Jul 072016
 

Dr Gethin Pugh, Consultant in Anaesthesia & Intensive Care Medicine, Welsh School of Anaesthesia

What is Quality Improvement?Welsh Anaesthesia Seminar

Quality Improvement (QI), or Improvement Science, uses a systematic approach to design and implement changes in healthcare.  Knowledge of the methodology of QI is essential when considering improvements to the modern complex healthcare environment.  QI is also included as part of many postgraduate training curricula.

In March 2016, the AoMRC published its report: Quality Improvement – training for better outcomes, which sets out recommendations for quality improvement education and training.  The report has drawn together a wide range of organizations to align efforts to implement quality improvement training as a core competence in modern clinical practice, from undergraduate curricula through specialist curricula and beyond into Consultant practice.

The report represents a starting point for future development and aims to provide a structured framework to embed improvement methodology as a core competence for all doctors.

It is recognized that significant barriers remain, with a lack of parity in access to QI training and resources across organizations and specialties.  For many senior doctors and other members of the multi-professional team, the concept of QI remains a new idea.

The rotational nature of medical training means that doctors in training, working within multi-professional teams, are well placed to share areas of good practice and support QI development.

QI Training in Anaesthesia and Intensive Care Medicine in Wales

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement have developed a QI Training programme for both doctors in training and trainers, to provide high quality training in the principles of QI and access to QI training resources to support innovation and excellence in healthcare.

This programme aims to provide high quality QI Training through the use of interactive workshops for trainees and support the development of QI networks of both trainers and trainees across Wales.  Furthermore, it is hoped that as part of the programme, access to high quality QI projects will be enhanced and individuals will be well supported in developing their own projects.  The programme includes the courses outlined below:

Quality Improvement in Anaesthetics – a 2 Day Interactive Workshop for Specialty Trainees

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement offers an interactive workshop for trainees in Anaesthesia & Intensive Care Medicine in Wales.

The course provides the opportunity to learn from experts in quality improvement, who have experience of successful QI projects, to advance your own knowledge and skills in this area.

Candidates have the opportunity to develop their own QI project as part of the workshop, working in small groups to gain valuable hands on practical guidance.  Attendance at both days of the workshop and submission of a successfully completed project results in the award of IQT Silver Level Accreditation.

Feedback from delegates who attended the last workshop in 2015/2016:

‘Credible faculty full of useful information’

‘Really enthused me to do QI work’

‘Great reframing and moving on from audit, good interactive style’

Bronze Level Accreditation was completed via an e-learning package prior to attending the 2-day workshop.

As part of this programme, a further QI Training Workshop for specialty trainees in anaesthesia will be held this autumn.  Dates will be confirmed shortly and will be published on the Welsh School of Anaesthesia website.

Quality Improvement in Anaesthesia:  Introduction for Trainers (1 Day Course)

This 1-day introductory course for trainers focuses on the principles of Quality Improvement.

The course provides the opportunity for trainers in Anaesthesia in Wales to build on their knowledge of QI and its role as part of training in Anaesthesia and Intensive Care Medicine.

The course enables trainers to gain an understanding of the methodology and framework that underpins QI and its role in improving healthcare.  Participants will also have access to contacts with experience in this area that will be able to provide further support for QI initiatives locally.

Future areas for development:

As part of the ongoing development of the educational programme to support QI Training in Wales, there will be a number of new opportunities for trainers and trainees this autumn:

  • Welsh School of Anaesthesia Educational Supervisors Study Day, October 2016

The workshop will provide some background of the present scope of QI Training and provide the opportunity for trainers in Wales to gain an understanding of the methodology and framework of this developing area of postgraduate training, as part of an interactive workshop.

Society of Anaesthetists of Wales, Autumn Meeting, October 2016 will also include a presentation on QI Training in Anaesthesia in Wales by a member of the QI development programme, Dr. Katy Beard.

  • Working in partnership with other Specialty Schools to support QI Training in Wales

At present, members of the programme development team are working with the All Wales School of Emergency Medicine to develop a QI Training programme for Specialty trainees in Emergency Medicine.  This includes supporting trainers to develop a QI training network as well as mapping QI training areas against the requirements of postgraduate curricula.

Jul 072016
 

Dr Gethin Pugh, Ysgol Anaestheteg Cymru

Beth yw Gwella Ansawdd?Welsh Anaesth seminar

Mae Gwella Ansawdd (GA), neu Wyddor Gwella, yn defnyddio dull systematig o gynllunio newidiadau mewn gofal iechyd a’u rhoi ar waith.  Mae gwybodaeth am y fethodoleg GA yn hanfodol wrth ystyried gwelliannau i’r amgylchedd gofal iechyd cymhleth modern.  Mae GA hefyd yn cael ei gynnwys fel rhan o nifer o gwricwla hyfforddiant ôl-raddedig.

