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Relive all the action in our live blog from the national Q community event on Thursday 23 November held at Aintree Racecourse, Liverpool.

 

Wednesday 22 November

4.00pm Welcome to the Q event live blog and details of the day. Tomorrow the Health Foundation, supported by NHS Improvement and others, are bringing together nearly 400 Q members and colleagues together for a UK-wide Q community event. I’ll be live blogging throughout the day – keeping you up to date with the conversations, sharing the knowledge being surfaced and creating a record of the day.

This full day event is being led by Q together with the Innovation Agency and others including Haelo, AQuA, Greater Manchester Academic Health Science Network, NHS North West Leadership Academy and North West Employers.

You can find out more about the Q community on our website.

Thursday 23 November

Q event Liverpoool Aintree

8:30am Good morning and welcome to the live blog for the national Q community event on Thursday 23 November held at Aintree Racecourse, Liverpool. We have a packed agenda to share with you today, and we’ll make sure we capture all the inspiring content and activities to enable members to connect, learn and showcase. We are focusing the day around 3 pillars: Think, Do, Act.

9:45am Registration is filling up as we prepare to open.

#Qevent2017 registration from The Health Foundation on Vimeo.

Cynergy are our event managers today, they’ll be in the purple jackets if you have any questions.

This morning, we’re hosting live Randomised Coffee Trials (RCTs) with the Q community. RCT works like this – every member who signs up will be sent the name of another randomly-chosen member every month. Each pair can arrange a brief informal meet-up at a time that suits both parties, digitally, over the phone or in person. Today we have some live and bustling RCT’s!  If you’ve not already signed up, what are you waiting for?

Over in exhibition space, at the Health Foundation stand, a twitter huddle kicks off. Our Marketing and Communications Manager, Fran Kirk will be tweeting throughout the day, if you want to join the conversation today make sure to follow @theQcommunity and use the #Qevent2017

Fran Kirk Social Media
Today’s official Q Community tweeter, Frances Kirk

10:30am Stacey Lally, Head of Delivery, opens the Q event by welcoming delegates to the event. Stacey recalls that “it was in a room not far from here where we thought about what the design of this event would look like today, when someone said ‘it’s your community, your knowledge, your event’ and it’s that spirit that has designed and supported the delivery of this event today.”

We encourage members to be present as we embark on six and a half hours of knowledge and learning ahead of us, with the most of the day split into break out sessions.

We have 400 people here today, so let’s talk about you! Whether traveled train, plane or by car, we have a wonderful diverse group of people with us both geographically and professionally. We would also like to extend a special welcome to Andy Philips from Hawkes Bay, New Zealand.

10:40am Penny Pereira, Deputy Director of Improvement at the Health Foundation and the Programme Director of the Q initiative is next to take the stage, introducing the power concept.

Penny Pereira talks about Q as an idea developed with 231 founding members during 2015. Learning from the co-design process for a large scale improvement community is available via the Health Foundation website. Over the last year there has been 1921 more people join Q.

Q is the idea that we should seek a more joined up approach to improvement across the UK.

Penny continues: “It’s the idea that if we pool our talents and energy and spend less time reinventing wheels; if we challenge ourselves and each other to collaborate in new ways, and think at every turn how we can involve and pass on what we’re learning to those beyond Q, then improvement can have a bigger impact.” And if we want to, the power is with us to take it much further!

Penny is then delighted to introduce to the stage her colleague Will Warburton, Director of Improvement at the Health Foundation, someone who “not only brought out the talent and potential I never knew I had, but brings empowering leadership and deep thought to every conversation.”

Will digs deep into the concept of being powerful alone but more powerful together, effecting change through collaboration.

Talking about his preparation for his keynote address, Will watched the eight interview series produced by Peter Wilcock, Helen Bevan and others as part of English NHS’s Developing People, Improvement Care Strategy and learning from our improvement heritage. “Of all the riches in those interviews… the message I heard in each and every one was that…

none of us, however brilliant, can make change in health and care happen alone.

Will continues: “By being here today, I am being bold to assume you have to agree with Penny, that Q is a powerful tool. It could be even more powerful than we imagine.”

Communities and networks have shaped the word before, and they will continue to do so.

11:00am Penny is back to the stage as it’s time for the ice breaker! Delegates are asked to select an artifact on their tables that inspires or represents power in their improvement work.

Qevent2017 ice breaker

11:15am – 12:25pm Morning sessions

This takes us to the first collection of break out sessions. We begin in Future Q, continuing with Penny Pereira.

In the fast paced Future Q session, members are helping to shape the plans for Q for the long term. This is a high-level overview of what’s proposed for Q in future. You can listen to a recording of a from a WebEX earlier in the year for more information. The PowerPoint slides for this session are available to download.

