Friday

All programme timings are in AEDT (Australian Eastern Daylight Time), GMT+10.

• L8

  Structured networking - global environment crisis reflection session

Wednesday

All programme timings are in AEDT (Australian Eastern Daylight Time), GMT+10.

• M2

  Safety events matter – myth busting common misconceptions about learning from safety events

  Format: Half-day workshop

  Stream: Safety

  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI

  
  

  Learning from safety events is central to improvement efforts within healthcare. However, despite a long history in safety science and human factors, myths continue to persist with regards to the human contribution to safety events as well as how to effectively use safety event data to understand safety. In this mini course we will debunk common myths across the safety event lifecycle from recording to improvement and ongoing monitoring.

  
  

  As a result of this minicourse, participants will be able to:

  • Understand what safety event data can and can’t tell you about safety in your organisation
  • Know common traps that may impede learning from safety events
  • Describe where to access resources to improve your approach to learning from safety events

  Tracey Herlihey NHS England, England

• M3

  Kindness and psychological safety
  Format: Half-day workshop
  Stream: People
  Content filters: n/a
  
  Session description to be announced shortly.
  
  Bob Klaber Imperial College Healthcare NHS Trust, England
  
  Gabrielle Matthews North Middlesex University NHS Trust

• M4

  Flow as a critical patient safety intervention
  
  

  Format: Half-day workshop

  Stream: Safety

  Content filters: Recommended for those new to quality improvement, Recommended for those working at system level in QI

  
  

  Session detail tbc

  
  

  Dr Maxine Power North West Ambulance Service (England)

  Aidan Fowler NHS England (England)

  Joanna Moore Barts Health NHS Trust (England)

• M5

  Inspiring, enabling and empowering staff for net zero, cost-saving improvements and innovations

  Format: Half-day workshop
  Stream: Populations
  Content filters: n/a

  The climate crisis widens health inequalities and has real implications for the health and wellbeing of staff, patients, and local communities. As a large contributor of greenhouse gases, healthcare organisations have a significant role to play in reducing these to net zero. In this practical session we will describe how a number of large hospitals across the UK are using innovation and improvement approaches to deliver net zero. We will share examples and learning of carbon and cost savings projects, showcase how the Sustainability in Quality Improvement (SusQI) framework equips and motivates health professionals to lead on these challenges, and discuss how to embrace such an approach across health care organisations to excellent effect.

  
  Learning objectives:
  
  

  • Understanding the connection between climate change, health and health inequalities

  
  

  • Understand how integrating environmental sustainability into improvement frameworks can motivate and equip healthcare staff to improve services and reduce carbon

  
  

  • Learn how to measure the carbon footprint of common healthcare emission sources and how to make data more relatable to better motivate and secure buy-in

  
  

  • Learn about what has worked in building a culture of continuous learning to bring about lasting change

  
  

  • Access tools and support to embed SusQI into improvement training and practice across their organisation

  
  
  Darshan Patel Imperial College Healthcare NHS Trust, England
  
  Gareth Thompson Imperial College Healthcare NHS Trust, England
  
  Catherine Richards Centre for Sustainable Healthcare, England
  
  Helen Payne Midlands Partnership NHS Foundation, England

• M6

  Scale and spread

  Format: Half-day workshop

  Stream: Science

  Content filters:

  
  

  Session description

  As a result of this minicourse, participants will be able to:

  Pierre Barker Institute of Healthcare Improvement (IHI), USA

  Amar Shah East London NHS Foundation Trust Royal College of Psychiatrists and NHS England, England

  Marianne McPherson Institute of Healthcare Improvement (IHI), USA

• M7

  Becoming a successful improvement organisation...the "how to guide"

  Format: Half-day workshop

  Stream: Leading

  Content filters: Recommended for those new to quality improvement

  There has never been a time when so many organisations are wanting to embed Improvement driven by health policy such as NHS Impact. Much has been written about what successful organisations look like and the benefits of embedding improvement. But if you are starting out, or early in your journey, what do you practically do to make it happen? What are the steps you need to take? What things do you need to put in place and how? How do actions vary at different levels of the organisation?  Embedding improvement is a journey, this session is designed to help those early in their journey, chart their way to: Understand how to plot and map your organisation’s journey in embedding an improvement approach and culture, with an emphasis on practical steps. Understand how to keep a focus on short term delivery whilst changing leadership and management systems of the organisation. Learn from experienced improvers who can guide your journey and help to avoid the pitfalls.

  Hugh McCaughey Institute of Healthcare Improvement (IHI), England

  Pedro Delgado Institute of Healthcare Improvement (IHI), Northern Ireland

  Susan Hannah Institute of Healthcare Improvement (IHI), Scotland

   

• M1

  Leading big change: what does it take to deliver at large scale?

  Format: Full-day workshop
  Stream: Change
  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  We often hear the mantra that ‘70% of change programmes fail to deliver’. But many change leaders DO achieve their goals. What can we learn from those leaders whose extraordinary thinking, behaviours and practices have enabled them to deliver change at a really large scale? What does it take to create big change in different contexts? In this highly interactive session, we will undertake a process of collective inquiry: we will learn from change practitioners from across the globe who will present their practical learning. In addition, we will benefit from the wisdom of all the people in the room. We will co-create a framework for large scale change.
  
  As a result of this workshop, participants will be able to:

  
  

  • Appreciate the thinking, behaviours and practices of leaders who deliver big change

  
  

  • Be part of a unique collective learning system to distil practical wisdom for large scale change

  
  

  • Take home tacit and explicit knowledge, models, approaches and frameworks for change

  
  

  • Take inspiration and ambition from other change leaders

  
  
  Led by:
  Helen Bevan, NHS Horizons, England
  Göran Henriks, Qulturum, Sweden
  
  Facilitative approach: Liberating Structures – the surprising power of liberating structures to unleash a culture of innovation
  
  Liberating Structures are a powerful and impactful way of involving, engaging and unleashing everyone to contribute ideas and shape the future. They help people connect and work together collaboratively. They are deliberately simple, and anyone can lead them which means they can spread virally in an organisation or group. There are thirty-three different structures, so there is something for almost any context or occasion – everyone will leave with the knowledge and skills to liberate and unleash the energy of small and large groups of people to shape the future.
  
  Zoe Lord NHS Horizons, England
  
   
  
  CASE STUDIES
  
  Flanders quality model: thinking, doing and learning in collaboration with flemish hospitals
  
  We have co-developed a conceptual model towards sustainable quality management systems and implemented this model in 23 Flemish hospitals. This model, i.e. Flanders Quality Model, focuses on co-production of healthcare quality with patient, kin and professionals in order to improve benefits for both.
  
  Kris Vanhaecht Leuven Institute for Healthcare Policy, Belgium
  
   
  
  Facilitating transformational change in Swedish healthcare – using designed action sampling
  
  Organisations are currently challenged to learn and develop quality at an increasing speed of change, as well as handle complexity. This calls for new approaches to transformational change that invite and involve organisational members and stakeholders at the scale of the whole. This presentation will explore how to establish an arena using systematic reflection with a social media tool in real time, to help organisations understand and facilitate transformational change.
  
  Jonas Boström CGI/Mid Sweden University, Sweden
  
   
  
  Delivering change together – our change experiential programme story so far
  
  This work develops change capacity and competency among healthcare leaders to enable change in services to fulfil our populations’ need for access to care in the right place, at the right time, and by the right person. This programme employs a communities of practice model to ensure that change is supported by the HSE’s agreed-upon change framework.
  
  Marie O’Haire HSE Ireland, Ireland
  
   
  
  Lessons from primary care: creating joy, hope and releasing our true potential
  
  The experience of UK General Practice for both patients and staff worsens year after year. How does change and hope emerge? What happens if a GP improves psychological safety, trust, distributed leadership and staff and patient engagement? What could releasing the true potential of individuals and an organisation look like? Dr Ben Allen from Birley Health Centre in Sheffield, England will share the journey of learning and the many stories of establishing new principles.
  
  Ben Allen Birley Health Centre, England
  
   
  
  Building a culture of improvement: a decade of sustainability lessons in Jamaica
  
  This case study will share a decade of lessons from the Caribbean Quality Improvement Collaborative (CaReQIC) aiming to improve HIV outcomes.  Whether early or advanced in improvement journeys, participants in this session will explore comprehensive strategies to build a culture of improvement that sustains efforts.
  
  Shay Bluemer Shift, Jamaica

• X1

  Golborne Community: place-based partnerships between healthcare, local authority and third sector to serve the healthcare needs of a local population

  This unique experience day showcases a community, rather than an institution. To serve the members of this rich and vibrant corner of West London, primary care partners with secondary care, local authority and third sector to conduct health promotion, outreach, preventative care, and holistic person and family-centred care. Participants will experience community healthcare through visiting key sites including a General Practice (GP) clinic, a Community Midwifery clinic, and community centres that host health promoting activities such as cookery and parenting classes. We will discuss and explore the wider determinants that influence health and wellbeing. 

  
  

  The Golborne community will showcase collaborative healthcare, including how community members have been included in the co-creation, design, and production of local healthcare services. Finally, we will reflect together on the challenges of healthcare delivery due to complex social needs, with an opportunity for participants

  to share their own experiences and reflections.

• X2

  Imperial College Healthcare NHS Trust: Improving Population Health and Equity

  Imperial College Healthcare NHS trust is committed to our vision of 'better health for life' for our patients and communities through improving inequities in health and care. In order to achieve this, we are focused on our role as an anchor institution, working with our partners and delivering on our Health and Equity Framework. Your visit to St Mary's Hospital and the surrounding area will enable participants to experience some of the work we are doing, share learning and foster discussions amongst healthcare workers, patients and those with lived experience.

  Participants will start at St Mary's Hospital Paddington, based in North Westminster. St Mary's is situated in one of the most deprived areas of London with communities facing the sharpest end of health inequalities, including a life expectancy gap of almost 20 years between some residents. The day will start with an overview of the trust strategy, followed by a walking tour of the local community which will bring to life our redevelopment plans for St Mary's Hospital and introduce people to our new initiatives including the new Life Sciences partnership, digital collaboration space, and a number of community spaces and organisations. We will come back to hear from some of the individual projects being supported, and have a chance to discuss and reflect together.

• X3

  Barts Health NHS Trust

  With a workforce of approximately 21,000, Barts Health is a leading healthcare provider in Britain and one of the largest NHS trusts in the country. We operate from four major hospital sites delivering high-quality, compassionate care to the 2.5 million people of East London and beyond.

  The Royal London in Whitechapel is a major teaching hospital providing local and specialist services in state-of-the-art facilities. Whipps Cross in Leytonstone is a large general hospital with a range of local services. Newham in Plaistow is a busy district hospital with innovative facilities such as its orthopaedic centre. Mile End Hospital is a shared facility in Mile End for a range of inpatient, rehabilitation, mental health and community services. And St Bartholomew's in the City, London's oldest hospital (900 years old), is a regional and national centre of excellence for cardiac and cancer care.

  As well as district general hospital facilities for three London boroughs, Tower Hamlets, Waltham Forest and Newham, we have the largest cardiovascular centre in the UK, the second largest cancer centre in London, an internationally-renowned trauma team, and the home of the London Air Ambulance. The Royal London also houses one of the largest children's hospitals in the UK, a major dental hospital, and leading stroke and renal units.

  The experience day will provide an opportunity to visit one of the hospitals in Barts Health NHS Trust, hear about the history of the group model and how it works, understand more about the improvement journey the Trust has been on, and the application of our WeImprove methodology to improve safety, patient experience and transform services for the community of North East London

• X4

  East London NHS Foundation Trust: Homeless health and engaging with local voluntary and charitable organisations to improve population health

  East London NHS FT (ELFT) is a provider of mental health, community health and primary care to approximately 1.7 million people across Bedfordshire, Luton and East London – within some of the most deprived and diverse communities in the country. This experience day will give you the chance to deep dive into two aspects of the Trust's work with its local communities.

  ELFT is the largest provider of homeless health services in England, serving a community in East London who is not able to register with a GP – who may be homeless, seeking asylum, sex workers, trafficked etc. The visit will show how our specialist primary care teams work with this community, and local community and faith organisations, in order to understand and meet the health needs of this vulnerable population, and to address the social determinants of health.

