- Experience-Based Co-Design or improving quality with (not just for) patients (Catherine Dale)
- Can a peer led co-produced approach to evaluation and research compete with the “academic rigour” of the randomised control trial? – learning from our Q Exchange project (Phil Walters, Creative Minds)
- Recruiting for coproduction: planning and support with honesty – learning from our Q Exchange project (Jono Broad, South West AHSN)
- Using Appreciative Inquiry (Anna Burhouse)
- “Using ‘the cube’ technique to explore how to embed coproduction in organisational culture” (Cecily Hollingworth & Helen Lee)
- Let’s go Co-Pro – the do’s and don’ts of successful co-production (Carol Munt)
- Leadership for coproduction in improvement (John Towers)
- Topic TBC (Natalie Creary, Black Thrive)
- Host your own conversation (free space)
Sessions
Please note that some sessions in Hall 1 will be live streamed throughout the day, including the opening and closing plenaries.
1A. Building organisational and system-wide approaches to improvement
Bryan Jones, Dr Amar Shah & Dr Neil Goulbourne
Drawing on the Health Foundation’s recent publication, The Improvement Journey, members will learn about the key elements and steps involved in an organisational approach to improvement.
We will hear from two trusts at different stages of their improvement journey. Members will also have the chance to share their own organisational improvement experiences.
1B. Lego serious play - building a new model of outpatient care
Outpatient care continues to be a significant component of healthcare delivery. However, how that care is delivered has changed little since the creation of the NHS in 1947.
In this session, members will experience Lego Serious Play methods to facilitate a conversation around building new models of outpatient care. This innovative methodology is designed to promote creative thinking and communication.
Can you actively contribute to building a different view of what outpatient care could look like in the future? Using Lego Serious Play methodology we will build new models for outpatient services.
1C. Confronting the big issues: improving the environmental sustainability of the NHS
Francis Mortimer & Maria van Hove
How can we apply current issues around climate change to tackle sustainability within the NHS, and what does the health care system contribute to climate change?
This session will explore how quality improvers can play a role in tackling this issue, and members will leave with tools and practical ideas they can apply in their roles.
Charlotte Augst & Anna Burhouse
Battlebridge 10:30am - 11:30am
Bringing together people who are enthusiastic about working collaboratively to improve care, this session will allow members to share their experience of co-producing improvements with patients, service users and communities.
We will explore practical tips and learning that can be used by teams and organisations to ensure that improvements in care are co-produced. We will also provide space to consider how Q members and the Q community can (individually and collectively) build momentum and enthusiasm for co-production as a core element of all improvement work.
There will be a group exercise followed by a choice of table discussions and activities on the following topics. Please have a think in advance what table you would like to join.
Ruth Glassborow, Dr Shanti Vijayaraghavan & Professor Asma Khalil
Through the lens of real-world projects, this session will explore the implementation and use of digital technology in the health care system. It will highlight the role that improvement and system change ideas and methods can play and provide practical advice for anyone running or planning a digital technology project in their own organisation.
2B. Design ideas and skills for improvers
Stacey Lally, Ben Holliday & Carolyn Barkin
“Quality improvement is about making healthcare safe, effective, patient-centred, timely, efficient and equitable.” – Health Foundation
“Design is a human-centred approach that integrates the needs of people, the possibilities of technology, and the requirements of organisations to deliver the best social outcomes.” – FutureGov
We believe there is value is applying a design mindset to quality improvement approaches aiming to unlock potential and place patients and staff at the centre of the improvement process, to test and learn quickly in a low risk environment, and to make use of the 21st century technology and systems to improve health services and processes.
In this workshop, FutureGov will be introducing design principles, approaches and models, and showing how these could be applied to improvement processes. These will be brought to life through case studies and interactive activities, Members will be encouraged to explore a fresh mindset and alternative ways of working when approaching improvement.
2C. Improving care - collaboratively and creatively - across mental and physical health
Find out what Q Lab and Mind have been learning from their work together exploring how care can be improved across mental health and persistent pain. Hear how members have been working with the Q Lab and adopting new approaches to developing and testing ideas to improve care. Using creative methods, we’ll also explore what makes success possible when working collaboratively in health and care.
The Q Improvement Lab brings people and organisations together to explore, develop and test ideas to make progress on health and care challenges. The Q Lab’s current project, in partnership with Mind – the mental health charity - focuses on how care can be improved across mental health and persistent back and neck pain.
2D. Navigating power and politics in health and service change
Will Warburton, Professor Justin Waring & Dr Cheryl Crocker
How do things actually get done? Some of the best-laid improvement plans have foundered on the rocks of organisational power and politics. This interactive session will equip members with ways to navigate power and politics in service change, and offer an opportunity to shape the future of NHS leadership programmes.
