Improving Adult Rehabilitation Services Community of Practice

1. Improving Adult Rehabilitation ServicesCommunity of Practice Clinical Commissioning Community 6th Feb 2013

2. Welcome Shelagh Morris OBEAllied Health Professions OfficerProfessional Leadership Team Department of Health

3. Overview • Your Community of Practice • United by a passion to see ‘good’ rehabilitation services provided and commissioned for patients • Rehabilitation…the restoration, to the maximum degree possible, of an individual's function and or role, both mentally and physically, within their family and social networks and the workforce where appropriate

4. At the end of today you will have… • met others with a shared interest in improving rehabilitation services who wish to access support, share clinical intelligence and spread best practice • reflected upon your local services in the context of the descriptors of ‘good rehabilitation’ produced in Phase 1 http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/CCC-IARS-Final%20slide%20set-V1.6.pdf • shared ideas and identified a local issue for improvement in rehabilitation services • identified local people you wish to engage in the community of practice

5. At the end of today you will have… • identified some influential and compelling messages to use when engaging others • heard how to access and become active in the online discussion forum • committed to some initial, achievable actions and to sharing learning about your successes and challenges • heard how to use this community to support you and raise the profile of your work • Drafted your first posting for the online forum

6. Expectations of participants • That we all see ourselves as active participants in the COP • To be proactive in engaging local service users, other professionals and partner agencies in taking an integrated approach to service improvement • To share intelligence about successes and challenges with other participants in this community both directly and through an online forum • To provide a succinct snapshot of their service improvement, at whatever stage it is, to the project team by 1st March 2013 • To identify a contact (with their consent) as a resource for local advice or examples of rehabilitation service improvement

7. Roles throughout the day • All ‘experts’ • Accept every idea as valid • Take responsibility for managing time • Own your own actions • The COP is you – avoid giving an action to someone who is not in the room • There will be very little material that we will take away as a project team

8. A vision of ‘good rehabilitation services’ Download handout

9. Reflecting upon local services • Start where you are now • You, your partners and your service users are the experts in what improvement will look like locally • All degrees and stages of service improvement are welcome • Your local service improvement may be small, still in the planning stages or you may have undertaken significant service redesign and be ready to share its outcomes

11. What have others done? What hunches do we have? What can we learn as we go along?

12. Influencing the future • 10 minutes individual reflection using themes from Phase 1 vision to identify the most compelling issue: • that you have addressed and can share with others • that you have the most passion/energy to do something about • Move to the poster of that theme on the wall

13. Issues for improvement • 15 mins introduction of issues: • Introduce your issue. Think about February 2014. You have addressed your issue through providing or commissioning differently. • What are people doing? • What are people saying? • What do people feel?

14. Issues for improvement • 15 minutes more…… • What in one sentence has been/will be the innovation? • How will you know/evidence that these changes are an improvement? • What baselines do you have/need? • What has been/will be your mechanism for measuring if it is an improvement • Can you relate the outcomes/expected outcomes against the domains of the NHS/Public Health/Adult Social Care Outcomes frameworks? • What data (quantitative and qualitative) will you use to communicate a compelling snapshot of what has been achieved

15. Using the COP snapshot • 10 minutes to make notes using your ‘Community of Practice Snapshot’ template • We will be approaching you in future weeks for an up to date snapshot of your local service improvement • This will form a compilation of vignettes to raise the profile of your work….. More of that later….

16. Who do you want to engage in/ tell about your idea for service delivery/ commissioning? And why?

17. Influencing and involving High Level of Influence The most critical stakeholders - have very high influence, but low motivation . Engage these people by appealing to their objectives and their style Other key stakeholders have strong influence and strong motivation. They need including in the process. People with low influence and low motivation may not be priority for active involvement, but may benefit from information Stakeholders with high motivation but low influence, need empowerment to become involved High Low Motivation to use influence And what is your compelling message?

18. What are your compelling messages for your local partners? • Complete local (for some this may be national) communications template • Who are the key audiences you need to engage? • Identify key messages • What methods of delivering your message will influence and engage your audiences? • What specifically will you do to disseminate these messages across your own networks? • What help/support will you ask for from the wider community of practice? • What learning/experience can you offer to the wider community of practice?

19. There’s no such thing as a free lunch… Preparing to share with your community of practice over lunch each person writes up their name with a succinct statement about what they are going to do/have done… your contribution to the wider COP

20. Using the community for support • You now have 20 minutes to browse the statements and the names against them • Reviewing these statements, note who you want to speak to and commit to making 1 ‘ask’ of and 1 ‘offer’ to 2 named members of the community. • Make a note of the 2 people you most want to talk to today • Note others you may follow up online or approach today if your first choices are busy (download statements from the event)

21. Book your dates • Using your airport signs, walk around until you find your two people and book a time for your conversations at: • 14:00 • 14:15 • 14:30 • 14:45 • Leave 2 slots for people looking for you……If your two people are already booked, find others and book them in

22. Speed date now! • Record any commitments you make to take away • Chatham House rules

23. How will you continue to interact, feedback and support the community? • The community is you (and others who could not come today) • It will exist for as long as you participate • The exit strategy is that it is admin-free • It is critical to engage and report back key outcomes from your local work to the online forum

24. How to use this community to raise the profile of your work • We will scan the on line discussion forum and may approach individuals to help share their practice/ experience more widely….. We won’t know unless you post • We will approach you for an up to date snapshot of your local service improvement to be returned to us by the 1st of March 2013 • This will form a compilation of vignettes… not business cases, not journal papers • ‘Business sensitive’ data – can be available upon direct enquiry • Less is more!.... What will tempt the reader to approach you to find out more?

25. Demonstration of the online forum • How to find • How to post • Visibility of posting to all readers • Setting up alerts

26. Google: #improvingadultrehab Rehab community of practice Message board nhs networks IARS Rehab COP Adult rehab bit.ly/Yk5Mya

28. Are there any examples of CCGs talking to Third Sector providers in redesigning their pathways? All these forums are fully public and can be seen by everyone

29. JOIN me@nhs.net *********

31. Draft your first posting • Title – compelling – does what it says on the can • Who specifically is your service for? • What you want to do/have you done? – succinct • What will you do in the next 3 weeks (formulating/ clarifying your rehabilitation service improvement through to communicating completed work – successes and learning from those less successful) • What will you ask of the community? • What will you offer? • When will you post this?

32. Next steps • Make your posting and keep posting, sharing your learning, challenges and successes • Contact your local partners and engage them in the community • Follow up people you would have liked to speak to today online • We will scan the conversations and may approach you to share your practice more widely/in more depth • We will send out the snapshot template electronically • Start to populate the template • We will compile vignettes from the templates to promote your role as ‘rehabilitation improvers’ • Contact any member of the project team if you have any queries • jane.nicklin@nhs-commissioning.net • katherine.andrews@nhs-commissioning.net • dawn.smith@nhs-commissioning.net

33. Evaluation and Close • One thing the process did well • One thing to do differently if it were done again Many thanks