evaluation of the 5th annual quality and …...quality and safety in healthcare event was held on...

EVALUATION OF THE 5th ANNUAL QUALITY AND SAFETY IN HEALTHCARE EVENT 2016

QUALITY, GOVERNANCE & RISK UNIT

Quality, Governance & Risk Unit ~ Supporting quality and safety

Date: 27 June 2016


- Date: 27 June 2016

SITUATION The Quality, Governance and Risk (QGR) Unit felt that staff within NHS Grampian should be given the opportunity to hear about the successful and innovative quality improvement work being undertaken across the organisation. Following the success of previous events, the fifth Quality and Safety in Healthcare event was held on 23rd May 2016 at the Suttie Centre, Foresterhill Health Campus, Aberdeen. This report summarises the evaluation of the day and compares the results with last year’s event.

BACKGROUND Aim

To share knowledge about quality and safety in health care within the NHS, the University of Aberdeen, Robert Gordon University and the wider community

Objectives

To raise awareness and share information about quality work being undertaken within Grampian

To provide an opportunity for staff to showcase their work

To provide a platform for sharing and networking

To provide an opportunity for people to prepare presentations and posters so they can then apply for conferences and awards

To present recent research and developments about quality and safety across the UK

To provide an opportunity for researchers and health professionals to engage and share insights around issues of research and practice in quality and safety

Main Speakers

CHAIRPERSON: Professor Lorna McKee, Chair, Health Services Research Unit, University of Aberdeen

CHAIRPERSON: Liz Hancock, Head of School of Health Sciences, Robert Gordon University

OPENING REMARKS: Professor Stephen Logan, Chairman, NHS Grampian

CLOSING REMARKS: Mr Malcolm Wright, Chief Executive, NHS Grampian

PLENARY SPEAKER: Dr Ed Coats, Specialist Doctor in Nottingham with degrees in Medicine, Extreme Human Physiology and Medical Law Presentation (Unavailable): Great Stories, Great Lessons, Great Healthcare

http://www.edcoats.com/personal/wp-content/uploads/2014/07/IMG_5571.jpg



PLENARY SPEAKER: Professor Adam Ogilvie-Smith - a visiting Professor at Robert Gordon University, and an adviser to Middlesex and Sheffield Hallam Universities. He has a BSc Mathematics & Statistics from Edinburgh University, an MBA from the Open University, and the Diploma in Company Direction from the Institute of Directors (IoD). He is a Fellow of the IoD, a Member of the Royal Institution, and a Trustee of Age UK Oxfordshire. Presentation (Available): Carthorses, Dancing Elephants and Inverted Swans

Winning Posters

The Rainbow Trail

Can mobile technology be used

to improve the discharge planning

process for an amputee population?

Help! I'm a young carer but who cares

for me?

Including patients and staff experience in driving change -

NHSG Eye Outpatients

Breakout Presentations

Quality 1. Colette Cowie and Kevin Barclay: Adult Mental Health Community Psychiatric Nurse (CPN) Redesign

2. Dr Stephen Friar: ExtraCorporeal Membranous Oxygenation (ECMO)

3. Dr Kevin Carter: Impact of Ambulatory Emergency Care

4. Jenny Ingram: Fostering Champions of Change – Making Improvement Routine in Grampian

5. Lesley Lumsden: Person Centred Care Group Royal Aberdeen Children’s Hospital

6. Fiona Russell: Antimicrobial use in wound care

Safe 1. Eileen Howitt: Medication Safety 2. Tracy Stronach and Fiona Mathers: Warm Bundle

3. Kirsty Strachan and Laura Angus: Falls

4. Dr Stephen Friar: Treatment Escalation Plan (TEP)

5. Jen Clarke and Jake McDiarmid: Community Pharmacy

6. Dr Laura Clark: Acute Kidney Injury (AKI)

Effective 1. Ruth Mcdonald: Re-audit of the Cardiac Rehabilitation Service (Patient Experience)

2. Shona Halliwell and Fiona Wyllie: Feedback from the Archie DEFO (known as lycra clinic) parent/carer/therapist audit

3. Lisa Bowlerwell: Prescribing for Recovery Pilot

4. Jane Ewen, Elsie Carnegie and Stuart Donald: Improving the Mealtime Experience at Royal Aberdeen Children's Hospital

5. Juliet McBean: healthWorks: Measuring the impact

6. Kirstin Wilson and Catherin Mackenzie: Audit of Immediate Discharge Letter (eIDL) in Adult Mental Health



N.B. Comments from delegates have been anonymised

ASSESSMENT

228 delegates booked to attend and 231 actually attended on the day. Feedback Response Rate: 118/231 (51.1%) Figure 1

Figure 2 (n=117)

97%

3% 1%

86%

11% 3%

0%

20%

40%

60%

80%

100%

Yes, both morning and afternoon

Yes, morning only Yes, afternoon only

No

Did you attend any of the KEY SPEAKER presentations?