Ym mis Mawrth 2016, cyhoeddodd AoMRC ei adroddiad: Quality Improvement – training for better outcomes, sy’n nodi argymhellion ar gyfer addysg a hyfforddiant gwella ansawdd.  Mae’r adroddiad wedi dwyn ynghyd amrywiaeth eang o sefydliadau i gysoni ymdrechion i gynnwys hyfforddiant gwella ansawdd fel cymhwysedd craidd mewn ymarfer clinigol modern, o’r cwricwla israddedig i’r cwricwla arbenigol a thu hwnt i hynny i Ymgynghorwyr.

Mae’r adroddiad yn fan cychwyn ar gyfer datblygu yn y dyfodol a’i nod yw darparu fframwaith strwythuredig i ymgorffori methodoleg gwella fel cymhwysedd craidd ar gyfer pob meddyg.

Cydnabyddir bod rhwystrau sylweddol o hyd, gyda diffyg cydraddoldeb o ran mynediad i hyfforddiant ac adnoddau GA ar draws sefydliadau ac arbenigeddau.  I lawer o uwch feddygon ac aelodau eraill o’r tîm amlbroffesiynol, mae’r cysyniad o GA yn parhau i fod yn syniad newydd.

Mae natur gylchdro hyfforddiant meddygol yn golygu bod meddygon dan hyfforddiant, sy’n gweithio mewn timau amlbroffesiynol, mewn sefyllfa dda i rannu meysydd o arfer da a chefnogi datblygiad GA.

Hyfforddiant GA mewn Anaestheteg a Meddygaeth Gofal Dwys yng Nghymru

Mae Ysgol Anaestheteg Cymru, drwy weithio mewn partneriaeth â 1000 o Fywydau – Gwasanaeth Gwella, wedi datblygu rhaglen hyfforddi GA ar gyfer meddygon dan hyfforddiant a hyfforddwyr, i ddarparu hyfforddiant o ansawdd uchel mewn egwyddorion GA a mynediad i adnoddau hyfforddi GA i gefnogi arloesedd a rhagoriaeth mewn gofal iechyd.

Nod y rhaglen hon yw darparu hyfforddiant GA o ansawdd uchel drwy ddefnyddio gweithdai rhyngweithiol ar gyfer hyfforddeion a chefnogi datblygu rhwydweithiau GA o hyfforddwyr a hyfforddeion ar draws Cymru.  Ar ben hynny, y gobaith yw, fel rhan o’r rhaglen, y bydd mynediad i brosiectau GA o ansawdd uchel yn gwella a bydd unigolion yn cael cefnogaeth dda wrth ddatblygu eu prosiectau eu hunain.  Mae’r rhaglen yn cynnwys y cyrsiau a amlinellir isod:

Gwella Ansawdd mewn Anaestheteg – Gweithdy Rhyngweithiol Deuddydd i Hyfforddeion Arbenigol

Mae Ysgol Anaestheteg Cymru, drwy weithio mewn partneriaeth â Thîm 1000 o Fywydau – Gwasanaeth Gwella, yn cynnig gweithdy rhyngweithiol ar gyfer hyfforddeion mewn Anaestheteg a Meddygaeth Gofal Dwys yng Nghymru.

Mae’r cwrs yn cynnig y cyfle i ddysgu oddi wrth arbenigwyr mewn gwella ansawdd, sydd â phrofiad o brosiectau GA llwyddiannus, i hybu eich gwybodaeth a’ch sgiliau eich hun yn y maes hwn.

Caiff ymgeiswyr gyfle i ddatblygu eu prosiect GA eu hunain fel rhan o’r gweithdy, gan weithio mewn grwpiau bach i gael arweiniad ymarferol drwy brofiad uniongyrchol.  Drwy fynychu’r ddau ddiwrnod a chyflwyno prosiect a gwblhawyd yn  llwyddiannus cewch Achrediad IQT Lefel Arian.

Adborth gan y rhai a fynychodd y gweithdy diwethaf yn 2015/2016:

‘Cyfadran gredadwy sy’n llawn gwybodaeth ddefnyddiol’

‘Mae wedi tanio fy mrwdfrydedd i wneud gwaith GA’

‘Mae’n wych ail-fframio a symud ymlaen o waith archwilio, arddull rhyngweithiol dda’

Cwblhawyd Achrediad Lefel Efydd drwy becyn e-ddysgu cyn mynychu’r gweithdy 2 ddiwrnod.