   

  The experience day will also dive into how ELFT is  tackling some of the drivers of poor health, such as poverty and unemployment through becoming a 'Marmot' Trust and anchor institution. We will explore the work of Compass Wellbeing - a community-interest company that has built links with 6000 third sector organisations in the six boroughs in which we operate. Compass wellbeing supports almost 200 small local organisations to work with ELFT in the delivery of services, enabling over 800 community organisations to access training, research and population health skills, and enabling employment opportunities for over 100 people with severe mental illness.

• X5

  Bromley by Bow Health Centre: integrating services for local residents in East London

  Creating more integrated services is a vital part of improvement in primary care. The social determinants of health are wide and varied, and the growth of social prescribing, the introduction of new roles and local place-based partnerships are all helping to provide more joined-up services.

  The Bromley by Bow Health Centre has made great strides towards integrating services for local residents since its formation in 1984, with the on-site General Practice built in 1997. It does this through strategic partnerships with other local organisations and its impressive social prescribing scheme. This scheme is widely regarded as one of the first social prescribing initiatives to become fully operational in the UK. The Centre also offers a wide range of services, including energy advice, one-to-one social care support and an employment and skills team.

  This in-person visit gives a unique opportunity to see behind the scenes at the Bromley by Bow Centre, get a tour of their award-winning Health Centre and hear from the practitioners making integrated care a reality.

  Participants will learn about the Centre's history and get a tour, visiting the different services. Discover how the Centre's practice is based on collaborative work between healthcare, the third sector and other local partners and how they work in partnership with healthcare to address the social determinants of health. They will also hear inspiring stories about the journey to integrated services from the Bromley by Bow team and their partners, and how this model is being replicated elsewhere. There will also be a chance to reflect with others in the group about the challenges and opportunities to develop integrated services.

• X6

  Great Ormond Street Hospital for Children NHS Foundation Trust: managing complexity, working together

  Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is an international centre of excellence in paediatric healthcare. Since its formation in 1852, the hospital has been dedicated to providing world-class healthcare to children and young people with complex health needs and finding new and better ways of treating childhood illnesses. There are over 60 different clinical specialities at GOSH, the UK's widest range of specialist health services for children on one site. Your visit to GOSH will provide a unique opportunity to gain insights into the management of complex patients, share learning and engage in meaningful discussions and reflections on improving healthcare quality and safety.
  
  The curated experience day will start with introductory and plenary sessions focused on the work done at GOSH and how multidisciplinary teams provide high quality, safe healthcare to children and young people with complex health needs. Participants will then be divided into smaller groups for specific break-out sessions that will focus on the complexity of patients in our care and the ways in which teams are developed and supported in delivering this care. During these sessions you will meet frontline staff, leaders in safety and quality improvement and engage in discussions about some of the projects that are currently in progress. The day will conclude with an opportunity to share your experiences and reflect on how you can apply the lessons learned in your own workplace.

• M10

  Lived experience co-production workshop (designed and delivered by people with lived experience)
  Format: Half-day workshop
  Stream: People
  Content filters: Co-presented with patients, service users or carers
  
  Session description to follow shortly.

• M13

  Why QI often doesn’t work – the value of rigour

  Format: Half-day workshop

  Stream: Science

  Content filters: Recommended for those working at system level in QI

  
  

  Quality improvement is both a science and a mindset. In order to build belief in quality improvement, practitioners need to win hearts, by applying it to reduce preventable suffering and improve meaningful outcomes, and minds, by demonstrating it as a valid method for delivering causal results. The way in which we apply quality improvement is integral to the likelihood of delivering success – and the data and stories from results are what help build belief.

  This session will summarise the evidence base about the key factors that prevent quality improvement from delivering what it promises - sustained improvements in patient care. We will unpack the scientific elements of quality improvement and outline a framework that will help those engaged in QI strengthen the rigour with which they apply the science. The session will draw on examples from the field, and share some of the ways in which we can bring best practice and relatively underutilised approaches to quality improvement, in order to strengthen and accelerate the delivery of results and learning.

  Amar Shah East London NHS Foundation Trust Royal College of Psychiatrists and NHS England, England

  Jonathan Burlison St Jude’s Hospital, USA

  Pierre Barker Institute of Healthcare Improvement (IHI), USA
  Marianne McPherson Institute of Healthcare Improvement (IHI), USA

   

• M14

  Future horizons for improvement

  Format: Half-day workshop

  Stream: Leading

  Content filters:·  Recommended for those working at system level in QI

  
  

  Improvement has grown as a field as our learning and ambitions have evolved from tackling quality issues in clinical microsystems to seeking to shift outcomes for populations. This session will reframe how we think about what constitutes improvement and challenge us to think together about what’s needed longer term to deliver on the goal of much larger scale transformational change.

  How far are we thinking about long term future health and care and the change approaches needed to get there? How far are the changes we’re introducing supporting the radical innovation needed, or helping optimise models of care that are fundamentally outdated? What role can improvement play in supporting transformation at scale in a way that supports transition from current service models? What modes and mindsets do people working in improvement need to make progress to tackle whole system challenges?

  This mini-course will introduce thinking from across the UK and Ireland and pool ideas from participants to explore the future of improvement, using a model that helps people think about the multiple horizons of change.

   Penny Pereira The Health Foundation, England

  Anindita Ghosh The Health Foundation, England

• M9

  Violations or system resilience? Learning from 'work as done'

  Format: Half-day workshop

  Stream: Safety

  Content filters:

  
  

  PART 1: Bridge over troubled water - do safety standard workarounds support system resilience?
  Gaining a detailed understanding of safety standard workarounds used by nurses during IV medication administration in different healthcare context offers an opportunity to learn how nurses informally adapt practice to cope with challenges and unstable conditions in different contexts. Exploring perceptions of observed safety standard workarounds with stakeholders at different levels of the healthcare system offers insights into if, when and how workarounds used by frontline staff can be used to improve health care delivery and promote safe care in difficult conditions.

  As a result of this workshop, participants will be able to:

  • Understand basic concepts of Safety II
  • Have an insight into safety standard workarounds performed in different healthcare contexts
  • Understand perspectives from different levels of the healthcare system on if, when and how workarounds might offer a form of system resilience 
  • Have insights into how Safety II might be used to support future improvement efforts

  Debbie Clark University of Leeds, England

  Jane O’Hara University of Cambridge, England

  Rebecca Lawton NIHR Yorkshire and Humber Patient Safety Research Collaboration (YHPSRC), England

  PART 2:  Session details coming soon

  Axel Ros Jonskoping, Sweden
  Catherine Calderwood University of Strathclyde, Scotland

  Siri Wiig Stavanger University, Norway
  

Thursday

All programme timings are in AEDT (Australian Eastern Daylight Time), GMT+10.

• BR1

  Sponsored session by NHS Horizons

• BR5

  An introduction to quality improvement

  Format: Workshop

  Stream: Change

  Content filters: Recommended for those new to quality improvement

  
  

  If you are new to quality improvement or the International Forum, come and join us at this interactive breakfast session where you will have the opportunity to make new connections as well as brushing up on some of the key concepts we will explore throughout the conference.

  
  

  Speakers will be announced shortly.

• K1

  Keynote One: Community and Equity
  Session and speakers to be confirmed.

• A1

  Nuka – Triple Aim success with 25 years of Community-Driven Healthcare Transformation

  Format: Presentation

  Stream: Change

  Content filters: Recommended for those new to quality improvement; Features discussion of community led projects, including those outside of health and care

  Healthcare rethought and recreated, on what the people using the system say works.  When, where and how THEY want it, based on what matters to them.  Immediacy, trusting relationships, whole person, shared responsibility, strong care coordination, benchmarked clinical excellence, family wellness, built on giving and receiving story.  Two-time national winner of the US Baldrige award and frequently called ‘one of the best healthcare systems anywhere’.  Several thousand staff supporting hundreds of thousands of Alaska Native customer-owners, built on co-creation, learning organisation, and highly capable infrastructure – and continually evolving over 25 years.  Better outcomes, happier people, and lower total cost - this is the Triple Aim achieved, sustained, and continually evolving.

  Learning Objectives

  • What a Triple Aim successful community-driven healthcare system design looks like – and current ongoing efforts
  • How to build a passionate, energised, aligned, workforce
  • How to create a true learning organisation with high capability for continual change

• A12

  The role of the patient safety officer

  Format: Networking

  Stream: Safety

  Content filters:  

  There are different role models for patient safety officers (PSOs), even in one country. Since 2019, every hospital in Hessen, a state in Germany, requires a PSO due to Patient Safety regulation. The state government here supported the introduction of PSO by financing a specific training, which was based on the "Patient Safety Curriculum Guide: multi-professional edition" of the World Health Organization and was adapted to the request of PSO of the Hessian Framework. Within three years 130 PSOs participated in this program. To develop the role of PSO has been a relevant part of this program. 

  The presentation summarises the experiences in the tasks, now supported through a PSO-network.

  As a result of this session, participants will be able to:

  • Envisage a specific framework for patient safety officers
  • Understanding tasks and requirements of patient safety officers 
  • Forge contacts with clinicians, nurses and pharmacists who combine their work with that of a ‘PSO’ in their organisation 

  Juergen Graf University Hospital Frankfurt, Germany

  Kyra Schneider University Hospital Frankfurt, Germany

  
  Ralph So Albert Schweitzer Hospital, The Netherlands (Chair)

• A2

  A2: Enabling change across a whole system

  Format: Workshop

  Stream: Change

  Content filters: Recommended for those working at system level in QI

  
  

  To quote David Fleming, “Large scale problems do not require large scale solutions: they require small-scale solutions within a large scale framework”.  This session brings together three case studies where practitioners address the relationship and tension between large scale and small scale change.  Our first presentation from Canada explores how to deal with emergence in large scale change. The second, from Scotland, looks at how to prepare students to be future  of change linked to their improvement portfolios. Building on the principle that real change happens in real work, our final case study looks at the redesign of the interface between primary care and specialist practitioners to create a consistent approach across the English NHS.

  
  

  As a result of this session, participants will be able to:

  •     Gain insight into the critical relationship and tension between large scale and small scale change
  •     Identify key factors that contribute to successful large scale change from different perspectives and in different contexts
  •     Develop your own strategies for enabling large scale change

  PART 1: Moving from concept to reality – learning how to support emergence 

  Leaving the prescribed solutions and detailed plans behind, the Saskatchewan Health Quality Council (HQC) is embracing the opportunity to work in new ways by supporting emergence to drive change across health, social and community sectors. We will share the good, pull-back the curtain on the messiness, and highlight our learnings in bringing complex system change to life.

   

  Tanya Verrall Saskatchewan Health Quality Council, Canada

  Tracey Sherin Health Quality Council, Canada 

   

  PART 2: Adapting improvement education to context: small-scale projects or diverse and reflective portfolios?

  Lecturers from a UK university will share their learning, research and experience within a degree level health professionals' curriculum of transitioning educational efforts from small scale improvement projects in practice to longitudinal improvement portfolios. They will share lessons learned using the small-scale project approach to teach QI, and report upon findings from an extensive ethnographic multiple-case study of thirty undergraduate health professionals doing small-scale change projects across nine clinical settings in Scotland. 

   

  Lorraine Armstrong University of Stirling, Scotland

   

• A4

  Ensuring equity through health improvement approaches

  Format: Presentation
  
  Stream: Populations
  
  Content filters: Co-presented with patients, service users or carers; Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  PART 1: Integration, integration, integration – improving lives of babies, children and young people 
  
  In the context of improving the lives of babies, children, and young people, integration is the provision of seamless care irrespective of organisational boundaries.  The babies, children, and young people multi focus collaborative was designed to shine a spotlight on this and use the lens of Quality Improvement to advance the agenda further.  Teams from across London came together (under the broad objective of impacting care for babies, children and young people) to set their aims and designed interventions tackling a specific area for improvement.  This session will demonstrate how to use multi focus collaboratives to drive service improvements.
  
  As a result of this session, participants will be able to:

   

  • Understand the role, purpose and function of multi focus collaboratives in driving improvement

   

  • Develop a deep appreciation of how integration can lead to improved services

   

  • Learn about specific interventions that worked for babies children and young people in London

  
  
  Minara Chowdhury Institute for Healthcare Innovation, England
  
  Sara Nelson NHS England, England
  
   
  
  PART 2: Improvement 101: learning from a population health improvement approach  
  
  Lancashire and South Cumbria ICS has a leading-edge population health academy and is one of 7 accelerator sites in England participating in the NHS England/IHI Core20Plus5 Breakthrough Series Collaborative. This is the first time we have brought together our Population Health Academy with local improvers to share learning, test interventions on a small scale (inch-wide, mile deep) whilst simultaneously developing our Scale up and Spread plan to extend the work across our whole ICS.
  