Year 2016 (n=118) Year 2015 (n=118)

91%

4% 5%

92%

7% 1%

0%

20%

40%

60%

80%

100%

Very informative A little informative Not informative Missing data

Please rate how informative you found the presentations by the KEY SPEAKERS?

Year 2016 (n=117) Year 2015 (n=118)



Examples of Comments about the Key Speaker presentations (Full list of comments available in Appendix 1 and Appendix 2) BEST:

The AM session was a fantastic story that threaded through a lot of valuable lessons that are very comparable with day to day working in healthcare. I would highly recommend AM Speaker’s talk to likeminded individuals

Stories - Use of stories to share experience and learning, very powerful. The inverted swan analogy - very useful

Inspiring, engaging, very powerful messaging. Fantastic. Very lucky to have such a calibre of speakers

Fabulous 'storytelling' with powerful points that can be translated to our NHS organisation and teams. Good session, valuable points that I/we can take on board - slightly 'in-depth' at times

Morning speaker understood the NHS and was able to link his experiences to teamwork and the NHS. AM Speaker was a compelling speaker and his presentation was coherent, interesting and everyone should have been able to relate something of his experiences to their role and function

Both very good speakers. Relate a lot of information to teamwork and the challenges we face in 'change' and 'development'. Each talk left me with lots of ideas of how to develop as a team leader and how leading develops the quality of care we provide

LEAST:

The afternoon session was perhaps aimed a bit too high for a decent proportion of the audience. I found it a very informative outsider’s perspective on healthcare, but a number of points were difficult to relate to

Whilst I appreciated PM Speaker's sentiment within his presentation, I found it difficult to follow

Morning: Possibly too much emphasis on expedition but again team dynamics very interesting

The sessions would have benefited from the collection of presentations being framed at the start by an overarching set of statements from the chair and pulled collectively at the end in the same way. Challenging but do able

They were very long - no more than 45 minutes and 15 minutes for questions

Not enough time - could have listened to the presentations for longer

Figure 3 (n=118)

92%

3% 1%

5%

77%

8% 5% 9%

0%

20%

40%

60%

80%

100%

Yes, both morning and

afternoon

Yes, morning only

Yes, afternoon only

No Missing data

Did you attend any of the BREAKOUT SESSION(S) presentations?

Year 2016 (n=118) Year 2015 (n=118)



Figure 4 (n=112)

Examples of Comments about the ‘breakout sessions’ (Full list of comments available in Appendix 3 and 4) BEST:

Workshops well facilitated and deliverable messages

Variety of topics presented - subject matter is unimportant when presented well, showing lessons that can be learned and implemented in any area

Variety of areas covered, great to get ideas from other peoples’ work and see how it could apply in own area

SAFE: really interesting. Inspirational - mental health safer meds management and falls prevention. Will definitely take ideas back to the pharmacy to develop safer practices. Sharing success. Learning the work that is taking place in NHS Grampian

New news about services within NHS Grampian which was useful to hear. Exciting times to see NHS Grampian in the forefront of leading services. Good to hear passionate leads

Always good to hear about the work that is being undertaken throughout NHS Grampian - such excellent initiatives, audits, etc that can be transferred to other areas to improve patient care and experiences

LEAST: With the broad themes of the breakout sessions it was difficult to find sessions that had more

than one element that I was interested in so 2 of the 3 presentations weren't relevant. I wonder if it would be better to theme in work area - e.g. Mental Health, and have a Quality, Safety and Effectiveness element to 3 presentations, allowing someone with an interest in one work stream to see more of the work going on / challenges being addressed

As with all of these the quality of the presenters varied. Some were very good, some just read their slides out loud. Not sure if it’s possible for the organisers to have a run through of all the presentations before the conference and provide some constructive feedback to presenters

Unable to attend any of the safety presentations. Suggest either putting safety presentations into larger room (understand the limitations of Suttie Centre) or restructure so that delegates have to attend a different theme morning afternoon

I was unable to book onto the breakout session I wanted. The booking system was flawed - I think it was aimed to suit time pressures of the organisers not the delegates. On reflection advance booking may allow better planning for the popular sessions (i.e. moving safe to lecture theatre). Some talks weren’t necessarily a QI project more redesign and new ways of working which appeared to be undertaken due to necessity as opposed to proactive improvement

Had to listen to some sessions that would not choose, should be option to move to another.

72%

24%

4%

75%

23%

1% 1% 0%

20%

40%

60%

80%

100%

Very informative A little informative Not informative Missing data

Please rate how informative you found the presentations by the 'BREAKOUT session' presentations?

Year 2016 (n=112) Year 2015 (n=107)


Date: 27 June 2016

Figure 5 Figure 6

Figure 7 Figure 8

2%

91%

5% 3% 2%

86%

3% 8%

0%

20%

40%

60%

80%

100%

Too much Just right Too little Missing data

How would you rate the 'BALANCE' between the KEY SPEAKERS and/or BREAKOUT SESSIONS (e.g. discussions

and presentations)?

