Proposal for Person Centred Quality Councils 1. Person-Centred Assessment Aim To lead on the development, pilot and roll out of integrated personcentred enquiry across relevant NHS settings There are already several different types of person-centred enquiry undertaken across NHSScotland. These include Gender-Based Violence, Health Promoting Health Service, Equalities Monitoring and Inequalities Sensitive Enquiry. This work will draw on current practice to develop proposals for effective person-centred enquiry, which will ensure staff have the information they need to provide appropriate and accessible health services for all. Scope range of current approaches to person-centred enquiry (including citizen ehealth proposals) Develop integrated person-centred enquiry tool / approach Identify key setting for use Pilot and consider what staff training requirements Roll out 2. Health Literacy Aim To roll out specific health literacy interventions, including teach back across NMAHP settings Impacts of low health literacy include poorer health status; greater risk of hospitalisation, higher emergency admissions, more medication and treatment errors and less ability to self manage. A more co-ordinated approach is required to improve awareness of the impact of low literacy and health literacy and to ensure healthcare staff have the skills and knowledge needed to identify and support people in every healthcare contact. A National Health Literacy Group has been established to help co-ordinate this work.
Nominate a PCQC lead to co-ordinate activity and to sit on National Health Literacy Group Agree a small set of interventions that will be rolled out across key settings Agree monitoring and evaluation of interventions Develop implementation plan Roll out 3. Caring behaviours Caring behaviours support the enactment of person centred care and the greatest predictor of patient experience. There are already several different ways in which caring behaviours are being used across Scotland to improve, implement and evaluate person centre care and patient experience. This work includes Better together patient experience; Every patient every time; intentional rounding, staff experience and professionalism. CARE measure and approach, knowledge services review. The work undertaken as part of care governance has provided a caring behaviours framework which will unify this work to provide an approach across NHSScotland that is theoretically sound, practically based, comprehensive and flexible to use. To validate the caring behaviours attributes and example behaviours and enhance as appropriate. To identify ways in which the caring behaviours can be incorporated into practice and: To collate staff and patient stories of caring behaviours and their impact and examples of good practice of caring behaviour improvement approaches currently in use across NHS Scotland A questionnaire has been developed to enable either individual or group responses to validation of caring behaviours The NMAHP Quality Councils Community space will be used to support discussions and submission of stories and good practice examples
Lead Heather Strachan, National Clinical Lead, Care Governance, SG Output/Outcomes Validated caring behaviours framework will be aligned to other relevant NHS Scottish Initiatives A tool will be developed to support healthcare teams understand the impact of caring behaviours on patient experience and how to use the framework to improve and evaluate person centred care as part of wider process and system wide approaches as part of Person Centred Care Deliver Group, Enabling Person Centre Care Action Group 4. Knowledge Management for Person Centre Care Knowledge into Action Review is currently undertaking a project to refocus knowledge management support of both knowledge services and the librarians role in order to better support practitioners apply knowledge to practice and quality improvement activities. In line with the shared governance approach this requires the input of those staff that will be affected by the outcomes. Knowledge services have developed an approach to test knowledge management activities as they relate to caring behaviours which requires validation of front line clinical staff. To support the Knowledge into Action Review for NHS Scotland To provide an NMAHP view on what knowledge management activities that can underpin person centred care and caring behaviours. Person Centre Quality Councils members will be asked to contribute and/or promote the following activities within their organisations Two focus groups will be held on 25 th January pm in Edinburgh and 1 st February 2012 pm Glasgow.
Information and discussion topics will be posted on the NMAHP Quality councils community space for quality councils and wider groups to contribute Leads Anne Wales, Head of Knowledge Services NHS Education for Scotland Michelle Kirkwood, Library Services, NHS Greater Glasgow and Clyde Heather Strachan, National Clinical Lead, Care Governance, Scottish Government Output/Outcome Results will be incorporated into Knowledge into Action Review and where appropriate specific actions will be undertaken to support NMAHPs deliver and improve person centred care and caring behaviours. 5. Communication and Engagement To support quality councils shared governance approach requires effective and efficient communication and engagement of key stakeholders. A Communication and Engagement Strategy has been developed to provide an overarching framework to support the NMAHP contribution to quality. It outlines the objectives, key stakeholders, principles, approaches, roles and responsibilities to support deliver. Each Quality Councils is responsible for developing and maintaining a communication plan and log and the NMAHP Quality Council Community space provides a way of supporting both national and local communication and engagement. Identify communication and engagement plan to support NMAHP quality council s members raise awareness, promote key messages and share ideas, innovation and good practice to promote person centred care. Contribute to NMAHP quality councils community space and monthly news and views alert to deliver communication and engagement plan
Establish mechanisms in own organisation to promote communication and engagement plan to key stakeholders Maintain a log of communication and engagement activities, evaluate effectiveness, and adjust plan accordingly Plan to be agreed at by council members at quarterly meetings and distributed via NMAHP Quality Councils Community space. Local engagement as per local mechanism Lead To be agreed by Person Centre Quality Councils Members Output/Outcome A Person Centred Quality Council Communication Plan developed, implemented and evaluated and an up to dated log.