Meet the team
Senior Nurse- Shared Governance
Nottingham University Hospital
- England - East Midlands
- England - West Midlands
Clinical Academic Lead Nurse
Nottingham University Hospitals NHS Trust
- England - East Midlands
- Professor Joanne Cooper- Assistant Director of Nursing
- Sara Deakin
- Sarah Davis
- Rebecca Barrett
- Hannah Jackson
What is the challenge your project is going to address and how does it connect to your chosen theme?
Shared Governance/Shared Decision making (SG/DM) is a model of leadership that creates culture change and places staff delivering clinical care at the heart of the decision making process. This initiative recognises staff as the experts and offers a structure of support to promote autonomy for change, communicating directly with senior leaders. At NUH we have a strong SG/DM programme, with over 80 councils that are operated by frontline staff who are innovating and demonstrating impact on patients, their carers and staff. As part of the SG/DM initiative, each frontline member of staff that gets involved is given QI training. This is fundamental to building QI capability within frontline staff. This work is now being replicated across the UK, building improvement capabilities across boundaries. Currently this extensive portfolio of work and resources are difficult for frontline staff to access and are unavailable to other Trusts. It is necessary to connect these groups together.
What does your project aim to achieve?
Frontline staff tell us it can feel isolating and difficult when innovating, so it is important to ensure there is peer support and coaching to maintain momentum and highlight to the councils/individuals they are part of a wider community. Our proposal is to create a platform through an App or webpage (potentially adapting existing platforms) that links the individual networks with each other, across trust boundaries and through the local system. Having a platform that is focused on the SG principles of autonomy, equity, partnership and ownership for frontline staff members will encourage people to share their personal experience, QI projects and how this has supported their own personal development. Sharing work and collaborating through the wider network will be easier and will create a stronger evidence base for changes that are being made. The platform will be designed where people can share ideas, evidence and create an opportunity for people to support and coach each other.
How will the project be delivered?
Scoping exercise, using an Appreciative Inquiry approach, will take place between other trusts and NUH councils to understand what is needed and how the platform will be used
Tweet chat will continue every month to maintain momentum, timely feedback and ongoing support from the NUH Shared Governance team
Taking a co-production approach, an MDT project group will be formed that includes representatives from the ICS and other Trusts/organisation
We will work with the group and a company that has the specialist knowledge ( and technology) to produce, test, roll out
Evaluation will be undertaken to show the impact of the platform and new network; has this potentially increased the momentum of innovation or/and the quality of the work being done? Is shared governance a mechanism by which improvement capability from frontline staff across boundaries can be increased?
Launch of the platform and collective showcasing of SG/DM work at a celebration event for council members and the Q community
What and how is your project going to share learning throughout?
Direct links with participant trusts/organisations
Presenting of the work/platform being created to ensure continued input throughout the creation of it
Presenting the finished product locally and nationally at showcasing events and through ongoing work
The showcasing event to be filmed to share the experience to the wider community
A brief summary of initial findings to be shared including how you might evaluate locally
Publication of how the platform has impacted on innovation and links across boarders on conclusion
Staff that are using and involved in projects will be supported and encouraged to present/write up and discuss their work locally and regionally
The set up of a platform that will provide ongoing peer support and capture the innovations from SG/DM councils that can be shared and replicated
How you can contribute
- Join the working group and participate in the project
- Networking within your areas and feeding back how the platform will need to look and function
- Provide ideas on differing platform options
- Suggestions on how to evaluate the impact of the network
- Ideas on how to evaluate culture change with organisation supporting SG/DM
- Ongoing support and spreading the SG/DM work and ethos
|2 Sep 2019||Initial scoping exercise and recruiting of other trusts|
|2 Sep 2019||Start monthly tweet chat on SG/DM to guage continuing status|
|23 Sep 2019||Create a working group with national representatives|
|1 Oct 2019||Initial workshop to plan work and discuss platform options|
|4 Nov 2019||Workshop to evaluate SG/DM so far and needed culture change|
|11 Nov 2019||Write a brief summary for the Q community. Initial feedback|
|2 Dec 2019||Platform development- ? Q community page or NHSI framework|
|2 Mar 2020||Workshop- user testing of the platform|
|6 Apr 2020||Adjustments to be made to platform from user testing|
|10 Jun 2020||Launch and celebration event with Q community and SG/DM|
|13 Jul 2020||Publication of Q comjunity project and findings|