Year 2016 (n=118) Year 2015 (n=118)

40%

52%

4% 2% 2% 1%

47% 42%

1% 1% 9%

0%

20%

40%

60%

80%

100%

Excellent Good Average Poor Very poor Missing data

How well did you feel the day's programme flowed?

Year 2016 (n=118) Year 2015 (n=118)

94%

4% 2% 3%

87%

1% 9%

0

0.2

0.4

0.6

0.8

1

Too short Just right Too long Missing data

Rating the length of the Quality and Safety in Healthcare Event?

Year 2016 (n=118) Year 2015 (n=118)

3%

35%

60%

2% 3%

26%

60%

10%

0%

20%

40%

60%

80%

100%

Would not recommend

Recommend Highly recommend Missing data

To what extent would you recommend your colleagues to attend a future Quality and Safety in Healthcare Event?

Year 2016 (n=118) Year 2015 (n=118)


Date: 27 June 2016

Figure 9

Comments on any aspect of the Quality and Safety in Healthcare Event Delegates were given the opportunity to comment on any aspect of the event. (Full list of comments available in Appendix 5)

Event Suggestions/Recommendations: Breakout Sessions

This is my 5th attendance, and will be back for number 6! Need to review how breakout sessions are allocated. I registered at 0910 and both safety sessions were already fully subscribed. It doesn't encourage delegates to attend next year if they are unable to attend breakout sessions which interest them. As a pharmacist, CPN redesign, Paediatric meals, AHP rehab are of very limited interest (although I recognise they are of significant relevance to others).

By 9am my first choice of breakout session for morning was full, perhaps if choices were made prior to the event, then the most popular could be held in the bigger room

Themes Why were there no person centred breakout sessions / why were workshops invite only? The

breakout sessions seemed 'stuck on' didn't flow or relate to topic of 'Quality Teams = Quality Care'

Needs more about/applicable to General Practice where 90% of healthcare takes place

Venue/WIFI It’s time to bite the bullet and change to a bigger venue - people do not book on as they know it is

a busy event. During the day it is difficult to network as there is little flow and a large number of the delegates are separated during lunch. Wi-Fi is a disappointment - I was able to connect but it was extremely slow - therefore I was unable to tweet throughout the event. Increase number of posters on display - this is one of the best opportunities to learn about good work across the organisation and network with the people who have instigated the work. Every year we hear there were lots of abstracts submitted, and we hear we don’t celebrate our successes... so why limit displaying our good work? The event is very well organised - I appreciate it must be terribly time consuming, it runs very well every year and has become a victim of its own quality... I just think there are enhancements that should be made to avoid risk of complacency

Well organised as usual, excellent event. Uncomfortable seats in Lecture Theatre if there all day

Excellent event, well organised and very friendly atmosphere Poster display area can be a little busy, makes it hard to look at posters properly. Breakout rooms were a little small, but overall experience very good.

Microphones had a few moments where they cut in and out. Lecture hall was very full and not everyone got seated.

61%

33%

3% 3%

65%

24%

1% 10%

0%

20%

40%

60%

80%

100%

Excellent Good Average Poor Very poor Missing data

Overall, how would you rate the Quality and Safety in Healthcare Event?

Year 2016 (n=118) Year 2015 (n=118)


Date: 27 June 2016

Time Lunch break a little too long

Less breakout sessions with more time

Presentations As all the breakout sessions were relevant could the presentations be made available to all

attendees via e-mail/intranet links?

I thought the key note speakers were very good. I would have liked to get a copy of all the presentations as I did not take any notes as I just wanted to listen and take it all in.

General Positive Comments This was a super event, showcasing the great work going on. It felt like a real celebration of staff

and teams

The key speakers were excellent, each year it continues to be a great event, well done to the organisers, always hard to keep so many people interested and moving

The stories and experiences of both keynote speakers were interesting and there is a clear correlation to the NHS and quality improvement

Very informative. This is the first event that I have attended and certainly would encourage colleagues to attend in the future

Examples of Twitter Quotes received during the event: “Never say no! Stay open to new experiences. Reforming teams - lessons from South Pole”

“When you are going to be vulnerable: knowledge and skills important, teamwork & trust vital”

“Humour and understanding each other, helps to get you through. Teamwork”

“...building an effective team in a short timescale humour in the team is important”

“Lessons in teamwork. Honesty and collective team responsibility - takes training & work to develop”

“How often do you get annoyed when staff are off sick at work? ... tells us do exactly the opposite cultivate honesty”

“Redesigning CPN Services to meet HEAT targets - uniformity and equality in specialist nursing services”

“Re-design for inequity of access to CBT/PSI”

“Understand existing service. Involve staff. Plan to target”

“Continuous audit helps drive effectiveness by early identification of problems”

“Supported staff can progress; aids succession planning - but needs accessible training”

“Being honest about who you are & what you contribute rather than being what you think is expected of you”

“Progression routes for CPN teams (CPN's). Should this be adopted by all specialist nurse teams”

“... on the challenges of setting up #ECMO when principal training centre 450 miles away!”

