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James Innes NHS England Welcome to the chat James. We're so pleased you're here with us tonight! #QIHour

A1 1) This is a bit like trying to decide what’s more important…day or night! They cannot exist without each other…and the same goes with improvement! #QIHour

A1 2) Only focus on bottom-up: you might get good engagement, but also 1000 flowers blooming. Could be difficult to tackle strategic issues and may pose dilemmas when considering ‘scale up’ #QIHour

A1 3) Only focus on top down: you might successfully tackle organisational strategic challenges, but you risk not engaging the very people who should be identifying and leading change! #QIHour

A1 4) So for me, it’s about trying to constantly balance the two…and remembering that it’s perfectly normal for there to be an uncomfortable tension when trying to do this! #QIHour

A2 It’s a continual process and needs to be regularly sculpted to allow for changing context…for me it’s all about finding different ways to maintain a 2-way line of communication #QIHour

A2 Here’s some key structures and processes I think help: Exec walkrounds, pt and staff stories & involvement, regular organisational listening events, structured processes for developing organisational & local priorities, focused comms #QIHour

A3 Two key things. 1) Stories and 2) Patient Involvement #QIHour

A3 A good story connects with both the heart and head and doesn’t take longer than 10 minutes to tell. I think it’s one of the most powerful interventions that can be used at any level to connect people to the ‘why’ of the work #QIHour

A3 Patient involvement in improvement work changes EVERYTHING. The nature of conversations, the culture of project team, focus of the work…it’s also shown to increase the chances of success #QIHour

A4 1) Are we really using our data? ‘Without data, you’re just another person with an opinion’. It surprises me that even today teams still don’t always have the data they need to understand the problem and understand the impact of their work #QIHour

A4 2) Do we have a sound strategy? Is our strategy based on a firm understanding of the problem? Do we have a sense of what change ideas will have the biggest impact? Are we able to prioritise? #QIHour

A4 3) Are the right people at the table? With the right people at the table everything gets easier…from developing a strategy and change ideas to actually going out and testing! #QIHour

A5 I've found this session so energising. It's great to be with a group of like minded people and I have gained so many ideas to go and test. Thank you! #QIHour

Great energy at the WeImprove Barts Health QI coach programme kick off call today- very excited to work with our new Barts Health QI coaches and their project teams. Jen Leonard Chris Gordon James Innes Susan Hannah Hannah Evans Collette McQueen @GulnarVasta Institute for Healthcare Improvement (IHI) #QI

⭐Using Patient Feedback in Improvement⭐ We are delighted to partner with Patient Empowerment Network Patient Chat in the US 🇺🇸for the next #QIHour. These are the questions we will be asking.... 🗓 Weds 16 March ⏰8pm GMT, 3pm ET, 12pm PT #️⃣ #QIHour #PatientChat 🌎Everyone welcome 🥳

Did you know there has been a year to date reduction of 31% in the prescribing of high dose opioids averaged across 2018 to 2022/23 - Source: OpenPrescribing (bit.ly/3NMEkoB), verified August 2022 #patientsafety #MedSIP #MedSafetyWeek #medicationsafety #msonetwork

Based on number of prescription items dispensed in England. It includes opioid prescriptions for acute, chronic & cancer pain of which prescribing in acute & cancer pain may be clinically appropriate whereas prescribing high dose opioids in chronic pain is rarely appropriate.

What energy in the room! Health Boards and Trusts from Wales coming together to take part in a national Safe Care Collaborative #SafeCareTogether

The NHS national Medicines Safety Improvement programme are holding 2 webinars in January & February 2023 aimed at improving the safe and effective use of direct oral anticoagulants (DOACs). To register visit bit.ly/3BvIwEq #patientsafety #medsip