Quality 2020 Implementation Team
Monday 13 April 2015, 2.30pm-4pm
CR3&4, Linenhall Street, Belfast
NOTES
Present:
Dr Carolyn Harper (Chair)
Ken Lowry
Kieran Downey
Glynis Henry
Brendan Whittle
Lynne Charlton
Gillian Rankin
Carolyn Harper
Mary Hinds
Keith Gardiner
Brenda Creaney
Oriel Brown
Patricia Higgins
Alan Corey Finn
Gavin Lavery
JohnSimpson
Cathy Jack
Charlotte McArdle
Teleconference:
Olive McLeod
Nicki Patterson
Apologies:
Angela McAlernon
Charlie Martyn
Conrad Kirkwood
David McManus
David Stewart
Francis Rice
Michael Bloomfield
Oscar Donnelly
Paddy Anderson
Pascal McKeown
Patricia Nicholl
Fergal Bradley
Fionuala McAndrew
In Attendance:
Rupert Shuttleworth and Niall Ahern
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1. Approval of Minutes
The minutes of 12 January 2015 were approved.
2. Presentation on Manchester Patient Safety Framework
Rupert Shuttleworth and Niall Ahern, 3rd year medical students at
QUB, presented work they had done in the Ulster Hospital using
the Manchester Patient Safety Framework to assess the culture of
safety and quality within the Ulster Hospital. This was done as part
of their summer studentship placement with South Eastern Trust.
Using the Manchester Framework and standard methodology, they
conducted focus groups with ward level staff and presented the
summary findings. The work highlighted some specific themes
namely, variation in the use of safety briefings, need for greater
inter-ward and inter-speciality communication, need for feedback
on IR1 forms, a desire for simple Trust protocols, and a suggestion
to repeat the Manchester Patient Safety Framework Assessment
annually.
In discussion, they confirmed that the Framework has modules
suitable for the acute setting, primary care, social care and
community settings. It can also be used with distinct teams or with
mixed groups and is suitable for all types and grades of staff.
Members indicated that they would be interested in repeating the
work in their own Trust, on specific sites, as a way to assess their
own culture, but also to test the approach further to inform any
longer term commitment to using the Framework on a regular
basis.
The nominated Trust points of contact for follow up are Cathy Jack
(Belfast), Ken Lowry (Northern), John Simpson and Francis Rice
(Southern), Brendan Whittle and Nicki Patterson (South Eastern),
and Alan Corey Finn (Western).
Lynne Charlton will follow up with the points of contact to agree
next steps with a view to repeating the exercise in one site in each
Trust, and building some in-house skills in using the Framework in
each site.
Action: Lynne Carlton to follow up as above.
3. Feedback from last Steering Group meeting
Steering Group asked for an Engagement Plan. They also
approved the next stage in Task 5 which is to develop a common
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approach to mandatory training across the HSC. DHSSPS have
also conducted workshops to develop a response to the
Donaldson Report and the notes from those have been issued to
the system. An internal audit report for DHSSPS on
implementation of the Quality 2020 Strategy was also considered
by Steering Group, the findings of which will be fed into the Quality
2020 Action Plan which is being developed.
Action: Lynne Charlton to update the Action Plan for Quality
2020, including actions from this meeting.
4. Task 2 Update – Annual Quality Reports
Cathy Jack presented a draft of content for the Annual Quality
Report due for publication toward the end of 2015. As well as a
small number of additional indicators, members also asked for
greater consistency in the content and format of reports. It was
agreed that the section on complaints would include some
narrative on improvements that have resulted from complaints.
Medical revalidation will also be included as an indicator of the
percentage of doctors due for revalidation in a given time period
and the number for whom a positive recommendation was made.
Action: Task leads to take account of the comments above
and prepare the final list of indicators, definitions, formatting
advice etc. to go to Lisa Moore by early May for Steering
Group sign off in June.
5. Task 4 Update – Attributes Framework
A workshop was held on 11 March 2015. The proposal is that all
staff should be trained to level 1, and that level 4 would be split
into 4a for executive team and board members, and 4b for those
with specialist quality improvement roles. The first phase will
prioritise training for level 1 and level 4a.
After discussion, it was agreed that the 5 Trusts should train 200
staff in level 1 by March 2016; this can be by group training using
in-house existing skills.