  In this session, speakers will share learning from the Academy and the IHI Core20Plus5 Breakthrough Series collaborative, including the challenges, barriers and successes from the improvement programme.
  
  As a result of this session, participants will be able to:
  
  

  • Understand how to create and build a social movement for improvement to flourish

   

  • Reduce health inequalities effectively through connecting population health with improvers

   

  • Understand the critical success factors for culturally competent communications and co-design to reduce health inequalities

   

  • Understand the values needed for this work to flourish

  
  
  Alisa Brotherton Lancashire Teaching Hospital NHS Trust, England

• A5

  Learning from examples on the importance of design and evaluation in enhancing the effectiveness of quality improvement work

  Format: Presentation

  Stream: Science

  Content filters:

  
  

  PART 1: Bridging the divide between research and practice for real world, sustainable impact

  The evaluation of the NHS-VMI partnership offers a trailblazing example of the role and value of evaluating improvement interventions and crucially, how to create shared learning from evaluation with policymakers, practitioners and academics around the world. Improvement interventions are often undertaken without formal evaluation, and even when evaluation has taken place, lessons are rarely shared in an accessible way. This session describes a unique and highly successful example of an evaluation, detailing how and why it informed policy, and how and why ‘lessons’ from the evaluation have been shared, engaged with, and acted upon by thousands of people across the world.

  As a result of this session, participants will be able to:

  • Describe the role of evaluation and the importance of making findings (good and bad) accessible
  • Understand how agile methods compliment academic rigour to deliver relevant, timely and novel insights to inform practice in real-time
  • Design and lead an impact campaign that intentionally and systematically makes research findings accessible to practitioners and policy makers

  Andy Hardy University Hospitals Coventry and Warwickshire NHS Trust, England

  Helen Bevan NHS Horizons, England

  Nicola Burgess Warwick Business School, England

  Wendy Korthuis-Smith Virginia Mason Institute, USA

  
  

  PART 2: Evaluating a new frontier: video consultations in urgent and emergency care

  Since 2019, North West Ambulance Service (NWAS) has piloted video consultations (VC), predominately to support non-time critical triages. NWAS’s evaluation team will present how they reigned in unfettered pilots, collaborated with improvement teams to develop others, and ultimately wrapped evaluation around the intertwined initiatives.

  We will detail how a strong adherence to evaluation methodology was used to take stock of a complex healthcare situation, through to creating meaningful results to influence policy and create nationally relevant conclusions.

  As a result of this session, participants will be able to:

  • Understand how VC was implemented and adopted and its did this effect on the effectiveness of the technology
  • See how VC is utilised across the organisation
  • Discuss the benefit(s) VC brings to the organisation, clinician or patient
  • Consider the recommendations for future use of VC, and what adaptations, if any, are needed to support this

  Ed Fulker North West Ambulance Service NHS Trust, England

• A6

  Working with people and communities

  Format: Workshop
  
  Stream: People
  
  Content filters: Co-presented with patients, service users or carers; Features discussion of community led projects, including those outside of health and care
  
  PART 1: Partnering with people: making lived experience key to innovation strategy 
  
  Working with people with lived experience brings invaluable insights and is essential to ensure interventions meet the needs of service users and, ultimately, quality and safety in healthcare. The 'Working with People and Communities Statutory Guidance' reflects this, supporting active involvement, highlighting benefits and considerations.
  
  This session will provide an opportunity to meet and hear from Lived Experience Partners and involvement professionals, to explore involvement that influences strategy, with practical examples from the Health Innovation Network who recently co-developed an Involvement Strategy and recruited Lived Experience Partners (Band 7 paid role, equivalent to Project Managers). Using liberating structures, delegates will then consider how this can translate to their own organisations.
  
  As a result of this session, participants will be able to:

  
  

  • Understand the benefits of involving people with lived experience within health and care systems, including at strategic levels

  
  

  • Learn about the innovative approach of employing Lived Experience Partners in the UK's NHS in recognition of their expertise

  
  

  • Explore practicalities, such as inclusive recruitment to support applicants from diverse communities, and how to support individuals to influence change

  
  
  Aurora Todisco Health Innovation Network, England
  
  Catherine Dale Health Innovation Network, England
  
  Faith Smith Health Innovation Network, England
  
  Sophie Lowry Health Innovation Network, England
  
   
  
  PART 2: Ourcare: co-designing the future of primary care with patients and the public 
  
  The needs, values and preferences of patients and the public should inform healthcare policy yet too often these important perspectives are left out of discussions about healthcare reforms. We will review our large national effort to engage the public on the future of primary care in Canada. We will describe the deep dialogues we conducted with randomly selected members of the public in five regions of the country and our collaboration with community organisations to understand the perspectives of marginalised communities. We will share the reaction of policy-makers to our unique approach to public engagement and reflect on how attendees can adapt the approach to their context.
  
  As a result of this session, participants will be able to:
  
  

  • Describe how diverse members of the public can be meaningfully engaged in deep dialogue around complex health system challenges

  
  

  • Discuss strategies for integrating the views of marginalised communities in public engagement

  
  

  • Reflect on how principles and approaches to patient and public engagement can be applied in your setting to inform health policy

  
  
  Tara Kiran St Michael's Hospital & University of Toronto, Canada

• A7

  The case for improvement: shifting improvement from the margins to the mainstream

  Format: Workshop

  Stream: Leading

  Content filters: Co-presented with patients, service users or carers

  Improvement approaches have been applied with great success for over 20 years in many healthcare organisations and systems across the world. Yet improvement is still a marginal activity in many healthcare settings, and is rarely embedded into routine strategic and operational practice. Using the UK NHS as a case study, this session will examine why this is the case, help participants make the case for improvement and describe what needs to happen to establish improvement as a mainstream discipline.

  As a result of this session, participants will be able to:

  • Understand the range of benefits of improvement improvement and key issues impeding the widespread adoption of improvement approaches 
  • Consider the different modes in which improvement operates, and the distinctions and connections between them 
  • Reflect on how to embed improvement into organisation and system level strategic and operational practice 

  
  

  Bryan Jones The Health Foundation, England

  Penny Pereira The Health Foundation, England

  
  

  Catherine Dale Health Innovation Network, England (Chair)

  Katrine Kirk Patients for Patient Safety, Denmark (Chair)

• A8

  How to get your quality improvement work published: insider advice from editors

  Format: Workshop

  Stream: Science

  Content filters: 

  
  

  Healthcare staff, improvement professionals, patients and their families and caregivers, in all healthcare settings, design and lead efforts to improve the quality of care. A common and impactful way of sharing those quality improvement (QI) efforts is by publication in peer-reviewed literature. Through lecture and small and large group discussion, this session will help participants to: 1) identify opportunities to publish QI work to disseminate their experiences and new knowledge with others;

   2) identify common pitfalls in QI project report submissions to peer-reviewed journals;  and 3) describe strategies that can be employed during both the project stage and the writing stage to increase the chances of publication.

  
  

  After this session, participants will be able to: 

  • Identify peer-reviewed publications in which to publish QI reports
  • Describe and implement strategies during the conduct of QI projects that will increase the chances of being able to publish the work
  • Write improvement reports that avoid the most common pitfalls

  
  

  This session will be followed by a networking lunch where delegates are invited to meet the editors from BMJ Quality and Safety and BMJ Open Quality.

  
  

  Eric Thomas University of Texas Health Science Center, BMJ Quality and Safety, USA

  Perla J Marang-van de Mheen Leiden University Medical Center, BMJ Quality and Safety, The Netherlands

• T1

  TEST SESSION Enabling change across a whole system

  Format: Workshop

  Stream: Change

  Content filters: Recommended for those working at system level in QI

  
  To quote David Fleming, “Large scale problems do not require large scale solutions: they require small-scale solutions within a large scale framework”.  This session brings together three case studies where practitioners address the relationship and tension between large scale and small scale change.  Our first presentation from Canada explores how to deal with emergence in large scale change. The second, from Scotland, looks at how to prepare students to be future  of change linked to their improvement portfolios. Building on the principle that real change happens in real work, our final case study looks at the redesign of the interface between primary care and specialist practitioners to create a consistent approach across the English NHS.

  As a result of this session, participants will be able to:

  • Gain insight into the critical relationship and tension between large scale and small scale change
  • Identify key factors that contribute to successful large scale change from different perspectives and in different contexts
  • Develop your own strategies for enabling large scale change

  PART 1: Moving from concept to reality – learning how to support emergence 

  Leaving the prescribed solutions and detailed plans behind, the Saskatchewan Health Quality Council (HQC) is embracing the opportunity to work in new ways by supporting emergence to drive change across health, social and community sectors. We will share the good, pull-back the curtain on the messiness, and highlight our learnings in bringing complex system change to life.

  Tanya Verrall Saskatchewan Health Quality Council, Canada

  Tracey Sherin Health Quality Council, Canada 

• L3

  Meet the editors of BMJ Quality and Safety and BMJ Open Quality

  Format: Workshop

  Stream: Science

  Content filters: 

  
  

  Join the editors from BMJ Quality and Safety and BMJ Open Quality for a networking lunch, and the opportunity to seek advice for first time authors, discuss methodological issues, and engage in conversations around subjects such as implementation science, teamwork, diagnostic safety and more.

  
  

  Perla J Marang-van de Mheen Leiden University Medical Center, BMJ Quality and Safety, The Netherlands

  Eric Thomas University of Texas Health Science Center, BMJ Quality and Safety, USA

  Helen Crisp BMJ Open Quality, England

• B1

  Debate: Is zero-harm a useful concept for patient safety?

  Format: Debate

  Stream: Safety
  Content filters: 

  
  

  Session description to follow

• B2

  Breaking the rules and co-developing better care systems from the inside out

  Format: Workshop
  
  Stream: Change
  
  Content filters: Recommended for those working at system level in QI
  
  Sometimes we may inadvertently create processes or policies that have an unintended impact on the people we work to serve and support. As is often the case in complex production systems, much wisdom lies within the workforce and among those they serve. If asked, in a safe environment, to identify senseless obstacles to productive work, they can and will do so in service of providing better care for patients, care-partners, and families. Through a dynamic set of activities and engagements, attendees will leave this session with frameworks, tools, and stories aimed at accelerating work of advancing system change from the inside out.
  
  As a result of this session, participants will be able to:

  
  

  • Identify perceived boundaries that are impacting innovative improvement within one's organisation

  
  

  • Explore how to both surface and respond to rules or boundaries that contribute to poor patient care and staff burnout

  
  

  • Apply practical principles today (and tomorrow) for engaging staff, patients, and care partners in improvement-led organizational change

  
  
   
  
  PART 1: A new co-developed framework for successfully engaging staff in major change 
  
  Evidence increasingly shows that engaging staff well in major change processes can increase their effectiveness and sustainability. This session will present a new 10-point practical framework for doing this well. It emphasises co-ownership, inclusion, appreciative leadership, psychological safety, structured communication and improvement principles.
  
  Henry Cann The Health Foundation, England
  
  Matt Hill The Health Foundation, England
  
   
  
  PART 2: Don't fence me in! 
  
  This session is for all who, from time to time, feel fenced in for whatever reasons!
  
  We will share from experience and recent research how the 'garden fences' that can frustrate and seem to restrict, can also become opportunities for growth and learning.
  
  Healthcare improvement efforts will themselves improve as all practitioners develop new mindsets and skills for working on the boundaries.
  
  Stefan Cantore University of Sheffield, England

• B3

  In the footsteps of patients: using Systems Thinking to explore safety across patient trajectories

  Format: Workshop 

  Stream: Safety
  Content filters: Recommended for those working at system level in QI

  In this session, we will discuss the use of different frameworks and methods to explore quality and safety across the continuum of care. System thinking and learning are the pillars of quality and safety but often simplistic tools and methods are used to measure and study quality.  Measurement of single predefined elements may be too narrow if we want to understand the quality of a patient trajectory. We will discuss the pros and cons of process-mapping and the AHRQ Dx checklist to explore and identify unintended risk, gaps, and waste.  We will present findings of a review of 80 cross-sectorial cases that were mapped and explored 18 months prior to amputation.

