Click here to view and download the presentations from the Clinical Change Forum
Date: 30th January 2018 Time: 16:30 – 19:00 Venue: 4th Floor Lecture Theatre, Old Out Patients Building, Western General Hospital
There are 4 exciting change forum events coming up in October and November! These are:
- Wednesday 25th October 2017 - 5 - 6.30pm Royal Hospital for Sick Children, Lecture Theatre
- Tuesday 31st October 2017 - 12 -1pm Royal Infirmary of Edinburgh, Lecture Theatre B
- Thursday 9th November 2017 - 12 - 1pm St John's Hospital, Clinical Skills Lab, Education Centre, 1st Floor
- Thursday 16th November 2017 - 1.30 - 4.30pm Royal Edinburgh Hospital, Annie Altschul Room, 2nd Floor, MacKinnon House
Agendas have been confirmed for most of the events:
Wednesday 25th October 2017 - 5 - 6.30pm Royal Hospital for Sick Children, Lecture Theatre
Improvement work in the children’s spinal pathway - Chris Adams
Cerebral Palsy Integrated Pathway for Scotland (CPIPS) programme - Mark Gaston
Tuesday 31st October 2017 - 12 -1pm Royal Infirmary of Edinburgh, Lecture Theatre B
Thursday 9th November 2017 - 12 - 1pm St John's Hospital, Clinical Skills Lab, Education Centre, 1st Floor
Thursday 16th November 2017 - 1.30 - 4.30pm Royal Edinburgh Hospital, Annie Altschul Room, 2nd Floor, MacKinnon House
The Edinburgh City Clinical Change Forum event took place on 13th September 2017 at 5.30pm - 7pm at Edinburgh City Chambers.
Nathan Richardson-Reid and Dawn Owen described their Pharmacy projects in the Leith area. They described how they had conencted with local third sector agencies to increase awareness of the services available through pharmcy and to increase attendance at minor ailments clinics.
Professor Sheikh spoke about digitsed health and social care data offer numerous opportunities for enhancing population health and patient care. Drawing on examples from work Aziz and his colleagues have undertaken, he described how he has used health record derived data to understand the epidemiology of diseases, evaluate the impact of clinical and public health interventions and increase the efficiency of clinical trials. He then summarised the approaches he is currently pursuing and described an ambition to scale up efforts to create a learning health and care system in Lothain.
17.00 -17.10 Introduction / Welcome – Chris Stirling, Site Director
17.10 – 17.25Surgical Expedition: Base camp to summit and back. – Dr Mike Robson, Consultant Anaesthetist
17.25 – 17.40 End PJ Paralysis – Sam Stirling, Physiotherapist
17.40 – 17.55 Using Patient Opinion for quality improvement – Dr Claire Gordon, Consultant Physician
17.55 – 18.10Enhanced Recovery After Surgery (ERAS) Angie Balfour, Nurse Specialist/Research Nurse
18.10 - 18.25 Improving patient flow – Kris Robertson, Charge Nurse, Ward 57
18.25 – 18.30 Final comments/close
The clinical change forum took place at the REH on the 22nd June 2017. The audience heard about fantastic improvement work from four teams working in Mental Health, CAMHS and Psychological therapies.
Margaret and Gwyneth from the CAMHS team spoke about their project looking at the pathway for ADHD assessment, which aimed to improve efficency and patient experience. Through getting patient feedback and staff ideas for improvement, they have implemented four tests of change and are measuring the impact on the service.
Mike Reid described his work on facilitating the reduction of the number of acute mental health beds ahead of the move to the new REH site. He explained that through improving communication between health and social care, delays for people getting home from hospital had reduced. There had been excellent engagement from the team across the site and there were many ideas for improvement that are currently being tested. There is continuing involvement from the patients council, ensuring the patients have a voice in any of the changes occurring. The project is now working on improving integrated care planning, so that care plans can be viewed by NHS 24 and health and social care.
The Lothian Pain Management team told the audience how they had used patient experience data to inform improvements in the service. They phoned patients who did not turn up for appointments to ask why they had not attended. One of the most frequent responses was that people had forgotten, therefore, the team has started to phone people before pain management groups. They have also been testing the idea of using phone appointments for people who were not able to attend their face to face appointment - this is being tested, the team recognise that this option may not work for everyone.
The next clinical change forum events will take place at the time of the QI Network meeting, at lunchtime. Dates will be confirmed and communicated shortly!
The Works - an organisation which helps people with mental health conditions get into or back into work - also spoke about thier service. They described how they had employed a data officer to look at their data to understand how they could improve the service. The Works encouraged recruiting managers in NHS Lothian who are looking for people 16 hours per week or less to consider recruiting through them. The Works offer two to eight week placements. They are a NHS Lothian vocational rehabilitation service for people living in Edinburgh. They support people with mental health conditions return to work or gain work for the first time. To find out more about the service e-mail the team.
The Clinical Change Forum heard from a number of thought provoking speakers. Nikki Maran gives a reflective account of the presentations in this short video.
Presentations can be found below:
- Quality Improvement in the Emergency Department - Ed James and Kate Easterford
- Using App Technology to Allocate Organs for Transplant - Mark Dunn
- Applying for Small Grants from Lothian Health Foundation - Owen Siddalls
Ed James and Kate Easterford kicked off the event with a presentation of the development of Quality Improvement in the Emergency Department. This was followed by Mark Dunn, who told an exciting story of innovation for allocating organs for transplant. The event closed with a summary from Owen Siddalls about how to apply for small grants from the Lothian Health Foundation.
Nikki Maran also mentioned at the CCF that we have licences for BMJ Quality, which is a tool that you can use to publish QI projects in a peer reviewed journal – you can find more information on how to do this, here.
A reminder that ‘What matters to you?’ day is on the 6th June, you can get more information on their website - http://www.whatmatterstoyou.scot/ If you want to join in activities in NHS Lothian, please contact Julie-Ann Farrer.
For anyone wanting more information on Small Grants in NHS Lothian, please see the Edinburgh and Lothian’s Health Foundation website, here.
Discussions around innovation at the forum inspired interest in 'hackathons' and other innovation events. The next event is through Product Forge and the Cancer Innovation Challenge, who are running an open cancer "data dive" event at CodeBase in Edinburgh from Thursday 15th to Sunday 18th June 2017.
The Data Dive is a unique opportunity for clinicians to explore cancer data in collaboration with entrepreneurially minded data scientists, analysts and software engineers to improve cancer care in the NHS in Scotland.
Register at the Cancer Data Dive event page