Action: Trust representatives to feedback to their senior
management teams on this requirement and initiate work to
achieve the 200 per Trust. CNO to discuss with CMO and
ideally, secure formal agreement from Department before the
Steering Group meeting in June, and communicate the
training requirements to Trusts thereafter.
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A plan for training for level 4b will also be developed by March
2016 by the Task Group. They also hope to develop a recognition
programme for those who complete training and have that in place
by 2016.
The Attributes Framework has been mapped to KSF and can
therefore support appraisal under KSF. The Task leads will work
with Trusts to identify a site to test the use of the Attributes
Framework in appraisal.
Action: Task leads to action as above.
In relation to training programmes, it was agreed that the Task
Group would clarify the training that managers can sign-point staff
to so that they develop the skills relevant to their needs. For some
levels there may be one specialist training centre, for others there
may be a menu of training courses across a range of training
providers.
6. Task 5 Update – Minimum Mandatory Training Content
Following presentation on the work to date to the Steering Group,
the next phase of this work will be to review the existing
approaches to mandatory training in each Trust and, working with
Trusts, develop a single HSC wide approach, with common
content, and frequency, for specific topics, some of which will be
relevant to all staff and some of which will be profession-specific.
Each Trust has its own version of this at present, and therefore the
project team will review existing practice and develop a single
common approach.
Action: Lynne Charlton to work with Lisa Moore and Trust
leads to take this forward as above.
7. Task 6 Update – Ward Level Review
The Random Safety Audits Guide will be shared with members,
with comments to John Simpson and Olive McLeod by end of April
2015. The guide is based on the presentation by Dr Bali at the last
meeting, and current practice in the Northern Trust.
Action: Lisa to send the Random Safety Audits Guide to
Implementation Team members for comment by end of April
2015 as above.
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8. Task 13 update – WHO Curriculum
Keith Gardiner reported that the project is progressing well.
Agreement and consensus is being built and there are no
particular issues to be addressed. The presentation to the Steering
Group was received well.
9. Task 14 Update – Harmonising Logistics
Lynne Charlton presented a summary of the themes that emerged
from the focus groups held by Lisa Moore and Dr Muhammad
Sartaj with 150 foundation year 2 doctors. These have been
categorised into areas where work is underway already, areas
where work may be required, and then other areas which may be
too complex or not feasible to solve directly. Lynne will add further
detail to that paper to show progress on the issues and suggest a
way forward on some of the areas not currently being addressed.
Induction and a common approach to induction and common
record/passport, is one possible early project. The value of a single
HR function for medical staff in training, and associated single
logistics around email addresses and work mobile phones was
also highlighted.
Action: Lynne Charlton to update the paper further for next
meeting and in the interim, for Steering Group for June.
10. Safety Forum Update
Dr Gavin Lavery report that the Q Programme from the Health
Foundation is open and there are 8 places available for Northern
Ireland. In addition, the Scottish Fellowship Programme will open
soon. The Safety Forum Awards were oversubscribed and Safety
Forum will consider sizing the number of opportunities to the size
of the organisation in future years.
The Forum was also considering a general ward collaborative and
will be seeking expressions of interest on that in the future. It will
look at issues around handover, culture of safety, safety briefings,
and specifically delirium, as part of the work.
11. Draft Engagement Plan
Lisa Moore presented the draft Engagement Plan and asked for
comments to her by end of April 2015. Lisa will then amend the
plan and bring a final version to the Steering Group in June for
approval.
Action: Lisa Moore to action as above.
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12. Other Items
The Mandate for rollout of Qlikview across the region is being
finalised and will go to next meeting of the eHealth Strategic
Board.
Action: Lisa Moore to action with Katey Gunning.
QSE Scoping Paper was updated for the period July to December
2014. Contact details have also been added. This final version will
be shared with the Steering Group for information. It was agreed
that the Scoping Paper would be updated annually in April of each
year starting from April 2016.
Action: Lisa Moore to arrange updates from April 2016
onwards and also arrange for the final paper to go to Conrad
Kirkwood for Steering Group noting.
13. Dates and Times of Next Meetings
13 Apr 2015, 2.30pm-4pm, Conference Room 4, Linenhall Street
20 Jul 2015, 2.30pm-4pm, Conference Room 4, Linenhall Street
12 Oct 2015, 2.30pm-4pm, Conference Room 4, Linenhall Street
11 Jan 2016, 2.30pm-4pm, Conference Room 4, Linenhall Street
18 Apr 2016, 2.30pm-4pm, Conference Room 4, Linenhall Street
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