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EMAHSN
CapabilityWe are working with a range of partners across the East Midlands to further enhance staff capability to improve patient safety. Whilst the provision of appropriate staff development remains the responsibility of individual organisations, East Midlands PSC is well placed to collaborate and coordinate initiatives which cross organisational, sectoral and geographical boundaries.

A key element of this work is to reinforce the concept that “safety is everyone’s business” and to ensure that human factors principles are embedded in workforce development.

Our work in this area includes:

MSc in Patient Safety and Quality Improvement

East Midlands PSC has provided bursaries for students undertaking MSc Patient Safety and Quality Improvement programmes at two of the region’s world leading universities.

As part of our work to increase the capability of the East Midlands to commission and deliver safer care for our population, we have funded 50% of the tuition fees for four professionals working in healthcare within the region to undertake these newly created MSc programmes 

We have funded the tuition fees for students at University of Nottingham’s Quality and Patient Safety Improvement MSc.

We have further bursaries for the University of Leicester’s MSc in Quality and Safety in Healthcare. Please contact This email address is being protected from spambots. You need JavaScript enabled to view it. for applications and further information. Please note the closing date for applications for the bursaries for the University of Leicester is FRIDAY 11 AUGUST 2017.

Root Cause Analysis (RCA) training provision

RCA methodology has long been used in the NHS to explore the factors which have led to harm and to formulate action plans designed to ensure that the harm is not repeated.

East Midlands PSC has produced a pdfRCA Training Compendium summarising the RCA training provision in provider NHS trusts to help organisations explore best practice learning and sharing opportunities in this discipline. We will use the compendium to promote discussion across these organisations to improve the quality of incident reports across the East Midlands. In addition, we are working nationally with our external experts to test a new concept in the UK: Introducing, testing and implementing the Human Factors Analysis and Classification System (HFACS) as a ‘blended’ approach to incident investigation in mental health trusts.

             
QThe QI Network was set up in response to the Health Foundation’s development of the Q community.  

We wanted to engage with our stakeholders in the East Midlands to inform them of the opportunities to join Q and other networks such as ENQUIRE, to enable them to apply for Q and to connect with others across the East Midlands.  You can apply to join the Health Foundation Q community from Thursday, 3rd  August 2017, applications close midnight 11th September. 

About Q

Q is an initiative connecting people who have health and care improvement expertise across the UK. It is being led by the Health Foundation and supported and co-funded by NHS Improvement.

Q’s mission is to foster continuous and sustainable improvement in health and care. To achieve this, the Health Foundation is creating opportunities for people to come together and form a community - sharing ideas, enhancing skills, and collaborating to make health and care better.

Q was co-designed with 231 founding members in 2015. This helps ensure Q is genuinely helpful to the diverse range of people leading improvement. Q will continue to evolve – being shaped with the community as it grows. There are currently 1353 members in the community, and by 2020 we anticipate a community of thousands – all belonging to an established long-term home for improvers.

The community is made of up a diverse range of people including those at the front line of health and social care, patient leaders, managers, commissioners, researchers, policymakers, and others. Including a wide range of perspectives boosts the power of Q as a source of innovation and practical problem-solving.

EMAHSN, has partnered with Q to help grow the Q community. To ensure the community is grown in a manageable way, and to enable members to contribute to its evolving shape and design, opportunities to join Q are being phased across different parts of the UK. Opportunities for people working or volunteering in quality improvement in healthcare will be open from 3 August until 11 September 2017.

Those interested in joining Q will need to demonstrate knowledge and experience of improvement and reflect on how they can benefit and contribute to the community. There is no cap on numbers.

Q is not a taught programme, but a network of support for those already knowledgeable in undertaking improvement. There is no membership fee or minimum time commitment. Q is designed to support busy people with their current improvement work, on-going development and promote their visibility as a leader of improvement.

If you want to know more about the East Midlands recruitment please come back to this page for more information in August or contact us directly at This email address is being protected from spambots. You need JavaScript enabled to view it. to register your interest.

Save the date!
Successful applicants will be welcomed at our Quality Improvement Network Event on 20th November 2017, Trent Vineyard, Nottingham

More information about Q can be found at q.health.org.uk. Register via the website, or email This email address is being protected from spambots. You need JavaScript enabled to view it. to be kept up to date and reminded when the opportunity to apply in August opens.

             
EMAHSN Patient Safety Collaborative QI Network 

The East Midlands QI Network is made up of individuals working in the field of quality improvement. This includes patients and representatives from industry, academia, health and social care.

The aim of the network is to:
  • Bring people together to offer peer support through facilitated learning
  • Provide a forum for learning and sharing
  • Develop capability in QI science methods so that we build a critical mass of people in the East Midlands who can support QI in their place of work
  • To provide a safe space for people to connect, debrief, re-energise and innovate
We want to bring together people who are working and have expertise in the quality field. Quality encompasses all three domains of the DARZI definition: patient experience, patient safety and clinical effectiveness. The QI Network is open to anyone, there is no application process. We ask you to sign up to the QI Network so that we have a group of individuals we connect with, send information to, exchange ideas with and support the capability building in quality improvement across the East Midlands.

We held a QI network event in May 2017 to collectively get a better understanding and improve capacity and capability in the East Midlands. The QI network is made up of a number of elements, view the key themes captured by a graphic artist at our event pdfhere.
             
East Midlands QI Network event May 2017:

The East Midlands QI Network, is made up of individuals working in the field of quality improvement.

Its aim is to better understand and improve capacity and capability in the East Midlands and this event focused on:
  • Engaging and supporting staff
  • Human Factors
  • Measurement
  • QI methodology
  • Evaluation and implementation

pdfClick here to view the slides from the plenary sessions.

Workshop session slides:

pdfEvaluation and Implementation workshop
pdfHuman Factors workshop
pdfMeasurement for QI workshop
pdfSecond victims workshop

Safety Huddles video from University Hospitals of Leicester NHS Trust
www.vimeo.com/157569622 

For more information on the event or the network please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Human Factors CHILL event February 2017:
pdf
Human Factors Exchange presentation
pdfHuman Factors approach to improving acknowledgement of electronic test results presentation
pdfHuman Factors approach to improving recognition and management of AHRF presentation 
pdfMobilising Human Factors Knowledge to Maximise Safety Huddle Impact
pdfUsing the Human Factors Analysis and Classification System to enhance learning from serious incidents in healthcare poster

Failure Modes Effect Analysis (FMEA) - 
As part of the Capability building priority for the PSC we have been working with stakeholders to develop our learning from incidents. As a result, we have been trying several techniques. The Failure Modes Effect Analysis (FMEA) is one tool to help understand how harm occurs and how we can reduce the risk of repeat harms.

You can access various resources relating to FMEA, risk management and service improvement below.

pdfResilience in Healthcare by Erik Hollnagel