programme 2014 - nhs confederation/media/confederation... · hilary may be contacted directly at...

A Message from the UK HOPE National Co-ordinator

Hilary Watkins

The HOPE Exchange Programme continues to flourish after more than 30 years and offers exceptional value as a tool for sharing good practice and providing both personal and professional development. In 2013 the NHS was represented by UK participants in 10 countries in Europe and 13 European countries sent participants to the UK. I hope you enjoy this newsletter which has been created to share the experiences from the 2013 Exchange Programme around the theme:

‘Patient Safety in practice: How to manage risks to patient safety and quality in European healthcare’

Information is also provided on how to apply for 2014 when the theme is:

‘QUALITY FIRST! CHALLENGES IN THE CHANGING HOSPITAL AND HEALTHCARE ENVIRONMENT’

Hilary may be contacted directly at [email protected] for help and advice about the programme.

HOPE, the European Hospital and Healthcare Federation, is an international non-profit organisation, created in 1966. The mission of HOPE is to promote improvements in the health of citizens throughout Europe, a high standard of hospital care and to foster efficiency with humanity in the organisation and operation of hospital and healthcare services.

One of the ways it works to achieve this is through the European Exchange Programme which celebrated its 30th year in 2011.

The Programme consists of a 4-week training period intended for healthcare professionals with managerial responsibilities. They must be working in hospitals or healthcare facilities with a minimum of three years of experience and having proficiency in the language that is accepted by the host country (most accept English). Each year there is a theme which facilitates the sharing of good practice across Europe.

The HOPE Exchange Programme is not a medical or technical programme, but a multi professional management programme. It is aimed at professions and professionals who are directly or indirectly involved in the management of European health care services and hospitals.

A P P L I C A T I O N

D E A D L I N E

3 0 S E P T 2 0 1 3

I N S I D E T H I S I S S U E

1 A Message from the UK

HOPE National Coordinator

1 What is HOPE?

2 Learning from the 2013

Programme

2 Examples of Best Practice

in the UK

3 Examples of Best Practice

elsewhere in Europe

4 Why YOU should apply to

be a participant

5 How do I become a

participant?

6 Why YOU should consider

hosting participants

7 How do I become a host?

8 How do I apply?

9 The Impact of HOPE

What is HOPE?

European Hospita l and Healthcare Federat ion

www.hope. [email protected] Tel +44 (0)1305 368922

HOPE Exchange

Programme 2014

_______________________ “The exchange is a very healthy practice to bring

about change – all gain from the experiences both host

and participants.”

EU participant 2012 _______________________

mailto:[email protected]


HOPE Exchange Programme 2014

Participants came from 13 countries to the UK in 2013.

“One of the main benefits

of hosting was to…share

experiences with

professional colleagues

from other parts of

Europe.”

EU Host 2012

Learning from the 2013 Programme Theme: ‘Patient Safety in practice:

How to manage risks to patient safety and quality in European healthcare

What did the EU participants highlight?

Leadership The participants identified good examples of local leadership including clear communication of values; management walk-rounds, participation in shifts and swift feedback and action regarding issues raised. Incident Reporting The no-blame culture and the entire incident reporting structure including national and local electronic reporting, management engagement, root cause analysis, person-centred management and good communication and feedback Medication Safety New technologies reduce the possibility of human error and free up pharmacists to advise on the wards Infection Control The Joint Infection Control Team meeting monthly attended by Physicians, microbiologists, infectious disease nurses and epidemiologists and chaired by Director of Nursing Training and Learning A comprehensive training programme incorporating mandatory training, simulation training, e-learning, team training and learning from errors Prevention of Falls National and local drivers to manage capacity and reduce cost through a holistic approach including among other initiatives alarms, low profiling beds and slipper socks

In 2013 the UK welcomed sixteen participants from thirteen different

European countries. They were hosted by healthcare organizations across

England and also in Belfast.

