Quality 2020 Implementation Team
Monday 21July 2014 at 2.00 – 3.30pm,
Conference Room 3 and 4, Linenhall Street, Belfast
NOTES
Present:
Brenda Creaney, BT
Carolyn Harper, PHA (Chair)
Charlie Martyn, SET
Christine Murphy, BT on behalf of Tony Stevens
Claire Loughrey, NIMDTA
Conrad Kirkwood, DHSSPS (via teleconference)
David Stewart, RQIA
Francis Rice, ST
Gavin Lavery, PHA
Glynis Henry, CEC
Ian Sutherland, SET
Jeff Geddis, NIBTS
John Simpson, ST
Lisa Moore, PHA
Marie Roulston, NT
Mary McIlroy, PHA on behalf of Oriel Brown
Michael Bloomfield, HSCB
Nicki Patterson, SET
Olive MacLeod, NT (via teleconference)
Pat Cullen, PHA
Patricia Higgins, NISCC
Peter Reynolds, NIGALA on behalf of Patricia Nicholl
Tom Trinick, GAIN
Apologies:
Alan Corry Finn, WT
Alan McKinney, WT
Cathy Jack, BT
Cecil Worthington, BT
Charlotte McCardle, DHSSPS
David McManus, NIAS
Fergal Bradley, DHSSPS
FionnualaMcAndrew, HSCB
Karen Campbell, DHSSPS
Keith Gardiner, NIMDTA
Louise Herron, PHA
Oriel Brown, PHA
Oscar Donnelly, NT
Pascal McKeown, QUB
Patricia Nicholl, NIGALA
Patrick Anderson, BSO
Paul Morgan, ST
Tony Stevens, BT
- Introductions and Apologies
Dr. Harper welcomed everyone to the meeting and introduced the guest speaker Sharon Thompson, Multiprofessional Audit Manager, South Eastern Health and Social Care Trust.
- Qlikview presentation and discussion
Sharon Thompson, Multiprofessional Audit Manager, gave a comprehensive overview of the Qlikview record keeping system. She outlined how this programme enabled frontline staff and governance staff to move from a paper based audit and record keeping system to a more efficient electronic system. Capricorn Ventus were engaged in devising the programme and have worked well with the South Eastern Trust in delivering what they required. The system focuses on KPIs and audit and is completed by Ward Managers who have been trained and supported by Audit facilitation staff. The programme has been in place since October 2013 in its first phase, to iron out glitches, but is now up and running fully since January 2014. The standard set is at 95% compliance and above and through engagement and working with staff on the ground Qlikview has been made more user friendly.
The system is now also being tested to support social work supervision. This element of the programme is in its pilot phase.
Dr. Harper thanked Sharon for her presentation and then opened up to the floor for discussion. Other Trusts are all using a paper based system and there was consensus that we should explore further, the potential for the system, or an equivalent system to be procured for the region as it could support many areas of safety and quality improvement work.
Dr. Harper proposed that following on from the visit to see the programme live in October, and further discussion with key stakeholders, a proposal could be brought to the Implementation Team to set up a project under the EHealth Programme, subject to usual approvals. This project would aim to procure a system for the region to help frontline and governance staff to collect, report and act on measures of quality of care.
Action: Qlikview to be further discussed at the next Q2020 Implementation Team meeting following on from the visit to see the programme live. The visit is confirmed as 6th of October at 10am in the Innovation Centre at the Ulster Hospital.
At this point Sharon Thompson left the meeting.
- Minutes of Last Meeting
Minutes of the previous meeting were approved subject to one change – to add Patricia Nicholl, NIGALA as being in attendance.
- Matters Arising
Dr. Harper presented the Letter from the CMO re: Arm’s Length Bodies Annual Quality reports. Conrad Kirkwood noted that the Department had already received 2 reports from ALBs. He offered assistance to any other ALBs should they require it before submitting their Annual Quality Reports.
Progress was also noted on the Occupational support to staff which is being taken forward through NIMDTA for doctors in training in the first instance as part of NIMDTA’s role in supporting those staff.
- Feedback from last Steering Group meeting
Dr. Harper presented the update from the Steering Group. The decisions and progress was noted.
- Update from Task Group Leads and others
Task 2- Annual Quality Report
The task group presented the revised core indicators for the 2013/14 Annual Quality Reports. Prior to the meeting this had been circulated to the Implementation Team members for comment and comments received had been included in the paper. Glynis Henry stated that Midwifery should be included in the core indicators – Task group leads to include this.
