Clinician engagement for QI - What can other
settings learn from community services?’
Dawn Nortman
Head of Clinical Audit & Research
Kent Community Health Trust (KCHT)
Kent Community Health NHS Trust
• One of the biggest providers of NHS
community services
• More than 60 different services
• 5400 staff
• Serving a population of over 1.4 million
Our Area – In Kent
Our Area – Outside Kent
Exercise:
What is different about engagement in community?
• List differences
• For each difference is that a positive or
negative?
• Provide details of why it is positive or negative
• If a negative is there anything that can be done
to overcome this?
What is different about engagement in Community?
Differences
More stable staff population
Staff Type
No centre
Geography
Positive /
Negative?
Engaging Clinicians in Quality Improvement
“Nothing about me without me”
Forums for Engaging Clinicians
•
•
•
•
Meet the Execs
Patient Safety / Quality Walkabouts
Director of Nursing Surgeries
Quality Forum
Forums for Engaging Clinicians
•
•
•
•
•
Schwartz Rounds
Matrons Group
Lead Nurse Group
First Class Care – Education
Best Practice Forums
Leadership & Clinician Engagement
Example of CQC Inspection Communication and
Engagement Model at KCHT
• Use a variety of methods to reach audience:
• Staffzone CQC pages
• Managers’ cascade of information
• Presentation for delivery at team meetings
• Updates in weekly bulletins
• CQC drop in sessions
• Director of N&Q video
Example of CQC Inspection Communication and
Engagement Model at KCHT
• Need to write meaningful guidance in a
language clinicians can relate to:
• 5 domains self-evaluation tool, poster and
business card
• FAQ document
• Get feedback afterwards to assess if
engagement was successful:
• CQC inspection survey to staff
Using the Example of Transformation Team
Transformation Team
Engaging With Staff In Service Re-Design
Ashford Long Term and Intermediate Care Services
Engagement and Service Development Workshop
Using the Example of Transformation Team
• Goal for the day:
To engage staff in the development of our services to
align with potential CCG defined “Network Hubs”.
• Number of staff attending:
43 staff at Bands Six and Seven.
• Outcome:
A collection of solutions to support the continued
delivery of patient care in Ashford in response to new
commissioning arrangements and needs locally.
Feedback from
Participants:
“Strong sense of
engagement from all.
Fear free forum for
sharing views – really
feel listened to”
Exercise: How would you engage clinicians in
Clinical Audit?
What?
Where?
Starburst
Technique
When?
How?
Why?
Who?
Using the Example of Clinical Audit at KCHT
• Executive Leadership – Medical Director
• Strong Foundations – Strategy & Policy
• Clear Roles & Responsibilities
• Department
• Clinical Audit Group
• Directorate Audit Sub-groups
• Directorate Audit Leads
• Service Audit Leads
• Project Leads
Using the Example of Clinical Audit at KCHT
• The skills to get involved – Training, E-learning
• Active Engagement / Dissemination of Learning
• Learning at Work Day
• Clinical Audit Awareness Week
• Clinical Audit & Research Conference
Advertising Department Support:
Advertising How Audit has Improved Quality
Using the Example of Clinical Audit at KCHT
• Flexibility
• Stepping Outside of Remit
• Proving Our Worth – MQGF, CQC Inspection
Using the Example of Clinical Audit at KCHT
• Action Plan Monitoring – every audit to
completion
• Patient and Public Involvement
• Ownership
First Follower: Leadership and Engagement
Leadership Lessons from a Dancing
Guy - Video
Any Questions?
Dawn Nortman
Head of Clinical Audit & Research
E-mail: Dawn.Nortman@kentcht.nhs.uk