  As a result of this session, participants will be able to:

  • Describe the elements in a cross-sectorial analysis of a patient trajectory
  • Discuss pros and cons in selecting methods to measure and study risk, safety and quality in cross-sectorial cases
  • List ways to apply different frameworks into their own practice

  Arjen Stoop PS! Danish Society for Patient Safety, Denmark

  Louise Weile Region of Zealand, Denmark

  Vibeke Rischel PS! Danish Society for Patient Safety, Denmark

   

• B5

  Next generation leaders

  Format: Workshop

  Stream: Leading

  Content filters:  Co-presented with patients, service users or carers

  Jamie Smyth London Borough of Southwark, England (Chair)

  
  

  PART 1: Making room at the table: engaging the next generation of clinical leaders

  How does early exposure to senior leadership opportunities inspire the next generation of clinical leaders, and how can we facilitate access to these opportunities in a busy, stretched healthcare system?  Using examples, we will show how UK leadership fellowships have contributed to national level projects, driving system-wide change, and helping to build skills that fellows then take back to their clinical healthcare teams. We want to start the conversation on how we support early career leadership development, share best practice, and encourage the development of future leaders around the world to improve the care we give to our patients. As a result of this session, participants will be able to: Learn how UK fellowships have facilitated early career leadership opportunities See how these opportunities can benefit healthcare teams and patients Understand ways to establish and develop opportunities for early career leadership development in their own healthcare systems Rachel Rajadurai Sandwell and West Birmingham NHS Trust, England

  PART 2: Building leaders together: 10 years of shared learning through multi-professional fellowship

  The Welsh Clinical Leadership Fellowship is a unique programme bringing together future health leaders from across the breadth of the NHS to train and work collaboratively, learning how to drive positive change within their own fields of practice and the wider health services. In this session, the 10th cohort of fellows will discuss the value of multi-professional training in the leadership sphere, and how learning collaboratively is a powerful strategy for building strong relationships between professions and better health outcomes for patients. The fellows will be joined by the Programme Director and Leadership Development Manager to discuss the practical aspects of developing and overseeing a truly multi-professional leadership training programme. As a result of this session, participants will be able to: Discuss the value of multi-professional leadership training within the health sector, and the benefits for patient outcomes Understand how the Welsh Clinical Leadership Fellowship programme has transformed since its inception over a decade ago Consider how multi-professional training could be beneficial in your organisation

  Alexandra Rawlins Health Education & Improvement Wales, Wales
  
  

  PART 3: Committing to better healthcare through enhanced trainee leadership development opportunities

  This session will outline the crucial need to recognise more and invest inclusively in the talents of early career healthcare professional leadership through the evidence base, including triangulation research undertaken by the FMLM Trainee Steering Group (TSG). It will explore how this can be done feasibly in a measurable way through workplaces implementing the TSG’s Leadership Commitment collaboratively. This interactive session will also cover how adoption can be further enriched through including other healthcare professionals and patients, adapted to different workplace environments. Attendees will be enabled to contribute to shaping how the Leadership Commitment could maximise the value of early career healthcare professional leadership with relevance to their organisation/s.

  As a result of this session, participants will be able to:

  • Understand the value early career healthcare professional leadership has within the healthcare system
  • Gain a greater appreciation of the challenges for early year healthcare leaders in accessing leadership development opportunities from the leader and employer perspectives
  • Understand how practical and high value changes can be feasibly introduced within healthcare 

  Hannah Baird Faculty of Medical Leadership and Management, England

  Josie Cheetham Faculty of Medical Leadership and Management, England
  

• B6

  Data-informed approaches to addressing future health needs

  Format: Presentation
  
  Stream: Populations
  
  Content filters: n/a
  
  PART 1: To be confirmed
  
   
  
  PART 2: Proactive healthcare-facility planning to meet patients' needs 
  
  The Israel Ministry of Health will describe how to utilise national-large data sets to establish a novel process of proactive healthcare facility planning. This program is a  collaboration between units of research, regulation, legislation, computer science and strategy, and strives to promote equity in healthcare. This unique collaboration enables us to combine large-scale data sets, from different sources, while making use of advanced computing software technology to establish Geographic Information System (GIS) maps that foster a data-driven decision as to where to locate the future healthcare facilities.
  
  As a result of this session, participants will be able to:

  
  

  • Plan the expansion and placement of health facilities by first creating demographic maps which predict future health care needs

  
  

  • Understand how to establish proactive healthcare facility planning that addresses the needs of the population while computing large data sets that include: facility location and utilisation rate, patient and population location, disease prevalence and incidence

  
  
  Ayelet Grinbaum Arizon Israeli Ministry of Health, Israel
  
  Hanni Schroeder Israeli Ministry of Health, Israel

• C1

  Pecha Kucha Panel: Our individual hopes for improving the human experience in health and care…'

  Format: Presentation
  Stream: People
  Content filters: n/a
  
  This session will be bringing the voices of lived and learnt experience alongside those who have both.
  
  A lively session co-hosted by:
  
  Cristina Serrão NHS England National Lived Experience Ambassador, England
  
  Richard Corder Vice President Healthcare Strategy, Press Ganey, United States

• C11

  What matters to staff: an 8-step programme for improving wellbeing at work

  Format: Workshop

  Stream: Leading
  Content filters: 

  The Royal Free Hospital have designed, tested and have now fully operationalised a What Matters to Staff Programme. It is a standardised approach which enables teams to discover what matters to their staff, encourages listening and supports teams to make changes as a result. 

  This session will cover:

  • How the programme was designed with learning from JiW Framework to meet the challenge from the CEO of reaching 80% of all teams in a large acute Trust within 18 months on minimal resourcing
  • The learning from spreading this WMTStaff Programme from 1 team to 80 teams
  • Sharing of the measurement, methods and templates so the programme can be replicated in other areas

  As a result of this session, participants will be able to:

  • Understand the importance of Exec sponsorship and how to maximise its impact when undertaking large-scale improvement work 
  • Appreciate the power of the WMTY question for staff
  • Describe the key factors for success when working on large scale staff wellbeing initiatives 
  • Be aware of the pit-falls and learn from our mistakes
  • Be able to replicate aspects of the programme in own area

  Karen Turner Royal Free Hospital, England

  Rebecca Longmate Royal Free Hospital, England

  Jane Coy-Terry Royal Free Hospital, England

• C2

  Creating a culture that fosters creativity and new approaches to quality improvement

  Format: Presentation
  
  Stream: Change
  
  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  We know that people who are empowered to be creative – to think outside the box and come up with innovative ideas for change – will have more joy in their work. But how do you create an environment that fosters that creativity and, dare we say it, fun? In this highly interactive session, we'll hear from presenters who are creating the conditions in which people have the autonomy and tools to challenge the status quo in quality improvement. First, we will learn about the leadership practices that contribute to a culture of learning and foster joy in work. Second, we will explore the behaviours of successful entrepreneurs and learn how they can be applied in a health care setting. Together these approaches will equip you with powerful tools to advance change.
  
  As a result of this session, participants will be able to:

  
  

  • Identify the key factors contributing to joy within quality improvement

  
  

  • Appraise the design of current improvement efforts and consider alternative approaches

  
  

  • Consider how your own thinking might be restricted by 'the box' and be challenged to think beyond this

  
  

  • Apply core principles from entrepreneurial thinking to your own situation

  
  
   
  
  PART 1: Been there, fun that: joyful QI for serious improvers
  
  This session will help attendees identify practical ways to design and support quality improvement in a way that can maximise people's engagement, enable them to feel connected to the meaning in the work, and incorporate creativity, joy and coproduction.
  
  Amar Shah East London NHS Foundation Trust, Royal College of Psychiatrists and NHS England, England
  
  Kate Hilton Independent Consultant, England
  
   
  
  PART 2: Outside the box thinking from inside the box: find your inner entrepreneur 
  
  Entrepreneurs are not afraid of 'unsolvable' problems, they are not fazed by limited resources or complex systems. We will share lessons from an experienced and successful entrepreneur that can help us to be much bolder in our current approach to healthcare improvement. We believe that entrepreneurial thinking is the perfect antidote to this and has the potential to unlock a much bolder approach to healthcare improvement for the future, as we each unleash our inner entrepreneur.
  
  Sally Greensmith Ashford & St Peters NHS Foundation Trust, England
  
  Tom Smerdon Ashford & St Peters NHS Foundation Trust, England

• C3

  Investigating alarming outcomes – the role of social safety, empathy and a focus on ‘work-as-done’

  Format: Presentation

  Stream: Safety
  Content filters: 

  
  

  PART 1: Radical candour, transformational leadership and being a critical friend: Lessons from the MSSP

  The national Maternity Safety Support Programme (MSSP) was commissioned by the Secretary of State for Health and Social Care in 2018 to provide targeted support to maternity units that have been rated inadequate by the CQC or where other concerns have arisen.  About 1:3 maternity units in England are currently on the MSSP. Maternity units have been under severe media and political scrutiny, with ever increasing expectations of the general public. 

  How can the MSSP be used to improve safety in maternity services, and beyond?

  As a result of this session, participants will be able to:

  • Understand the MSSP methodology: diagnostic phase utilising Appreciative Inquiry and the WESEE model; improvement phase utilising improvement coaching and peer support; and sustainability phase
  • Discuss top challenges facing maternity services in the post pandemic environment, including moral injury, staff shortages, and the need for strong yet kind leadership

  Sabrina Das NHS England, England

  
  

  PART 2: Improving governance and safety culture within HSC maternity services in Northern Ireland

  
  

  Harm within maternity services can have devastating consequences, causing lifelong disability or a tragic loss for a family. In the context of whole-system pressures and learning arising from recent reviews into NHS maternity services England, the RQIA determined that a review of maternity services in Northern Ireland was required.  An expert panel provided an independent assessment of leadership, governance and safety culture within HSC maternity services. Evidence was gathered through surveys, questionnaires, site visits and focus groups with service user representatives, HSC Trust Boards, managers and clinicians. The review team found examples of good practice and made 23 recommendations for improvement particularly around improving safety, governance and culture within organisations. As a result of this session, participants will be able to: Describe how to undertake a robust assessment of governance and safety culture Understand the current system challenges in the delivery of safe maternity care Describe the principles of good governance within HSC maternity services Understand how leaders can support safety culture Describe how policy makers, commissioners and regulators can drive improvements in safety within maternity services

  Leanne Morgan RQIA, Northern Ireland

• C4

  Ensuring equity through patient-centred care

  Format: Presentation
  
  Stream: Populations
  
  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  PART 1: Organisational health literacy – responding to population specific challenges and needs
  
  The session will focus on a quality improvement initiative aimed at health literacy and person-centered care for vulnerable patients with diabetic foot ulcers at an orthopedic wound clinic in Denmark. Process advisers from Steno Diabetes Center Sjaelland and Danish Society for Patient Safety will describe their collaboration with the orthopedic wound clinic on improvement of Organisational Health Literacy (OHL), and reflect on how the OHL-approach can support organisations in elevating the patient voice; address different levels of health literacy; and initiate improvement initiatives across organizations and sectors.
  
  As a result of this session, participants will be able to:

  
  

  • Reflect on their own practice in relation to health literacy and person-centred care

  
  

  • Understand the connection between health literacy and health inequality

  
  

  • Get inspiration from the OHL-approach to initiate collaborations across organisations and sectors related to equity in health

  
  
  Dorte Lee PS! Danish Society for Patient Safety, Denmark
  
  Liv Østergaard Steno Diabetes Center Sjaelland, Denmark
  
   
  
  PART 2: Non-attendance at outpatients – connecting people and places 
  
  Outpatient non-attendance is more than missed appointments; travel, expense, time off work, uncertainty, hope and more. We will explain how disaggregating data demonstrated avoidable disparities in access to outpatient care experienced by our most deprived populations. Recognising the need for person-centred solutions, we will explore how meaningful connection through targeted conversations with underserved populations has eliminated the differential in attendance rates for these patients, allowing the right patient to see the right clinician at the right time for them. We believe human connection is our most powerful tool for addressing healthcare inequalities. We invite delegates to join us to learn how we are putting this most powerful tool to use.
  