The Social Care indicators had been received late and therefore had not been reviewed by the task group. The task group agreed that given the time frame for getting the core indicators out to Trusts that the core indicators would be combined into one set of indicators to then be sent to Department for approval and then distribution to the Trusts.
Action: Francis Rice/Christine Murphy to combine the core indicators in one report and submit this to Implementation Team Chairs by 31July. Chairs will then submit it to DHSSPS for Steering Group approval. (This is to be completed via email as the Annual Quality Reports are to be produced September). Final indicators to be issued to ALBs thereafter. All ALBs to continue/complete their reports based on the indicators at this stage.
Task 4 – Leadership Attributes Framework
The Attributes Framework was approved by the Steering Group.
Ian Sutherland gave an update on the work of this Task Group. He stated that a workshop had been conducted in May and the Task group will now reconsider how they gather information from key stakeholders, how the framework is promoted, how the framework links in with appraisal, how engagement could be better with education providers. The next stage of this work is the Launch of the Framework. A draft programme was presented and will be finalised at the next Task group meeting. Dr. Harper suggested that the Q2020 Project Manager assist with the co-ordination of the Launch event and that she also liaise with key staff within the Communications Department at the PHA with regards to the final formatting of the Attributes Framework.
Action: Q2020 Project Manager to attend the next meeting of the Task group, co-ordinate the launch event and liaise with PHA Coms to finalise the format of the leadership Attributes Framework.
Task 5 – Nursing and Social Work eLearning training requirements
Nicki Patterson presented an update on the work of the Nursing strand of the minimum mandatory training content for Nursing. The next stage of this work is to cross tabulate this work with the work being carried out in Social Care and the existing requirements for medical staff. Following discussion,the Task Group was asked to develop options to phase training, with new staff, specific topics etc. to be taken into account.
Action: Nicki Patterson to collate Paper with options to be brought to the next Q2020 Implementation team meeting.
There was no update from Social Care.
Action: Project Manager to follow this up with David Bickerstaff and relevant staff. Patricia Higgins to follow up with Social Care colleagues.
Task 6 – Ward level Review Scoping paper
Pat Cullen and Mary McElroy gave an overview of the paper that was presented at the meeting. This paper had been collated as a follow on to reviewing the work across the region in relation to Safety and Quality and Experience (regional and local) and is to inform the Q2020 Steering Group of all the work across Northern Ireland. It was noted that this paper did not include the Ambulance Service and that the paper was not exhaustive as new initiatives come on board. This paper will be reviewed every 6 months to ensure that it is up to date.
There was a discussion around the possibility of taking a blended approach to this work e.g. safety thermometer / dashboards in wards.
Following discussion, the Task 6 leads were asked to work with colleagues to consider and develop an approach that would address Quality, Experience and productivity aspects of patient/client care. These tend to be separate processes, leading to multiple systems and demands on staff. It was felt the current could be streamlined.
It was noted that some Trusts were looking a white board systems and the out workings of this work which would introduce system change approaches to the safety work.
Action: Summary paper to be sent to the DHSSPS for the Steering Group.
John Simpson and Olive McLeod to work with Francis Rice and others on the production of a proposal for this work to come to the next Q2020 Implementation Team meeting for discussion.
Task 13 – WHO Curriculum
David Stewart gave an overview of this task and progress was noted.
Task 14 – Minimising Variation
Q2020 Project Manager gave a brief outline around this scoping exercise. This led to a discussion around other areas that needed to be looked at: e.g. equipment, patient care. Gavin Lavery expressed an interest in being part of the Task Group on this work specifically to feed in the Intermountain approach.
Action: Gavin to speak to Pascal McKeown (task lead) regarding becoming involved in this work
Complaints work
Michael Bloomfield gave an overview of the background to this work. Progress was noted on this and this work has been approved by the Implementation Team.
- Issues to be raised to Steering Group
Project Manager will submit the indicators (Task 2) and summary scoping paper (Task 6) to Conrad Kirkwood for Steering Group.
- Any other business
There was no other business.
- Dates of next meetings
- 13 Oct 2014 – 2-4pm – Conference Room 4, Linenhall Street
- 12 Jan 2015 – 2-4pm – Conference Room 4, Linenhall Street
- 13 Apr 2015 – 2-4pm – Conference Room 4, Linenhall Street
- 20 Jul 2015 – 2-4pm – Conference Room 4, Linenhall Street
- 12 Oct 2015 – 2-4pm – Conference Room 4, Linenhall Street
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