“a really great and

unforgettable experience - an extraordinary month of

Knowledge”

EU Participant 2012

The participants learned many things about patient safety in practice while with their hosts. They highlighted the following areas which as a

group they viewed as Good Practice:


The participants in the Netherlands

Participants in The Netherlands

Examples of Good Practice Elsewhere in Europe

In Finland participants were impressed by the Patient Safety Strategy which became mandatory across health and social care in 2011 (including primary care). In Latvia the focus was on the development of such a strategy and the risk management project within a Children’s’ hospital. In The Netherlands the no-blame culture is taught in schools where a mistake is only permitted once! In healthcare “Mirror” meetings are held between groups of patients and professionals supported by education to improve safety. The participants in Slovenia presented on the radio frequency patient tracking system in the Emergency department and mediation after erros in healthcare. In Malta the focus is on the introduction of a patient safety structure and culture in the Mater Dei hospital – the only acute hospital on the island - through various projects.

Prevention a

The Patient Safety Act was passed in Sweden in 2011 and improved patient safety initiatives are supported by pay for performance. One example was the CEO and senior management discussing patient safety incidents in public areas in front of patients and staff emphasising the importance of these issues to all. Hungary has recently established a National Institute for Patient Quality and a National Institute for Patient Rights and is progressing the implementation of national strategies. The participants in Portugal found a strong Patient Safety culture focusing on evidence, leadership, teamwork and learning. The prevention of HCAI and Anti-microbial resistance programmes along with WHO patient safety campaigns added

value.

The participants from the UK were hosted in 10 countries and identified many examples of good practice in 2013. The full presentations can be found at http://www.hope-agora.eu/6-presentations/agora_presentations.html

10 Participants from the UK went to 10 countries in 2013

In Denmark there is a mandatory report and learning system for adverse events and both staff and patients can report such events. The Danish Safer Hospitals Programme is working on 12 bundles of care. The programme is being piloted in one hospital in each of the five regions and will then be rolled out across the other hospitals. Commitment from leadership and staff, creating a good working environment, learning from data are all seen as necessary for success. Switzerland has a mandatory patient satisfaction survey which is very well developed and attracts a 50-70% return rate. Quality is a concept which is deeply ingrained in Swiss culture and this concept is translated to the delivery of healthcare

http://www.hope-agora.eu/6-presentations/agora_presentations.html

http://www.hope-agora.eu/6-presentations/agora_presentations.html


Participants in Switzerland

(Saira presenting)

Why YOU should apply to be a participant

I am currently working as a service improvement and leadership fellow. I was contacted by my supervisor to see if I was interested in applying for the HOPE Exchange Programme. This was the first time I had heard about the Exchange, so I decided to find out a bit more about it. It sounded like a fantastic opportunity and the theme of ‘Patient Safety’ was very appealing alongside my fellowship.

I was fully supported by my organisation in the application process. They had hosted participants before but I would be the first employee applying to participate in the exchange. After discussion with Hilary (coordinator for HOPE UK), I was able to shortlist four potential destinations. A few weeks later, I found out that I was a successful candidate and that Switzerland would be my destination. Over the next few months, I was in contact with Hilary, Erika (the Swiss coordinator) and the local hosts in Switzerland to organise my programme. After many months of anticipation, it was time to go. Despite much speculation, I wasn’t entirely sure what to expect. I arrived in Bern to be greeted by the rain and a very welcoming Swiss coordinator. There were six other participants from across the EU, all from different professional backgrounds. The first day was spent learning about the delivery of the Swiss healthcare system and an overview of patient safety and quality in the country. We all then had the opportunity to present about ourselves, our national healthcare systems and the HOPE topic in our country. The most apparent thing was that despite such different systems, each of the countries faced similar challenges. After the initial day, we were dispersed across Switzerland. I spent the next four weeks between the University Hospital in Basel and the Canton Hospital in Winterthur. We had the opportunity to meet with people in various departments and learn about their culture of patient safety and the delivery of quality. We also spent some time with the patient safety association, the national quality association and the federal government to further understand the Swiss healthcare system. The biggest difference that was noted between the two systems was the abundance of resources in Switzerland with a culture of growth, innovation and expansion of services. The concept of quality was very apparent in Switzerland; the care was very patient focused with more patient choice and autonomy. Patient comfort was always paramount and there was a great emphasis on gathering patient feedback to improve services. Despite the constant rain, I had the chance to explore Switzerland and make use of the terribly efficient railway system. The country was stunning and the chocolate and cheese were of very high quality. I also had the chance to improve my German and learn some Swiss-German. The exchange culminated with an evaluation conference in The Hague. Being the English speaker in the group, I had the pleasure to present our findings on behalf of the Swiss group. The conference was an excellent opportunity to learn about the best practice across Europe and take home some interesting ideas. The highlight of the trip was meeting so many people. Our hosts in Switzerland made such an effort to coordinate an excellent programme and were so welcoming and generous. The other participants were brilliant! We all got to know each other over the five weeks and it was great to share the experiences that we had. The HOPE Exchange has certainly been one of the highlights of my career to date. It was such a fantastic opportunity, both on a professional and personal level. I would highly recommend it to anyone willing to push the boundaries and learn about healthcare across the European platform!

