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Thinking about an Innovation Conversation Management Network 140510. What I said we would cover today. What is innovation? The Innovation adoption Curve Structures, Processes and Outcomes Innovation and QIPP Criteria
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Thinking about anInnovation ConversationManagement Network140510
What I said we would cover today • What is innovation? • The Innovation adoption Curve • Structures, Processes and Outcomes • Innovation and QIPP • Criteria • Benefits - Articulating, Capturing and Monetising including use of a Return on investment tool • Local Work on Supporting innovation • Questions and possibly even Answers…….
Important one liners… Some improvements are innovations Some innovations offer improvement All improvements are a change Not all changes are an improvement
Thinking about Improvement1. There are a limited number of ways in which a service can be improved - list some 2. There are a limited number of aspects of services provided that can be improved- list some Table Discussion – 10 minutes
Two views How: Tesco (2004): • Simpler – for staff and / or customers • Cheaper – to provide • Better – for customers What: Maxwell (1984): • Access • Equity • Efficiency • Effectiveness • Relevance to need • Acceptability to user
Structures, Processes and Outcomes(Avedis Donabedian 1960s) • Structures – prerequisites - checklist • Processes – what is done – Maps, observation • Outcomes – what you achieve – measures, data and questioning Efficiency vs. Efficacy vs. Effectiveness Discuss! – what are they, what aren’t they, what is the importance of the differences between them
What is innovation? – 5 minutes DH 2009
Drivers for Innovation DG 2010!
The Chasm! Brave Respectable Thoughtful Sceptic Traditional
Table Discussion What are the implications of the Innovation adoption curve and the ‘chasm’ for you all as innovators and improvers? 10 minutes
The financial flat line Three ‘Solutions’ to current climate: • Productivity – ‘lean’ our way out of the problem, reduce variation • Rationing – stop doing what we should not do, May be stop doing some things we can not afford to do. Not start doing some things • Innovate – do things differently Question – do your local strategies fit this simple model or are there other approaches?
Innovation Scenario Table Exercise Read the Scenario Score it on the criteria sheet Complete the ROI spreadsheet (previously sent) Feedback: • Score • ROI – what does the sheet tell you? • What other information would have been helpful? • What has been missed by the criteria and / or the ROI tool. • Reflections
The innovation fund - what it is, what we have done and what we have learnt? SHA Duty to Promote Innovation From April 1st 2009, the Strategic Health Authorities (SHAs) took on a new legal Duty to promote innovation and continuous improvement in the commissioning and provision of health care.
Funding Allocated (13 schemes supported 27 schemes still in process)
Proposals for 2010–11 RIF Be more strategic and segment the fund (cut nationally from £5m to £2m) 3 ways: • Harvesting – continue to stimulate bottom up innovation with a focus on programme priorities / responsiveness to QIPP 2. Challenges – To Service and industry (via HIECs) – support Clinical Programmes seeking new solutions to particular issues. 3. High Impact innovations – support for implementing 3-6 high impact innovations across the SHA area
Proposals for 2010–11 Other activity • Matrix working supporting delivery of ‘Shaping the Future’ • Support the Innovation Network • Local Innovation, Improvement and Informatics Expo (June 29th) • Annual Innovation Report due July 2010 • Produce innovation reviews – contextualise innovations for NHS SC to inform Trusts re opportunities • Innovation Web Site - innovation and improvement resources tools • Consultancy to innovators • Sign-posting of funding sources / opportunities • Diffusion of best practice from elsewhere and locally