May 152014
 
Liz Smith

Liz Smith

There was something different about this year’s Quality Forum and it took me a poster tour to work out what it was.

As an abstract reviewer, when that 5 pm deadline in November looms and my inbox becomes full, I am always inspired by the number and variety of proposals people submit. The way these abstracts are written is important; they need to make people say, “Tell me more”.

And that’s the same with the sights and sounds you are bombarded with from all the stands at the Forum. They need to grab your attention and draw you in. They need to make you want to hear more.

This year, I agreed to host a number of the poster tours. These involve moving between posters stands and giving a few minutes to each presenter to share the work they came to display and discuss, and to take any questions. There had been thousands of submissions from people who wanted to share their work on a poster at the forum, and only 700 had been accepted. Continue reading »

Mar 032014
 

A member of our student community, Ilaria Pignatelli, is the Campaign Manager for Ask One Question. She tells us about their simple pledge for NHS Change Day.

Ilaria Pignatelli

Ilaria Pignatelli

We ask a lot of questions through medical school. History taking and skills practice bring up some valid questions, but are we always asking the right ones?

The thought of visiting hospital can be a scary and unpleasant experience for many patients, so after asking all the routine questions; why not ask: “What can I do to improve your stay?”

The Ask One Question campaign is doing just that. It’s a world-wide, student-led healthcare improvement initiative, encouraging students to ask their patients: “What can I do to improve your stay?” and, when possible, act on their requests. It was started by students in Cardiff who have already gained recognition outside of Wales.1, 2 Continue reading »

Feb 252014
 

Marc Franklin reflects on the Institute for Healthcare Improvement’s National Forum in Florida, and thinks about some of the lessons he left with.

Joshua Kovoor, Dr Andy Carson-Stevens, Marc Franklin, Don Berwick, Gney Mehta, Amy Butlin, Hope Ward, and Beth McIldowie at the IHI Open School Congress

Above: Joshua Kovoor, Dr Andy Carson-Stevens, Marc Franklin, Don Berwick, Gney Mehta, Amy Butlin, Hope Ward, and Beth McIldowie at the IHI Open School Congress

Just before Christmas, along with  five other members of the 1000 Lives Student and Educator Community and the Cardiff Medics Student-Patient Chapter, I headed for Orlando, Florida to attend the Institute for Healthcare Improvement’s 25th Annual National Forum on Quality Improvement in Healthcare. We boarded the plane excited to join over 5000 other delegates, and join the discussion on patient safety and quality improvement.

We began by attending the Institute for Healthcare Improvement (IHI) Open School Chapter Congress, along with many of the Forum’s other student delegates from universities around the world. Don Berwick (President Emeritus and Senior Fellow at the IHI), who led the Congress, emphasised the importance of students approaching healthcare systems with “fresh eyes”, and the significance of students’ position as the future of healthcare.

We were then set the modest task of saving the NHS £1 billion! We worked together to put forward a suggestion for quality improvement – our idea was  moving away from the use of non-essential sterile swabs when cannulating a patient, toward the use of cheaper, non-sterile swabs. This was an idea which had the potential to make real savings, and it shows that a small change has the possibility of making a big impact. Continue reading »

Dec 162013
 
Mike Spencer

Mike Spencer

Here’s a challenge. How do we best make sure patients get person-centred care at a time when resources in the whole of the public sector are being stretched? Part of the answer lies in co-production, something that is currently being widely talked about in Wales.

 If a part of the healthcare system is outdated, cluttered, or simply not providing person-centred care, among the first to notice this will be patients. When we’re working within an already established system, it can sometimes be hard to see how things could be done differently.

Continue reading »

Nov 282013
 

Some thoughts from the All Party Parliamentary Group on Sepsis

Chris Hancock

Chris Hancock

To Westminster again. Although not, this time, by bike. And without Boris Johnson to meet us. Instead I was privileged to be representing the National Outreach Forum in Wales at the inaugural meeting of the All Party Parliamentary Group on Sepsis. Continue reading »

Oct 282013
 
Alison Strode

Alison Strode

Over 4,500 Allied Health Professionals (AHPs) work in NHS Wales and there are a significant number working in other public services in Wales, including social care and education and in the private and charitable sectors. AHPs are part of multi-disciplinary team across the country, and are increasingly involved at the interface between primary and secondary care.With the increased emphasis on a common language and consistent approach to improvement in NHS Wales, it is very important for all AHPs to understand how to lead or support quality improvement initiatives.

1000 Lives Plus has published a new version of its Quality Improvement Guide, specifically aimed at AHPs. It contains some examples of how the improvement methodology has been applied in physiotherapy and dietetics. Continue reading »

Aug 072013
 
Dr Alan Willson

Dr Alan Willson

Dr Don Berwick is a physician, a professor, a leader in patient safety, an inspiration. He is also a good friend of Wales, having been involved as long ago as 2006, helping to create ‘Designed to Deliver’, the Quality Improvement Plan (QUIP), which led to the 1000 Lives Campaign among other things. I have heard him speak several times in Wales on the need to put patient safety at the forefront of our thinking, to adopt quality improvement as the only way forward, and to believe that we can build a better health service for all. Continue reading »

Jul 192013
 
Helen Birtwhistle

Helen Birtwhistle

When I listened to some of the hugely innovative work that was honoured in the recent NHS Wales Awards, it struck me that out of austerity can come opportunity.

I know that these are tough financial times for the NHS, with savings expected year on year, but it does make us examine what we are doing more closely and at all levels.

This is a time to work smarter and to make the best use of the resources we do have to deliver the best possible care to patients wherever they are in Wales. Continue reading »

May 242013
 
Angela Williams

Angela Williams

Student nurses are best placed to be able to influence the delivery of a quality based health service and promote a ‘can do’ culture. I have confidence in saying this, as when the students start their career as a student nurse they have a genuine curiosity to find out why care is delivered in the way that it is.

‘Put the patients first’ said Robert Francis QC at the Quality Forum, in London. Students are taught to do this early on in the curriculum from a theoretical and clinical perspective – to support this observation 1000 Lives Plus promotes a person centred care approach which is central to all module sessions taught in Glyndŵr University. Continue reading »

Apr 182013
 
Waikitt Chee

Waikitt Chee

I have been fortunate to attend the BMJ/IHI International Forum this week thanks to 1000 Lives Plus. After day one of the Forum, I am really inspired after listening to ideas from around the world about healthcare improvement projects.  

One session explored how you can improve both the quality and efficiency of a service, yet save cost at the same time. It sounded impossible to me before I learnt about the Aravind Eye Care System from Dr Ravindran, one of the keynote speakers.

Continue reading »