Fel rhan o’r rhaglen hon, cynhelir Gweithdy Hyfforddi GA arall ar gyfer hyfforddeion arbenigol mewn anaestheteg yr hydref hwn.  Bydd y dyddiadau’n cael eu cadarnhau cyn bo hir ac yn cael eu cyhoeddi ar wefan Ysgol Anaestheteg Cymru.

Gwella Ansawdd mewn Anaestheteg:  Cyflwyniad i Hyfforddwyr (Cwrs Undydd)

Mae’r cwrs rhagarweiniol undydd hwn ar gyfer hyfforddwyr yn canolbwyntio ar egwyddorion Gwella Ansawdd.

Mae’r cwrs yn rhoi cyfle i hyfforddwyr mewn Anaestheteg yng Nghymru adeiladu ar eu gwybodaeth o GA a’i rôl fel rhan o hyfforddiant mewn Anaestheteg a Meddygaeth Gofal Dwys.

Mae’r cwrs yn galluogi hyfforddwyr i feithrin dealltwriaeth o’r fethodoleg a’r fframwaith sy’n sail i GA a’i rôl mewn gwella gofal iechyd.  Bydd cyfranogwyr hefyd yn cael mynediad at gysylltiadau â phrofiad yn y maes hwn a fydd yn gallu rhoi cymorth pellach ar gyfer mentrau GA yn lleol.

Meysydd i’w datblygu yn y dyfodol:

Fel rhan o ddatblygiad parhaus y rhaglen addysgol i gefnogi Hyfforddiant GA yng Nghymru, bydd nifer o gyfleoedd newydd i hyfforddwyr a hyfforddeion yr hydref hwn:

  • Diwrnod Astudio i Oruchwylwry Addysg gan Ysgol Anaestheteg Cymru, Hydref 2016

Bydd y gweithdy yn darparu rhywfaint o gefndir i’r Hyfforddiant GA presennol ac yn rhoi’r cyfle i hyfforddwyr yng Nghymru feithrin dealltwriaeth o fethodoleg a fframwaith y maes hwn o hyfforddiant ôl-raddedig sy’n datblygu, fel rhan o weithdy rhyngweithiol.

Bydd Cyfarfod Hydref Cymdeithas Anesthetyddion Cymru ym mis Hydref 2016 hefyd yn cynnwys cyflwyniad ar Hyfforddiant GA mewn Anaestheteg yng Nghymru gan aelod o’r rhaglen datblygu GA, Dr. Katy Beard.

  • Gweithio mewn partneriaeth ag Ysgolion Arbenigol eraill i gefnogi Hyfforddiant GA yng Nghymru

Ar hyn o bryd, mae aelodau o’r tîm datblygu rhaglenni yn gweithio gydag Ysgol Meddygaeth Frys Cymru Gyfan i ddatblygu rhaglen hyfforddi GA ar gyfer hyfforddeion Arbenigol mewn Meddygaeth Frys.  Mae hyn yn cynnwys cefnogi hyfforddwyr i ddatblygu rhwydwaith hyfforddiant GA yn ogystal â mapio meysydd hyfforddi yn erbyn gofynion cwricwla ôlraddedig.

May 202016
 
Stephanie Morris, Student Nurse at Bangor University

Stephanie Morris, Student Nurse at Bangor University

As a student nurse on clinical placement, I observed a service user disclose to an admitting nurse that he was homeless. He had become unwell as a result of excessive alcohol intake. During his hospital stay the service user repeatedly asked for help with housing, however no referrals or advice seeking calls were made to the Local Housing Authority or Voluntary sector. The service user’s medical needs were met during his hospital stay however he was unfortunately discharged to the streets as staff deemed him medically fit for discharge. This made me extremely sad and so I decided to explore the discharge process for homeless service users. The evidence in the literature identified that discharge to the streets is common and often due to a lack of nursing knowledge on the discharge process for this group which helped me to understand why staff may have made this decision.

As secretary of the Bangor University   Student Chapter I’ve been involved in quality improvement projects and this knowledge helped me to begin to think of ways in which services for the homeless could be improved. I began to consider areas for improvement and found that health promotion could be a method of raising awareness of

Health Promotion Display board at Health Centre

Health Promotion Display board at Health Centre

homelessness whilst improving attitudes towards this vulnerable group. I have since undertaken health promotion activities at a local health centre by designing and displaying a homeless health poster board to raise awareness and educate the staff on homelessness. I am an avid Twitter user and decided to use social media as a platform for sharing evidence, journals, news and updates on my project. This has proved to be beneficial in raising the profile for my project and connecting with other professionals undertaking work to improve outcomes for the homeless.

