Meet the team
Programme Director (Safety & Improvement)
NHS Education for Scotland
University Hospitals Birmingham NHS Foundation Trust
- England - West Midlands
NHS Education for Scotland
Consultant Anaesthetist, AMD Quality Improvement
North Cumbria Integrated Care NHS Foundation Trust
- England - North East and North Cumbria
Patient Safety Manager / Lead for HF COP North East & North Cumbria
North Tees and Hartlepool NHS FT
- England - North East and North Cumbria
Head of Patient Safety Improvement
Norfolk and Norwich University Hospital Foundation Trust
- England - East
Consultant Pharmacist - Medicine Safety
Oxford University Hospitals NHS Foundation Trust
- England - Oxford
Senior Human Factors Consultant
Human Reliability Associates
- England - Kent Surrey Sussex
- England - London (North, East and Essex)
Professor of Nursing
- England - North East and North Cumbria
Advanced Improvement Practitioner
- England - North West Coast
Clinical Fellow in Patient Safety & Improvement, IHI Improvement Coach
York Teaching Hospital NHS Foundation Trust
- England - Yorkshire and Humber
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- Bryn Baxendale
- Alex Lang
- Giulia Miles
- Sue Hignett
- Helen Vosper
- Alastair Ross
- S Paterson-Brown
- Nikki Davey
- Rebecca O'Leary
- G Forman
- Wendy Lunn
- D McNab
What is the challenge your project is going to address and how does it connect to your chosen theme?
Realising the benefits of HF in healthcare presents challenges in terms of building capability and capacity in related concepts and methods amongst professionals with leadership, safety, quality, productivity and wellbeing responsibilities. Access to HF expertise is limited as most work in other safety-critical industries. The challenge is to integrate and grow UK-wide HF and QI professional networks and build relationships and joint capabilities in selected theories and practice from each discipline. Both professional groups seek in different but sometimes overlapping ways to improve how human work is designed and performed to enhance system performance and the health & wellbeing of people. We aim to develop joint discipline capabilities by sharing our learning, designing a joint educational resource and testing a ‘hybrid’ conceptual approach to healthcare improvement. The desired CoP acts as a ‘ professional hub’ to bring us together and achieve these goals in a sustainable way.
What does your project aim to achieve?
Objective 1: To integrate and grow regional HF networks and CoPs with a specific emphasis on engaging with the Q membership and the aforementioned professional groups. Objective 2: To explore with the CoP the development of a HF toolkit to enhance scope, and add value, to existing improvement concepts and methods. Objective 3: To build on early development work between the HF & QI expert communities to gain consensus, validate and test a hybrid conceptual model and design related case studies to inform wider learning. Objective 4: To evaluate the overall utility of our proposal in work led by a Health Foundation-trained CoP specialist with support from the NES Safety & Improvement Research team.
Improvement benefits will be accrued by both communities in broadening understanding and application of ‘new’ concepts and tools to better inform how care system performance and human wellbeing can be jointly optimised. A theory-informed evaluation will unpack this and measure impacts.
How will the project be delivered?
NES will lead in close partnership with a large and diverse range of NHS organisations, professional bodies, regional networks and academic institutions representing HF, Q members and wider QI/Safety/Wellbeing UK communities. For example, Q and CIEHF HF special interest groups, Nottingham University Hospitals NHS Trust, ASPiH, University Hospital Birmingham Foundation Trust, North Cumbria University Hospital NHS Trust, NHS Lothian, North Tees and Hartlepool NHS, Scottish Ambulance Service, Glasgow University, Robert Gordon University, Oxford University Hospitals NHS Foundation Trust, Norfolk and Norwich University Hospital Foundation Trust, Teesside University, York Teaching Hospital NHS Foundation Trust, Loughborough University, Edinburgh University, CoP HFE North East and North Cumbria/AHSN NENC, CHFG, AQuA. Each partner has additional resource e.g. people, communications support etc to cover risks & funding shortfalls. Project governance and accountability will be overseen by NES
What and how is your project going to share learning throughout?
The project will generate and share learning on the synergies between HF and QI and related testing and evaluation in the following ways:
– A fully open access and interactive online community of practice for HF integration with Q members, quality, risk and safety communities, and wider NHS – sharing, learning, interaction and blogging on project related matters
– A series of partner and wider national stakeholder workshops to address, agree, plan, and progress the project outcomes
– Traditional email communication, video and teleconferencing between project partners
We will also use the organisational communications and online web teams from our national partners to publicise our project, grow the member network, highlight progress updates and promote our resources and outputs.
