UK-wide Q community event 2018The National Exhibition Centre (NEC), Birmingham

Programme19 September 2018

@theQCommunity #QEvent2018

Welcome

ContentsAgenda

Map

Q Exchange introduction and voting information

Q Exchange shortlist

Lightning Talks

Breakout sessions

Have your say on Q

Notes

Time Topic Location

9:00-10:00 Registration, networking and refreshments Gallery Breakout

10:00-10:30 Opening plenaryPenny Pereira, Q Programme Director, the Health Foundation

Gallery Restaurant

10:30-12:30 Q Exchange• Engage with the 25 bidding teams at their stands to find out

more about the projects and offer your support and feedback• Vote for your 5 favourite projects between 11:00 – 13:00 • Join lightning talks on various topics including peer support,

co-production, spread and feedback. Starting at 10:50. See page 14 for a full itinerary.

Q Exchange Zones 1,2,3

12:30-13:30 Lunch and refreshments Gallery Restaurant and Suites 17-18

13:30-14:40 Breakout session 1If you haven’t booked your sessions please speak to a member of the Q team at the registration desk

See details on page 15

14:40-15:10 Refreshments Gallery Breakout

15:10-16:20 Breakout session 2 If you haven’t booked your sessions please speak to a member of the Q team at the registration desk

See details on page 16

16:20-16:30 Break Gallery Breakout

16:30-17:00 Closing plenaryFind out which Q Exchange projects received the most votes

Gallery Restaurant

17:00-18:30 Drinks reception Gallery Restaurant

AgendaPenny Pereira,Q Programme Director, the Health Foundation

Welcome to the Q community event 2018. Developed with members and informed by feedback from last year, you can expect plenty of flexible and friendly ways to build connections today.

This morning you have the chance to share your knowledge and lend your support as we select 15 Q Exchange projects for funding. In the afternoon there will be two rounds of interactive, expert-led breakout sessions on topics members voted for.

It’s rare we have the opportunity to have protected time with so many people with insights and experience in improving health and care, keen to collaborate. Among the 400 people expected today, there are bound to be people with knowledge or perspectives that could help accelerate your work and learning. Please engage fully and take the chance to speak to new people.

We are also taking the opportunity today to give you the first look at the newly published learning report, Q: the story so far. The report highlights what we’ve been learning through the first three years of Q and the progress we’re making together. We hope you enjoy reading the report and share it with your improvement colleagues and connections.

Finally, this event comes at a key point for Q. The Q Lab is about to embark on its second project, working in partnership with Mind to explore how care can be improved for people with both mental health problems and persistent pain, specifically focusing on long-term back and neck pain. Find out more today and think about how you might get involved or promote the work.

We hope that you will take away some valuable learning and connections from today, and have fun in the process!

We will be taking photographs and video footage throughout the day, which may be used in communications and marketing and as a record of the event.

If you do not wish to appear in photography or filming please let a member of the team know at the registration desk.

There will be a photographer on site all day - please stop by the photography area between 9:00 - 13:30 to have your headshot taken for the Q website if you haven’t already.

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Breakout session 1

Breakout session 2

Session Location1A - Networking Skills Gallery Seminar Suites 1-2

1B - Q Improvement Lab Gallery Seminar Suite 3

1C - Making Data Count Suites 16-18

1D - Behavioural Insight Concourse Suite 1 (Ground floor)

1E - Joy at Work Concourse Suite 2 (Ground floor)

Session Location2A - 10 Year Plan Gallery Seminar Suites 1-2

2B - Improvement at Board Level

Gallery Seminar Suite 3

2C - Improvement Coaching Suites 16-18

2D - Evaluating Improvement

Concourse Suite 1 (Ground floor)

2E - Liberating Structures Concourse Suite 2 (Ground floor)

Q Exchange

How will the voting work today?

Today is a key milestone for Q Exchange, the innovative pilot funding programme for Q members.

At the end of today, the 15 projects that receive the highest number of member votes will each receive up to £30,000 funding.

Q Exchange launched on 9 April 2018 with 181 draft ideas posted online. Over 1,500 comments were shared and a final 139 full applications submitted. Following a formal shortlisting process 25 teams were chosen to progress, and they are all here today hoping for your vote. You can find information about each of the projects on the following pages. You will have two hours to visit the project stands and speak to the teams before you select the five you want to vote for.

The hope is that this process is more than just a traditional competition for funding. Q Exchange

aims to use the collective intelligence of Q. By working together in a collaborative and iterative way, helping each other make links and improve proposals, we hope the projects will have a greater chance of future success and wider uptake.

