Leaders Making Safety Visible

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A successful third and final Making Safety Visible learning session saw teams build the skill and will to execute a shared safety ambition for the future of their local population.

Dedicated teams made up from Greater Manchester’s North East Sector; Oldham, Bury, North Manchester and Rochdale, were welcomed by Dr Chris Brookes, Medical Director for the Northern Care Alliance and Abigail Harrison, Director of Innovation at Haelo.

 

We were delighted to host a range of fantastic speakers who challenged teams to think differently about safety, moving from a focus on the past, to safety in real time through to prediction and prevention structured by the Measurement and Monitoring of Safety Framework.

First up and complementing the previous session where Prof Singh presented on the prevention and early diagnosis of frailty, Prof Martin Vernon, NHS England, presented on prevention and prediction to improve the system flow and outcomes for older people living with frailty.

Martin posed how we maximise the opportunity for gain to benefit the people who are the most at risk, when there is robust evidence to suggest that older people are not safe in care. He outlined his ambition that, wherever you sit in the system you can identify someone with frailty and/or a cognitive impairment, assess and give the right direction through evidence based stratifying of patients and the ability to predict outcomes

When asked for his top three pieces of advice for system leaders, Martin listed: acute frailty assessments, the need to build intermediate care and prevention of falls. Closing on a bonus point, that whatever you do, measure!

During the day, teams presented the progress of their projects to date, reflecting on their aims, drivers and measures but also the benefits and challenges of being leaders getting to know various colleagues across the system, learning about opposing views and the opportunity for those debates.

It was then turn for Hugh McCaughey, CEO Southern Eastern Health and Social Care Trust, who got leaders to think differently about what success looks like and asking the group to consider the difference between the urgent and the important.

Hugh shared details of the SEHSCT Safety, Quality, Experience programme – or SQE – to help staff try their improvement ideas which aimed to transfer the culture of the organisation, a great example of bottom up quality improvement. He also shared his learning from working in an integrated system including his personal learning about system leadership and gave an overview of their strategy to move meaningfully toward prevention and a focus on health.

Tony Chambers, CEO at Countess of Chester Hospital and alumnus of the first Making Safety Visible Programme presented the ‘Model Hospital’, a pioneering scheme that combines technology, culture and real time data to move the hospital into the digital world. The high tech tracking system enable the location and status of patients, staff and equipment to be known at any moment in time. Itis expected to improve safety and patient flow but also increase accountability and transparency.

And finally, Michael West, Head of Thought Leadership at The King’s Fund shared his lessons on compassionate leadership in buildingcultures of innovation. He challenged leaders to think about the health and wellbeing of the people who are looking after others health and wellbeing.

West expressed how system leaders who embody compassion can create the conditions for innovation by attending, understanding, empathising and helping, which in turn can encourage staff to use these behaviours to deliver quality compassionate care. He also highlighted the importance of team work stating evidence that proved teams that regularly take time out to reflect and develop their shared goals are much more effective

Elaine Inglesby, Chief Nurse, Northern Care Alliance, closed the day by exploring the benefits of the programme in supporting the teams to agree a shared vision for their locaility and , in learning together whilst building relationships across localities and the whole sector. She talked about some of the key themes that had emerged on this final session, for example around information governance and reminded the group that ‘we are the system leaders than can make this happen’. She also talked about the focus on frailty that had surfaced and all agreed that there was value in this group of system leaders continuing to work together.

We will be pulling together a review of the programme and we hope this won’t be the last you’ll hear Making Safety Visible or the fantastic teams from the Greater Manchester North East Sector.

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