  As a result of this session, participants will be able to:
  
  

  • Reflect on the approach to identifying disparities in access to services, patient outcomes and experiences

  
  

  • Utilise data to plan a targeted approach to addressing disparities

  
  

  • Recognise elements of organisational culture contributing to existing inequalities

  
  

  • Consider actions needed to shift organisational mindset towards equity of access, outcomes and experience

  
  
  Ruw Abeyratne University Hospitals of Leicester NHS Trust, England
  
   
  
  PART 3: Improving the quality of annual health checks for patients with learning disabilities (PWLD)
  
  Annual Health Checks (AHCs) were created to improve outcomes and proactively address any concerns. However, this is only useful if patients attend, and clinicians are supported and facilitated to complete these comprehensive reviews in a meaningful way. A QI project was formulated to improve the outcomes of AHCs by utilising a structured medication review (SMR) template within the AHC and running a series of webinars and training sessions that will help to upskill clinicians in primary care to complete these checks. This has helped to improve overall outcomes of the AHCs, including medication review and action plan follow up, which has led to an improvement in attendance annually.
  
  As a result of this session, participants will be able to:
  
  

  • Strengthen knowledge and skills in the care and treatment of PWLD

  
  

  • Improve understanding about reasonable adjustments, how they form barriers to accessing care and how they can be overcome

  
  

  • Use a personalised approach to individualise care for PWLD

  
  

  • Understand the skills and resources required to undertake a good review in PWLD

  
  

  • Confidently complete all aspects of an AHC/Consultation

  
  
  Rizwana Dudhia North East London Foundation Trust, England

• C5

  Sustainability

  Format: Presentation

  Stream: Leading
  Content filters: Features discussion of global climate emergency,  Co-presented with patients, service users or carers

  
  

  Heather Shearer University of St Andrews, Scotland (Chair)

  
  

  PART 1:  Making environmental sustainability and quality improvement a reality: practical steps for health

  This session will describe an increasing need for healthcare to address all three pillars of sustainability as part of their improvement journey, to deliver financial viability, social equity and increasingly important, environmental sustainability.  Whilst some of these elements are already included within quality improvement initiatives, consideration of the environmental impact of the delivery of healthcare is often overlooked.  This presentation will outline practical steps that health leaders can take to inculcate understanding of environmental issues into QI training for healthcare, encouraging the consistent consideration of environmental metrics to reduce waste, cost and minimise the impact of delivery of care on the health of the planet as well as patients.

  As a result of this session, participants will be able to:

  • Recognise the importance of health and care workers as trusted ambassadors with a message about environmental sustainability
  • Describe ways to engage other groups to support the effort to reduce adverse impacts on the climate
  • Feel confident to engage colleagues from manufacturing, third sector and patient groups to reduce impact of their services and practices on the planet

  Elaine Mead Improvement, Care and Compassion, England
  Susan Hannah Institute for Healthcare Improvement (IHI), England
  Jen Leonard Barts Health NHS Trust, England

  PART 2: Greener pharmacies: working together to reduce the impact of healthcare

  RPS worked with NHS England to develop evidence-led guidance for pharmacy settings and staff outlining key actions to reduce the environmental impact of pharmacy practice. 

  We will discuss how we worked together to identify key areas of focus and engaged with key stakeholders to ensure the improvement work would be achievable and relevant.

  We will discuss the challenges we faced in taking the work forward and how we overcame these.

  We will look at the toolkit which has been developed, its application in everyday practice and how it will ensure pharmacy's contribution towards achieving NET Zero by 2040-2045

  As a result of this session, participants will be able to:

  • Understand how to work collaboratively to deliver quality improvement frameworks
  • Know how and when to engage key stakeholders to ensure you produce content that is relevant and achievable
  • How to manage challenges along the way and work as a team to find solutions

  Minna Eii Royal Pharmaceutical Society, England

• C6

  Less talk more action: partnering with community to reduce race inequalities

  Format: Workshop
  
  Stream: People
  
  Content filters: Features discussion of community led projects, including those outside of health and care
  
  There is poor race equity in healthcare, and this is particularly worse in mental health settings. For example, black people are 5 times more likely to be detained under the Mental Health Act. Directors from an NHS Mental Health Trust and from community charities will present how they have worked together to improve care for service users from underrepresented groups using a collaborative approach where we listen to the community and experts by experience to understand and improve issues. This includes through innovate new hybrid roles between organisations. We will share the main lessons learnt and recommendations for how to overcome the biggest challenges for setting up such partnerships.
  
  As a result of this session, participants will be able to:

  
  

  • Understand how we can better turn talk into visible action for improving Race Equity in healthcare

  
  

  • Learn how various QI tools can help to help use improve race equity with various real life examples

  
  

  • Have better confidence to have uncomfortable conversations race equity, which are vital to help us to understand and explore how to improve things

  
  
  David Bussue SACMHA (Sheffield African Caribbean Mental Health Association), England
  
  Gambinga Gambinga, SACMHA (Sheffield African Caribbean Mental Health Association), England
  
  Parya Rostami Sheffield Health and Social Care, England
  
  Salli Midgley Sheffield Health and Social Care, England

• C7

  Artificial intelligence and improvement science

  Format: Workshop

  Stream: Science
  Content filters: 

  
  

  PART 1: Data-driven quality and safety improvement for primary healthcare in Anhui, China

  By late 2019, an artificial intelligence assistance (AIA) for primary healthcare had been introduced throughout Anhui, an inland province with 6.1 million people located in east China. This session introduces how this province-wide AIA is functioning, what changes it has brought into the real-world primary healthcare, what challenges it is still facing and what opportunities it holds for future quality and safety improvement.

  As a result of this session, participants will be able to:

  • Know the state of art of AI applications in primary healthcare in Anhui and China
  • Derive lessons from a real-world case-study, on
  • procedures, drivers and  barriers in disseminating the AIA;
  • major benefits and risks from the AIA;
  • pragmatic framework, perspectives and methods for implementing and evaluating the AIA.

  Debin Wang Anhui Medical University, China

  
  

  PART 2: Can developmental evaluation realise the promise of AI in improving patient experience?

   

  Developing, implementing and sustaining new technology and quality improvement within our health and care services is notoriously difficult. The value of patient experience to drive improvement is well recognised. So too, is the mobilisation of frontline staff in using data to drive improvement. 

  Imperial College London have developed their natural language processing model to optimise NHS staff engagement with, and use of, Friends and Family Test data to identify and act upon patient-led improvement priorities.

  AQuA have adopted developmental evaluation principles and methodology to underpin a learning system across traditional boundaries that facilitates stakeholder involvement in capture and review of emergent data to understand progress, inform activity, and deliver future sustainability.

   

  As a result of this session, participants will be able to:
  1. Understand the aims of Imperial College's natural language processing model to visualise NHS patient experience data to engage and support frontline staff in visualising data to drive improvement 2. Build awareness of developmental evaluation principles and flexible design 3. Explore the potential role of developmental evaluation in rapid development and implementation of complex technical and quality improvement initiatives

   

  Ruth Yates, Advancing Quality Alliance (AQuA), England

• C9

  Thinking differently about healthcare quality: lessons from crisis settings

  Format: Workshop
  
  Stream: Populations
  
  Content filters: n/a
  
  PART 1: Lessons from crisis settings
  
  Join us for an enlightening session where we explore insights drawn from crisis healthcare settings, specifically Fragile, Conflict, and Vulnerable (FCV) environments. Discover how thinking differently inspired by FCV settings, can significantly redefine and enhance healthcare quality. If you're a healthcare or social care professional working to improve service delivery in demanding circumstances, this interactive session will provide you with valuable insights.
  
  As a result of this session, participants will be able to:

  
  

  • Apply adaptive quality strategies: Delegates will understand different approaches to planning for quality, coordination and governance within a crisis setting to support the delivery of improved service provision and patient outcomes

  
  

  • Utilise dynamic priority and resource management: Delegates will explore dynamic approaches to prioritization, identification of priority populations and conditions and resource allocation – all critical skills in navigating crisis settings to ensure efficient and effective healthcare delivery to the most vulnerable populations

  
  

  • Build Capability: Delegates will learn about a novel approach to building capability within their teams and organisations to support the delivery of quality healthcare in crisis settings

  
  
  Mondher Letaief Regional Advisor for Eastern Mediterranean Region, World Health Organisation, Egypt
  
   
  
  PART 2: Case study: Health and care in Ukraine
  
  Session description to follow shortly.
  
  Andrii Bazylevich World Federation of Ukrainian Medical Associations, Danylo Halytsky Lviv National Medical University, Ukraine
  
  Olesya Vynnyk Healthcare consultant, Ukraine
  
  Rustam Zhurayev Salutas medical center, Lviv, Ukraine
  
  Yaroslav Diakunchak Brovary Primary Healthcare Centre, Ukraine

• K2

  Keynote Two: Global Climate Emergency

• NF1

  Quality Improvement Book Club
  Join us for our QI book club, the opportunity to discuss a key text on quality improvement in an informal setting with your peers

• NF2

  Chair & Standing Yoga, Mindfulness/breathwork

• NF3

  Pub Quiz at the Fox
  Join us at The Fox pub for a fun evening making new connections and catching up with old friends. Actvities will include a pub quiz.

Friday

All programme timings are in AEDT (Australian Eastern Daylight Time), GMT+10.

• BR12

  Glasgow 2025: International Forum idea generation
  Come and meet the organising team for Glasgow 2025 and share with us what you would like to see on the programme next year

• BR7

  BMJ Best Practice: the role of clinical decision support in quality improvement and learning health systems

  Format: Workshop

  Stream: Change

  Content filters: 

  
  

  BMJ Best Practice is the clinical decision support tool of the BMJ. It provides continually updated and evidence based knowledge to healthcare professionals to help them improve care. 

  As a result of this session, participants will be able to:

  
  

  • Give a brief overview of BMJ Best Practice and the BMJ Best Practice Comorbidities Manager
  • Understand the role that BMJ Best Practice can play in quality improvement and learning health systems
  • Hear from doctors in training on how they have used BMJ Best Practice to improve care for their patients 

  
  

  Kieran Walsh BMJ, England 

  George West BMJ and Royal National Orthopaedic Hospital  

• K3

  Keynote Three: Learning to Fail

  Amy Edmondson Harvard Business School, USA

  Donald M. Berwick Institute for Healthcare Improvement (IHI), USA

• D2

  Change happens one person at a time

  Format: Workshop
  Stream: Change
  Content filters: Co-presented with patients, service users or carers
  
  This session reminds us that although change is a collective endeavour, motivation is an inside job. There are two powerful practical case studies and a learning approach for change at an individual level (behavioural insights) in this session. They demonstrate how, rather than trying to get people to change, we should seek to understand what matters to them and co-create the conditions that enable them to experience optimal motivation, achieve their goals and thrive. No sticks or carrots are required!
  
  As a result of this session, participants will be able to:

  
  

  • Understand the power of a personalised approach to change: we should not assume that one size fits everyone

  
  

  • Show how behavioural science concepts can be applied to a wide variety of challenges within the healthcare setting

  
  

  • Use the knowledge from this session to design interventions that inspire change

  
  

  • Feel equipped to incorporate meaningful co-design into future improvement initiatives

  
  
  PART 1: Co-design of transition from hospital using what matters to you (WMTY)
  
  A patient partner, the President Emerita and Senior Fellow of Institute for Healthcare Improvement (IHI), the head of unite for Quality Improvement in the Norwegian Institute for Public Health, and the head of improvement services and Deputy CEO at PAQS in Belgium will share how ‘What Matters to You’ (WMTY) can guide transitions from the hospital or ambulatory surgical center to home. Sometimes patients transition to a rehabilitation center first but the ultimate goal is the transition to home. At times transitions fail due to lack of patient involvement. The purpose of this presentation is that patients, as experts of their own lives, and with the support of healthcare providers, decide WMTY for themselves.
  
  Anders Voge Norweigan Institute of Public Health, Norway
  
  Mathieu Louiset PAQS Belgium, Belgium
  
  Maureen Bisognano Institute for Healthcare Improvement (IHI), USA
  
  Rosie Bartel The Beryl Institute’s Global Patient and Family Advisory Board, USA
  
   
  
  PART 2: WMTY creating change within our healthcare system one conversation at a time
  
  Come learn together with us as an international group, hosting an interactive, open session about creating change within our healthcare systems using the what matters to you (WMTY) social movement.
  Leave feeling empowered with tools and a community to enable change. It’s a simple question that can have a big impact on care that offers an opportunity to scale change from the individual to team to system level.
  