All those taking part in this process will leave with more ideas for refining their projects, and supporters to help realise them over the year ahead. There are post-it notes in your delegate bag that you can use to pass on thoughts and pledges for the project teams. Please don’t forget to add your name to any comments so the teams can follow up afterwards.

Assuming the process works as well today as it has so far, we plan to run something similar next year. Please engage fully and give us your feedback on how we can improve for next time.

Only Q members here today can vote. When you registered this morning and collected your name badge, you will also have received a card with your unique two-part voting code. Please keep this with you as you will need it to log in to the voting platform: www.ersvotes.com/qexchange

The voting platform will open at 11:00 and close at 13:00. If you don’t have your own device to log in to the system you can use one of the iPads available throughout the venue.

When casting your vote you will be asked to choose your top five projects in no order of preference. The 15 projects with the most votes

will receive funding. The results will be announced in the Gallery Restaurant at 16:30 so please do stay until the end of the day to find out who the winners are.

Today’s vote is being managed, counted and independently verified by Electoral Reform Services (ERS). If you have any questions about the vote, or any issues with the voting platform, please speak to a member of the ERS or Q team at the registration desk.

The full voting rules and guidelines can be found on the Q website www.q.health.org.uk/get-involved/q-exchange/how-it-works/

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Find more princes, kiss less frogs. Discover the best of Qs’ good practices and connect more purposefully with Q colleagues. A tool and innovative dashboard to make us greater than the sum of our parts.

Co-developing an Improvement Capability framework – and action tools – to enable targeted QI learning and connections across Q

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This study aims to evaluate the ecological, financial and social sustainability of the operating theatre and opportunities to improve surgical sustainable value, whilst considering drivers and barriers to sustainability adoption.

Leaning the operating theatre for carbon and financial savings

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To develop a peer support model, empowering patients in primary care to self-manage and promote medication safety and medication optimisation in older people.

Patient led peer support initiative to promote medication safety

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Q Exchange shortlistFind out more about each project. Further information is available on the Q website

q.health.org.uk/get-involved/q-exchange/

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Giving residents a voice on how they wish to be cared for by embedding Coordinate My Care into the care home sector. Delivering quality improvement between health and social care.

“I should only need to tell my story once” Giving care home residents a voice

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HQIP wants to turn our prototype National Clinical Audit Benchmarking data sharing platform into the national clinical audit Speed DATAing agency for quality improvement in the NHS in England.

Speed DATAing

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Building on the learnings from the pan-London Paediatric Sepsis community, we are developing a national network to collaboratively improve the recognition of sepsis and deterioration in children.

Improving recognition and care for children at the risk of deterioration and sepsis: A national community of practice approach

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Coproduction of a tailored QI and peer support training package to support patients and carers to have meaningful involvement in quality improvement work

Tailored training and peer support for patient and service users involved in QI projects

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To train a peer-led network of Community Reporters to evaluate creative activities, providing new insights, and measuring impact of what are often described as “soft and fluffy” approaches.

A peer led approach to evaluating the soft and fluffy

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To co-produce a patient/ service user QI programme (including training and a peer support network) : equipping those that use our services with the knowledge, skills and confidence to identify and co-deliver improvement projects, in partnership with our teams.

Improving in Partnership with patients and communities, Side by Side

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A collaboration between Emergency Departments in the Thames Valley region will enable us to share best practice for frequent attenders requiring mental health care, to better understand patient flow and to design collaborative strategies based on our collective knowledge.

Mental Health Care for Emergency Department Frequent Attenders: a Regional Collaborative

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Testing the use of a tool to support domiciliary care staff in recognising the softer signs of deterioration. Improving response and communication to colleagues/health professionals ( incorporating SBAR).

Support domiciliary carers to identify deterioration using ‘softer signs’ tool

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Scale up delivery of facilitated sessions using a Toolkit to give confidence to people working in health and social care to deepen conversations and think creatively and ambitiously about transformation.

Unfold the Future Toolkit

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This project will co-design implementation guidance to support healthcare staff in facilitating meaningful peer relationships as part of group-based clinical care for young adults with diabetes (aged 16-25) in diverse, deprived NHS settings.

Co-designing implementation guidance to facilitate peer support in group clinics for young adults with diabetes

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NHS Near Me uses telehealth to provide hospital outpatient appointments in rural NHS facilities. We want to co-design the next step with patients: providing appointments for patients at home.

Co-designing the use of NHS Near Me at home

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Training carers as Community Reporters to investigate carers’ views on peer support. Are Carer Peer Supporters a useful form of support?