I have a keen interest in research and wanted to gain knowledge on homelessness that was inclusive of the views of the homeless individuals themselves to ensure my project had a strong evidence base. I approached a local homeless drop in centre with the idea of running art sessions for their homeless service users to provide a therapeutic service and gain knowledge to support my project. The managers of the centre were massively supportive and excited by my project and were keen to allow me to undertake this work. I now run weekly art therapy sessions to encourage service users to express themselves creatively and share their life experiences and stories during the sessions. I am using the art sessions as a method for data collection to find out their experiences as patients, and I’m learning a wealth of knowledge which I plan to use to improve the health services for homeless individuals. This project has taken off and has recently been funded by Betsi Cadwaladr Health board who are helping me to develop and use the knowledge I gain for quality improvement initiatives.

I could never have imagined how much the incident during my placement could have influenced me and my quality improvement journey. The art sessions I run have taught me so much about

Presenting my work at Bangor University Staff/Student Conference, 2015.

Presenting my work at Bangor University Staff/Student Conference, 2015.

homelessness and I am able to engage with the group that I wish so badly to help. A small idea which came about in my first year of nursing has now developed into a much bigger project where I feel I am making a difference to services for the homeless. I feel empowered and proud by how far I have come and excited for where this project will take me. I am hopeful for a brighter future and better health outcomes for this vulnerable group who are in desperate need of help.

Follow my project Health4Homeless on Twitter: @HHMatters

Apr 302016
 
Catrin Pink

Catrin Pink

The journey from Mid Wales to Gothenburg was a long and tiring one, but anticipation kept me going as an exciting 3 days lay ahead!

The hall was packed for the Forum’s opening plenary by Dr Don Berwick. This was a great introduction to quality improvement through “The Red Bead Game” which showed that no matter how hard you try to drive staff to improve, nothing will change unless improvements are made to the system they work in. The speech was engaging and by the end I really felt I had a better grasp of the science behind quality improvement, which prepared me for the rest of the conference.

One of the most intriguing sessions I attended was on Gamification – the application of motivators and ideas from videogames in real life situations. It’s generally accepted that there are different learning styles that suit different people, but this session highlighted the importance of the different ways to engage and motivate people. Some individuals are motivated by the end goal, such as the sense of accomplishment of achieving their aim or the reward received; others by the skills they learn along the way or the friends they make.

During the session we had to split ourselves into groups according to what motivated us and come up with solutions to some healthcare problems that we’d find appealing. It was great to hear the thoughts and ideas of individuals from different health professions with similar goals to mine and then have the opportunity work together to solve the problem. I even took the microphone and gave feedback to the rest of the groups, which was a bit nerve-wracking since there were so many people!

I heard so many inspirational and thought provoking quotes from different speakers throughout the conference, it was difficult during some sessions to keep up with writing all the good ideas and different perspectives down. One message that particularly stuck in my mind was: “If we can’t treat ourselves well, how can we treat our patients well?” because it highlighted the importance of good communication and care between staff members as the foundation of quality improvement.

Doctors Advancing Patient Safety (DAPS) held a session aimed at students and young healthcare professionals explaining that it’s easier for newly or ‘soon-to-be’ qualified staff to think outside the box because “they’re not even in the box yet”.  It’s important to remember that everyone’s ideas for improvement are valid, regardless of their status or role. DAPS also host a patient safety summer school for young allied health professionals, which is definitely something I’ll be looking into!

On top of all the interesting talks and presentations, Ashley, Ellie and I compared quality improvement between our three different health courses, and even managed to squeeze in a chance to explore the city. Given the opportunity to attend the Forum again, I’d go back in a heartbeat.

Apr 302016
 
myfyriwr radiograffeg ym Mhrifysgol Bangor

Catrin Pink, myfyriwr
radiograffeg ym Mhrifysgol Bangor

Roedd y daith o Ganolbarth Cymru i Gothenburg yn un hir a blinedig, ond roedd gwybod bod 3 diwrnod cyffrous o’m blaen yn fy nghadw i fynd.

Roedd y neuadd dan ei sang ar gyfer sesiwn lawn agoriadol y Fforwm gyda Dr Don Berwick. Roedd hwn yn gyflwyniad gwych i wella ansawdd drwy “The Red Bead Game” a ddangosodd waeth pa mor galed rydych yn ceisio ysgogi staff i wella, ni fydd dim yn newid oni bai bod gwelliannau’n cael eu gwneud i’r system y maent yn gweithio ynddi. Roedd yr araith yn ddiddorol iawn ac erbyn y diwedd roeddwn yn teimlo bod gennyf well dealltwriaeth o’r wyddor y tu ôl i wella ansawdd, gan fy mharatoi ar gyfer gweddill y gynhadledd.