  Helen Lee NHS England, England
  
   
  
  PART 3: The Change Lab: applying behaviour insights to solve healthcare problems
  
  A range of behaviour change projects implemented by the Change Lab will be showcased. These projects have taken place in both community and healthcare settings, and demonstrate how well-designed, pragmatic projects can inspire and create changes that support better outcomes for staff and patients. Our methods facillitate change occuring in a timely fashion, reflecting (often urgent) clinical need. Co-design and stakeholder engagement are at the heart of every Change Lab project, ensuring our behaviourally-informed interventions are designed for those using them.
  
  Kate Grailey Institute of Global Health Innovation, Imperial College London, England

• D3

  Embedding a Restorative Just and Learning Culture (RJLC): the why, what and how

  Format: Workshop 

  Stream: Safety

  Content filters:

  
  

  Recognising the pivotal role of culture in promoting safe and high-quality care within healthcare systems has long been acknowledged. However, translating this understanding into tangible cultural shifts presents significant challenges. Restorative justice, rooted in first nations cultures and successfully implemented in criminal justice and educational domains for decades, has more recently emerged as an area of focus within healthcare.

   

  The concept of Restorative Just and Learning Culture (RJLC) represents a progressive evolution in Safety Culture thinking. RJLC places paramount importance on people, relationships,  trust and fairness, employing a complex adaptive systems approach to enhance healthcare improvement. RJLC merges restorative approaches with contemporary insights into learning and improvement within complex care systems. RJLC is a deeply accountable, forward-looking process that recognises that we need new, systems approaches to healing, learning and improving following healthcare-related harm.

   

  As a result of this session, participants will be able to:

  1. Articulate the rationale for implementing RJLC within our current complex healthcare systems, supported by an evidence-based foundation
  2. Understand the fundamental principles underlying the application of RJLC in healthcare settings
  3. Utilise a structured framework to navigate the initial steps in implementing RJLC within their respective healthcare services

   

  Dr Kathryn Turner Metro North Mental Health, Australia

  Dr Helen Haylor Bradford District Care NHS Foundation Trust, UK

  Dr Tony Sparkes University of Bradford, UK

• D4

  Modern outpatient care: redesigning planned speciality care for people and populations

  Format: Workshop
  Stream: People
  Content filters: Co-presented with patients, service users or carers; Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  Outpatient care in the NHS commonly follows the same model that was created in the 17th century. What do 21st century patients and clinicians need to deliver effective, patient centred, planned specialist care.
  
  The Royal College of Physicians and NHS England with the Patients Association are co-designing a 5-10 year strategy for Modern Outpatient Care. From this programme we will explore with participants the constraints of the current care system, the needs of people and populations, and the opportunities for change.
  
  What is the role of digital technology, care navigation, direct patient access, group consultation? What skills do clinicians, patients and support staff need. How can these be developed?
  
  As a result of this session, participants will be able to:

  
  

  • Understand the variation of current care delivery for planned specialist care

  
  

  • Explore what patients need to navigate the system of care and how this could be supported

  
  

  • Share examples of innovative practice for service and training that could be adapted and spread

  
  

  • Propose measures to use to evaluate planned specialist care

  
  
  John Dean Royal College of Physicians, England
  
  Theresa Barnes Royal College of Physicians, England

• D5

  Leadership style - Channel your inner stoic: seven actionable improvement leadership tips from ancient philosophy

  Format: Workshop

  Stream: Leading

  Content filters:

  Leadership can be lonely and hard, especially during turbulent times, and achieving sustained progress requires perseverance. Techniques to connect with others which deepen our personal resolve and ability to persevere are of substantial value, whether we are small- or large-scale improvement leaders. Ancient leaders faced different but profound challenges and many used stoicism to maintain their focus and courage.

  In this session, a diverse group of improvement leaders will share insights from their practical and personal experience of using stoic philosophy to approach improvement challenges. Having consciously and unconsciously drawn on these tenets for years, we will make them explicit and actionable for all.

  As a result of this session, participants will be able to:

  • Explain the 7 tenets of stoicism with examples of how they have been used to improve leadership and results in our volatile, uncertain, complex and ambiguous world
  • Identify the tenet/s that most resonate/s with their own leadership challenges and describe what actions they are going to take to develop their leadership practice to better incorporate the key tenet/s

  Akudo Okereafor North Middlesex University Hospitals NHS Trust, England

  Birgit Hartoft PS! Danish Society for Patient Safety and World Health Organisation, Denmark

  Ruth Glassborow Public Health Scotland, Scotland

  Brigid Russell Coach and Leadership Consultant (Chair)

  Naheen Ali Lived Experience Advisor (Chair)

• D6

  Improving access to care through digital

  Format: Presentation
  Stream: Population
  Content filters: n/a
  
  PART 1: Get closer to patients to transform care delivery, the Danish eHospital
  
  Change is happening in the Danish health care system. A government appointed structural commission examines how we can create 'a health care system that is cohesive across all clinical areas and geographical locations'.
  
  The commission has looked at the eHospital, Denmark's first digital hospital, for inspiration.
  
  The eHospital helps undo 'The Bermuda Triangle' of patients going back and forth between their local primary care physician, hospitals managed by the region, and housing for older adults or rehabilitation facilities run by the local authorities.
  
  The eHospital, working accross sectors in a new way, uses virtual solutions to help and treat patients in the comfort of their own home.
  
  As a result of this session, participants will be able to:

  
  

  • Work together across sectors

  
  

  • Bring care closer to those who need it

  
  

  • Provide what fits people's lives and not just the health care system

  
  

  • Deliver health care in a new way

  
  
  Trine Holgersen Primary & eHealth Care, Region Zealand, Denmark
  
   
  
  PART 2: Improving access to services across Scotland. Remote groups via video are go!
  
  In person groups all but?ceased during the pandemic. Patients and clinicians sought an innovative solution which could simply and safely meet their requirements, address backlogs, tackle waiting lists and create new ways of working.
  
  Near Me video groups was co-designed and co-produced using QI methodology as part of a Scotland-wide collaborative. Change has been sustained, scaled up and spread to other specialities, with positive impact demonstrated. This new and fresh way of delivering healthcare supports choice and accessibility for people plus provides a different option for clinicians that challenges established "in-person" practices. This session describes this journey and its transferability to other sectors to impact wider population health.
  
  As a result of this session, participants will be able to:
  
  

  • Appreciate how partnership and collaboration are key to success

  
  

  • Understand how QI methodology can be applied to large scale national projects

  
  

  • Consider how a digital tool like Near Me Groups can be used to support large scale health improvements.

  
  
  Marc Beswick Scottish Government, Scotland

• D7

  Publications in improvement science: how to publish, and learning from recent high impact publications

  Format: Presentation

  Stream: Science

  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI

  
  

  Amar Shah East London NHS Foundation Trust, Royal College of Psychiatrists and NHS England, England (Chair)

  
  
  

  PART 1: The good, bad, and ugly of improvement science publications: a scoping review

  This topic is essential for the Forum because even experienced improvement science researchers, at times, struggle to publish their work.  In part, the problem is that the field is relatively young, and the community is still working through the best approach for representing the work in the form of scholarly publications.  During this session, we will describe the results of our scoping review study on effective (and less effective) writing styles for improvement science. We will also describe findings related to common pitfalls and strengths in project design and execution. Participants at all levels of experience will not want to miss this high-yield session.

  
  

  As a result of this session, participants will be able to:

  • Distinguish between two dominant categories of improvement science research (‘thick’ and ‘thin’ slice work)
  • Describe common errors made when writing improvement science work for scientific publication
  • Identify the critical elements of an effective write-up for publication 
  • Apply knowledge of common pitfalls and strengths when designing and executing ‘thick’ slice improvement science projects

  Erin Spicer London Health Sciences Center, Canada

  PART 2: Session details to be announced shortly

  
  

   John Fitzsimons Children’s Health Ireland, Ireland

  Julie Reed, Julie Reed Consultancy, England

  Nicola Burgess Warwick Business School, England

• D8

  The Power of Partnerships: working together with people with lived experience to improve care

  Format: Workshop
  Stream: People
  Content filters: n/a
  
  Understanding the lived experience of people who receive care and support as well as those delivering it, is critical to improving the quality of care. Social Care Institute for Excellence (SCIE) improves the lives of people of all ages by co-producing, sharing, and supporting the use of the best available knowledge and evidence about what works in social care and social work.
  
  In this interactive workshop, we'll explore how in order to truly provide the right care and support for individuals, co-production methods must be used to build on the individual strengths of those with lived experience to collaboratively develop, design and deliver services, including ongoing quality monitoring and improvement. This session will feature practical examples from the ground and delegates will come away with ideas and knowledge of how lessons from social care can be transferred to their own system or organisation.
  
  Key questions we will seek to answer include:

  
  

  • What is coproduction?

  
  

  • Why is it important to improve quality/care?

  
  

  • Where is it happening/working?

  
  

  • What worries people?

  
  

  • What are the barriers and enablers to coproduction?

  
  
  Fiona Flowers Social Care Institution for Excellence, England

• T2

  TEST Adapting improvement education to context: small-scale projects or diverse and reflective portfolios?

  Test content

  Test content

  Test content

  
  

• E2

  Creating change together

  Format: Presentation
  Stream: Change
  Content filters: Recommended for those new to quality improvement; Recommended for those
  working at system level in QI
  
  This session will remind us why working together in partnership with individuals, families and communities feels more important than ever for improving the quality and safety of health and care.
  Through encouraging the sharing of diverse perspectives, knowledge, and experiences, service users, carers and health and care workers alike can offer invaluable insight to help establish and contribute to more creative and person-centred solutions for individuals. Our interactive workshop we will explore how we succeed in understanding and strengthening the different voices of all within a healthy and innovative ecosystem for change.
  
  As a result of this session, participants will be able to:

  
  

  • Analyse the principles of co-design and their application in fostering human-centred change within different health care settings

  
  

  • Understand why we need to prioritise relationships to achieve something that is decentralised, collaborative and scalable.

  
  

  • Apply practical strategies and tools, to facilitate large-scale change initiatives that bridge patient-centric care, staff engagement and community impact

  
  

  • Reflect on how to apply this learning to your own work to create a heath care revolution

  
  
  PART 1: Unleashing human-centered change: from co-design to community impact in health care
  
  Through compelling case studies, we’ll illustrate how collaboration and advocacy can ignite change, driving health and housing improvements at the macro level. Join us to empower change agents and shape vibrant, resilient communities.
  
  Muhammad Hasan Abid Armed Forces Hospitals Taif Region – Saudi Arabia Ministry of Defense Health Services, Saudi Arabia
  
   
  
  A new co-developed framework for successfully engaging staff in major change
  
  This session will present a new 10-point practical framework for doing this well. It emphasises co-ownership, inclusion, appreciative leadership, psychological safety, structured communication and improvement principles. The framework helps those leading change to understand, measure and improve how they engage staff in improvement-led change.
  
  Henry Cann The Health Foundation, England
  
  Matt Hill The Health Foundation, England
  
   
  
  Co-production in the intensive care unit: really?
  
  Why are there so few reports of coproduction, incorporating patient expertise, in acute hospital intensive care? We co-present examples of how codesign and development has uncovered and improved shortcomings in the quality of care in 3 UK centres.
  
  We reflect on the coproduction model, lessons learned, and the myth of insurmountable barriers in this setting.
  
   
  
  Nicholas Ambler North Bristol NHS Trust, England

• E3

  Applying improvement science to the topic of sustainability

  Format: Presentation

  Stream: Science
  Content filters: Features discussion of global climate emergency

  
  

  PART 1: How quality improvement can help deliver a net zero national health service

  In England, the National Health Service (NHS) contributes 4% to the national carbon footprint, exceeding the annual carbon dioxide emissions from all aircraft departing Heathrow airport.  Reducing emissions in the NHS is a complex challenge requiring collective action.  This session will equip you with knowledge about East London NHS Foundation Trust’s sustainability approach, giving you practical strategies and lessons learned that can be applied to your own settings.  We will present our theory of change and measurement plan, using two case studies from local initiatives that align with our organisational green plan.  We will also address challenges and offer practical and applicable recommendations for tackling environmental issues.