Carers and peer support

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Mental health inpatient wards can be traumatising for people with psychosis. We will co-design peer support to address the root causes of this and help rewrite the current psychosis narrative.

Co-designing psychosis peer support in mental health inpatient wards

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We will empower patients to self-care by training a member of staff in health coaching skills, mapping community assets and facilitate connections between patients and community-based peer support groups.

Churchdown Connections

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We propose to utilise community organising as a methodology to build effective relationships between communities and the hospital. This unique approach, could unlock a wealth of talent in our communities, and will provide a structure for meaningful and constructive co-production of health services.

A Paradigm Shift in the Role of Hospitals through Community Organising

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Our project will identify what is needed to support the translation of QI training for healthcare staff into real impact on service user and care outcomes.

Transfer of learning from QI training for better impact on care

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Upskilling public and patients to fully and actively engage in quality improvement projects.

Patients are equal partners in Quality Improvement (Quality Improvement Partner Panels or QuIPPs)

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Repeat prescriptions account for 80% of prescriptions. The system is inherent with failure demand. We want to develop toolkits to support practices improve their own systems through self-analysis and co-design.

Repeat Prescribing – re-design through co-design

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The creation of a Community Health Champion network engaging and promoting self-management for MSK conditions, exploring the potential of the community health champion role in MSK pathways and models of care.

Musculoskeletal (MSK) Q Community Health Champions – making MSK everyone’s business

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We have developed and tested an approach to understand flows across care systems in order to design sustainable improvements. We’d like to evaluate its impact.

Evaluation of AQuA’s Whole System Flow Improvement Programme

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A platform for Q members to post their need for QI support or look for QI work opportunities. Q members then complete the work and Bank that time to claim resources back from the community.

Q Community Time Bank

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Robust evidence exists about using data to make the best decisions. The NHS uses lots of RAG and two point comparisons. Let’s start a revolution to Make Data Count!

From RAGs to Riches : Making Data Count

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Lightning talks 10:50 - 12:30 Suite 16

Alongside the opportunity to visit the Q Exchange project stands there are informal ‘lightning talks’ for you to attend. These 10 minute drop-in sessions cover topics related to, and supporting, the Q Exchange process.

Talk Who Time

1. How do I decide?Learn more about the criteria that the Health Foundation used when shortlisting Q Exchange projects and what this means in practice when picking who you vote for.

Sarah HendersonAssistant Director Improvement Programmes, the Health Foundation

10:50

2. Selling improvingEveryone involved in improvement needs to be able to sell their ideas. At Q Exchange, you’ll see all sorts of ways of promoting ideas. Hear from a communications expert about how to do this well.

Susannah RandallDirector, RandallFox

11:05

3. Effective feedbackQ Exchange is powered by people sharing their thoughts to help projects improve. What do we know about how to give and receive feedback well? What could you try as part of Q Exchange?

Peter Dudgeon Health Transformation Partnership (HTP)

11:20

4. Co-production Developing and implementing ideas with service users and staff is key to effective improvement and there are many examples of this in Q Exchange projects. What does evidence and best practice tell us about real co-production and how to do it well?

Anna Burhouse Director, RUBIS.Qi

11:35

5. Peer support priorities New to peer support and trying to decide which projects will make the biggest difference? Hear about what the Q Lab learned about what’s most needed to support progress in peer support.

Hannah PatelInsight Manager,the Health Foundation

11:50

6. Spreading and scaling Great ideas often get stuck in one or two places. Q Exchange is set up with the aspiration that projects will surround themselves with the networks and support they need to see wider uptake than might otherwise happen. What’s the latest thinking on what it takes to spread?

Tim Horton Assistant Director Insight & Analysis, the Health Foundation

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Breakout session 1 13:30 - 14:40

1D - Bringing Behavioural Insights to your practice. What is it and how might you use it to benefit your work? Darshan Patel, Senior Research Manager, the Health Foundation

RoomConcourse Suite 1 (Ground floor)

1A - The importance of networking and how to do it well Dinah Bennett, Director, International Consultants for Entrepreneurship and Enterprise

RoomGallery Seminar Suite 1-2

1B - Q Improvement Lab: Early shoots and ambitious plans The Q Lab team and Mind

RoomGallery Seminar Suite 3

1C - Making Data Count: Techniques, pitfalls and maybe even a game Samantha Riley, Head of Improvement Analytics, NHS Improvement and

Kate Cheema, Associate Director of Transformation Analytics and Health Economics at NHS South, Central and West Commissioning Support Unit

RoomSuites 16 -18

1E - Bringing joy to work: How to sustain staff engagement Pedro Delgado, Head of Europe and Latin America, Institute for Healthcare Improvement and

