Community of Practice Portadown “Bringing Neighbourhood Care Together”
What is the challenge your project is going to address and how does it connect to your chosen theme?
Our challenge is to bring clinicians and patient representatives, traditionally siloed, together at local neighbourhood level to work towards system improvement, letting local systems lead!
By improving communication and relationships locally, working without boundaries and using a Community of Practice (CoP) approach, we hope to meet the 3rd global WHO safety challenge “Medication without harm.” Our CoP will influence wider system improvement, beyond prescribing that will form the foundation blocks of transformational change in Northern Ireland.
This project will prove that a CoP model improves care locally, influences wider population health and can be scaled and spread across Northern Ireland supported by the Integrated Care Partnership Networks already in place. The CoP will connect individuals across Primary, Secondary Care and the Third Sector facilitating the sharing of power, listening, learning and creating new knowledge in a collaborative environment.
What does your project aim to achieve?
- Build on year one’s success, providing a shared space for clinicians and patients to come together to discuss what matters.
- To facilitate members share knowledge, learn together creating new knowledge in a collaborative environment.
- Provide opportunity to develop and apply QI knowledge and skills.
- Utilise trust and communication built between members in in year one to improve patient safety outcomes.
- Innovate and deliver small step improvements (ideas include screening and management of hypertension within community pharmacy, increased awareness of opioid prescribing and promotion of wellbeing through sign posting and social prescribing).
Evaluation will include capture of a range of data including quantitative and qualitative measures taking account of process, balancing and outcome measures. Patient and staff experience will be captured using a both survey and focus group approaches. Data collection validity and reliability will be overseen by the Trust Quality Improvement Team.
How will the project be delivered?
Dr Philip Lusty started this project prior to Q Exchange 2018 and though not shortlisted proceeded with plans to form a Community of Practice and continued to engage local Trust colleagues and primary care colleagues to pursue how we might develop. There has been support of HSCB (commissioner) through the local Integrated Care Partnership.
Dr Lusty partnered with Trust QI lead (Jacqueline), a local community pharmacist (Raymond) and a practice based pharmacist (Helena) together forming the core co-leadership team of this Community.
The community has met 6 times 2018/2019 and on 18th June 2019 celebrated their first birthday with a party inviting senior commissioners and Trust Directors to reflect on our achievements made to date.
This project fits with the wider strategy in Northern Ireland to form neighbourhoods of health care providers that will support their ICPs.
We are excited to be ahead of the curve in Portadown and hope to build on momentum and trust and show regional leadership.
What and how is your project going to share learning throughout?
The members of the community are actively involved engaging our key stakeholders including patients, clinicians and voluntary sector as well as commissioners who identify key learning opportunities to inform and stimulate our thinking. Learning partners have included MOIC, PACT, HSCB and Trust Promoting Health and Wellbeing Team.
We have actively shared “new knowledge” at
- Southern Trust Annual QI Event November 2018
- 40 regional GP Practices SHARE Event February 2019
- ICP Leads Meeting
- NI Confederation for Health and Social Care May 2019
- Department of Health WHO Challenge “Medication without Harm” Event May 2019
- Philip and Jacqueline participating in Health Foundation Community of Practice Leadership Programme 2018 – 2019.
- HSCQI Sharing The Learning Event September 2019
- This sharing the learning approach will be continued through the lifecycle of the project.
- We have established links with other Trusts and ICP’s who are watching our journey with interest and providing a critical friend function.
How you can contribute
- We want to learn with Q Members actively involved in CoP’s on “what work well” and “even better if.”
- We are particularly interested in learning from patients who are currently involved in a CoP or QI.
- We are keen to hear from Commissioners to listen to where we can add value
- We appreciate the on going support of colleagues taking part in the Community of Practice Leadership programme and we will continue to actively contribute to supporting fellow members leading their CoP.
- We are excited to hear how to grow the "coalition of the willing" in year two based on the main outcome of our 25/10 Crowd Sourcing, part of our birthday celebration.
- We desire to grow as a community and identify improvement projects to collaborate on with key stakeholders, especially engaging with priority areas for ICPs as well as inform ICP "what matters most" to the community.
- We will continue to liaise with colleagues both regionally and nationally with an interest in developing Communities of Practice.
|18 Jun 2018||Do we want to work together? Forming a COP?|
|18 Sep 2018||What's your business? In your shoes...|
|13 Nov 2018||Hearing other success stories? Motivation to collaborate...|
|5 Feb 2019||Who do we need to help us?|
|30 Apr 2019||Welcome Trust colleague...How can we work together?|
|18 Jun 2019||It's a party 1 yr old...reflection...What about year 2?|
|24 Sep 2019||Year 2 - What's our first project?|
|26 Nov 2019||2nd meeting year 2...Building Spec to our project!|
|25 Feb 2020||3rd Meeting year 2...Directed by the Community|
|28 Apr 2020||4th meeting year 2...Directed by the community|
|30 Jun 2020||5th meeting year 2...celebrate achievements of another year.|
|29 Sep 2020||Continue our plan to meet 5x per year, each year|