  As a result of this session, participants will be able to:

  • Apply practical strategies to reduce their organisational carbon footprint
  • Understand how to develop an environmental sustainability measurement plan
  • Address practical challenges that arise from undertaking sustainability work
  • Apply a QI lens to solve environmental sustainability problems 

  Sarah McAllister East London NHS Foundation Trust, England

  PART 2: Understanding the importance of including environmental sustainability elements within quality improvement initiatives

  This session will share the current evidence in support of a move to the inclusion of environmental sustainability elements into healthcare quality improvement approaches as an opportunity to engage staff with impact across the sector.  There are currently outstanding examples of changing practices and processes in healthcare using well-established quality improvement methods and equally impactful environmental initiatives to remove waste and conserve natural resources. But the two teams of experts as yet do not share the same agenda or benefit from a common approach.  The reasons and rationale for this separation within a healthcare setting will be explored.

  As a result of this session, participants will be able to:

  • Recognise the impact of the delivery of healthcare on the environment and the impact of climate change on human health
  • Understand the different ways that waste is being identified and removed from healthcare environments whilst moving to a more circular and environmentally sensitive economy.
  • Question the unnecessary separation of quality improvement and sustainability expertise within healthcare portfolios

  
  Elaine Mead Improvement, Care and Compassion, England

• E4

  Co-producing change through community partnership

  Format: Presentation
  Stream: People
  Content filters: Co-presented with patients, service users or carers; Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  PART 1: Common ambition: how collaborative community partnerships work to improve care
  
  The Health Foundation, presenting alongside 1-2 frontline partnerships, will showcase key lessons around how the use of participatory methods can drive service transformation and improve care. The session will outline how collaborative communities – where people/patients, health and care professionals, VCSE and researchers work together – can lead to improved outcomes. Partnerships will outline a range of key approaches used to embed participation and build sustainable change across different settings of care, with examples drawn from acute, preventative and social care. Lastly, our session will demonstrate how these novel approaches can shape service design, for the purposes of reducing health inequalities.
  
  As a result of this session, participants will be able to:

  
  

  • Understand the enablers of effective partnership working, and where this differs across settings of health, care and population groups

  
  

  • Learn how different methods of co-production and quality improvement are being deployed in response to local/regional challenges to address health inequalities

  
  

  • Learn how to build your own local learning community/system to drive improvement

  
  
  Priya Vaithilingham The Health Foundation, England
  
   
  
  PART 2: A hexagon approach to improving dementia care across a nation – Wales
  
  The national dementia improvement team in Wales will describe how they co-produced an innovative, unique mechanism to support improvement in dementia care across the nation. This was done by taking a multi-faceted approach to developing a work programme which included, appreciative enquiry, research, process mapping and workshops with those with lived experience, their families and carers as well as staff groups in different sectors. The output produced the All Wales Dementia Care Pathway of Standards, creating a six stream/hexagon approach (community, MAS, hospital, connector, workforce, measurement) to developing and delivering improvement across all regions in Wales. The team will share what went well, the challenges and what they learnt.
  
  As a result of this session, participants will be able to:
  
  

  • Appreciate why coproduction is critical in creating a person-centered work programme

  
  

  • Understanding the importance of cultural differences between seemingly similar organisations and how to work with their differing priorities

  
  

  • Keep a programme on track during a time of unprecedented challenge – Covid-19

  
  

  • Develop a co-creative approach to identifying what data most meaningfully demonstrates improved dementia care

  
  
  Ceri Higgins Improvement Cymru, Public Health Wales, Wales
  
  Michaela Morris Improvement Cymru, Public Health Wales, Wales

• E5

  Mobilising populations through leadership and governance

  Format: Presentation

  Stream: Leading
  Content filters: Co-presented with patients, service users or carers

  
  

  Dorthe Cruger Capital Region of Denmark, Denmark (Chair)

  Forzana Nasir Lived Experience Advisor, England (Chair)

  
  

  PART 1: Chutes and ladders: implementing clinical governance and the quintuple aim

  Senior paramedic and medical leaders from the Emergency Care System in British Columbia will describe their experience of establishing a system of clinical governance built around the objectives of the Quintuple Aim - with a specific focus on providing safe, effective and equitable care to indigenous populations around the province. The session will introduce and reflect on themes of organisational culture, racism, decolonisation, and union politics as they relate to building complex systems of care around patients rather than putting patients to complex systems. 

  The session will further explore the successes and failures of change, the changing relationship of patients and their health services and the need to think differently.  

  As a result of this session, participants will be able to:

  • Have insight into the obvious and more subtle considerations of making care equitable in a complex system
  • Understand how Clinical Governance and the Quintuple Aim are fundamental cornerstones of changing organisational perspectives and culture
  • See first hand the impact of patient-centred approaches to care, specifically from the lens of decolonisation and addressing indigenous-specific racism

  Lucas Hawkes-Frost British Columbia Emergency Health Services, Canada
  Mike Christian British Columbia Emergency Health Services, Canada
  
  

  PART 2: Bridging compassion and strategy: prioritising patient engagement through collaborative leadership

   

  Members of the Patient Experience leadership team at the University Health Network will discuss the impacts of an integrated Patient Experience Portfolio built on established patient engagement and leadership frameworks. With a deep focus on patient experience, quality and safety, the portfolio was structured to align with Health Quality Ontario’s Patient Engagement Framework, led with collaborative change principles including inclusive leadership. Impacts of this approach have included the increased presence of patients in decision-making and quality improvement, increased adoption of patient engagement tools, and engaged and effective team members. Using COVID-19 as a case study, this presentation will highlight how these approaches have contributed to improved experience at UHN.

   

  As a result of this session, participants will be able to:

   

  • Describe how programs that support a safe and high quality patient experience can be aligned with patient engagement and leadership frameworks
  • Identify how patient engagement and collaborative change principles have supported culture shifts across a large hospital system
  • Identify benefits of a holistic patient engagement approach on patient and staff experience

  Farrah Schwartz University Health Network, Canada
  
  

  PART 3: Developing a boundaryless governance practice

   

  Society is currently grappling with significant challenges related to public health, equity, sustainability, and economic efficiency. Enhancing cooperation among welfare organisations has proven to be a pivotal factor for success, yet there remains a gap in understanding of how this collaboration can be optimally expanded.

  In this session, we explore and discuss our ongoing efforts to develop a boundaryless governance practice and become a 'Blue Zone'. We explain how the CEOs of municipalities, the region, the County Administrative Board, and the University strategically design new collaborative opportunities to enable health, equity and sustainability in our county. This radical initiative is supported by a governance development program.

  As a result of this session, participants will be able to:

   

  • Understand conditions that need to be facilitated to enable relationship-building and boundaryless cooperation: meeting spaces, structures, systematic and agile work
  • Understand the need to develop a common language for governance and management that fosters collaboration among the partners involved
  • Utilise methods to foster ‘citizen focus’, promote systems thinking, and establish a shared 'change theory' while developing a boundaryless governance practice.

  Anna Fabisch Region Jönköpings, Sweden

  Göran Henriks Region Jönköping, Sweden

  
  

• E6

  Reducing inequalities through patient-centred care

  Format: Workshop
  Stream: Population
  Content filters: Features discussion of community led projects, including those outside of health and care
  
  PART 1: Trauma-informed practices in recreational sport programmes for female refugees
  
  Youth-serving community organisations must be equipped to address the distinct requirements of children who have experienced trauma. Implementing preventive measures early on can effectively guide children towards self-regulatory healing and enable them to thrive based on their strengths. Utilising sports can be a valuable avenue to reach out to these children. Nevertheless, there is a lack of information on the effective development, implementation, evaluation, and long-term practice of trauma-sensitive sports programs within a community setting. This paper aims to present a case study of a sports recreational program for female refugees in Greece that unpacks what trauma-sensitive practices can be beneficial in this context.
  
  As a result of this session, participants will be able to:

  
  

  • Understand how trauma-informed practice can be applied, and be beneficial, to sport recreational programs for female refugees or any youth with adverse childhood experiences (ACEs)

  
  

  • Develop better understanding of the intersections between organisations and sectors of health, social care and sport

  
  

  • Be equipped with a set of ‘how to implement’ guidance for sharing with the relevant stakeholders

  
  
  Dikaia Chatziefstathiou, Canterbury Christ Church University, England
  
   
  
  PART 2: Striving out of restraints – second-phase mental health service transformation in Lambeth
  
  The Lambeth Living Well Network Alliance (LWNA) – the first truly integrated mental health alliance in the UK – is combatting mental health inequalities in a borough where 60% of the population are from Black and Minority Ethnic backgrounds. Genuine co-production with local people with lived experience and Black organisations are taking mental health services to the next level. Using an agile, prototype-driven model we have co-created innovative new services that are beginning to turn the dials on access, experience and outcomes and catalyse systemic change to traditional models and methods that are increasingly failing to meet current needs and demands.
  
  As a result of this session, participants will be able to:
  
  

  • Understand how we need different people and ideas to get different results

  
  

  • Understanding how testing ideas quickly is crucial to create change in a risk averse system

  
  

  • Assess how small teams with new approaches can have a significant impact

  
  

  • View conflict and disruption as necessary for innovation and improvement

  
  
  Nozomi Akanuma South London and Maudsley NHS Foundation Trust, England
  
   
  
  PART 3: Tackling public health challenges using a modified quality improvement approach in five districts of South Africa
  
  Covid-19 adversely affected TB case finding in South Africa from 2020. A TB Case Finding Quality Improvement (QI) project aimed to rapidly restore TB case finding to pre-Covid-19 levels in five districts in KwaZulu-Natal province from September 2020 – June 2022. The focus was on the HIV population. The presenter will describe the main change idea, universal TB testing (irrespective of TB symptoms) of three HIV-positive facility groups (HIV positive pregnant women at 1st antenatal visit, HIV newly diagnosed clients, and ART patients at their annual viral load (VL) visit) using an innovative ‘just enough’ QI model. It included capacity building for sustainability and data support.
  
  As a result of this session, participants will be able to:
  
  

  • Understand the just enough QI concept

  
  

  • Use virtual platforms for real-time learning, coaching and sharing.

  
  

  • Design a project for scale-up and spread

  
  
  Maureen Tshabalala Institute for Healthcare Improvement (IHI), South Africa

• E7

  Co-producing safety policy: experiences of patient advocates, researchers and policy makers

  Format: Workshop

  Stream: Safety
  Content filters: Co-presented with patients, service users or carers

  
  

  In this session, delegates will learn about innovations in co-producing national patient safety policy, to support timely, evidence-based, responsive policy development. Using examples from across two patient safety policy teams – policy implementation, and patient safety independent investigations – this session will explore collaborative working with academic researchers and patient advocates, to co-produce new patient safety policy. Examples will be drawn from the Learn Together programme (supporting family involvement in incident investigations), a novel Citizens’ Panel approach in the Response study (evaluating the new national incident response policy in England), and work exploring independent investigations of mental health homicides. Discussion will be facilitated by patient advocates, policy-makers and researchers.

  As a result of this session, participants will be able to:

  • Understand advances in methods for co-producing safety policy in the English NHS
  • Learn from the experiences of co-producing policy from patient advocates, researchers and policy-makers
  • Explore the benefits and challenges of this approach, and what foundations and resources need to be in place to make it work

  Angela King Patient Advocate

  Jane O’Hara University of Cambridge, England

  Tracey Herlihey NHS England, England

• E9

  Igniting a culture of improvement: the power of a management system

  Format: Presentation
  Stream: Change
  Content filters: n/a
  
  To address the steep challenges in our healthcare environment today, we need all of our people engaged in daily innovation and improvement – we need a culture of continuous quality improvement. To create and sustain an improvement culture mindset, this session will describe the key principles and approaches needed to embed an effective management system. Leveraging this powerful system helps leaders and organisations create the focus, direction, and alignment necessary to drive and sustain measurable results (improving quality, safety, patient and staff satisfaction as well as reduced costs). Case examples will illustrate practical application. Through interactive discussion, participants will build actionable steps toward building and strengthening their own holistic management.
  