Mason Fitzgerald, Director of Performance and Planning, ELFT

RoomConcourse Suite 2 (Ground floor)

My Chosen Session

Notes

Breakout session 2 15:10 - 16:20

2D - Evaluating improvement: The marketplaceEmma Gibbard, Research Impact Manager, University of Bath,

Helen Crisp, (QI Consultant),

Karen Ritchie, (Deputy Director of Evidence, Healthcare Improvement Scotland),

Natalie Creary, (Evaluation and Insight Manager, the Health Foundation),

Tim Benson, (Director, R-Outcomes Ltd),

Helen Seers, (Research and Evaluation Lead, Penny Brohn UK),

Jo Bangoura, (Senior Project Manager, West of England AHSN),

Vardeep Deogan, (Quality Improvement Practitioner, North Bristol NHS Trust)

RoomConcourse Suite 1 (Ground floor)

2E - An introduction into the amazing world of Liberating Structures… Simple rules to unleash a culture of innovation. Zoe Lord,Senior Transformation Lead, NHS England – Horizons Team

RoomConcourse Suite 2 (Ground floor)

2C - Helpful helping: An introduction to improvement coaching Steve Harrison, Head of Quality Improvement and

Karl Brennan, Consultant Anaesthetist and Clinical Lead for Service Improvement, Sheffield Teaching Hospitals NHS Foundation Trust

RoomSuites 16 -18

2B - In their shoes: Leading improvement at board levelNaomi Chambers, Professor of Healthcare Management, Alliance Manchester Business school and

John Glasbury, Professor of Health and Social Care, and Head of the School of Social Policy at the University of Birmingham

RoomGallery Seminar Suite 3

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My Chosen Session

Have your say on QQ is powered by input from members. There are a number of ways you can learn more about Q and have your say on what’s happening and what’s planned:

• Visit the Q stand to find out more about what’s available through Q and let us know what you think. As well as Q team members, Peter and Emma who run the Q visits programme will be there to get your thoughts, and you can find out more about the second Q Lab project.

• RAND Europe, Q’s independent evaluators is keen to get your views. Visit the RAND stand during the morning or attend the drop-in discussions the team are hosting to gather your ideas and reflections on your experience of Q and Q Exchange. Suites 17–18 between 11:30 – 12:30.

• Q is exploring the potential to tap into the collective insight of the Q community more systematically. Join a drop-in discussion with Sam and Susannah from Randall Fox, a strategic communications agency. Suites 17–18 between 11:30 – 12:30.

• A film crew will be at the event to capture members’ experience of Q, Q Exchange and the event. If you’d be willing to be filmed for a few minutes on your own or in a pair, speak to the camera crew or a member of the Q team. We are keen to get as many stories and perspectives as possible, so please don’t be shy.

• Fancy using your creative skills to give feedback? Pick up a pen and share your thoughts on what the Q community means to you and your highlights of the day in the sketchnoting area.

Look out for the Q team, who’ll be wearing white lanyards and are on hand to answer any questions you have throughout the day.

2A - The NHS 10-year plan: How can improvement lead the way?Will Warburton, Director of Improvement, the Health Foundation,

Sam Roberts, Director for Innovation and Life Sciences, NHS England and

Tim Horton, Assistant Director (Insight & Analysis) Improvement, the Health Foundation

RoomGallery Seminar Suite 1-2

Notes

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Coming up for Q members

Today may be the highlight of the Q year, but there are still lots of events and activities coming up for members, including some exciting site visits, two new Liberating Structures workshops and an exciting new project for the Q Lab.

Visit the Q website to find our more and get involved www.q.health.org.uk

The Q Improvement Lab

The Q Lab has just started a new project in partnership with the mental health charity, Mind. For the next 12 months, the Lab will focus on supporting people with both a long-term condition and a mental health problem. The Lab project is an opportunity for Q members to contribute expertise, collaborate with others and shape the Lab’s work on this important issue. Find out more and get involvedq.health.org.uk/q-improvement-lab/

Upcoming events

21 November 2018

Q Visit: Doing things better together – relational leadership in action across Sheffield

A visit to learn about how relational leadership across complex systems (including acute, housing and mental health) can help tackle difficult challenges.

28 November 2018 and repeated on 3 December 2018Liberating Structures workshop, London

Two immersive workshops offering an alternative to conventional ways of facilitating, leading or working with groups.

6 December 2018Q Visit: Managing safety in healthcare – Learning from Healthcare Safety Investigation Branch

Hear how system thinking is shaping new attitudes to safety and learn lessons from the rail industry to apply this in health and care.