What is the challenge your project is going to address and how does it connect to the theme?

One Gloucestershire partners are committed to working collaboratively, and already have a strong place-based perspective on improving outcomes for, and with, our local communities. We at the forefront of adopting Population Health Management (PHM) approaches, with a range of new initiatives developing through our six Integrated Locality Partnerships, and all 15 Primary Care Networks now developing a programme of Quality Improvement projects, with contributors from our 71 GP practices. Some key themes from these place-based projects include:-

• frailty and dementia community-based services and aging well initiatives
• addressing health inequalities e.g. improving cancer screening uptake
• support for young people’s mental health
• building community capacity through volunteering networks.

Our neighbourhood focus will be a powerful catalyst to ambitious system change.  However, we are distributed across many organisations, a wide geography and hundreds of settings. We need a cohesive enabling space that builds our collective capacity to deliver sustainable place-based improvement projects.

What does your project aim to achieve?

One Gloucestershire is building a vibrant improvement culture across our system, and we want to use this Q-exchange opportunity to enable improvement initiatives rooted in local place-based leadership, with our aims to:-

1. Strengthen improvement capability in our Neighbourhoods (PCNs) and localities (ILPs), empowering colleagues to initiate, connect and deliver successful projects aligned to overall system priorities.
2. Develop, test and deliver blended learning programmes through in-person, digital and virtual environments. Open to colleagues in primary care, local councils, the voluntary and charitable sector.
3. Encourage cooperative learning and spread of innovation through a Sharing Space for colleagues to connect and engage.
4. Promote skills for co-production in primary care with service user and partner organisations.
5. Join-up with leading QI expertise in ICS leading NHS Trust partners.
6. Build a QI leadership cadre in across primary care and locality teams, with new advanced practitioners, QI coaches and “Q” members.

How will the project be delivered?

One Gloucestershire already has a strong local infrastructure with Integrated Locality Partnerships and delivery plans with PCNs, and QI expertise advising from across our system. We are therefore ready to co-design a QI enabling programme and sharing platform model for local place-based initiatives with our primary care and locality-based colleagues.

1. Form core project team, and steering design group.
2. Scope and co-design learning programmes with key stakeholders including Primary Care Clinical Directors, PCN Business Managers and Locality Teams.
3. Work with Digital and Communications teams on Sharing Space scoping, option appraisal and development.
4. Apply PDSA approach to test programmes and Sharing Space with agreed localities and cohorts of colleagues, and initial locality areas.
5. Develop plans to further develop and embed programmes.

A robust evaluation plan will be developed, our initial ideas are included in the “Sharing Learning” section.

How is your project going to share learning?

The project will be overseen by the One Gloucestershire Improvement Community board to ensure local steering, visibility and sharing of learning on an ongoing basis.

As the project progresses, we will plan to share our design, programme learning and successes from some of the participant projects to a wider audience. This will be through a number of routes including:-

• Regional and national PHM and primary care networks.
• The Q community
• Delivering Improvement Network
• Collaboration with WEAHSN improvement and digital colleagues
• Countywide Integrated Locality Partnership best practice sharing event forum

Our team will develop a clear evaluation plan for the project, with perspectives including:-

• Overall development of a culture of improvement, skills & knowledge
• Activity, numbers of projects, people and connections
• Degree of spread assessments: level of awareness, interest, decision & action to adopt & adapt
• Usefulness and functionality of platform (right level of information and a joy to use)