Un o’r sesiynau mwyaf diddorol a fynychais oedd yr un ar Gêmeiddio (Gamification) – cymhwyso ysgogwyr a syniadau o gemau fideo i sefyllfaoedd go iawn. Derbynnir yn gyffredinol bod gwahanol ddulliau dysgu sy’n addas ar gyfer gwahanol bobl, ond amlygodd y sesiwn hon bwysigrwydd y gwahanol ffyrdd o ennyn diddordeb ac ysgogi pobl.

Mae rhai unigolion yn cael eu hysgogi gan y nod terfynol, megis yr ymdeimlad o gyflawniad yn sgil cyrraedd eu nod neu’r wobr a gânt; mae eraill yn cael eu hysgogi gan y sgiliau y maent yn eu dysgu ar hyd y ffordd neu’r ffrindiau a wnânt. Yn ystod y sesiwn roedd yn rhaid i ni ymrannu’n grwpiau yn ôl yr hyn sy’n ein hysgogi a dod o hyd i atebion i rai problemau gofal iechyd a fyddai’n apelio atom. Roedd yn wych clywed meddyliau a syniadau unigolion o broffesiynau iechyd gwahanol gyda nodau tebyg i mi, ac yna cael y cyfle i weithio gyda’n gilydd i ddatrys y broblem. Fe wnes i hyd yn oed gymryd y meicroffon a rhoi adborth i weddill y grŵp, a oedd yn brofiad brawychus gan fod cymaint o bobl yno!

Clywais gymaint o ddyfyniadau ysbrydoledig a oedd yn ysgogi’r meddwl gan siaradwyr gwahanol drwy gydol y gynhadledd, nes ei bod hi’n anodd cofnodi’r holl syniadau da a’r gwahanol safbwyntiau mewn rhai sesiynau. Un neges benodol a arhosodd yn y cof oedd: “Os na allwn drin ein hunain yn dda, sut gallwn ni drin ein cleifion yn dda?” oherwydd roedd yn tynnu sylw at bwysigrwydd cyfathrebu da a gofal rhwng aelodau o staff fel sylfaen ar gyfer gwella ansawdd.

Cynhaliodd Meddygon yn Hyrwyddo Diogelwch Cleifion (DAPS) sesiwn wedi’i hanelu at fyfyrwyr a gweithwyr gofal iechyd proffesiynol ifanc gan egluro ei bod yn haws i staff sydd newydd gymhwyso neu sydd ar fin cymhwyso feddwl y tu allan i’r bocs oherwydd “dydyn nhw ddim hyd yn oed yn y bocs eto”. Mae’n bwysig cofio bod syniadau pawb ar gyfer gwella yn ddilys, beth bynnag eu statws neu’u rôl. Mae DAPS hefyd yn cynnal ysgol haf ar ddiogelwch cleifion i weithwyr proffesiynol perthynol i iechyd ifanc, ac mi fyddaf yn bendant yn edrych i mewn i hyn!

Yn ogystal â’r holl sgyrsiau a chyflwyniadau diddorol, aeth Ashley, Ellie a minnau ati i gymharu astudiaethau gwella ansawdd yn ein tri chwrs iechyd gwahanol, a hyd yn oed llwyddo i gael cyfle i grwydro o amgylch y ddinas. Pe bawn yn cael y cyfle i fynychu’r Fforwm eto, byddwn yn neidio ato heb feddwl ddwywaith.

Apr 292016
 

First in a series of three blogs by the student winners of our “Ask One Question” competition, Ellie Whittaker describes her experience at the International Forum on Quality and Safety in Gothenburg.


Ellie Whittaker

Ellie Whittaker

What an experience! I feel so privileged to have been given the opportunity to go to this year’s International Forum on Quality and Safety in Healthcare in Gothenburg. The speakers, the sessions, the venue and setting provided the perfect setting for me to get my first insight into quality improvement.

We, all 3300 delegates, were introduced to the Model for Improvement in the opening keynote, presented by Dr Donald Berwick, a very engaging and inspirational speaker!

Each day, we were presented with new and innovative ways that people all over the world had been working on, to improve the quality of their healthcare system. In Copenhagen they are encouraging patients with mental health illnesses to engage with their own care. They asked the patients; ‘What does dignity mean to you?’ allowing for improved patient centred care and to reduce the number of restraints used.