“Commitment to patient centred care & ongoing staff training make a centre of excellence”

“Importance of peer review against national standards”

“Ambulatory care - medical assessment aligning with 20:20 vision. Assess to admit, NOT admit to assess”

“Patients love ambulatory care ANPs have reduced AMIA admissions by 10% Well done team”

“Important that QI is embedded and not seen as something separate”


Date: 27 June 2016

“QI all about being patient centred and supporting staff flexibility”

“Feedback to patients & families about how their suggestions were actioned”

“CBAS paving the way for improvements needed. What matters to me, you said we did, daily goals, team RACH”

“... enlightens us about realistic medicine and implications for antimicrobial wound dressings”

“Use of stories in work place to share, learn, analyse etc in formal way”

“... planning & instruction needed for major change. Common sense not so common”

“Intersection of specialism & role creates tension-leadership must transcend this to meet person-centred needs”

“Revolutionising healthcare needs careful analysis of requirements and clear communication of new direction”

“Knowledge & wisdom to inform strategy depends on quality data, but filtered to avoid overload. KPIs...”

“X or Y agreements, which do you make? Y makes change of direction and new path for both?”

“... reminding us that agreements should be Ys - different paths diverging with a joint direction afterwards”

“Inverted swans - masses of activity looking like chaos but calm strategy & delivery going on”

“Fascinating day! Great to think out with the NHS box”

“community, primary care & GP services are at the heart of any good healthcare system”

“... on Story of the numbers & Story of the words coming together to inform Change”

“Do we agree and carry on own path or agree and collaborate? Thought provoking ...”

RECOMMENDATION(S) Hold a debrief session and consider the feedback in order to identify areas of improvement

for this established annual event. To establish and encourage the use of social media to support this work To consider publishing the success of this collaboration APPENDICES Appendix 1 - What did you like BEST about these key speaker’s presentations? Appendix 2 - What did you like LEAST about these key speaker’s presentations? Appendix 3 - What did you like BEST about these breakout sessions? Appendix 4 - What did you like LEAST about these breakout sessions? Appendix 5 – Additional Comments Appendix 6 – Evaluation questionnaire


Date: 27 June 2016

Appendix 1

What did you like BEST about these key speaker’s presentations? – Comments

Using a story to make the points, very effective

They both used similar styles which made listening and absorption of what they were saying very easy. As the first speaker said they talked through a story and they did not use PowerPoint to list what they planned to say.

The 'story'. The analogies between business sector and NHS

The inspirational story in the morning.

The inspiration of hearing about a real journey

The format. A story which emphasises key messages is very powerful & memorable

Their experiences - makes it real

The application of his experience in building a team to an NHS working environment

The AM session was a fantastic story that threaded through a lot of valuable lessons that are very comparable with day to day working in healthcare. I would highly recommend AM Speaker talking to likeminded individuals.

Storytelling at its best - deeply moving and memorable but simple key points to understand

Storytelling with ability to learn. Team effective work without communication required

Stories give the information. No bullet points. Enthusiasm

Stories - Use of stories to share experience and learning, very powerful. The inverted swan analogy - very useful

Opportunity to hear about different setting to analyse team working. Introduction to use of stories

Morning: The talk of team working, dynamics. Expedition was very interesting. Afternoon: Avoiding 'micro management', trusting colleagues to deliver to be able to work autonomy

Morning - Storytelling at its best - didn't want speaker to stop. Great learning and easy to recognise similarities in health. Afternoon speaker interesting - good similarities too

Memorable points made through an unforgettable story

Interesting experiences and stories that linked well with the topic of leadership and team working

Inspiring, engaging, very powerful messaging. Fantastic. Very lucky to have such a calibre of speakers

Great to hear a story not relating to NHS

Fabulous 'storytelling' with powerful points that can be translated to our NHS organisation and teams. Good session, valuable points that I/we can take on board - slightly 'in-depth' at times

Extremely motivational and uplifting - we should use 'stories' more!

Extremely interesting and entertaining. Particularly inspirational in morning. Relevance to many aspects of NHSG

Explain all through stories and experience were understandable and interesting

Very interesting talks with good messages to NHS employees

Very interesting - good to hear other views and opinions

Very informative and relevant

Very engaging presentations. Both speakers took a different approach to day to day issues/concerns

Used real life experience of working in teams to highlight key learning which is transferable to healthcare.

