Second AnnualUK Knowledge Mobilisation Forum

13-14 April 2015Royal College of Physicians of Edinburgh

#UKKMbF15

SHONA COWANScottish Government

Quality and Efficiency Support TeamShona Cowan

UKMB Forum 13th April

Strategic Context

The Triple Aim

Health of the Population

Best Value for Money

Experience of Care

Integration

Quality and Efficiency Support Team

QuEST supports NHS Boards to deliver improvements in quality and efficiency through a number of national programmes.

Working in partnership with NHS Boards, QuEST tests and spreads emerging innovations and best practice across NHSScotland to enable delivery of key NHS priorities.

Principles

Reduce unwarranted

variation, waste and

harmSafe,

effective and person-centred

Value and sustainability

Innovation

Whole system

approachCo-

production, collaboration

and partnership

Clinical decision making

Empowering workplace

culture

Information and

intelligence

Spread and sustainability

Principles

Spread of Knowledge

• Lots of activity over many years and some good success – however….!

• Case studies – now have over 150 on QI Hub website• Knowledge into Action – preoccupied by spread- from

‘improvement islands’ or ‘pockets of excellence’ to scale• What spread strategies are required for the idea to be adopted

easily locally • What levers of organisational change do we have or can we

influence both nationally and locally?• How do we exploit networks effectively ?

Sustainability Challenge

‘The challenge is not starting but continuing after the initial enthusiasm has gone’. Ovretveit 2003• Focus on quality improvement infrastructure and

system conditions • Identify and map system and focus on high impact

changes• Implementation science – do we know enough? • Do we really understand and acknowledge challenges

at the front line ?