In Malawi, they had created a mobile app to be used by Health Surveillance Assistants to monitor the health of newborn babies in the community, rather than keep them all in hospital. This app was already starting to improve infant mortality rates. I was in awe that a developing country could be so forward thinking and felt inspired to start my own project.

After listening to the speakers, I attended the student and junior sessions, meeting junior professionals from Australia, Copenhagen and Sweden. I was fortunate to spend the evening with two students from Australia and Manchester, sharing ideas and thoughts on the healthcare in our different countries.

Ellie 2Ellie 1  Ellie 3

In the evenings we also got the opportunity to do some exploring of the city of Gothenburg. After crossing over the many cycle, pedestrian, tram lanes we found the harbour and some lovely places to eat.

On the final day we heard from Maureen Bisognano who empowered us to ask our patients ‘What matters to you?’ which is such a short easy question that can allow us to provide more personal care specific to those we’re providing care to. And from her final plenary I learnt that working multi-professionally, in a multigenerational team with a holistic mindset will allow us to improve the quality of care we provide to patients.

Thank you 1000 Lives Improvement for such an amazing experience!

 

Apr 292016
 
Ellie Whittaker

Ellie Whittaker

Am brofiad! Rwy’n teimlo mor freintiedig o fod wedi cael y cyfle i fynd i’r Fforwm Rhyngwladol ar Ansawdd a Diogelwch mewn Gofal Iechyd yn Gothenburg eleni. Roedd y siaradwyr, y sesiynau, yr adeilad a’r lleoliad yn berffaith i mi gael fy nghipolwg cyntaf ar wella ansawdd.

Cafodd pob un o’r 3300 o gynadleddwyr eu cyflwyno i’r Model Gwella yn yr araith agoriadol, a gyflwynwyd gan Dr Donald Berwick, siaradwr diddorol ac ysbrydoledig iawn!

Bob dydd, cawsom ein cyflwyno i ffyrdd newydd ac arloesol y mae pobl ledled y byd wedi bod yn gweithio arnynt er mwyn gwella ansawdd eu system gofal iechyd. Yn Copenhagen maent yn annog cleifion â salwch meddwl i gymryd rhan yn eu gofal eu hunain. Maent yn gofyn i’r cleifion; ‘Beth mae urddas yn ei olygu i chi?’ gan wella gofal sy’n canolbwyntio ar y claf a lleihau’r technegau ataliaeth a ddefnyddir.

Ym Malawi, roeddent wedi creu ap symudol i Gynorthwywyr Arolygu Iechyd ei ddefnyddio i fonitro iechyd babanod newydd-anedig yn y gymuned, yn hytrach na’u cadw yn yr ysbyty. Roedd yr ap hwn eisoes yn dechrau lleihau cyfraddau marwolaeth ymysg babanod. Roeddwn wedi fy syfrdanu y gallai gwlad sy’n datblygu fod mor flaengar a rhoddodd ysbrydoliaeth i mi ddechrau fy mhrosiect fy hun.

Ar ôl gwrando ar y siaradwyr, mynychais y sesiynau i fyfyrwyr a gweithwyr iau, gan gwrdd â phobl broffesiynol iau o Awstralia, Copenhagen a Sweden. Roeddwn yn ffodus o dreulio’r noson gyda dau fyfyriwr o Awstralia a Manceinion, gan rannu syniadau a meddyliau am y gofal iechyd yn ein gwledydd gwahanol.

Ellie 2Ellie 1 Ellie 3

Gyda’r nos cawsom hefyd gyfle i grwydro o amgylch dinas Gothenburg. Ar ôl croesi nifer o lonydd beicio, llwybrau cerdded a llinellau tram, daethom o hyd i’r harbwr a lleoedd hyfryd i fwyta.

Ar y diwrnod olaf clywsom gan Maureen Bisognano a wnaeth ein grymuso i ofyn i’n cleifion ‘Beth sy’n bwysig i chi?’ sy’n gwestiwn byr hawdd sy’n caniatáu i ni ddarparu mwy o ofal personol penodol i’r rhai rydym yn darparu gofal iddynt. Ac o’r sesiwn lawn olaf, dysgais y bydd gweithio amlbroffesiwn, mewn tîm sy’n cynnwys nifer o genedlaethau a meddylfryd holistaidd yn ein galluogi i wella ansawdd y gofal a ddarparwn i gleifion.

Diolch yn fawr 1000 o Fywydau – Gwasanaeth Gwella am brofiad anhygoel!

