Engage your workforce in Quality Improvement

11 July 2017

1. A little bit about us.2 Setting the scene3 Our solution4 Propeller in action5 Progress and vision

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Kingston Grammar School / University of Bristol, BSc, Pharmacology

FTI ConsultingConsultant, Life Sciences and Healthcare

Clients included: Abingdon Health, AGI Therapeutics, Alimentary Health, Ark Therapeutics, Binding Site, BTG plc, Genetix plc, Intercytex plc, Nycomed, Pronova Biopharma, Protherics plc, ReNeuron, Whatman plc

Oxford BioMedicaHead of Investor Relations and Corporate Communications

UK BioIndustry AssociationDeputy Chair, Communications Advisory Committee

Circassia PharmaceuticalsVice President Corporate Affairs

GHO CapitalDirector, Investor Relations

SelflessBoard Trustee

Kingston Grammar School / King’s CollegeLondon, BSc, Maternal and Fetal Health

SelflessFounder

King’s College LondonMBBS

NHS EnglandClinical Fellow to Professor Sir Bruce Keogh

Greater London AuthorityAdviser to Team London, Mayor of London's Office

St. George's, University of LondonRadiology SpR

Health Innovation NetworkAssociate - Clinical Innovation & Entrepreneurship

Macmillan Cancer SupportBoard Trustee

Lara MottNa’eem Ahmed

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Founders with broad healthcare expertise

1 A little bit about us

2. Setting the scene.3 Our solution4 Propeller in action5 Progress and vision

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Keogh review and frontline engagement

“The lack of value and support being given to frontline clinicians, particularly junior nurses and doctors. Their constant interaction with patients and their natural innovative tendencies means they are likely to be the best champions for patients and their energy must be tapped not sapped.”

5Reference: review into the quality of care and treatment provided by 14 hospital trusts in England published 16 July 2013

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The Berwick Report

“That investment in human development is absolutely necessary if, when alarms ring as they did in Mid Staffordshire, people with their hands on the steering wheel are to have the knowhow to diagnose and fix the problems. The most important single change in the NHS in response to this report would be for it to become, more than ever before, a system devoted to continual learning and improvement of patient care, top to bottom and end to end.”

6Reference: independent report, Berwick review into patient safety published 6 August 2013

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42%Satisfied with the extent to which their work was valued by

their organisation

57%Unable to meet the conflicting demands made on them

60%The Nuffield Trust’s most recent survey of 100 health

leaders found almost 60% thought that morale had deteriorated at their organisation

“The NHS relies on the dedication of its staff, so the growing concern about staff morale is worrying. Given the close association between staff engagement and quality of care, this is a warning sign that should be taken seriously by NHS leaders.”

Richard Murray, Director of Policy at The

King's Fund (October 2014)

7Reference: Royal College of Surgeons 28 Oct 2016

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NHS workforce morale is low

1 A little bit about us2 Setting the scene

3. Our solution.4 Propeller in action5 Progress and vision

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Junior Doctor can work with Clinical Lead in evaluating the intervention –possibly writing it up as a QI project.

Radiology SpR recognises that referring clinicians often would like to discuss imaging requests, frequently disturbing various radiologists.

She submits her idea for a using a red chair for the ‘duty radiologist’ the Propeller App under the theme of ‘Clinical Efficiency’. The Dashboard organises her idea into theme and location, making the review process simple.

The Clinical Lead for Radiology is sent the idea from the dashboard, and decides to pursue it.

Turning ideas into improvement

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Frontline Staff

Clinical Leads

OUTCOMERed chair is placed within the reporting room signifying the ‘Duty Radiologist’ – preventing

unwanted interruptions, which are a cause for mistakes, and ensuring efficient imaging support.

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Ending the ‘fix and forget’ culture

“In the old days you would walk onto a unit, see something wrong and you would fix it for that patient. We call that ‘fix and forget’. But we need to move to a new way and look at the whole system, to fix it not just for the patient in front of you but for every patient.”

“We need software like Propeller where we can fix it for that patient but also aggregate it very easily and fix it for the system so that tomorrow, it is better for every patient, every nurse, every doctor.”

Maureen BisognanoPresident Emerita and Senior Fellow, Institute for Healthcare Improvement

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Why it matters

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A more engaged healthcare workforce leads to better patient outcomes and improved financial performance.

“A trust that has a high level of staff engagement saves £235,000 per year in salary costs alone.”

Department of Health 2013, Staff Engagement Insight: High engagement scores link to financial efficiencies in the NHS

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1 A little bit about us2 Setting the scene3 Our solution

4. Propeller in action.5 Progress and vision

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Propeller in action

112Total number of improvement ideas submitted

10Propeller engaged doctors from 10 different grades

19Ideas submitted across 19 different sub-specialties

78Ideas implemented

Pilot at Guy’s and St Thomas’

• August 2015 – three month trial with Junior Doctors at Guy’s and St Thomas’ NHS Foundation Trust

• Most common themes for submissions were

– Clinical Efficiency

– Communication

– Equipment

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Guy’s and St Thomas’ NHS Foundation Trust

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13.4%

28.6%

23.2%

23.2%

Patient safety & experience

Staff wellbeing & development

Financial savings

Time savings

112Total number of improvement ideas submitted

78Ideas implemented

80%Percentage of ideas considered “easy to implement”

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Benefits of Propeller for improvement

Completing the feedback loop

• Harnessing innovation from frontline staff and capturing it in one place

• Communicating the improvements Trust-wide: “you said; we did”

Demonstrable change

• Help to significantly reduce the amount of work in preparing annual quality reports

• Enable the Trust to demonstrate and report to the public tangible affordable change driven by the people who care for them on the frontline

Improved performance

• Individually and organisationally

• Better patient outcomes

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1 A little bit about us2 Setting the scene3 Our solution4 Propeller in action

5. Progress and vision.

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Progress to date

2014 2015 2016 2017

Grant Pilot First customer

Accelerator

Accelerator

CEO

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Who are we now?

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Our vision – working together

• Data analytics – predictive, preventative • Developing intelligent organisations• Shared learning and best practice• QI database information repository

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Innovation insights

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Communication Equipment Patient dignity Training

Click to search our QI case study database

60%

30%

10%

Idea of the month, A&E success story…

Top 20 innovations from our NHS Trusts…

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Support from healthcare leaders

Professor Sir Bruce KeoghNational Medical Director"I think the advent of apps like Propeller provide the opportunity to have direct and meaningful conversation with those people who control the design and operation of an organisation.”

Helen BevanChief Transformation Officer, Horizons Team“Systems like Propeller are great for bringing to the fore those problems and ways of tackling them and that is something we absolutely need in the NHS."

Donald M. Berwick, MD, MPPPresident Emeritus & Senior Fellow”I see Propeller as one among available resources to help us share the lessons we learn so that the pace and scale of improvement can grow every single day.”

Maureen BisognanoPresident Emerita & Senior Fellow

“We need software like Propellerwhere we can fix it for that patient but also aggregate and fix it for the system so that tomorrow, it is better for every patient, every nurse, every doctor."

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Private and confidential

Thank you for your time

Any questions?

Lara MottCEO & Co-founderM +44 7834 322 366E lara.mott@propellerapp.co.uk