High Impact Actions for Nursing Midwifery Julie Halliday - Director of Implementation Michelle Mello - HIA Champion W

1. High Impact Actions for Nursing & Midwifery Julie Halliday - Director of Implementation & Michelle Mello - HIA Champion West Midlands

2. why and how it started The 8 High Impact Actions what do we have to help how you might help what is next������.

3. Not to underestimate that the nursing midwives and other AHP in these case studies understand the important of quality without efficiency is not an option . Addressing financial inefficiencies is a key personal, professional and moral responsibility . not one of the trust and people involved in the case study had any misconception that this was the case. The understanding is that we need to be more efficient, cut the cost and the need to make decision as close to the patient as possible using the great clinical leadership talented, committed and capable people we have in the NHS.Not to underestimate that the nursing midwives and other AHP in these case studies understand the important of quality without efficiency is not an option . Addressing financial inefficiencies is a key personal, professional and moral responsibility . not one of the trust and people involved in the case study had any misconception that this was the case. The understanding is that we need to be more efficient, cut the cost and the need to make decision as close to the patient as possible using the great clinical leadership talented, committed and capable people we have in the NHS.

4. What does it mean

5. Engagement and Building Momentum Sep 2009 Call to Action Oct 2009 Selection of 8 HIAs Nov 2009 Launch of HIAs @ CNO Conference Nov 2009 to June 2010 Design of HIAs support material June 2010 Launch of Essential Collection

7. Impact on Quality & Productivity - Falls In a Trust of 800 beds there are 24 falls a week Associated health costs are 92k per year The number of hip fractures will double by 2050 It costs the NHS approx 1.7 billion and is associated with 14,000 deaths annually

8. What do we have to help

9. The HIA Campaign / Social Movement A story/narrative that people can emotionally connect with Shared vision and passion to be the best Leadership that develops the capacity of others People who are motivated because what they are doing is meaningful to them , there are common belief and values Connecting through �hearts and minds� Mobilising through a common goal Energy and commitment

10. You are now Committed�..

13. Opportunity Estimator

14. Understanding of the potential for cost savings Two elements that help to build an understanding of the potential for cost: literature reviews for each HIA -published work relating to costs in a HIA area and gives an indication of the high level potential to save costs within each area detailed cost benefit work on some of the HIA case studies-investigates the costs and benefits related to the improvement initiative that was carried out.

15. Impact on Quality & Productivity  Return on Investment (ROI) QUALITY Reduction in pressure ulcers and unnecessary hospital admission Reduction in falls PRODUCTIVITY for every �1 spent on care home support from TV nurses it generated �51.56 of benefits for every �1 spent on the falls the seven simple steps programme generated �6.24 of benefits

17. Next indicators Working on further three indicators aligned to HIA Nutrition Hydration End of Life Care Being developed by DH, SHA and external partners and will be ready by autumn

18. HIA Team & QIPP � Safer Care work stream - developing a national �prevalence approach� for the autumn around the 4 Safe Care priorities: pressure ulcers, falls, catheters UTIs and DVT/PE occurrence 10 SHA�s x 10 Organisations x 4times / year x 4 wards x 4 indicators Audit tool in development 100 Volunteers (organisations) needed

19. What we want you to do What would a �good� organisation look like? HIA Ward to Board governance QIPP plans Quality Accounts CQUINs Measurement started Patient sponsorship of HIAs Trust HIA champions Education on the 8 HIAs Visibility of results �I am Committed� sign up Quality, Finance & Information Teams

20. what is next ? what is happening now ? Integrate with QIPP plans Promoting sign up to �I am committed to HIAs� postcards Organisation self assessment �� Indicators Care Bundles being explored

21. What would help us Sign Up to the �I am Committed Campaign� Use the HIA website at www.institute.nhs.uk/hia Use The Essential Collection Act as a HIA champion in your Trust and use the Champion role outline provided Connect with your Matron / Director of Nursing

22. Energise For Excellence 14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE

23. West Midlands Approach 14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE

24. Nurse Director Leads 14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE

25. Links to Other Initiatives 14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE

26. Contact 14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE14 SLIDES IN SECTION: BACKGROUND KATHERINE 5 SLIDES IN SECTION: WHAT HAS BEEN HAPPENING WITH 8.5 MIN DVD LIZ 13 SLIDES IN SECTION: WHAT WE WANT YOU TO DO KATHERINE 15 MINS FOR WHAT YOU WANT US TO DO � QUESTIONS/COMMENTS SHARED END MESSAGE INCLUDING Chris clips needs 2 mins with slide KATHERINE