Saira Ghafur Service Improvement and Leadership Fellow Sheffield Teaching Hospitals NHS Foundation Trust.


them to take valuable aspects of learning back into their work environment.

At the end of the fourth week all participants from the EU countries come together to share their learning and present best practice at an international meeting. Participants from each country create a presentation based on the years’ theme and their experiences.

As well as the theme and the structure of the healthcare systems, participants will have an opportunity to consider specific interests agreed with their employer enabling

“Sharing the experiences at the Agora was of great

value””

EU Participant 2013

Timeline for

Participants

UK

Applications

due: 30

September

2013*

Possible UK

Phone

Interview:

October 2013

Places

notified:

December

2013

Attend

information

session

London:

January 2014

Arrive in host

country:

April 2014

Observe host

organisation:

29 Apr –

21 May 2014

Attend

international

meeting:

26 May -

28 May 2014

Submit report:

31st July 2014

Tips for successfully applying as a participant

Speak to your l ine manager and Chief Execut ive early to get their support .

Contact the Nat ional Co-ordinator for advice.

Choose more than one type of hospital/care environment .

Pay special attent ion to the 1 s t quest ion on the ‘Declarat ion of Candidate

and Commitment’ form (Form 3 on the HOPE website) – i t carr ies a lot of

weight when hosts decide whether to offer you a place or not.

I f you have attended Management Train ing then ment ion i t .

Al low plenty of t ime for gett ing the ‘Declarat ion of Candidate and

Commitment’ form s igned by the chain of command.

Ensure that your appl icat ion reaches the Nat ional Co-ordinator by the

deadl ine.

The HOPE Exchange Programme is open to healthcare managers or clinicians with a managerial role who have a minimum of three years experience in healthcare management. You must be available for the full period of the programme (both the exchange and the international meeting) and participate in all arranged programmes. While you may not have to speak the native tongue, you must have proficiency in a language that is accepted by your host country; many countries accept English. You must

be able to understand, and be understood, in that accepted language.

Participants are usually placed in pairs with a local host, and where possible will be placed with a healthcare professional from another country providing a third national perspective to their programme. During their stay at their host organisation, participants will see how another healthcare system is structured and be able to consider the similarities and differences when compared with the NHS.

Application forms are available from the National Coordinator, Hilary Watkins.

Potential participants are asked to contact Hilary before completing application forms for further advice on possible host countries. Hilary can be contacted at:

[email protected]

Expressions of interest by 31 August 2013.

*UK Applications must be received by 30 September 2013.

(*N.B. This is earlier than the EU deadline shown on the form)