FutureQ Qevent2017

In break-out B, Supporting local system-wide learning and transformation with Stephen Singleton, Lead for Cumbria Learning and Improvement Collaborative; Daniel Weiland, Consultant Medical Microbiologist and Helen Liggett, Regional Service Improvement Lead.

In this break-out session, speakers are looking at supporting local system-wide learning and transformation. Systems can be defined in different ways – health care can be thought of as a  ‘system of systems’. Delegates are considering different perspectives on systems, from micro level within a team context, organisation level to national level. Slides for this session are available here.

Stephen talks about the Transformation Model used by Cumbria Learning and Improvement Collaborative, adapted from NETS.

Also in our morning sessions, we catch Building an improvement culture with Suzie Bailey, Director of Leadership and Quality Improvement, NHS Improvement; Jocelyn Cornwell, Chief Executive Officer, Point of Care Foundation and Matt Hill, Consultant Anesthetist at Plymouth Hospitals NHS Trust and Regional Patient Safety Lead at South West AHSN.

Jocelyn Cornwell, Chief Executive of Point of Care Foundation, talks about the importance of normalizing difficult feelings. Healthcare settings can be lonely places and fears of incompetence, anger, fear, grief and shame are commonly expressed. Sharing emotions allows staff to feel less isolated, reducing the sense of difference.

We’re also hosting a popular Embedding evaluation in your improvement work, session with Martin Marshall, Programme Director for Primary Care, UCLPartners; Emma Gibbard,
Research Impact Manager, University of Bath and Helen Seers, Research & Evaluation Lead, Penny Brohn UK and Vising Research Fellow, University of West of England. Access the slides here.

Emma gives an overview of evaluation and it’s importance in improvement outlining many types and multiple approaches to evaluation – don’t miss her top tips:

  • 1. Engage and involve stakeholders
  • 2. Understand the purpose, set clear aims and objectives
  • 3. Identify what information you need
  • 4. Share your findings and act on them

Ask yourself… can you afford not to do a proper evaluation?

Delegates explore participatory research and the in residence model – the democratisation of knowledge – with Professor Marshall.

In the last of the five morning sessions, Coaching and coaching others with Hannah Dickinson from React

30 delegates are taking part in a fantastic immersive theatre experience with the team from React, where the audience direct the actors to navigate a scenario.

The situation is a Cystic Fibrosis Clinical Nurse Specialist, Claire, who is a champion for patient centred care. She wants to help parents of children with CF to be part of shared decision making in the treatment and care of their children and to be able to do more treatments themselves at home. Claire needs to figure out the logistics of how this could work, how she can gain support for the idea and how she can influence the senior consultant to get her on board. The 30 delegates in the room are the directors of this scenario.

12:25pm Lunch We’ll be back soon!

Some of our Special Interest Groups (SIGs) are taking the opportunity to meet face to face over lunch. What is a SIG and how can I get involved? See the SIGs page for more detail and read about our exciting new groups.

During lunch we caught up with community members to find out about their experience so far. Here’s Abigail Harrison, Director of Innovation at Haelo, Amit Bali, Pediatrician based in London and Kate Cheema, Head of Patient Safety Measurement Unit, South Central and West CSU.

#Qevent2017 reviews from The Health Foundation on Vimeo.

1:23pm – 3:25pm Welcome to our afternoon sessions.

 

We’re excited to be hosting two PechaKucha with Tony Kelly, National Clinical Director Maternal & Neonatal Health Safety Collaborative and also in a second room with Helen Bevan, Chief Transformational Officer, Horizons Group, NHS England.

Members have spent time over the past month working on their PechaKucha presentation, of a variety of styles. PechaKucha is a rapid fire and high energy presentation style using 20 slides with images only and shown for 20 seconds each and timed – takes practice and skill to deliver this 6 minute and 40 second presentation. Wishing Q members luck in their presentations!

We caught up with one of our presenters preparing for the session, Andrew McCracken, Head of Communications at National Voices.

Preparing for Pecha Kucha at #Qevent2017 from The Health Foundation on Vimeo.

Literally translated as ‘chit chat’, Helen says “the perfect thing to do after lunch. The presentations are so fresh, fun and visual.”

You can find out more about the informative, inspiring and truly fantastic range of quality presentations by using the #Qevent2017

We caught up Specialty Trainee in general surgery, Grampian Trainee Lead and Scottish Clinical Leadership Fellow, Joy Ngai following her presentation: Why trainee doctors may be the missing part in your organisation’s improvement effort?

#Qevent2017 Post Pecha Kucha from The Health Foundation on Vimeo.

Also this afternoon half of the delegates are taking part in OpenSpace – something always very popular with the Q community, with Stacey Lally and Dominique Allwood, Assistant Director Improvement, the Health Foundation.