'Thinking outwith the NHS'

The links to leadership in the NHS. Both speakers were very inspiring

The link to teams and healthcare


Date: 27 June 2016

The importance of team working, it was good

The difference between the 2 but similar key themes, well done

Team working; Communication; Looking after each other in our pursuit to get the job done

Speakers were both very engaging and enjoyable. Always good to look at issues in healthcare whilst looking at different workplaces and different scenarios, gives different perspectives but remains relevant

Really enjoyed morning speaker’s presentation and felt I learnt about teamwork, goal setting, communication as well as finding it interesting and inspiring

Really enjoyed morning key speaker

Motivational. Great ideas/lessons learnt that can be applied to leadership/teamwork in community pharmacy

Motivational and inspirational - food for thought

Morning speaker understood the NHS and was able to link his experiences to teamwork and the NHS. AM Speaker was a compelling speaker and his presentation was coherent, interesting and everyone should have been able to relate something of his experiences to their role and function.

Morning speaker told us of his experience which can translate in the NHS setting and help us manage our time/resources better

Morning presentation in particular was very good

Looking at teams and leadership differently

Liked AM Speaker's presentation and how he linked his input of NHS experience to his work experience.

Interesting, inspiring, easy to translate to NHS situation

Inspirational and practical

Inspirational

Informative, inspiring

Informative and inspiring thinking about team working and leadership key messages throughout the team

Informative and educational. Details of planning and trials, good to know how well things went as well as the problems

I liked the theme between both presentations. Teamwork, clarity of rules, purpose and vision. I loved the idea of storytelling as something we should do daily

I found presentation by AM Speaker a very high quality learning experience - very informative and useful. Very transferable into my work situation.

I enjoyed AM Speaker presentation style - threading the themes of team working into his story

How you could relate what happens is the wider world, regarding team work, leadership etc to your own area of practice within the NHS. They were very informative.

Excellent presentation given by AM Speaker. Engaging, informative and surprisingly relevant to day to day situations!

Excellent key speakers. Both different styles and messages. Good team working and examples of poor team working

Enthusiastic speakers. Informative and inspiring talks will make me think about my management style

Entertaining and very informative

Enjoyed the morning presentation re teamwork and leadership. Very inspiring

Engaging - large number of learning points

AM Speaker: Very interesting and different but applicable in many areas of work.


Date: 27 June 2016

AM Speaker was inspiring! It was also good that very little text was written on slides and the information was given directly by him. Videos and photos added to the overall talk. PM Speaker was great in his story telling, and made the talk very memorable

AM Speaker - firmly addressed the teamwork remit, but in an inspirational and entertaining way. PM Speaker had many good observations/points, but overall I felt it was less engaging/coherent.

AM Speaker was very inspirational with lots of messages that could be applied to the workplace and everyday life.

Different way of looking at teams and team working

Different to what I'd expected. Very interesting and thought-provoking

Different take on importance of health/quality ways to improve quality within NHS

Different setting used to illustrate core principles of leadership

Demonstrated how team work essential foundation in all challenges we face

Clear and concise slides and oral delivery. Humour AM: Story telling PM: Relatable examples.

Brilliant presentation - thought provoking. Could have listened to more

Both were interesting, covering what could be very dry topics in an interesting and engaging way

Both very good speakers. Relate a lot of information to teamwork and the challenges we face in 'change' and 'development'. Each talk left me with lots of ideas of how to develop as a team leader and how leading develops the quality of care we provide

Both speakers drew parallels with the health service and referred their examples to the NHS

Both presentations were very informative

Both excellent speakers - despite discussing subjects unrelated to healthcare they were able to give advice on how to make a team work better

Both eloquent and kept ones’ attention. Relevant. Thought provoking

Applicability to a range of professions and experiences, and importance of teamwork. Would be beneficial to all

Analogy - requires listening, interpreting and adapting - the speaker’s message to transform it into a healthcare setting

AM: Working in a team under pressure PM: Clear goals and delivery of these throughout the tiers of the organisation in an environment of trust and respect

AM: Very humble and expressed personal weaknesses as well as strengths and challenges

AM: Thought the idea of storytelling was great. Inspiring informative speaker

AM: That it was a story and not a PowerPoint presentation. Good contrast between 2 key note speakers

AM: Talk - Fantastic - clear understanding of team work

AM: Speaker’s 'story' was amazing; very inspirational, relevant to teamwork and presented in a non-didactic, memorable manner. Quality team at its best

AM: Speaker was extremely informative and quite inspirational/motivational

AM: Relevant information which is transferable to clinical management/leadership. Excellent to see the same qualities in a different scope/situation. PM: Good - very applicable, shows how this is not working in our directorate!!

