Making Safety Visible 2.0 LS2

Content

In September, Haelo hosted the second learning session of Making Safety Visible (MSV) for the Greater Manchester North East Sector

Health and social care leaders from Oldham, Bury, Rochdale and North Manchester make up the four locality teams.

The programme is underpinned by the ‘Measuring and Monitoring of Safety’ framework (Vincent 2012) as core content and will be pushing leaders to think differently about safety moving from a focus on the past, to safety in real time.

Learning Session Two

The event was opened by Prof Matt Makin, Medical Director of The Pennine Acute Hospitals NHS and member of the North locality group. Matt shared his thoughts on the focus of the learning session and the work we’re doing together to develop methods of safety, operating across a hugely complex system.

In the first learning session, we began with a spotlight on dementia to highlight a segment of the population and their interactions with the health care system. Following a recap from Abigail Harrison, Director of Innovation at Haelo, we began the second session with a focus on frailty.

Prof Iqbal Singh, consultant physician in medicine for the elderly, East Lancs Hospitals Trust opened with a short film, Brenda’s Story, before presenting on frailty as a condition.

In the film we hear about an issue that Brenda, like many other patients like her, faces on a day-to-day basis when living with multiple conditions to manage her medicines safely, while still trying to remain independent.

We then welcomed Carl McCrae, social psychologist, Senior Research Fellow at Imperial College London, and a Health Foundation Improvement Science Fellow, who presented a session on achieving high reliability learning from other industries. Together we explored where reliability sits within the MMS framework and it’s impact in high pressure environments, “a key characteristic of high reliability orgs – deeply standardised and structured and deeply adaptive and flexible”.

Our next session was presented by Wendy Lewis, Advanced Improvement Practitioner and Flow Programme Lead at AQuA. Wendy spoke about their complex journey reading and listening to members to understand what flow means to them.

Dedicated time for group work was allocated throughout the day which gave locality teams protected time to develop their plan, to break down the topics and lessons learnt from the day and to apply to this to their projects to highlight areas which require work before we meet again in November, for learning session three.

The learning session also gave the four locality teams time to present back to the room on their journey so far, including their aim, driver diagram and key measures. Oldham’s focus was on falls and the pressure on the health and social care system. The Bury team presented their progress exploring mental health waiting time and discharge. North were also focused on delayed discharges, whilst Rochdale presented their work on reducing NWAS calls that result in admission from care homes.

Dr Suzette Woodward, an internationally respected patient safety expert and director of the Sign up to Safety Campaign joined the event to explore learning across the system and how we get people to learn together more intelligently from both harm and excellence.

Suzette asked teams to think about their organisation – Are your staff able to speak out? Are we listening? Are we responding and do our actions keep people safe?

We were delighted to have Jim Easton Managing Director, Healthcare at Care UK, join as our keynote and final speaker of the day spoke about innovation in the NHS and challenged us to think about how technology can be used to radically rethink our current models of care.

After 26 years in the NHS, Jim described the NHS as a ‘wonderful and precious thing that we need to think hard and innovatively to protect’. Despite working conditions being difficult, we can struggle to change our processes and innovation is hard. Jim used a GP care model as an example of how to innovatively transform the service using technology, handing the control back to the patient.

Sir David Dalton CEO The Pennine Acute Hospitals NHS Trust closed by reflecting on the day. David spoke about Jim’s session as it “provoked challenge, making change can be hard and difficult, so we often struggle to think of new ways rather than optimising what we already have.”

Teams are tasked to explore the discussion points in the next action period before we met again in November for learning session three. There’s work to be done but it’s exciting to see the work that’s been done from discovery to today – the relationships that have been formed and the progress made.

 

 

Resources

Access the event Prezi

Measuring and Monitoring of Safety’ framework (Vincent 2012)

Whole System Flow

AQuA whole system flow and further reading

Health Foundation and AQuA report: The challenge and potential of hole system flow

Learning across the system

The problem with incident reporting, BMJ report Carl Macrae

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