Our HOPE Exchange experience

As Kaisa and Iris were to be accommodated in co-located flats I thought that they may spend time on their way to and from work comparing and contrasting their experiences. This proved to be the case and this brought added value to the participants and to the Trust as we benefited from real time comparative feedback on an almost daily basis. Iris and Kaisa shared an induction programme, spending time meeting key colleagues including the Executive Team. By sheer luck their first day in the Trust was spent at our annual Patient Safety Conference which set the scene for their stay with us. Time was spent with colleagues in clinical and non-clinical risk services, wider corporate services and corporate nursing services prior to them moving onto their Care Group programmes. Both Kaisa and Iris took full advantage of wider opportunities and attended senior nurse meetings and a Governors Annual General meeting. However it wasn’t all work as my Trust colleagues extended a warm welcome and went out of their way to ensure that the ladies enjoyed the social side of working in the North East with a tour of Durham City including the Castle and the Cathedral and a night on Newcastle Quayside and the local hospitality including excellent wine and fare (including posh sausages and mash). The programme afforded Iris and Kaisa the opportunity to work alongside the Chief Executive and to attend our weekly Executive and Clinical Leadership (ECL) Group. On their first attendance they were introduced to the senior leadership body. They explained their programme objectives and how they were being supported to achieve them. ECL was keen to hear about their experiences to date (week 1) and they were invited to present their findings with regard to patient safety and culture at ECL during their last week in the Trust. Finally on their last day Iris and Kaisa met with a group of Directors and senior colleagues to have a final say on their time with us. Feedback was very positive on both sides and the visit viewed as a great success. For the Trust and for me personally this has been a very rewarding venture. It was great to host two such keen, interested and fun colleagues. Having them in the organisation shone a light on patient safety from two often differing perspectives which encouraged some pause for thought, questioning of what and how we do things and challenge as to why we do things in the way that we do. Interestingly there were a number of things all 3 health systems had in common, such as the challenge in balancing quality and finance and approaches taken to engage staff in delivering high quality care in an ever decreasing financial envelope. Discussions are now underway in the Trust on our participation in the 2014 programme and importantly a number of us have two overseas destinations to visit now!!

Emma Shipley Associate Director of HR&OD County Durham and Darlington NHS Foundation Trust

Why YOU should consider hosting participants

As a HOPE Exchange novice it was quite exciting when the Chief Executive, Sue Jacques, asked me to look into the programme and advise her as to whether we should participate in the 2013 programme. On reading about the programme and after speaking with the UK Lead, Hilary Watkins, it was clear that there was every reason to engage and few reasons, if any, not too. Still, and in view of what appeared to be a very tight timescale to register our interest, I thought it prudent to be slightly cautious and dip our toe in the water first time round by expressing an interest to only host participants this year. Planning and preparation began in earnest when we received confirmation that we were to host a colleague from Finland (Kaisa) and one from Portugal (Iris). We began to keep in touch by email as it was important that we got to know each other a little ahead of the visit and reach an understanding of what they each wanted to gain from their time with CDDFT. Decisions were made to base Kaisa with the Care Group responsible for community based services, including school nursing, health visiting and district nursing and Iris with the Care Group responsible for Surgery and Diagnostic services.


Visiting the air ambulance

Hosting participants can be a rewarding and educational experience. It not only allows you to share information on the way your organisation works, but also allows participants to share how their home systems and organisations differ, helping to foster understanding and build networks.

Host organisations are expected to host two or three participants who will come from different countries and probably have different professional backgrounds and interests. Hosts are supported in their development of a local programme meeting the requirements of the theme for the year as well as participants specific interests.

Accommodation should be provided on a free basis (minimum standards apply) and at least one meal a day at a reasonable rate or free of charge. IT access for participants should also be provided, particularly for them to access personal email and the internet, and should preferably be available outside programme hours.

All hosts are asked to provide an overview of the healthcare system, as it is important to give the participant the opportunity to see how the host organisation fits into the broader pattern of health services in its city, region and country. The programme should also allow the participants the opportunity to perceive and discuss a broad range of services and functions which contribute to the overall theme of the programme for the year. This should include visiting clinical professionals and managers to understand the inter-dependencies within the system.

Participants will be asked to contact hosts before they arrive to share their personal interests and what they hope to achieve from the programme.

Most participants will wish to see the surrounding area and culture within their host country, and hosts are asked to help to facilitate this. Providing them with an orientation of the local area is expected, with further trips afield encouraged.

What does hosting involve?

Timeline for

Hosts

UK

Applications

due: 30th

September

2013*

Hosts notified:

December

2013

Attend

information

session

London:

January 2014

Send draft

programme

to

participants:

1 March 2014

Participants

arrive:

29 Apr 2014

Host

participants:

29 Apr –

21 May 2014

Submit

feedback:

31stJuly 2014

Requirements, tips and what to expect

“Hosting allows critical examination of what

we do so we can take an opportunity to

review and allows the spotlight to shine on

services and professionals within

the organisation”

UK Host 2012

_________________

Ensure participants don’t feel isolated, giving them information about local interests, transport links etc., and potentially organising social activities.