AM: Plenary speaker very interesting, great visual aids relevant to NHS teamwork

AM: I enjoyed the different perspective of telling a story which certainly made the presentation very interesting

AM: Good story telling. Rather inspirational presentation with good reflections

AM: fun and very person centred talk

AM: Fantastic speaker - stories always made me remember facts and make me think about what my practice is like. Good to reflect back to. PM: Good to hear similarity between NHS and business


Date: 27 June 2016

AM: Excellent presentation - could have listened to him all day. PM: Another excellent speaker

AM: Aspects of team challengers brought about by extreme situations PM: Summary slide messages

AM speaker's presentation covered key areas that we recognise and need to consider in the NHS

AM Speaker: team work, we come to own conclusions. Can adapt mindset into own workplace PM Speaker: Managerial/structural process can also be adapted to own workplace

AM speaker was really good, I liked that it wasn't bullet point presentation and it was personal which was good, really enjoyed it

AM speaker was inspirational and thoroughly enjoyed his story and how teamwork and communication was inspirational to success

AM speaker was excellent. 2nd time I've heard him but so many pertinent messages. Workshop very well facilitated by him too. PM speaker very good too

AM speaker very informative, can apply principles to daily work. PM speaker - clear purpose and vision which can be applied directly to work

AM speaker excellent. Very relevant parallels for team working. Both good

AM speaker - excellent use of his story to focus on aspects of teamwork and leadership

All speakers had a 'narrative' approach rather than prescriptive - helps in engaging

All good

2 different types of talks but focusing on the same strategy - Communication

Appendix 2 What did you like LEAST about these key speaker’s presentations? – Comments

TIME

Would have liked more time for questions with morning key speaker

They were very long - no more than 45 minutes and 15 minutes for questions

Not long enough

Not long enough

Not enough time - could listen much longer

Not enough time - could have listened to the presentations for longer

Not enough time

Limited connection with the final speaker

Level of time for both speakers

Last session, slightly too long

Balance between their presentation content and allocated time.

AM: Key speaker, could have listened to his stories for longer

1 hour is a little long

PM Speaker - whilst interesting and informative - his presentation felt a bit long.

CHAIRPERSON

The sessions would have benefited from the collection of presentations being framed at the start by an overarching set of statements from the chair and pulled collectively at the end in the same way. Challenging but do able.


Date: 27 June 2016

Appendix 3

What did you like BEST about these breakout sessions? – Comments

WORKSHOP

Workshops well facilitated and deliverable messages

Workshops led by AM Key Speaker were excellent - found use of stories and interactive sessions constructive and helpful.

Workshop. Excellent

Working through the exercises. Networking with others

GENERAL POSITIVE COMMENTS

Wide range of presentations

Whole of NHS Grampian working together

Very much enjoyed the quality session this afternoon

Variety of topics presented - subject matter is unimportant when presented well, showing lessons that can be learned and implemented in any area

Variety of topics

Variety of speakers were fantastic. Great to see clinical leaders passionate about inspiring their service

Variety of speakers from all different levels

Variety of presentations

Variety

Varied topics. Good presenters

Variation of improvement undertaken

Variety of areas covered, great to get ideas from other peoples’ work and see how it could apply in own area

Update on what is happening locally

To hear about improvements that are taking place further afield from my own work area.

Time to think of stories and situations from the workplace and how team dynamics affect the way we work.

There was a really good variety of information and data given. All very interesting, just right amount of time for each session

The morning session was interesting and informative

The importance of MDT involvement in improved person centred care. The best presentations involved and acknowledged the involvement of nursing /medical staff/AHPs and their awareness of each other’s role

The development in each area and how they are compliant with governance aspects

Treatment Escalation Plan (TEP) and 'Impact of Ambulatory Emergency Care' presentations

Some of the subject matter was more relevant to me than others

Short, snappy, local presentations keep interest. ECMO and ambulatory care particularly interesting.

Short presentations giving an outline of a piece of work.

Short and to the point. An insight to other areas in NHS Grampian

SAFE: really interesting. Inspirational - mental health safer meds management and falls prevention. Will definitely take ideas back to the pharmacy to develop safer practices. Sharing success. Learning the work that is taking place in NHS Grampian

Safe sessions were relevant and interesting

Safe AM: Talk relevant to practice

Right length of sessions, not too long. Interesting topics

Pertinent topics


Date: 27 June 2016

Pertinent to different areas, can learn in more sessions how to adapt to my workplace

Person Centred Care in RACH was excellent.

Opportunity to hear what is going on throughout the organisation

Not all relevant to clinical practice, but still very interesting and informative. Good ideas to share

New treatments at Aberdeen being a centre of excellence ECMO

New news about services within NHS Grampian which was useful to hear. Exciting times to see NHS Grampian in the forefront of leading services. Good to hear passionate leads

Mixture of talks

Mix of listening and doing. Storytelling

Lots of variety. Great to hear from different people from lots of various professions/backgrounds. 'AKI' presentation was extremely informative (was attending the 'safe' sessions)

Lots of good work, and informative

Learning more about different areas of NHS Grampian

Learning about various innovative projects within the organisation that I would not be exposed to in the course of my work

Kept to time

It made you think about what you could do in your area of practice.

