What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?

During Covid19 clinical teams were required to adapt daily to respond to the challenging circumstances whilst continuing to deliver safe, effective, person-centred care. Burnout affects all aspects of the pursuit of better health and healthcare reducing levels of staff engagement, correlating with lower service-user experience.

NHS Forth Valley is working in partnership with (NES), Healthcare Improvement Scotland (HIS) and IHI as part of a Value Management Collaborative the aim of which is to test and spread an approach that has demonstrated positive impact in reducing costs, improving staff engagement/morale and improving patient safety. The collaborative was hibernated during Covid but we continued to work with teams to identify areas for improvement including capturing real-time feedback to increase staff well-being and staff experience throughout this very challenging time .

The VM approach has enabled us to  focus on culture,relationships and creating conditions for people to thrive in a culture of continuous improvement.  .

What does your project aim to achieve?

Using a whole system collaboration we will reset the culture in a workforce enduring constant change from Covid 19, creating a culture where everyone takes joy in their work. By achieving this we will sustain a workforce that feels hopeful, confident and safe and  improve, patient experiences and safety throughout NHS Forth Valley and beyond.

• We will embed the principles of IHI Joy in Work
• We aim to improve staff experience recognising that this is a fundamental cornerstone of high quality services we will measure this using pulse surveys, staff stories/case studies
• We will also monitor sickness absence  and turnover data

We have robust measures of staff well-being to assess the impact of our approach. Early work demonstrated a positive impact of our multi-facted intervention in three teams .

With funding, we plan to spread our approach to 3 more teams over 3 months and a further 6 teams over 6 months

How will the project be delivered?

1. We will use improvement science to identify, test and sustain approaches to improving joy in work within our organisation.
2. Work with Organisational Development to understand what staff are telling us from survey data and appreciative enquiry discussions
3. Use funding to recruit project support/facilitator   to spread the approach tested and deliver improvements
4. Share staff experiences and learning from the Value Management Collaborative approach which has resulted in positive outcomes for both staff feeling joyful and engaged which has resulted in improved patient outcomes
5. Identify teams to be part of a breakthrough series collaborative structure to support shared learning and small scale cycles of testing .
6. Use the 5 step “staff experience” process in the IHI JiW framework to facilitate this process e.g Ask staff what matters (What gets in the way of great care? / What frustrates you?)
   Identify impediments and prioritise
   Use QI to identify ideas – to test, adapt, sustain and spread,

How is your project going to share learning?

• We will share the learning through the breakthrough series collaborative and via our National network both within NHS Scotland and through the IHI joy in work community.
• Participants will share experiences, ideas, enablers and barriers to support us to spread and sustain an organisation-wide approach
• We will share our learning within the Q Community and seek support and input to develop this work .
• We will share materials developed for testing via Q twitter space and our own networks.
•  We would be keen to get support to write-up for publication
• Develop case-studies to share with Q network
•  Share Video stories, podcasts  of staff experience and impact
•  Submit posters and session proposals for QI conferences such as International Forum, National Forum, ISQua