Remember that the participants are not students and many are very senior healthcare professionals who will wish to meet their counterparts. It is emphasised that this is a management programme; however they arrive in an observational capacity and must therefore be accompanied while within the Trust.

Application forms and advice are available from the National Coordinator [email protected]

UK Applications must be received by the National Coordinator by 30 September 2013.

(*NB This is earlier than the EU deadline shown on the form)



How do I apply?

The HOPE Exchange Programme is a very

easy and cost-effective way to get new ideas and study new things

Participant 2010

Where to look and what to fill out

PARTICIPANTS AND HOSTS Please contact Hilary Watkins, the UK National Co-ordinator, directly at the address at the foot of this page for:

Application and declaration form

Advice for participants on countries to select

Advice on hosting

Any other questions

The application should be returned by the UK deadline of 30th September 2013. Participants must also return the signed and authorised declaration.

If you are selected to host or participate, you will be contacted by the national coordinator just before Christmas 2013 with further information

and next steps.

“The HOPE Exchange

Programme has been

the best thing that I

have done in my

working life. I have

returned home a

changed person and

intend to use the

experience to take me

forward in my life, both

at work and

personally.”

2011 UK Participant

Applications for both potential participants and for interested host organisations are due by the 30th September 2013*. Visit www.leadershipacademy.nhs.uk/ukhope for further information on applying to be a participant or a host organisation. This website features information specifically tailored to the UK Exchange Programme including

potential costs

“This has been one of the

best professional and

personal experiences I

have had. I strongly

recommend others to

take part.”

Senior Researcher,

2010 EU Participant


UK Applications must be received by Hilary Watkins, the National Coordinator by 30 September 2013*.


http://www.leadershipacademy.nhs.uk/ukhope



~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ __________________________________________________________________________________ Please submit all forms electronically with all appropriate and required signatures in place and scanned before sending. Please note any applications will be deemed unacceptable without the required authorizations. There can be no extension to the deadlines so make sure you get your applications in on time!

The Impact of HOPE What previous participants and hosts have to say about their experiences

“The HOPE Exchange Programme is a win-win relationship. Discussing working methods and procedures of healthcare management with

other professionals is for sure a learning process with multiple advantages on both

sides”

EU Participant 2013

“Hosting generated a great deal of enthusiasm

amongst staff”

UK Host 2012

“The HOPE Programme

is a challenge and an adventure that is worth embracing and which

gives us more knowledge, learning and life

experience than we could ever previously have thought possible!”

2011 EU Participant

.


UK Applications must be received by Hilary Watkins, the National Coordinator by 30 September 2013*.


“I now have a very strong

international network that I

see myself benefiting from

both in my work and

socially.”

2009 EU Participant

“The opportunity for such a wide spectrum of personal and professional development in such a short time frame should not be

underestimated”

2011 UK Participant

“[We] benefited greatly in having candidates from a

variety of countries; it gave the trust a focus to show case

some of our excellent services. All the professionals were a

delight to work with.”

2009 UK Host

“I met new people with different cultures and values that have enhanced me as a person”

EU Participant 2013

“I can now compare our own practices to new initiatives – I believe that first-hand experience is the best teacher”

EU participant 2012

“I have enhanced my knowledge in many aspects of

healthcare that I would not otherwise have experienced.”

UK Participant 2013

“I have benefited from the attachment by discovering new management

methods, new approaches, and new tools and by receiving useful documents. I believe this experience will have great

value for my organisation

EU Participant 2013

“A truly life-changing

experience”

UK participant 2012



HOPE Exchange Programme 2014 For further information on the UK HOPE Programme please contact us:

Phone: 01305-368922

E-mail:

[email protected]

Website:

www.leadershipacademy.nhs.uk/ukhope


http://www.leadershipacademy.nhs.uk/ukhope

programme 2014 - nhs confederation/media/confederation... · hilary may be contacted directly at...

Documents