Interesting to see what other areas are doing to improve the service provided. Gives ideas as to future areas were improvement can be made

Interesting subjects

Inspiring ideas and honest account of the difficulties and challenges

Informative and interesting, even the sessions not directly related to my own practice

Increased my awareness of some great innovations and a real desire to make improvements

Improvement in quality measures across the board were highlighted

Illustrated gains for system and patient by doing things differently. Illustrated the importance of able colleagues who are prepared , able and supported to drive change. Provided good role models.

I realised that NHS Grampian is at the forefront in areas such as ECMO service ambulatory care etc which was useful information

Hearing how people were managing and progressing quality within their own areas

Group discussion and sharing. Introduction of storytelling as different model

Great to see all the varied interesting work going on in NHS Grampian

Great to learn about the excellent work being carried out in other areas in NHS Grampian

Great to hear what is happening across Grampian, obviously different abilities of speakers, but a great opportunity for those to present and hopefully get others to consider doing it

Great to hear about all the good work being done in NHS Grampian

Great to have insight of what else is happening in NHSG

Great to find out what is going on in other areas and all the interesting work going on

Great conference, good to network and learn about how NHS Grampian strives to provide quality care to patients. How the strategies are assessed

Good to share good practice even the simple things we can learn from

Good to hear different stories from across NHS

Good talk with ECMO - not completely sure I followed 100% but well presented

Good overview of work across NHS Grampian

Good mix of disciplines

Good examples of change management


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Good quality

Finding out about what is going on in NHS Grampian

Excellent session on Ambulatory Emergency care

Examples of quality improvement with meaningful outcomes for patients and staff

Enjoyed the 'safe' presentations especially the 'pharmacists - warfarin'

Engagement

'ECMO' and 'Impact of Ambulatory Emergency Care' presentations

ECMO & AET, both very well presented & interesting All pm Safe sessions good & interesting

Delighted to hear about all the individual initiatives within NHSG

Diversity of sessions

Different prospectus on every day things. Understanding of quality in results

Clear and concise

Brief but informative synopsis of aspects of quality work that I would not otherwise have known about.

Always good to hear about the work that is being undertaken throughout NHS Grampian - such excellent initiatives, audits, etc that can be transferred to other areas to improve patient care and experiences

All talks were good in Room 201. Especially the chocolates

All interesting talks and good speakers. 'SAFE' in the morning and 'EFFECTIVE' in the afternoon

All inspirational and demonstrated excellent quality improvement which is happening in NHSG

AET presentation excellent - highlights importance of engaged medical leaders

Ability to choose appropriate sessions

A good mix of topics covered.

Appendix 4

What did you like LEAST about these breakout sessions? – Comments

THEME

With the broad themes of the breakout sessions it was difficult to find sessions that had more than one element that I was interested in so 2 of the 3 presentations weren't relevant. I wonder if it would be better to theme in work area - e.g. Mental Health, and have a Quality, Safety and Effectiveness element to 3 presentations, allowing someone with an interest in one work stream to see more of the work going on / challenges being addressed.

CHOICE Very time limited. Not able to attend session most relevant to role

Unable to get session I wanted

Unable to choose what I wanted to attend. Forced to sit through irrelevant lectures that will not be a benefit to my practice

Unable to choose the session I wanted to see as arrived too late and no places left. Maybe we could choose prior to coming to event to ensure we get session relevant to us

Unable to attend sessions of choice

Unable to attend any of the safety presentations. Suggest either putting safety presentations into larger room (understand the limitations of Suttie Centre) or restructure so that delegates have to attend a different theme morning afternoon.

The afternoon one did not feel it was relevant to my area of nursing

Some sessions not relevant to working area but still interesting to hear other areas improvement plans

Some people did not get their first choice of sessions

Reduced choice

Not enough time. Not being able to attend the session most relevant to my area. It was hard to


Date: 27 June 2016

choose a session as I would have liked to listen to speakers in different groups, but you could not move about.

Not being able to attend the workshop of choice.

Not always pertinent to my area of work

Not all relevant to me

Not all individual talks relevant to personal practice - still interesting

Not able to choose breakout sessions, therefore two out of six were ok for me. Workshop - by invitation only???

Inability to book sessions in advance

I was unable to book onto the breakout session I wanted. The booking system was flawed - I think it was aimed to suit time pressures of the organisers not the delegates. On reflection advance booking may allow better planning for the popular sessions (i.e. moving safe to lecture theatre). Some talks weren’t necessarily a QI project more redesign and new ways of working which appeared to be undertaken due to necessity as opposed to proactive improvement.

Having to choose at speed on the morning, the choices could have been considered and made in advance

Having to choose - all very relevant and interesting

Had to listen to some sessions that would not choose, should be option to move to another

Covered too many areas which were not all relevant. Would have preferred to have pre-booked on line rather than on the day


Date: 27 June 2016

Appendix 5 Please feel free to comment on any aspect of the Quality and Safety in Healthcare Event 2016:

BREAK OUT SESSIONS

Would have liked the opportunity to select the breakout sessions prior to the conference rather than on arrival. Are all presentations available online afterwards?

