A CLIC Engaging for Improvement Scheme has been shortlisted in the Bright Ideas in Health Awards 2019.

Led by our very own Clinical Skills Team, the E4I project involved the development of a local learning and competency hub. The initial aim was to set this up within Maryport Hospital, providing an accessible venue for staff to gain and maintain competency, which was then to be rolled out across other ICCs. 

As a result of this work, a structured process was implemented for when community staff contact the hub to book a competency appointment. The mapping of skills/patients allowed the hub staff to identify dates and times when competency could be achieved i.e. if a staff member needs to gain competency in cannulation, they will identify times when a patient is coming in for a blood transfusion - this saves time-wasting. Places on a mentorship course were also sought, supporting staff with competency sign-off and critical evaluations, and a Competency Framework Policy was written and ratified.

In the future, this work should reap dividends for patients, as it will lead to an increase in the skill level of the community staff. This will allow more patients to be treated closer to home, outside of the acute setting. Also, by investing in staff and ensuring it is easier for them to gain competency, they will feel more supported with opportunities for development.

Wave 12 of Engaging for Improvement is now open for applications. To find out more, please visit: www.theclic.org.uk/news/507-engaging-for-improvement-application-window-now-open-for-wave-12 

We'd like to congratulate all the other finalists in this year's Awards. To view the full shortlist, please visit the Academic Health Science Network North East and North Cumbria's (AHSN NENC) website.

By Suzanne Hamilton, Head of Continuous Improvement and Development with CLIC

We all have personal values that guide and shape the way we live our lives and guide the decisions and choices we make, but organisations have values too. The more we feel our own personal values fit with those of the organisation we work in, the more passionate we are about our work, and this has an impact on our colleagues and on the experiences of the patients, families and communities we serve. 

Our health system values were developed by staff and are:

  • Kindness - Kindness and compassion costs nothing, yet accomplishes a great deal
  • Collaboration - We are respectful to everyone and are open, honest and fair
  • Ambition - We set goals to achieve the best for our patients, teams, organisation and our partners
  • Respect - We are stronger and better working together with and for our patients

Values are the very basis of compassionate leadership - they are effective in providing us with an ‘internal compass’ shaping how we behave and allowing us to work more independently to make the best decisions. Some people may view values as something ‘soft and fluffy’, but there is growing evidence to show that when values become more that words on a page and guide our day-to-day practice, they drive staff engagement, enhance both staff recruitment and retention, and help establish a culture of quality and safety.

When we allow our behaviours to step outside our values, we can have a significant impact not only on our colleagues but also on our patients. When someone is rude to us we can feel small or angry; these feelings can be imprinted on our emotional memory affecting how we think about ourselves and others and also how we behave. Research has shown that it is likely to reduce our cognitive ability by 61%, and even those who witness a rude exchange are 50% less likely to help others – it is understandable the impact this can have on our culture of safety and the experience of patients in our care!

Watch the video below to find out more about the work of Dr Chris Turner and his campaign ‘Civility Saves Lives’:

On Friday 6th September, CLIC hosted a visit from Hugh McCaughey (National Director of Improvement for the NHS), enabling him to see first-hand some of the work that has been taking place to transform the health and care services in the area.

For part of the visit, staff from Maple B/C/D Wards at Cumberland Infirmary welcomed Hugh and shared details of a Rapid Process Improvement Workshop (RPIW) that they participated in a little while ago, which focused on improving discharge from the ward. They were able to demonstrate how their work has continued to have a positive impact on care and treatment of patients accessing the ward. Notably this includes the use of fully electronic, Realtime notes during muti-disciplinary board rounds, removing the requirement to photocopy all patient notes prior to transfer to community settings.

Hugh also visited the Learning & Improvement Hub, a new learning space that is being developed by North Cumbria NHS Library and Knowledge Services as part of the Trust’s Engaging with Improvement programme, funded by HEE North Healthcare libraries and Doughty Charitable Trust fund.

The learning space will be next to the restaurant within the hospital at CIC and will accommodate workshops and drop-in sessions, and when vacant will provide staff with a place to study, including access to Wi-Fi and PCs. It will host training and workshops next month, and will be open for all staff to use after its official opening on 1st November. Look out for further information in Staff News, and you can also contact sheila.marsh@ncuh.nhs.uk directly if you have any queries.

For the final part of the visit, Hugh met with colleagues from ICCs and Primary Care who shared examples of collaborative working, and discussed the unique challenges that have been faced during work to integrate health and care services in the region.

Thank you to everyone who helped to host Hugh on the morning; it was a great opportunity to share examples of improvement work taking place in North Cumbria.

This year’s Cumbria Pride will be celebrating 10 years of the event on Saturday 28th September in Carlisle.

The event is supported by the NHS and local businesses. Staff from NHS will have stands with a focus on promoting health and wellbeing for everyone. If anyone is interested in being involved or to find out more contact Jennifer.mccall@cumbria.nhs.uk  

The event will start with a march from the Civic Centre at 11am which will make its way to Carlisle Castle for a free, family friendly, fun day out. 

Cumbria Pride promotes equality, diversity and aims to be a strong voice for Cumbria’s LGBT community.

For more information: http://www.cumbriapride.org/ 

We are looking for new schemes that enable staff to take forward improvements within their service aligned to the system objectives and priorities and organisational values.  

Engaging for Improvement puts the patient at the heart of everything we do; by identifying an idea for improvement, gathering information to understand and measure the current state, engaging with your team and wider stakeholders to gather their ideas and answer their concerns. The success of any improvement lies in engagement and involvement of the right people from the beginning.  

It is a six step approach designed to be worked through over a period of 20 weeks. Wave 12 will take place between December 2019 and April 2020, during this time the CLIC Team will actively support you to lead your improvement.

If you think Engaging for Improvement is something you are interested in follow THIS LINK to access an Expression of Interest Form complete and return this to the CLIC Team at info@theclic.org.uk by the 25th October 2019.