Publication of newsletters, articles, mail chimps and blogs for the CoP and wider NHS and Social care communities
Publication of evaluation outputs in international peer reviewed journals
How you can contribute
- While the core team is highly experienced and expert in HF/QI concepts, practice and project management, and in leading Health Foundation-funded projects, we seek help in the following areas:
- - Wider engagement with interested Q members beyond the special interest group
- - Leading experts in QI theory and practice with a specific interest in Human Factors
- - Clinical input for testing of QI-HF hybrid method and design of case studies and HF training toolkit (NES does have good access to frontline care organisations and teams, but wider UK interest is important)
- - NHS leadership and Simulation-based training leads input to support application of project objectives in care settings to test out the concepts and tools and also to align and integrate HF and QI at the service and training levels
- - Communication, promotion and design expertise to help promote the project, and its findings across appropriate media (to engage those with novel ideas to better achieve our goals)
|1 Jan 2020||Design and populate online CoP content (already begun)|
|1 Jan 2020||Virtually convene meeting of Lead CoP HF and Q Members|
|1 Feb 2020||Finalise design of projects to develop, test and evaluate|
|1 Feb 2020||Formal launch of online CoP to NHS via comms networks|
|1 Feb 2020||Workshop for Lead CoP Group to agree work plans|
|2 Mar 2020||Development, testing and evaluation phase|
|1 May 2020||Add online content and promote membership monthly|
|1 Jun 2020||Workshop - Lead CoP Group to review progress/share learning|
|1 Sep 2020||Data analysis and early reporting phase|
|1 Dec 2020||Final meeting of CoP group of HF and Q experts|
|1 Jan 2021||Finalise data analysis, publication and sharing learning|
7 Jun 2020
Project Update - Our Q Exchange project is about to restart and be refreshed after a slow start due to an 'administrative error' by my own organisation (NES) which delayed receipt of funding from the Health Foundation (apologies to colleagues for this oversight). Just as we were about to start the project after this initial delay the Covid-19 pandemic struck causing further delay.
However, during this time progress has been made in meeting our project objectives in the following areas:
Governance - the project is registered with NES and is on a list of our scholarly activity , while oversight is undertaken by our Safety, Skills and Improvement Executive Board. Our directorate management accountant provides financial oversight and support with the project budget.
Communication - The NES communications team issued a short press release to promote the project and have also been active on social media, along with those involved in the project development, in further promotional activity. We will repeat these tasks in coming weeks as we relaunch the project. Two short articles celebrating the project award and describing our goals were published in the NES medical deanery newsletter and our main organisational newsletter. The project lead has also met with the Q lead in Scotland and will follow-up regarding the holding of a joint event in coming months. Similar events where/are also planned in Northern Ireland, Wales and selected English regions as part of our objectives. Finally, we have begun to compile a network list of key stakeholders that we can engage with and make aware of the out project ambitions and outputs.
Human Factors Online Resource - We have begun to develop and heavily promote our online community of practice involving Q members and Human Factors specialists and others here: www.knowledge.scot.nhs.uk/hfe.aspx. As well as acting as a CoP, the ambitious goal here is to eventually develop the world's foremost online presence for all things Human Factors in health and social care. The site as it stands contains many downloadable resources for Q members/QI advisors and health and social care teams to consider and use. Links to educational materials and signposting to other resources of interest are also uploaded to the site. Work will continue over the next 6-months to attract as many visitors as possible and to populate the online resources.
Human Factors Toolkit - We have tentatively agreed on the contents of a draft toolkit for applying Human Factors thinking and methods (e.g. Hierarchical Task Analysis) in health and social care by non-specialists with minimal training. This work was led by a group of professional Ergonomists who make up LANTERN - a specialist interest group for healthcare HF educational development which is part of the chartered institute of ergonomics and human factors (CIEHF). The group membership also contains Q members who are qualified HF specialists as well as senior clinicians with a leadership role and responsibility for Human Factors. After final agreement on toolkit content we will seek to promote, test and evaluate this intervention.
Covid-19 Response - While things haven't gone to plan there have been some unexpected successes. During the pandemic, project leads and other Q members where involved in the rapid development and launching of guidance for health and social care teams on how to design usable work procedures. This will be useful both in the immediate response to the pandemic but also beyond this as we design new ways of working. The good practice guidance can also be used to review and update existing procedures. Currently a small team are identifying examples of well-designed procedures by care teams who applied the guiding principles as a means of educationally illustrating their usefulness to others. The guidance can be downloaded here: https://covid19.ergonomics.org.uk/
The same team is currently working on developing guidance on organisational learning using a systems perspective, which will be of strong interest to the Q community and beyond.
Key Learning and Successes - During this extremely difficult period for many, there has also been unexpected upsides such as the earlier guidance development highlighted. This would have been unlikely to have happened so quickly and with so much expert input during 'normal' times. The use of MS Teams (despite some of its technical limitations) has been absolutely fulcrum to communication, development and innovation processes and the Q Exchange project team will need to make significant use of this technology from now on 'to get the job done'.
Next Steps - To reconvene the project team (virtually using MS Teams) in June to review and kick-start the project given that timelines have slipped. Importantly a key task will be to explore how we deliver much of our project activity given that a great deal of it involved travelling to face-to-face meetings such as workshops.