 

Apr 082016
 
Claire Roche, Maternity Network Wales manager

Claire Roche, Maternity Network Wales manager

A few weeks have now passed since the “Better Together” conference held on the 17th March in Cardiff which has allowed some time for reflection on our first collaborative national maternity conference in Wales.

As the Maternity Network Manager, it was a real privilege to work in partnership with my colleagues in the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists. Certainly the months and weeks leading up to the conference were extremely busy and I learnt that organising a large event takes a lot of time, requires a huge amount of planning and most importantly cannot be done in isolation! It requires partnerships and good team work and the hard work of the Programme Support Team in 1000 Lives, RCM colleagues and key network members enabled us to achieve things together.

Essentially, as a conference planning team we were “Better Together”!

During the day, there was a positive energy and a real buzz of enthusiasm and commitment. Many colleagues I talked to on the day valued the contribution of speakers such as Dr Bill Kirkup, Professor Cathy Warwick and Professor Alan Cameron. People spoke to me of the value of hearing colleagues from the RCM and RCOG present the colleges’ collaborative work together and they also valued being at a multi-disciplinary conference where the focus was on maternity care, rather than midwifery or obstetrics in isolation.

Concurrent sessions were delivered by a midwife and doctor; obstetrician or anaesthetist, standing together presenting their work. The presentations were informative, interesting and inspirational. It seemed to me that the presenters were also “Better Together”.

Maternity Network Wales is now over a year old. I feel that the conference was a little bit like our first birthday party with lots of friends! We have developed strong relationships with the RCM, the RCOG, Health Boards, Universities and many other stakeholders involved in maternity services in Wales. We are committed to building and nurturing these relationships and developing new relationships that aim to work together to improve outcomes for mothers and babies in Wales. We know that positive, professional, collaborative partnerships create cultures where patient safety and quality improvement are central to the core value of the service. Without the foundation of a positive culture where different professions value each other, improvements in care will be difficult to achieve.

Let’s build on the values of the conference. Let’s be committed to all working together to create, maintain and nurture positive cultures that will be responsive and ready for quality improvement programmes that focus on patient safety and improved outcomes for mothers and babies. As the network manager, I commit that the network will continue to work in partnership with all those that either use or provide maternity care. Ask yourself, your team, your organisation – what will you commit to?

Remember, we are “Better Together”.

Apr 082016
 
Claire Roche, Rheolwr Rhwydwaith Mamolaeth Cymru

Claire Roche, Rheolwr Rhwydwaith Mamolaeth Cymru

Mae ychydig wythnosau wedi mynd heibio bellach ers y gynhadledd “Gweithio’n Well Gyda’n Gilydd” a gynhaliwyd ar 17eg Mawrth yng Nghaerdydd ac mae hyn wedi rhoi amser i mi fyfyrio ar ein cyd-gynhadledd mamolaeth genedlaethol gyntaf yng Nghymru.

Fel Rheolwr y Rhwydwaith Mamolaeth, roedd yn fraint gweithio mewn partneriaeth â’m cydweithwyr yng Ngholeg Brenhinol y Bydwragedd a Choleg Brenhinol yr Obstetryddion a’r Gynaecolegwyr. Yn sicr roedd y misoedd a’r wythnosau cyn y gynhadledd yn rhai prysur iawn a dysgais fod trefnu digwyddiad mawr yn cymryd llawer o amser, bod angen llawer iawn o waith cynllunio ac yn bwysicach na dim, na ellir ei wneud ar eich pen eich hun! Mae’n gofyn am bartneriaethau a gwaith tîm da a thrwy waith caled Tîm Cymorth Rhaglenni 1000 o Fywydau, cydweithwyr yng Ngholeg Brenhinol y Bydwragedd ac aelodau allweddol o’r rhwydwaith bu modd i ni gyflawni pethau gyda’n gilydd.

Yn y bôn, fel tîm cynllunio’r gynhadledd roeddem yn “Gweithio’n Well Gyda’n Gilydd”!

Yn ystod y dydd, gwelwyd egni cadarnhaol ynghyd â brwdfrydedd ac ymrwymiad. Roedd llawer o’r cydweithwyr y siaradais â nhw ar y diwrnod yn gwerthfawrogi cyfraniad siaradwyr fel Dr Bill Kirkup, yr Athro Cathy Warwick a’r Athro Alan Cameron. Soniodd pobl wrthyf am werth clywed cydweithwyr o Goleg Brenhinol y Bydwragedd a Choleg Brenhinol yr Obstetryddion a’r Gynaecolegwyr yn gwneud cyflwyniad ar y gwaith a wneir ar y cyd rhwng y colegau ac roeddent hefyd yn gwerthfawrogi bod mewn cynhadledd amlddisgyblaethol lle roedd y ffocws ar ofal mamolaeth, yn hytrach na bydwreigiaeth neu obstetreg yn unig.

