improving care - collaboratively and creatively - across ... · share your stories in pairs (8...
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Improving care - collaboratively and creatively - across mental and physical health13 November 2019
Welcome!
Jenna Collins
Marketing and Communications
Manager – Q Lab
@jen_collins
@theQCommunity
#QLabs
13 November Q Improvement Lab
Overview of the session
13 November Q Improvement Lab
Learn about the Q Lab and our work on mental health and persistent back and neck pain
• An overview of Q Lab
• Q member, Kay
Stevenson
• Q&A with Kay
Share and learn with others about working collaboratively in health and care
• Appreciative interviews
• Share your success
stories
• Learn from others
Part 2.
Part 1.
An introduction to Q Lab
Libby Keck
Head of Q Labs
@libbykeckhealth
13 November Q Improvement Lab
The Lab aims to support health and care services to make
progress on complex health and care problems.
13 November Q Improvement Lab
Q Lab
Work on complexproblems where we know care can be improved
Work collaboratively with people affected by the problem
Work creatively, providing space for people to learn, reflect and try new things
Q Lab approach
Understand the context and
wider system
13 November Q Improvement Lab
Support and enabling others
Creatively designing solutions
Extract and share learning
1. 2. 3. 4.
13 November Q Improvement Lab
The impact we hope to see
Supporting the development of
good ideas
Translating learning to wider
audiences
Supporting people to develop skills for collaborative
change
What are the experiences of people living with both mental health problems and
persistent back and neck pain, and how can care be designed to best meet their health and
wellbeing needs?
13 November Q Improvement Lab
What we’ve done this year
Collaborative research
17/09/2019 Health Foundation staff meeting
Survey of Q
members
Lived
experience
interviews
Focus
groups
WorkshopsPractitioner
interviews
Over 130
people
involved
Insights published in May
Visit: Qlabessays.health.org.uk
What we’ve done this year
Collaborative testing
17/09/2019 Health Foundation staff meeting
Insights published later this month
In depth work
with 5 five
team
Tailored
support and
coaching
Capturing
learning
Practical guide:How to improve care
Service principles:What matters to people with lived experience
Shared with all Q members
@mpftnh
s
mpftnhs
The Q Lab
Kay Stevenson Consultant Physiotherapist, Senior Knowledge Mobilisation Fellow
Musculoskeletal interface Service, Haywood Hospital and Primary Care and Health
Sciences, Keele University
Geographical context
Keele University
Midlands Partnership NHS
Foundation Trust (MPFT)
Background
Well established Musculoskeletal Interface Service
in North Staffordshire
23,500 referral per year
Spinal, knee and shoulder problems are common
Broad church of clinicians who support the service
Rheumatologist
Rehabilitation specialists
General Practitioner with Special Interest
Extended Scope Physiotherapist (65% of the
workforce)
13 November Q Improvement Lab
Background
2013 Prospective observational study
2600 patients
55% of patient had pain for over 1 year
76% major function limitation
49% had anxiety
Depression reported by 37% of patients
45% has time of work in last 6 months due to MSK problem
Background
2013 Prospective observational study
2600 patients
55% of patient had pain for over 1 year
76% major function limitation
49% had anxiety
Depression reported by 37% of patients
45% has time of work in last 6 months due to MSK problem
Our methodology
Community of Practice
Understand problem and co-crate
solutions
Patients, clinicians and
researchers
Mapped patient experience of our
services
Pathway pinch points
Anxiety prior to appointment
Increase staff awareness
What is available to help me after the appointment
Co-created solution
Animation and videos
Staff and volunteer training
Repository of community
services
Animation video
Animation video
Staff and volunteer training
Repository of Services
Our Learning
Design of the Community of
Practice Meetings
The importance of sense checking
Core Group meeting to project
manage the process
Q Lab support
Q & A
Questions?
13 November Q Improvement Lab
Activity: Appreciative interviews
Appreciative Interviews
Liberating structures method: http://www.liberatingstructures.com
13 November Q Improvement Lab
Please tell us a story about a time when you worked on a challenge with others to
understand diverse views and perspectives on a problem. What are you proud of in this story, and what made the success
possible?
13 November Q Improvement Lab
Share your stories in pairs (8 mins)
• Spend 3-4 minutes telling your
story to the other person
• The other person draws and
captures some of the words
• After 3-4 minutes switch roles
13 November Q Improvement Lab
Themes and commonalities (10 mins)
• In groups share themes or
commonalities on what made
success possible
• Feedback on your partner’s story
• Capture on post-it notes
• Try and cluster post-its if you
have time!
13 November Q Improvement Lab
Sharing back
• What did you hear in your
groups?
• Are there common themes
throughout the room?
• How did it feel?
13 November Q Improvement Lab
Next steps
Find out more…
• Lightening Talk at
2.40pm today
• Find out more the
skills for
collaborative
change
13 November Q Improvement Lab
Skills for collaboration
Outputs on mental health
and pain
Want to know more about Q
Lab?
• Two outputs end
of November
• Please take a look
and help us to
share these
widely with your
contacts
• Visit our stand
over lunch and
afternoon break
Follow the testing teams
• Four teams
awarded grant
funding
• Follow their
progress on the Q
website
Stay in touch
• Visit: https://q.health.org.uk/q-improvement-lab/
• Email: [email protected]
• Twitter: @theQCommunity #QLabs
13 November Q Improvement Lab
Thank you