Are you a bumble bee and buzzing between convened groups cross fertilising. Or perhaps a butterfly lounging around public areas looking beautiful and chatting sociably to anyone who cares to join them. The organic gardeners tend their chosen bed, allowing nature to take its course – then display the produce at the Village Fete. Lounge around public areas looking beautiful and chatting sociably to anyone who cares to join them. The soil may not be as colourful as the bumble bees or butterflies, but they are vital to growth.

3.25pm – 3.40pm Time for coffee!

3.40pm – 4.40pm Afternoon break-out sessions

We’re beginning in Q Lab and peer support break out session with Tracy Webb Head of Q Lab, the Health Foundation and Libby Keck, Programme Manager Q, the Health Foundation

The Q Lab is bringing people together from across the UK to work and make progress on complex challenges facing health and care. The Health Foundation are piloting the Lab process this year while looking at the challenge: “what would it take for peer support to be available to all who would benefit from it?” The slides for this session are available to download.

The Lab team use some Creative Approaches to Problem Solving techniques to look at a problem differently. Some of these techniques were used the 2015 co-design of Q.

Delegates were deep in conversation benefiting from the peer support session, whether new to the lab, already involved or planning for the future.

Popping into the next break out session we find How do we learn? with Kathryn Perera, Head of Transformation, NHS Horizons Group and Andy Crawford, Head of Clinical Governance in NHS Greater Glasgow and Clyde

Explicit knowledge and structured training is best understood as embedded in a process of continual learning and improvement on the job. Kathryn Perera and Andy Crawford are reflecting on the different learning theories and practical ways to apply them in our improvement work. Slides from this session are available to download. You can find out more about learning in communities in this report.

How do we learnKathryn led a captivating presentation, exploring connections and new vs old power.

And in our final break out session, QI across patient journeys and pathways with David Fillingham, Chief Executive, AQuA and Katie Clarke-Day, Patient Leader, Not Just a Headache.

Much improvement is done along clinical or single disease pathways or within single organisations, which rarely match patient journeys. Thinking about improvement and flow through the lens of the patient journey and what they experience is still relatively rare. Q member Katie Clarke-Day talks about patient pathways and that they are unique and multiple and attempts to over simplify can be detrimental. Access the slides here.

David Fillingham talks about flow, the movement of patients, staff, information and resources between departments and organisations along a pathway of care. Thinking about how we use assets and resources to improve pathways.

More detail about the challenge and potential of whole system flow is available via a recent Whole System Flow publication by David, Penny Pereira and Bryan Jones.

4.40pm – 5:00pm Close

In closing remarks, Penny thanks our fantastic speakers, valued support from partners and over 80 Q members who have helped in designing and delivering today, being so generous with their skills and expertise.

It’s been a pretty packed day with a lot of ideas, debate and interaction. Please do share this blog with any members who missed today, there will also be a special edition of Q-municate next week.

We started the day with the bold idea of power, and we’ll end in a lighter yet similar way.

The event is closed with an entertaining children’s story of the Hundred Decker Bus by Mike Smith and linking to the resourcefulness, creativity and power of connection in the room, and the wider community, and the new friends and sources of power we’ll be able to turn to when we get stuck.

We hope you’ve drawn energy from the ideas and connections you’ve made today.

We’ve created something special – it can be daunting at times – but we must celebrate what we have achieved together!

That’s a wrap! A huge thank you once again to our members, organisers, speakers and partners. Safe journey home!

That’s a wrap! from The Health Foundation on Vimeo.


Comments

  • Matthew Mezey | 28 Nov 2017

    Hi Amanda,

    Yes, fantastic wasn't it.

    And Lisa Knight did make a valiant attempt to meet up with some of the 60 'QI in Mental Health' SIG  members - but the layout made it very tricky.

    She did manage to have some individual conversations with members of the SIG.

    If anyone (Q members, or others) would like to join that SIG, Lisa's contact is on the SIGs listing page: https://q.health.org.uk/get-involved/special-interest-groups/


  • Amanda Miskell | 28 Nov 2017

    Fantastic day ! Thank you for the opportunity to network, listen to some fascinating presentations, and take QI to a whole new level - Brilliant.

    Need to keep the MH SIG going too # Lisa Knight :-)


  • Matthew Mezey | 24 Nov 2017

    Yes, I'd echo Chris: I love your fabulous work pulling this live-blog together.

    What a great day! :-)

    I hope you had some fun too, and didn't find yourself wholly tied to your keyboard.

     


  • Chris Collison | 24 Nov 2017

    What an excellent live-blog - thanks for putting this together. Now I know how much I missed, and I was *there*!



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