Meet the team
Taunton & Somerset NHS Foundation Trust
- England - South West
- Nicola Lowe, Quality Improvement Engagement Lead
What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?
Covid has unleashed innovation and positive change from the NHS workforce. Staff have been empowered to challenge norms, and deliver services differently. At Somerset NHS FT alone, over 200 staff led innovations have been implemented and sustained (as featured in this IHM report: https://tinyurl.com/ihmspread
This project is inspired by the Billions Institute (https://tinyurl.com/billionsinstitute) and the IHI Psychology of Change Framework paper (https://tinyurl.com/IHIChangeFramework). During Covid, we have needed to rethink how we do spread and sustainability, and created a toolkit that builds on our learning from the Billions Institute and the extraordinary circumstances we have found ourselves in. The approach has been co-created and well received amongst our immediate teams. This process and funding would allow us to take it to the next stage. Incorporating knowledge from other recommended sources including the Health Foundation ‘The Spread Challenge’ & ‘Creating Contagious Commitment to Change’ by Andrea Shapiro.
Our project driver diagram is here: https://tinyurl.com/spreadbid
What does your project aim to achieve?
This project aims to deliver a spread toolkit that has been co-created, and tested with 6 teams by 01/08/2022. We want to equip improvers with the tools they need to ensure that changes, including those from Covid, are sustained and spread. Beneficiaries are improvement teams, wider NHS staff members and importantly patients. The toolkit will be accessible to everyone electronically bringing tools, guides and links to support spread together. The refined toolkit will be applicable to all healthcare settings, contributing to spreading change to everyone, reducing health inequalities.
Outcome measure: A completed spread toolkit (guide and set of tools) that has been proven to work
Process Measures: No. of people involved in co-creation: by discipline, QI expert, non-QI expert, patients, other Trusts, &, no. of tests undertaken by each group
Balancing Measure: Participants feedback on co-creation & testing processes, &, user feedback on ease of use of toolkit and outcomes achieved by using it
How will the project be delivered?
The initial design of the toolkit has already begun in Somerset, led by a Senior Improvement Advisor working in collaboration with other advisors and our Engagement Lead. Input from benefits, project management and process design analysts are being sought so that it is robust. If successful in this bid we would aspire to co-create the toolkit with a multidisciplinary national team and set up a patient group to gain their perspective & input.
We have approached the South West AHSN who work closely with the Billions Institute, to gain their support. We hop this bid will help build a community of people who wish to be involved. Working with participants virtually using MS Teams we wish to refine the toolkit through user testing, meeting virtually monthly to share progress and learning.
Following testing learning will be consolidated with the MDT national team in order to produce the final toolkit online.
How is your project going to share learning?
We are committed to sharing our learning. To spread and share the toolkit we have created internal & external communications campaigns using spread methodology.
To build awareness, as well as this bid, we have a slot in the Academy of Fabulous Stuff Global Virtual Conference 20/10/2020. We intend to participate in other improvement related events through our Improvement Evidence Lead e.g. IHI & Q conferences. We will share bi-monthly project updates and learning though our Q exchange project page.
To build will we are inviting people to create and test the toolkit with us, undertaking their own PDSA cycles, learning and then sharing with the group. We have requested a Q community special interest group for asynchronous discussion about the toolkit to enable all Q members to participate and learn together.
Through the Q community we would like to facilitate extension agents and use fishbowls to help spread more widely.
How you can contribute
- Critical friends - to provide challenge on the idea to help improve it & highlight what is good and what might need further work
- Experts - to share their expertise based on their professional background or personal experience with spreading change
- Promoters - to share the idea and learning with others within Q, their own organisation and beyond
- Collaborators - to help co-create the toolkit and to help test the toolkit
- Networks - to make introductions that might be helpful to progress this idea within or outside the Q Community
|30 Mar 2020||Start of research & compiling of ideas for toolkit|
|14 Apr 2020||Start of development of macro toolkit with Improvement Advisors|
|15 Jun 2020||Completed draft Macro Toolkit-Stage 1-Dig Deep-What & Why?|
|13 Jul 2020||Completed draft Macro Toolkit-Stage 2-Dream Big-How much by when?|
|14 Sep 2020||Completed draft Macro Toolkit-Stage 3- Add zeros-How?|
|22 Sep 2020||Submit project idea for Q bid & support on expanding idea|
|30 Sep 2020||Engagement with Project Managers, Benefits & Process Design Analysts in co-creation|
|18 Dec 2020||Completed draft Macro Toolkit-Stage 4-No Heroes-Letting Go!|
|1 Feb 2021||Special Interest Group set up by this date|
|8 Mar 2021||Clinical leads join co-creation group|
|1 Apr 2021||Create MDT to co-create toolkit including patient input|
|10 Apr 2021||Set up fortnightly meetings (MS Teams)-Use Skills map from Q-Improvement-Lab|
|1 Aug 2021||Launch co-created toolkit, ready to test|
|10 Aug 2021||Set up monthly debriefs on MS Teams to share learning|
|15 Nov 2021||Review & celebrate event (half way through testing)|
|1 Apr 2022||Complete testing of toolkit|
|1 Aug 2022||Consolidated learning & launch of refined editable spread toolkit|