This is my 5th attendance, and will be back for number 6! Need to review how breakout sessions are allocated. I registered at 0910 and both safety sessions were already fully subscribed. It doesn't encourage delegates to attend next year if they are unable to attend breakout sessions which interest them. As a pharmacist, CPN redesign, Paediatric meals, AHP rehab are of very limited interest (although I recognise they are of significant relevance to others).

The allocation to workshop session was not clear/relevant

Should give attendees the ability to book breakout sessions prior to event. Shorten lunch break to 45 minutes

Really good day, maybe we could have chosen our breakout sessions before, and the most popular could have been in the larger room. More time needed for breakout session. Felt they were rushed.

It would be much better for us to choose which presentations/lectures to go to and not a stream to follow. I have missed out on valuable information related to my field of practice

I would have wanted to attend the 'safe' session but no places left. Suggestion: big enough rooms to allow personal choice to be achieved

I preferred when you got to choose breakout sessions in advance. Had no choice on the day.

By 9am my first choice of breakout session for morning was full, perhaps if choices were made prior to the event, then the most popular could be held in the bigger room

THEMES

Very disappointed that the person centred element of the Quality Strategy was excluded

Why were there no person centred breakout sessions / Why were workshops invite only? The breakout sessions seemed 'stuck on' didn't flow or relate to topic of 'Quality Teams = Quality Care'

Needs more about/applicable to General Practice where 90% of healthcare takes place

More safety please

VENUE It’s time to bite the bullet and change to a bigger venue - people do not book on as they know it

is a busy event. During the day it is difficult to network as there is little flow and a large number of the delegates are separated during lunch. Wi-Fi is a disappointment - I was able to connect but it was extremely slow - therefore I was unable to tweet throughout the event. Increase number of posters on display - this is one of the best opportunities to learn about good work across the organisation and network with the people who have instigated eth work. Every year we hear there were lots of abstracts submitted, and we hear we don’t celebrate our successes... so why limit displaying our good work? The event is very well organised - I appreciate it must be terribly time consuming, it runs very well every year and has become a victim of its own quality... I just think there are enhancements that should be made to avoid risk of complacency.

Well organised as usual, excellent event. Uncomfortable seats in Lecture Theatre if there all day

Turn lights down in Lecture Theatre during presentations

Due to where the posters were put it was very congested, and tricky to get round them all. Really enjoyed the day!!

Excellent event, well organised and very friendly atmosphere. Poster display area can be a little busy, makes it hard to look at posters properly Breakout rooms were a little small, but overall experience very good.

Catering for so many people made coffee and lunch slow. I gave up waiting for coffee because I wanted to look at posters. These were difficult to get at due to lack of space


Date: 27 June 2016

Perhaps the lighting could have been adjusted so that the slides/videos were clearly seen

Microphones had a few moments where they cut in and out. Lecture hall was very full and not everyone got seated.

Lighting - too bright for presentation detail

TIIME

Q5 answered 'too long' and commented "? Shorter lunch"

Lunch break a little too long.

Less breakout sessions with more time

COPY OF PRESENTATIONS

I thought the key note speakers were very good. I would have liked to get a copy of all the presentations as I did not take any notes as I just wanted to listen and take it all in.

As all the breakout sessions were relevant could the presentations be made available to all attendees via e-mail/intranet links?

GENERAL POSITIVE COMMENTS

This was a super event, showcasing the great work going on. It felt like a real celebration of staff and teams

The workshops were extremely helpful following plenary presentation. Thank you to all

The stories and experiences of both keynote speakers were interesting and there is a clear correlation to the NHS and quality improvement

The key speakers were excellent, each year it continues to be a great event, well done to the organisers, always hard to keep so many people interested and moving.

Thank you for providing the day. Enormously valuable.

Thank you

Really enjoyed morning key speaker

Much better than I anticipated

I enjoyed the day, thank you to the organisers

Great event, well organised with transferable messages across NHS Grampian

Good to hear from management experts and learning from them/their experiences

Good networking and enough advice to reflect upon

Good day, well organised as always

Gets better every year. Amazing

Finished the day feeling very pleased and more knowledge

Excellent, another great, high quality event. Fantastic speakers

Excellent quality of speakers

Excellent key note speakers as always

Enjoyed the day - thanks for organising

Another excellent event - look forward to the next one and hearing about the ongoing work within the organisation. Well done - fantastic job

Another excellent event

Well organised. Thanks to all "behind the scenes"

Well organised. Sessions coordinated well. Educational and informative. Speakers very good. Morning key speaker presentation was excellent

Well done to the organisers - great work

Very informative. This is the first event that I have attended and certainly would encourage colleagues to attend in the future

Very high quality speakers

Thought it was a brilliant event


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Appendix 6


Date: 27 June 2016

evaluation of the 5th annual quality and …...quality and safety in healthcare event was held on...

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