Improvement efforts often run aground due to competing interests and the informal power of professional groups. Alongside quality improvement skills, improvers need to navigate organisational politics and deploy astuteness to achieve their goals. This session will offer a framework for thinking about power and politics. It will include space for individual reflection and development of practical tools, drawing on Q members’ experience of leading improvement. Outputs from the session will inform research shaping future NHS leadership development programmes. Justin Waring is Professor of Medical Sociology and Healthcare Organisation at the Health Services Management Centre, University of Birmingham. His research deals with the changing organisation and management of healthcare systems, and public services more broadly.
Lightning Talks
Hall 1
2:00pm - 1. Making sense of complexity
Dr Maxine Power
2:25pm - 4. What it means to be a positive deviant
Elisa Liberati
2:45pm - 7. Citizen Science as a tool for improvement
Graham Martin
Hall 2
2:00pm - 2. Scaling and Spread: key factors for spreading innovation and improvement
Dr Amanda Begley
2:25pm - 5. Learning from Excellence (LfE): a positive approach to safety and QI
Adrian Plunkett & Alison Jones
2:45pm - 8. Developing a ‘Lean’ culture of continuous improvement: evaluation of 5 NHS trusts partnered with the Virginia Mason Institute
Nicola Burgess
St Pancras
2:00pm - 3. Recognising the softer signs of deterioration
Sarah Fiori & Mel Johnson
2:25pm - 6. Hexitime: Launching a movement for improvement
Hesham Abdalla
2:45pm - 9. Skills for collaborative and creative problem solving
Anindita Ghosh
Dominique Allwood, Dr Guddi Singh, Dr Hannah Zhu & Professor Clare Cable
Exploring two case studies, this session will tackle some of the remaining challenges in quality improvement and consider how improvement methods may need to be adapted to be suitable for addressing the wider determinants of health. We will think about methods that have been used, and provide a space to discuss and debate how this field can move forwards.
This session will help members think about how quality improvement methods can be used to address the wider determinants of health and how established or current methods used may need to evolve when tackling this agenda.
3B. Building improvement capability across boundaries: what are we learning together?
Chris Collison & Penny Pereira
With dozens of project ideas and hundreds of comments, Q Exchange is awash with useful learning on this topic. Using a novel knowledge sharing method, be part of surfacing and sharing 100 stories and insights in 60 minutes. Join this highly interactive session to pick up practical insights from other members.
This session will bring members together to make the most of the learning emerging from this year’s Q Exchange programme on how to build improvement capability across boundaries. Whether you put in a project idea, got involved in the discussion online, or are just interested in this topic, this session will give you:
• Practical insights and inspiring stories from people doing work in this area
• The opportunity to reflect on and share your own experiences, identifying links with what others are learning
• The chance to experience a novel method for rapidly sharing stories amongst large groups.
• The opportunity to contribute to what we collectively know on this topic
It would be great if you could come prepared to share a story for 2-3 minutes about a time when you were involved in work which built improvement capability across professional, geographical, methodological or other boundaries: What was positive about the process or outcome - or what didn’t go well?
3C. Transforming outpatient care: Learning together
Dr John Dean, Sarah Campbell, Dr Matthew Hill, Sarah Reed, Rebecca Richards & Clare Morrison
Transforming outpatient care is a key system priority in each country of the UK. There is also increasing focus on how to modernise services and give patients greater flexibility and control over how they receive care. This session will invite members to share their experiences and identify solutions for overcoming key system challenges in transforming outpatient care including ensuring staff buy-in, developing appropriate infrastructure and measuring what matters.
The session will begin by reflecting on the key challenges and opportunities for improving outpatient care, building on recent work by The Royal College of Physicians (RCP) and perspectives from the Q community. We will then offer a structured space for members to share and learn from each other’s experience in improving outpatient services; providing insight on how to address key system challenges like improving referral and triage and making the most of technology, etc. The discussion will help participants identify potential solutions to barriers to improving outpatient care, including how to ensure staff buy-in, develop appropriate infrastructure and measure what matters.
3D. Is it time to celebrate learning from failure?
Attitudes towards failure in teams and organisations have a direct impact upon patient safety, and our ability to learn. Find out what practical steps you can take to improve safety in your own organisation by driving out fear and embracing failure as an inevitable part of learning, improvement and innovation.
This engaging and interactive session builds upon insights gained from an exploration of failure that started with a visit from Sweden’s Museum of Failure, to the North West.