Leading Change Adding Value is a framework for nurses, midwifery and care staff, these
three professions have a key leadership role in closing the three gaps identified in the
Five Year Forward view; of: health and wellbeing gap, care and quality gap and funding and
efficiency gap.
They can do this by identifying and addressing unwarranted variation, which is inequity in
outcomes, experience and care which can’t be justified by reasons of where we live,
demography or infrastructure.
By addressing unwarranted variation nursing, midwifery and care staff can deliver the triple
A measures of better outcomes, better experiences and better use of resources.
The Atlas of Shared Learning will be a collection of over 200 case studies that will clearly
demonstrate how nursing, midwifery and care staff have contributed to close the three
gaps, identified and addressed unwarranted variation and deliver the triple ‘A’ measures.
It is really important to quantify the outcomes of our work to really demonstrate the impact
it has had.
And today we are going to tell you a little bit more about the case study template that
we use within the operational team because we recognise that actually this may be a new
way of working for many people and it is our opportunity to demonstrate how anyone can
lead on change whatever their role, wherever they work.
We would be delighted to hear from you about some of the work you have been doing to implement
Leading Change Adding Value and to embed it as business as usual in your workplace, so
please do fill in the case study template and share your work with us.
Everybody wants to make sure they give the best care they can and that they give the
best quality care, but it is when you begin to recognise that some of the care you are
giving isn’t maybe quite as good maybe, as it could be, because you know somewhere
else, maybe in the hospital, maybe somewhere else in the ward, or a colleague or, maybe
something you read, makes you think about the fact that maybe the care that we give,
maybe it could be better and we know that care isn’t about the geography, it isn’t
about the population or that particular cohort of people or patient group that you are looking
after but is actually just about thinking that it is actually about what we are doing.
So when you begin to think that perhaps about the care you are delivering maybe it could
be better you need to actually make sure actually got the evidence to show that what actually
makes you think that in the first place and this is about being actually able to show
first and foremost that when you are looking at unwarranted variation you are actually
able to evidence what it is that is causing the variation to happen and that variation
is something you don’t want to happen and there isn’t a good reason for it.
So what you need to do is make sure you are able to show us, in your template, that you’ve
actually been able to demonstrate what that evidence was that made you think there was
a need to actually address this unwarranted variation in the first place.
So, since the launch of the framework, we are aware that lots of people have been leading
on different examples of change where they have identified there is unwarranted variation
and they have thought about what needs to change, so it may be that they need to reduce
the number of falls on a ward, for example, or we may need to think about, in terms of
community and primary care sector, we might be thinking about have people made improvements
on prevention and rates in obesity levels for example.
So what actually needs to be happening there?
What needs to change?
Can you convey to us and demonstrate what you’ve recognised needs to happen and as
a result of that what are we able to take forward and what is your sort of approach,
what is your method, what is it you are going to be doing or indeed what have already done
when you fill in the template?
Your case study is actually about you demonstrating as a nurse, as a midwife, as a care worker
how you went about leading that change, not someone else but you as that nurse, that midwife
and that care worker; this is really important because this is what the framework is all
about, as it is all about how you led and added value.
We want you to be able to describe in the case study what it is you did differently
and what were the actions you took to make things change.
OK, so within the case study template what we would really like you to be able to share
with us is your results.
What we are looking for here is if we think about your piece of work as a project can
we think about how you have made improvements around better outcomes, better experiences
and better use of resources and have you got some data, quantifiable or qualitative that
can tell us a little bit more about those results and the improvements you have made?
So just as an example, if you were able to share with us that you have made a reduction
in falls for example, across your ward.
Are you able to tell us that the numbers have improved from X to Y rather than necessarily
“There has been a reduction and we don’t know much more about that”.
When you are thinking about your outcomes you’re thinking about what’s the difference
I have made?
One of the most important things you are going to be thinking about is what difference did
I make to the patient, the client, to the person you have been working with.
You need to think about how can I collect that information?
How can I know the difference I am making is really making a difference to that patient
or client or carer?
So what you need to think about is how am I going to capture that?
How are you going to tell us about that because it is really important if you think about
the triple aims and patient experience; thinking about what are the ways what you have done
to change is making a change to that patient’s experience?
So, when you are writing your case study, think about the ten commitments and if you
think there are any of those 10 commitments that you have applied to your case study write
them down.
Think about the advice you would like to give other people who might be thinking about doing
something similar or are actually reading your case study as it can be really helpful
for other people to think about well what were the challenges for you?
What did you learn from this?
Tell us about it as not only will it help you reflect on your practise but it will help
other people too.
So we recognise that often this is quite an iterative process and that sometimes the work
will be ongoing, again, that is fine and absolutely and completely understandable in this high
paced environment across health and care; so what we would like you to do is just give
us a little bit of insight in terms of where things are up to, to date, and where things
maybe going forward, for example you may have completed the case study with some really
exciting outcomes based on a pilot study and you know that this is going to be rolled out
further and it would be really great for us to come back and it would be really great
for us to come back and seek some more information further down the line, so just tell us a little
bit about how things are moving along, where things are up to and maybe a little bit of
thought on where things are going from here.
The case studies you are putting together will form part of a really important body
of evidence that will show and demonstrate the Leading Change Adding Value framework.
So please, when you are putting that case study together, please describe how you have
identified and addressed unwarranted variation; in essence what you have done to lead change.
There is a case study template available on our Leading Change Adding Value available
on our webpages or please contact the team via the email address below.
Once we receive your case study it will be reviewed by the Leading Value operational
Team and quality assured to ensure it aligns to the framework and we will be in touch with
any queries we may have.