NHSScotland Event 2015 LEADING INTEGRATION FOR QUALITY

C:5 Ready Steady Innovate

Ready, Steady, Innovate

Session Chair: 24th June – Cathie Cowan, Chief Executive, NHS Orkney

Session overview

1. Introduction (5 minutes)

2. Elevator Pitches (15 minutes)

3. Facilitated table discussions (30 minutes)

4. Feedback and concluding remarks (10 minutes)

Purpose of the session

• To stimulate thinking about what you can do to innovate and take innovation forward within NHS Scotland?

• To come up with practical suggestions around how the innovation process might be improved?

Elevator Pitches

1. PEEK: Iain Livingtone (Ophthalmologist, NHS Greater Glasgow and Clyde)

2. Normal Birth pathway: Karen King (Consultant Midwife, NHS Dumfries and Galloway)

3. ‘No Delays’: Jamie Hogg, Clinical Lead for Modernisation and Associate Medical Director, NHS Grampian

PEEKPortable Eye

Examination KitIain Livingstone

ST 7 OphthalmologyNHS GG&C

tumbling E

Peek Retina

www.peekvision.org

Peek

Iain LivingstoneAndrew BastawrousStewart JordanMario GiardiniNigel BolsterKate TarlingMatthew Burton

Peekaboo

Iain LivingstoneDuncan Middleton

Dr Jamie Hogg, Clinical Lead for Modernisation,

NHS Grampian

Service transformation in NHS Grampian using No Delays

• Going digital and the shared health record – is there something more?

• Overall lesson – it’s never too early to engage with e-health

the Year Zero journey

prescribed, personalised, on-demand

www.nodelays.co.uk

Medicines Management

Steroids & Inhalers

Oxygen Therapy

Medication Regime A

Devices Medication Regime B

PR recruitment

Pulmonary Rehab

ExpertPatient

SelfMonitoring

MorayElgin Aberdeen

Smoking cessationDietExercise

COPDAsthma

Respiratory Care

step-down to self management

www.abetterplan.co.uk

supported self-management

Hilary add graphics

child health content examples

https://www.nodelays.co.uk/presentation/public/nd/a-better-plan#

ABP No Delays package

Case Study: Type II Diabetes• Using No Delays to redesign patient education programme• 6 packages available introducing the care team and covering

dietary advice, health screening, complications etc• Launch targeted every GP, practice manager and practice

nurse• Huge response – surge of requests for No Delays accounts• Ambitious target to phase out traditional model

Child Health so far

• Clinical teams ‘get it’ – see the potential• Teams involved from the start so they own it• Single professional group dealing with one

‘condition’• ‘On demand’ appeals to patients• Importance of the relationship and the need for

information• Better informed Mums are less stressed Mums!

lessons learned

• Nearly 700 health professional accounts• Around 1300 packages prescribed• Redesigning health care delivery by stealth• 30 projects in the pipeline• ‘Doing it once’ approach• The integration agenda

future plans

• Next steps – evaluation will be key – await the outcome of Nomad, University of Glasgow and NHS G reviews• No Delays as the portal to shared information • eRedbook as a test• Partnership and investment crucial

future plans

The innovation balloonWhere do innovative ideas come

from?

Who needs to

be on board?How will you

get your innovation

off the ground?

What might blow your innovation off course?

What is holding your innovation

back?