Welcome to the webinar: Unlocking evidence of best practice 19 th January 2015 #rehabilitation
Chair of webinar: Dawn Smith Lead Associate NHS Clinical Soft Intelligence Service Presenters: Dr. Hazel Roddam Council for Allied Health Professions Research (CAHPR) hub leader and member of national strategy committee Joanna Goodrich Research and development manager for the Point of Care Foundation Colonel John Etherington OBE National clinical director for rehabilitation and recovering in the community
Welcome Dawn Smith Lead Associate NHS Clinical Soft Intelligence Service
Joanna Goodrich Research and development manager for the Point of Care Foundation
What is evidence? Numbers and Stories Joanna Goodrich The Point of Care Foundation www.pointofcarefoundation.org.uk January 2015
Barriers or excuses? to collecting data Quantitative evidence Perception that data are flawed It s not relevant It s out of date Qualitative data Misunderstanding the numbers are too small that s just one person s story
Quantitative evidence 1 Allows you to make comparisons 2 Allows you to generalise 3 Allows you to see changes over time 4 Allows you to ask how typical is this? Numbers need to be robustly defined and collected Real time feedback Identify a small number of measures
Qualitative evidence 1 Stories give insight behind the numbers 2 Allows you to unpick what is happening 3 Allows you to understand the relationship between things that are going on 4 Helps you to understand the meaning for patients One story is enough (Robert Francis)
Transforming patient experience: The power of narrative, case history and numbers Conference November 2013 Quantitative and qualitative data both have their place and neither are fact or anecdote Data are shaped by the perspective of the reporter, the audience and the context, and are part of the narrative www.pointofcarefoundation.org.uk
transactional Patients experiences are a mix of the what and the how Transactional and relational dimensions of care High Low relational High Goodrich and Cornwell Seeing the person in the patient (2008)
What matters to patients? ASK patients INVOLVE patients Their experience is evidence Patients are a critical part of the interdisciplinary team Their evidence provides insight that otherwise would be missed FEED BACK to patients what has been done with the data they provided Think about ethics
Using evidence for service improvement Patients as Partners in Codesign www.kingsfund.org.uk/ebcd Patient and Family Centred Care www.kingsfund.org.uk/pfcc
Thank you The Point of Care Foundation 11-13 Cavendish Square London W1G0AN joannagoodrich@pointofcarefoundation.org.uk
Dr. Hazel Roddam Council for Allied Health Professions Research (CAHPR) hub leader and member of national strategy committee
UNLOCKING EVIDENCE OF BEST PRACTICE Dr Hazel Roddam CAHPR Hub Leader & Strategy Committee member presentation for NHS Clinical Soft Intelligence Service (NHSCSI) Webinar 19/01/2015
CAHPR REGIONAL HUBS 1. Cheshire and Merseyside 2. Cumbria and Lancashire 3. East Anglia 4.Essex 5.Greater Manchester 6.Hertfordshire 7. Keele 8. Kent and Medway 9. London 10. Midlands 11.Northern Ireland 12.North East England 13.North of Scotland 14.North Wales 15. Oxfordshire 16.Sheffield 17.Southern Central 18.South, Mid and West Wales 19.South East Scotland 20. South West England 21. Surrey and Sussex 22.West of Scotland 23. Yorkshire
WHAT ARE THE CHALLENGES AND BARRIERS? Variability of existing research evidence base Traditional direct interventions versus indirect, education, consultative, preventative, public health roles Uni-professional versus multi-professional and cross-agency contexts Inequity of substantive research funding investment Capacities, competences and confidence of practitioners and services Awareness of the research environment, processes, research quality Access to research evidence Skills in critical engagement and implementation/translation into practice Mentorship for practice-based research Recognition for well designed service evaluation approaches Timescale for research agendas and processes Limited support and recognition for innovation in service delivery
WHERE ARE THE OPPORTUNITIES? Operational-level opportunities, research skills mentorship models CAHPR regional Hub initiatives for peer support communities Collaborative academic-practitioner partnerships Building research capacity in teams and capability in individuals Dedicated support for research leadership & business case models Priority focus on how services are experienced by both users & providers Strategic level co-ordinated approaches Collective representation of the research quality and impact Prioritisation and promotion of the service user voice Exploitation of social media to promote visibility & engagement
Colonel John Etherington OBE National clinical director for rehabilitation and recovering in the community for NHS England
John Etherington Transforming Rehabilitation National Clinical Director for Rehabilitation and Recovering in the Community 5 November 2014
Any Questions?
NHS Clinical Soft Intelligence Service Hosted by NHS Warrington CCG Joining in the conversation Community of Practice Forum on NHS Networks The recorded webinar, materials and questions will be posted on http://bit.ly/1nzvn8t Post your comments and information you want to share
Become a contact on the Community of Practice NHS Clinical Soft Intelligence Service Hosted by NHS Warrington CCG email Katherine Andrews at katherine.andrews@nhs-commissioning.net with your name, role, organisation, email, telephone contacts and region 1. A named contact for IRS - title your email Named contact for IRS You will receive direct emails -news and information we will share your contact details with NHS England and other related work programmes so that they may contact you directly as someone with a local interest in IARS. 2. A general contact for IRS - title your email General contact for IRS You will receive direct emails -news and information your contact details will not be shared with NHS England or other related work programmes. For data protection, contact details provided under the heading General contact for IARS will be included in a database of contacts used only by the NHSCSI team.
What are you doing? What is your experience? NHS Clinical Soft Intelligence Service Hosted by NHS Warrington CCG Tell the community of practice about your rehabilitation developments: Snapshots complete the form http://bit.ly/1ul3xht Soft intelligence - respond to our invitations to tell us your views http://bit.ly/1nzvn8t
Upcoming webinars Local services (providers and commissioners) sharing their experiences of improving rehabilitation services 5 th February 2 nd March