Cynhaliwyd sesiynau cydamserol gan fydwraig a meddyg; obstetrydd neu anesthetydd, yn cyflwyno eu gwaith ochr yn ochr. Roedd y cyflwyniadau yn addysgiadol, yn ddiddorol ac yn ysbrydoledig. Roedd yn ymddangos i mi fod y cyflwynwyr hefyd yn “Gweithio’n Well Gyda’i Gilydd”.

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Mae Rhwydwaith Mamolaeth Cymru bellach dros flwydd oed. Rwy’n teimlo bod y gynhadledd ychydig fel parti pen-blwydd cyntaf gyda llawer o ffrindiau! Rydym wedi datblygu perthynas gref gyda Choleg Brenhinol y Bydwragedd, Coleg Brenhinol yr Obstetryddion a’r Gynaecolegwyr, Byrddau

Iechyd, Prifysgolion a llawer o randdeiliaid eraill sy’n ymwneud â gwasanaethau mamolaeth yng Nghymru. Rydym wedi ymrwymo i ddatblygu a meithrin y cysylltiadau hyn a datblygu cysylltiadau newydd gan anelu at weithio gyda’n gilydd i wella canlyniadau i famau a babanod yng Nghymru. Gwyddom fod partneriaethau cadarnhaol, proffesiynol, cydweithredol yn creu diwylliannau lle mae diogelwch cleifion a gwella ansawdd yn ganolog i werthoedd craidd y gwasanaeth. Heb ddiwylliant cadarnhaol lle mae gwahanol broffesiynau yn gwerthfawrogi ei gilydd, bydd yn anodd cyflawni gwelliannau mewn gofal.

Gadewch i ni adeiladu ar werthoedd y gynhadledd. Gadewch i bawb ohonom ymrwymo i weithio gyda’n gilydd i greu, cynnal a meithrin diwylliannau cadarnhaol a fydd yn ymatebol ac yn barod am raglenni gwella ansawdd sy’n canolbwyntio ar ddiogelwch cleifion a gwella canlyniadau i famau a babanod. Fel rheolwr y rhwydwaith, rwy’n ymrwymo i sicrhau y bydd y rhwydwaith yn parhau i weithio mewn partneriaeth â phawb sydd naill ai’n defnyddio neu’n darparu gofal mamolaeth. Gofynnwch i chi eich hun, eich tîm, eich sefydliad – beth fydd eich ymrwymiad chi?

Cofiwch, rydym yn “Gweithio’n Well Gyda’n Gilydd”.

Mar 312016
 
Francesca Elner

Francesca Elner

As a member of Bangor University’s Student Chapter, I was given the opportunity to attend the Quality Checks in Healthcare event in November 2015. The event described the genesis of the Quality Checks Toolkit and a number of healthcare professionals discussed how they use it to improve the care they deliver.

For those of you who don’t know already, the Toolkit was developed following the Trusted to Care Review in 2014 which highlighted fundamental areas of care that needed focus and attention. The Toolkit has been designed to be used as a kind of internal informal audit tool to enable staff rather than penalise.

The initial event in November inspired me as I realised how far-reaching the Toolkit’s uses could be – especially for students! As a student nurse I am writing my dissertation on an area of improvement, and I believe that this Toolkit could be used by fellow students to highlight an area upon which they could focus their improvement idea.

Following the event, I was invited to become a member of the Quality Checks in Healthcare Steering Group, attending my  first meeting in January. It was such a  privilege to be asked to be involved and exciting that the Steering Group value student input into the Toolkit’s use.

Having recently been a part of an NMC consultation into preparedness for practice, I feel that there might be scope for the Toolkit to be used to facilitate the ‘student-mentor’ relationship on placements. Mentors could use the Toolkit alongside their students to show areas of good practice and focus on the fundamentals in a structured way, and the Toolkit would be a great way for students to familiarise themselves with key areas of care and patient safety.

So, if you aren’t already familiar with the Quality Checks in Healthcare Toolkit, whether you are a student or qualified professional, please go and check it out! It is simple, easy to follow and can only enhance current practice in an informal and supportive way. And if you are a student, it’s a great way to support your placement learning experience and focus on the people that really matter – patients!

Francesca Elner; Third year nursing student at Bangor University, RCN Student Committee Member for Wales, Member of Bangor University’s School of Healthcare Sciences 1000Lives Student Chapter, President of Bangor University’s Nursing Society, Bangor University’s adult nursing representative on the Wales Health Student Forum