Nurse first j&j sep 2013
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Transcript of Nurse first j&j sep 2013
Our Approach to Social Innovation in
HealthDave Dawes
Community nursesCommunity nurses
The Nurse First Model
LeadershipLeadership InnovationInnovation
FinanceFinance Entre-Entre-preneurshippreneurship
The most important things in helping NHS clinicians take innovation forward were:
• attitude of senior managers in your organisation (31%)
• attitude of middle managers in your organisation (29%)
• being taught the skills & knowledge for innovation (29%)
• protected time (22%)• access to senior managers
in your organisation (17%)
How easy to access your Chief
Exec?
How easy to access your Chief
Exec?
Middle manager problem
Ideas are worthless
Execution matters
Dealing with obstacles
Dealing with obstacles
Emotional resilience
Money is the Oxygen of the NHS
Scissors of Doom
CheaperBetter
CheaperBetter
CheaperWorse
CheaperWorse
Cost moreWorse
Cost moreWorse
Cost moreBetter
Cost moreBetter
4 Pillars of Innovation
Pro
ble
m
Gre
at
Idea
Busi
ness
Mod
el
Execu
tion
Radical, incremental and
adaptive innovation
Create costed business plans
£1.2 million savings each£1.2 million savings each
£1 million = 1 admission prevented per day
£1 million = 1 admission prevented per day
Measurable personal
development
NHS Nurse FirstClinicians Cohort
% of staff who identify “lack of skills and knowledge” as a barrier to innovation
% of staff who identify “difficulty accessing senior managers” as a barrier to innovation
% of staff who identify “lack of ongoing funding” as a barrier to innovation
NHS Nurse FirstClinicians Cohort
NHS Nurse FirstClinicians Cohort
Messiness of execution
Messiness of execution
The reality of success
Examples of projects
Mental health & diabetes
Older people
•£800,000 on acute admissions
•£280,000 on community admissions
•£400,000 on GP & community services
•New service saved £740,000
100 most vulnerable elderly people used:
NutritionNutrition 12% of residents known to nutrition service
12% of residents known to nutrition service
20% over nutrition
20% over nutrition
22% under nutrition
22% under nutrition
Falls prevention
Palliative careEx offenders
Infection control
Heart disease
Speech and languageMultiple Sclerosis
Epilepsy
COPDAsthma
Wound care
Sexual health
Diabetes
Cancer
Mental health
Carer support
Staff well-being
Social isolation
IncontinenceLymphodema
Drug and alcohol
Mother and baby
www.nursefirst.org.uk