Creating a service

1. Creating a service Idea

2. Creating a service Identify the need Networking / consultation Create a project plan Business Plan Find funding

3. Creating a service Create a project plan Aims Objectives Indicators of success / outcomes Target Monitoring Evaluation

4. Creating a service Create a project plan Organisational chart Client pathway Consent forms Considerations for therapy / patients charter Leaflets Patient information Recording information / client notes Communicating with other professional Policies and procedures Gathering information for monitoring and evaluation

5. Creating a service Recruitment Advertising Job description Person Specifications Contract Interviews References CRB Training & CPD requirements Insurance

6. Creating a service Adapting the project Audit Clinical Governance Patient feedback Referrer Feedback Staff feedback Team Meetings

7. Creating a service Adapting the project Audit • The aim of audit is to identify how closely your practice relates to best practice as described by standards, clinical guidelines or other sources of best practice. • A systematic examination of current practice to assess how well you are performing against set standards (i.e. allows you to measure performance against targets) • Analyse systematically the quality of care provided and to monitor improvements. • It is a useful tool for showing you where you are and helping you decide where you want to be in the future. • A variety of methods may be used in performing an audit (e.g. observing practice, examining case records, activity levels) • The outcomes of the audit are compared with the set standards. • Any deficit is addressed by implementing changes, which in turn are re-audited to measure their effectiveness.

8. Creating a service Adapting the project Audit Cycle Identify a topic / issue/ problem Measure effectiveness of change Set standards / goals Implement change Collect data and measure quality If needed, decide on a strategy for change Identify if change is needed

9. Creating a service Adapting the project Clinical Governance A system of being accountable for: • Continuously improving the quality and effectiveness of the service • Maintaining / safeguarding existing high standards • Creating an environment which aims for clinical excellence • Ensuring that patients receive the highest possible quality of care

10. Creating a service Adapting the project Clinical Governance • Must be willing to: • To accept that there may be scope for improvement • To accept that as demands and needs change, the project might need to change to maintain the existing good service • Look out for the need to change / adapt • Make the changes / adaptations • Continually review the situation

11. Creating a service Adapting the project Clinical Governance Risk avoidance Well trained staff Continued Professional Development Clear procedures and guidelines (policies and procedures) Safe environment Risk management

12. Creating a service Adapting the project Clinical Governance Poor performance Early recognition Decisive intervention Effective self regulation Feedback on performance Complaints procedure

13. Creating a service Adapting the project Clinical Governance Quality Methods Good practice spread Clinical policies evidence based Lessons learned from failure Improvement processes integrated Clinical audit

14. Creating a service Adapting the project Clinical Governance Culture Open and participative Good leadership Education and research valued Patient / carer participation Ethos of teamwork

15. Creating a service Adapting the project Clinical Governance Infrastructure Access to evidence Time allowed to plan Training and development strategies Information technology supports practice Integrated Care Pathways

16. Creating a service Adapting the project Clinical Governance Coherence Goals of individual, team and organisation aligned Excellent communications External partnerships forged Professional and Organisational Accreditation Cost effectiveness

17. Creating a service Sustainability Keeping up with the changing needs of the service user Spreading the news about good practice and outcomes Creating trust in those who would refer to you Continued promotion of the service Networking Partnership working Funding if original funding is time limited

18. Outreach Children’s Project At an inclusive play scheme Gave a talk at a local community children’s centre about Freshwinds. Identified that families would like to access service but too far for them to come. Attended local Birmingham Children’s Fund Meetings as a way of letting relevant people know about Freshwinds’ Children’s Project Contacts made through these meetings led us to successfully submit a funding bid to the Birmingham Early Years Development and Childcare Partnership for an outreach therapist to attend at an inclusive play scheme based at the children’s centre. The funding bid had to be adapted to the criteria of the funder – e.g. incorporating educational elements and giving priority to children up to the age of 5 years.

19. Outreach Children’s Project Create a project plan Aims Objectives Indicators of success / outcomes Target Monitoring Evaluation

20. Outreach Children’s Project Aims To contribute to the holistic picture of health and well-being (physical, emotional, psychological and social well-being) of children with life-threatening and life-limiting health conditions, and their families, through the safe provision of complementary therapies, and access to information about complementary therapies, within the setting of an inclusive play scheme, held at the children’s centre.

21. Outreach Children’s Project • Objectives • To provide individual complementary therapy sessions (in at least one type of therapy) for the child, siblings and parents/carers • To educate carers and children (where appropriate) in some basic complementary therapeutic skills (relevant to the therapy that the therapist is qualified in) that can be utilised by themselves, thus empowering them to look after themselves / their child. • To offer staff and volunteers within the play scheme the opportunity to experience a complementary therapy session, to access education about the therapy and to learn some basic therapeutic skills, so that they are able to give informed advice to carers regarding complementary therapies. • To act as a resource of information about the complementary therapy that the therapist is qualified in, as well as about the principles of holistic care, including giving talks and demonstrations

22. Outreach Children’s Project • Indicators of success • Parents/carers and children (where appropriate) report positive benefits to their or their child’s health and well-being as a consequence of having access to the complementary therapy • Carers and children (where appropriate) make use of learned basic therapeutic skills to help with their or their child’s health and well-being • Carers and children (where appropriate) feel better able to make informed decisions about complementary therapy • Staff and volunteers feel better able to give informed advice about complementary therapy

23. Outreach Children’s Project • Targets • On average, for each play scheme day attended by the therapist, to provide therapy for at least 3 individuals (children, carers or staff/volunteers), excluding days put aside for group talks/demonstrations • Within a 12 month period, to provide at least 2 sessions of talks or demonstrations or basic skills sessions

24. Outreach Children’s Project • Monitoring • Feedback questionnaires after talks, demonstrations or basic skills sessions to assess immediate impact • Feedback questionnaires after individual therapy sessions to assess immediate impact • Feedback questionnaires to all participants at the end of the year to assess overall and long-term impact of the service • Record the number of therapy sessions provided • Record the number of people who have accessed therapy sessions • Record the number of talks, demonstrations or basic skills sessions done and the attendance at them

25. Afternoon groups Funding & Networking Monitoring and evaluation Policies and procedures Working safely with children