linked to data’ added Adrian. ‘IS4 cemented that realisation for me and has driven my determination to use rapid access to health data and analytics to benefit stroke patients.’

Also in Adrian’s IS4 team, developing the ABC-ICH approach, were fellow Salford Royal medics: Kyriaki Paroutoglou, Luca Cecchini, Hiren Patel and Mark Massyn.

One aspect of Adrian’s Connected Health Cities (CHC) project is to roll-out the ABC-ICH package to the two other Greater Manchester hyperacute stroke units in Stockport and Bury. This expansion is also being supported by a £75,000 award from the independent health care charity, the Health Foundation, as part of its Innovating for Improvement Programme.  Click here to read more about Adrian’s CHC work.

Content courtesy of MAHSC.

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