  As a result of this session, participants will be able to:

  
  

  • Identify the attributes of continuous quality improvement culture and assess your organisation's current improvement maturity

  
  

  • Discover the elements of an effective management system to drive and sustain improvement and identify your organisation's priority opportunities for change

  
  

  • Describe strategies to overcome the barriers to implementing a management system, including the role of leaders in creating a culture that accelerates improvement

  
  
  Amar Shah East London NHS Foundation Trust, Royal College of Psychiatrists and NHS England, England
  
  Andy Hardy University Hospitals Coventry and Warwickshire NHS Trust, England
  
  Wendy Korthuis-Smith Virginia Mason Institute, USA

• F1

  What does it take to keep QI going for years and years?

  Format: Presentation

  Stream: Leading
  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI

  
  

  There are countless organisations that have adopted quality improvement, sometimes effectively, but then seen the approach and gains dissipate over time. Relatively few organisations across the globe have managed to sustain an improvement culture for over a decade, with rigour and results. This session will unpick the key factors that enable a quality improvement approach to sustain over time. We will share ways to keep innovating so that QI continues to feel fresh and relevant, and describe learning from a range of case studies to illustrate how to embed improvement into key management systems, recruitment processes and cultural norms to enable it to sustain for more than a decade.

  As a result of this session, participants will be able to:

  • Identify the key factors that contribute towards a deteriorating improvement culture over time
  • Describe high impact leverage points that can enable quality improvement to sustain and mature, providing guidance and learning to enable attendees to sustain improvement in their organisations
  • Compare and contrast different organisational approaches to sustaining an improvement culture for over a decade

  
  

  Amar Shah East London NHS Foundation Trust Royal College of Psychiatrists and NHS England, England

  Hugh McCaughey Institute of Healthcare Improvement (IHI), England

  Wendy Korthuis-Smith Virginia Mason Institute, USA

• F2

  The future of change

  Format: Workshop
  Stream: Change
  Content filters: Recommended for those working at system level in QI
  
  On each day of the International Forum, there will be insightful sessions on the nature and practice of change. This final session is for everyone who has attended any of the workshops or discussions on the theme of change. We will come together as a community of change . We will reflect on the ideas, tools, and approaches we have heard about to give us some fresh perspective on our own situations. We will consider the practical implications and opportunities for our work in a world where the balance between “old power” leadership of change (positional power and authority) and “new power” (networks, shared purpose, and mobilising for change) is shifting to enable large scale, rapid change. We will support each other in small groups to address our own change challenges.
  
  As a result of this session, participants will be able to:

  
  

  • Co-create powerful insights from the change themes at the Forum

  
  

  • Explore how we can build our individual and collective power to create change and deliver improvements in the rapidly shifting landscape of health and care

  
  

  • Utilise the wisdom of the community to support each other with change challenges

  
  
  Helen Bevan NHS Horizons, England
  
  Göran Henriks Qulturum, Sweden

• F3

  Safety-II in the Dutch national programme: time to connect

  Format: Workshop

  Stream: Safety
  Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI

  
  

  In the Dutch National Safety II programme Time to Connect we are trying to avoid making more protocols, indicators or externally imposed rules and top-down things enforced with the ‘carrot and stick’. Rather, we are focussing on supporting the intrinsic motivation of healthcare professionals and spreading good examples already up and running in hospitals by sharing Work as Done descriptions or videos. In this session, we will explain the rationale behind the programme and the lessons learned deriving from action at a national, hospital and mundane practice level. We also will discuss with the audience the applicability of elements of our programme for their practice.

  As a result of this session, participants will be able to:

  • Know how to use Safety II principles for patient safety improvement
  • Distil the ‘key components’ of good patient safety examples for frail elderly care, anticoagulation care and multidisciplinary reflection together with the patient
  • Reflect on the Dutch Safety II programme and the lessons learned, for the usefulness or applicability in your own practice

   

  Annemieke Schoemaker-Breugeling Time for Connection Programme, The Netherlands

  Prof. Dr. Anne Marie Weggelaar Tilburg University, The Netherlands

  Catharina van Oostveen Time for Connection Programme, The Netherlands

• F4

  Psychological safety and kindness: which comes first, and why do both matter?

  Format: Workshop
  Stream: People
  Content filters: Co-presented with patients, service users or carers; Recommended for those new to quality improvement; Recommended for those working at system level in QI
  
  Psychological Safety and Kindness are both well-described, well-evidenced and increasingly worked-on themes. Instinctively, the two seem closely related, possibly even the same. But they are distinct – in nature, origin and contribution to performance and wider wellbeing.
  
  It feels easier to be kind when we feel safe. Paradoxically, even in a 'caring' industry, being kind may feel—or even be—risky. Psychological safe environments are solid foundations for kindness, and we have not found any better tool to grow psychologically safe working environments than the choice and action of being kind. This session will explore this relationship and leave delegates with ideas and actions they can take back into their working lives.
  
  As a result of this session, participants will be able to:

  
  

  • Describe to self and colleagues the commonalities and differences between psychological safety and kindness

  
  

  • Understand and be able to communicate why both matter, and are synergistic to each other

  
  

  • Deploy tactics and strategies, whatever a participant's role, to enhance the profile (visibility and deployment) of both psychological safety and kindness in their working lives

  
  
  Amy Edmondson Harvard Business School, USA
  
  Gabrielle Matthews North Middlesex University NHS Trust, England
  
  James Mountford Galileo Global Education, France

• F5

  Mainstreaming improvement

  Format: Workshop

  Stream: Leading
  Content filters: Co-presented with patients, service users or carers

  
  
  

  Sue Holden Advancing Quality Alliance (AQuA), England (Chair)

  Su Conquer Lived Experience Advocate, England (Chair)

  
  

  PART 1: How to use the right data for decision-making

  You reap what you sow. Let's keep that in mind before we start spending money or prioritising initiatives in the healthcare system. In this session we will discuss when we have sufficient knowledge to act appropriately. Based on a spectacular Danish case about variation in the amputation-rate across Denmark, discussion will be focused on these questions:

  Which data are appropriate for leadership to assess quality?

  Are we asking the right questions if we want to know what treatment quality and patient safety is like for the patients we want to help?

  How do we engage patients in the discussions about prioritisation going forward?

  As a result of this session, participants will be able to:

  • Describe the elements in a cross-sectoral analysis of a patient trajectory
  • Understand how to combine mixed methods to create a strong foundation for leadership decisions
  • Discuss pros and cons in selecting methods to support leadership decisions related to quality and safety

  Inge Kristensen PS! Danish Society for Patient Safety, Denmark

  Jesper Gyllenborg Region of Zealand, Denmark

  Vibeke Rischel PS! Danish Society for Patient Safety, Denmark

  
  

  PART 2: Less is more: leadership insights and behavioural interventions for continuous improvement

  
  

  Everyone knows that exercising and eating a healthy diet is good for you but for various reasons we don't fully commit, cannot sustain or prioritise a healthy lifestyle and other things get in the way. Since 2016 we at NELFT have been striving to be a continuously improving organisation but just like with exercising and keeping a healthy diet it is challenging. Following an opportunity to review our complex organisation, we have reset and used the COM-B model to prime our quality improvement service to enable healthcare staff and service users to focus on continuous improvement. 
  
  

  As a result of this session, participants will be able to:

  • Support organisational priorities such as patient outcomes, experience, staff health and wellbeing, whilst adding value as a partner within the system
  • Collaborate with organisational departments eg innovation/transformation/clinical audit
  • Understand real-world application of COM-B model to drive QI strategy and measure impact
  • Have confidence in leading QI to create conditions for a quality management system to thrive

  Mirek Skrypak NHS North East London Foundation Trust, England

• F6

  Using QI approaches to tackle health inequalities in maternal and neo-natal care

  Format: Workshop
  Stream: Population
  Content filters: Recommended for those new to quality improvement; Recommended for those
  working at system level in QI
  
  PART 1: Improving quality of immediate newborn care in primary health care in Nigeria
  
  Neonatal mortality in Nigeria was 37 per 1000 live births in 2017 (MICS, 2016/17). Prevention and management of drivers of neonatal mortality are non-effective and uncoordinated partly due to weak human resource for health (ENAP, 2016). The Government of Nigeria instituted the 2018 Task-shifting and Task-sharing Policy allowing community health extension workers to be skilled birth attendants.
  
  The USAID-funded Integrated Health Program in 2019 provided technical assistance to strengthen service delivery, including essential newborn care, through leveraging QI for input optimization.
  
  States developed QI implementation plans, established working groups, set state-wide aims, QI teams received coaching, participated in peer learning sessions to monitor performance and conducted PDSA cycles.
  
  As a result of this session, participants will be able to:

  
  

  • Understand QI as a part of a comprehensive health systems approach

  
  

  • Have a model of QI to improve immediate newborn care in low resource settings like Nigeria

  
  

  • Learn about the success factors for implementing QI at a large scale

  
  
  Temi Filani Palladium Group, Nigeria
  
   
  
  PART 2: Improving breastfeeding among urban Western Australian aboriginal infants through CQI
  
  Breastfeeding rates in Australia, especially for Indigenous babies, are falling short of targets. In 2018-19, 84.9% of Aboriginal infants were breastfed, but only 18.9% exclusively for the first six months. Western Australia mirrored these trends. Disparities emerged between urban and rural Aboriginal mothers. A 2014-15 survey showed breastfeeding rates were 73% in major cities compared to 91% in remote areas. Qualitative data from health service providers highlighted challenges like insufficient education and early discharge. CQI methods, involving teamwork and system enhancement, have potential to enhance maternal and child health services to improve breastfeeding rates. We will present our Interrupted time series study which utilises CQI as the intervention.
  
  As a result of this session, participants will be able to:
  
  

  • Understand the inequities Aboriginal people experience in Australia

  
  

  • Understand the role CQI has in delivering improved care to Aboriginal and Torres Strait Islander peoples

  
  

  • Understand and learn how to manage a CQI intervention delivered within Primary Health Care

  
  
  Dan McAullay Edith Cowan University, Australia

• F7

  Fostering equal partnerships: co-creating with people with lived experience

  Format: Workshop
  Stream: People
  Content filters: Co-presented with patients, service users or carers
  
  PART 1: One world, many voices: co-production in action
  
  Co-production, co-creation, co-design, collaborative partnership…so many terms for such similar strategies… including those with lived experience in improving healthcare. This session will provide a unique opportunity to learn from international presenters about their shared challenges and firm commitment to co-produce with people with lived experience alongside healthcare professionals. This session is a chance to actively explore co-production methods to help shape solutions. By tapping into a rich pool of international knowledge and personal narratives, we can collectively learn to dismantle barriers, amplify voices, and gain the skills to effectuate meaningful change. Join us in this global dialogue, championing inclusivity, and propelling forward a transformative agenda.
  
  As a result of this session, participants will be able to:

  
  

  • Explore co-production methods from across the globe

  
  

  • Promote inclusivity and accessibility in co-production processes, ensuring that seldom heard voices are heard and respected

  
  

  • Understand the difference between different terms that are used for co-production and how they can be applied and adapted for specific situations

  
  

  • Design and implement collaborative frameworks and methodologies for co-production projects

  
  
  Cristina Serrão NHS England, England
  
  Helen Lee NHS England, England
  
  Tanya Lord ATW Solutions, England
  
   
  
  PART 2: Co-production through equal partnerships: chairing transformation programmes together
  
  We are often trying to improve the quality of care in healthcare without actually asking the very people who we are trying to improve things for the following question “are things getting better?”. This session will help attendees identify where they can radically change the way that things are done with meaningful co-production using real-life examples to learn from. Many of these examples will come from the Learning Disabilities Transformation Programme that has been undertaken in Sheffield. The Board for which has been co-chaired by the Clinical Director for Learning Disabilities and an expert by experience – both of which will lead this learning session.
  
  As a result of this session, participants will be able to:
  
  

  • Appreciate the power of healthcare professionals and experts by experience working together with equal partnership.

  
  

  • Understand how they can radically change their Transformation or QI programmes to include service user voice in a meaningful way.

  
  

  • Understand the actions that must be taken to sure it is an equal partnership from the perspective of people with lived experience.

  
  
  Adam Butcher Sheffield Health and Social Care, England
  
  Hassan Mahmood Sheffield Health and Social Care, England
  
  Parya Rostami Sheffield Health and Social Care, England

• K4

  Keynote Four: Looking ahead to Glasgow 2025