Key messages

1. NHSScotland Quality Strategy and Health Works Anne HendryNational Clinical Lead for Quality

2. Key messages Better Health Better Care development Integrated rather than additional Aligns policy, planning and performance For all of us - NHS, partners and public For the long haul

3. Built on people’s priorities caring and compassionate health services collaborating with patients and all who work for and with NHSScotland providing a clean and safe care environment improved access and continuity of care confidence and trust in healthcare services delivering clinical excellence

4. Our approach

5. 3 Quality Ambitions • Mutually beneficial partnerships between patients, their families and those delivering healthcare services. Partnerships which respect individual needs and values and which demonstrate compassion, continuity, clear communication and shared decision-making. • No avoidable injury or harm from the healthcare they receive, and that they are cared for in an appropriate, clean and safe environment at all times. • The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, with no wasteful or harmful variation.

6. Quality Infrastructure • Quality Alliance and Board • Governance • Workforce • Ehealth • Quality Improvement –HUB partners • Quality Measurement Framework

7. Quality and Value QUALITY INITIATIVES COST REDUCTION PROGRAMMES 1 2 3 4 5 Costs more cost neutral improves quality quality neutral reduces quality reduces costs

8. What will it take? Embedding quality in day-to-day work Greater coherence, alignment and focus Collaboration and leadership A shift in ethos, approach and behaviours A focus on outcomes that matter Setting the right targets and measures

9. 1 Quality Outcome Measures 2 HEAT 3 Local and national quality indicators QMF 3 Quality Ambitions

10. Doing The Right Thing Doing it Right Approaches Care and supports People Treatments Interventions Processes Pathways Structures Nurturing Quality

11. Person Centred Ambition Empathic encounters Effective continuous relationships / teams Enablement and self management Empowerment and assets approach Equality sensitive practice and mutuality Ethos of workforce and organisation

12. Effective Ambition The most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, with no wasteful or harmful variation. Throughout the life journey

13. Effective Ambition Priorities Early Years Population Health Improvement Inequalities Targeted Primary Prevention Complex needs Efficiency and Productivity Delivering Quality in Primary Care Action Plan MCNs Health Works and Scottish Offer

14. Effective Complex Care • Long Term Conditions Action Plan • Living and Dying Well • Reshaping Care Pathways for Older People • Dementia Strategy • Delivering Quality in Primary Care Action Plan • Shifting the Balance / IRF • Rehabilitation Framework & Health Works • Multi-agency partnership

15. High Level Outcome Statement People with complex care needs, their families and carers, have more choice, control and independence; feel valued, safe and informed; and are supported to live well at home or in a homely setting for as long as possible

16. 7 Scottish Heath Offer Principles • Care plans / goal setting - work outcome • Biopsychosocial model • Enable meaningful activity and function • Good work is good for health • Early Intervention • Minimum Standards - reduce variation • Access

17. Discussion How will implementing the Health Works Scottish Offer help us realise our Quality Ambitions? What would optimise momentum and impact? Actions for Scottish Offer National Forum? Actions for Quality Strategy team?