Innovation & Improvement at HEEM

1. Innovation & Improvement at HEEM Orlando Hampton Head of Improvement Programmes Health Education East Midlands orlando_hampton orlando.hampton@nhs.net • Mel Homan • MH OT / HEEM Project Manager • Health Education East Midlands • HEEM_Melhoman • melanie.homan@nhs.net #inspireQI #loveourlearners

4. Aims • Tell you three things • Make three offers to you • Squeeze that all into 30 minutes

5. Point One: Origins of Lean • Lean: adding value, eliminating waste, striving for improvement. • How the workplace was organised and managed. • improve services for the customer • supporting a positive work environment for staff • running an effective, high performing organisation

6. Point Two: Improvement and innovation in the NHS

7. Balancing Lean in the NHS: 2013 NHS Scotland QI Hub, 2013, 2011 www.institute.nhs.uk

8. Sustaining improvement at organisation level www.institute.nhs.uk

9. Latest incarnation • Reduce variation • Better metrics and information • Systematic delivery mechanisms • Incentives and investments • Procurement for quality & value • Develop our people • Leadership in innovation • Mandate the adoption 2011

10. How this happens Derby Hospitals Prototype, testing and manufacture with commercial provider DH Flyer BBC article Expo (London) The Improvement Network IHW, 2011

11. In an AHP context ? IHW, 2011

12. Barriers to innovation as an AHP in the NHS

13. Barriers to innovation in the NHS IHW, 2011

14. What makes “diffusion” happen? IHW, 2011

15. Models as a timeline

16. Models as a timeline Top down Brainstorming Horizontal Six hats Bottom up Fresh eyes

17. Models as a timeline Top down Brainstorming Horizontal Six hats Bottom up Fresh eyes LEAN: Add value and eliminate waste IMPACT: Any outcome to service or participants

18. How the model grows into change 7 – centre right

19. Eliyahu Goldratt ... “All models are wrong but some are useful”.

20. Point Three: Improvement at HEEM inspire.enable.accelerate.share

21. Inspire There is no shortage of great ideas in the NHS but we need to improve the way we test them, evaluate them and then share them. Education plays a central role in this and is our focus.

22. Enable Too many innovations stay in one team or organisation and are not made available for everyone to benefit. Developing partnerships across sectors, professions and organisations to enable sharing is a key part of what we do.

23. Accelerate We work in a coordinating role with staff, universities, local authorities and other partners to ensure that the benefits of research and innovation in education are rapidly translated through education into benefits for patients.

24. Share We are working towards making innovation everyone’s business. In order to achieve this we want to adopt a culture which welcomes change and creativity in the way we work. We want to work towards strengthening our relationships with our stakeholders and drive towards a culture of sharing good practice.

25. Improvement at HEEM

26. Innovation at HEEM

27. Building improvement and innovation capacity and capability in HEEM • Covers all areas of the LETB • Good progress with sharing of training, resources and learning across areas in Primary Care, Secondary Care • Example: Pilot for whole practice learning in GP surgery • Survey and training for internal LETB staff: Capuchin • Working with partner organisations such as EM Leadership Academy operation and emerging leaders training & AHSN • Capturing existing resources, updating them to context of new architecture, ensuring learning isn't lost • AHP Physio from Derby Hospitals won HEEM funded place at IHI Quality 2014, reflections coming soon • Starting to link into trust led transformation programmes through education, best practice, comms and OD

28. Leadership Academy Programmes (Nat & Local) HEI Trust Academic Health Science Network Higher Education Institutions (HEI’s) Trust and organisation based programmes NHS IQ Building Capacity and capability for innovation and improvement in Health Education East Midlands Capuchin Other: Bands 1-4, LBR, CPD, Apprentices, Post Grad PGME GP Foundation Schools PGME Activity outside of HEEM direct remit but shared l earning / working Known QI activity and training in HEEM remit / Network Dentists Royal Colleges Medical schools Unknown but perceived activity still being scoped

29. Leadership Academy Programmes (Nat & Local) AHP’s HEI Trust Academic Health Science Network Higher Education Institutions (HEI’s) Trust and organisation based programmes NHS IQ Building Capacity and capability for innovation and improvement in Health Education East Midlands Capuchin Other: Bands 1-4, LBR, CPD, Apprentices, Post Grad PGME GP Foundation Schools PGME Activity outside of HEEM direct remit but shared l earning / working Known QI activity and training in HEEM remit / Network Dentists Royal Colleges Medical schools Unknown but perceived activity still being scoped

30. Adoption and Spread at HEEM

31. Three offers This slideshow and its references The adoption and spread starter kit Opportunity to share the content of the Institute of Healthcare Improvement 2013 and 2014 conference content

32. NHS Scotland Quality Improvement Hub: www.qihub.scot.nhs.uk • The Lean Enterprise Academy: www.leanuk.org/health • The (former) Institute: http://www.institute.nhs.uk/innovation/innovation/introduction.html • The Improvement Network (for now): http://www.tin.nhs.uk/innovation-nhs-east-midlands • Health Education East Midlands Innovation Directorate: http://heeminnovation.co.uk/ • Innovation Health and Wealth link • HEEM Innovation site http://heeminnovation.co.uk/ • Institute for Healthcare Improvement http://www.ihi.org/ • The Health Foundation link Resources and references

33. ‘Heavier than air flying machines are impossible’ Lord Kelvin, president, Royal Society, 1895 #HEEMahp #inspireQI #loveourlearners