Collaboratives

A collaborative is a short-term learning system, run over 12-18 months that brings together a number of multidisciplinary teams and other stakeholders to seek improvement in a focused topic area. Collaboratives are typically guided by evidence based clinical practice guidelines, incorporate change methodologies, and rely on clinical and process improvement subject matter experts.

Through the collaborative teams share knowledge and ideas bout effective and ineffective interventions a well as strategies for overcoming barriers.

Mental Health Collaborative

Dr Francess Doherty, BHSCT is the lead for this collaborative.

The HSCQI MH Collaborative has driven important improvement work regionally since 2008, with QI projects including; adherence to good practice in inpatient settings, crisis management and improving physical health care. More recently the focus has been on improving culture, leadership, competence and communication, with QI projects including; safety briefings, reflective practice, SBARD, listening meetings, carer assessments, carer information leaflets, carer’s support group, and identification of key priorities for carers. Since 2018, HSCQI has been supporting the TZS Collaborative Scale and Spread in Safety Planning.

There has been a number of staff changes in the Regional QI Collaborative for Mental Health over the past few years. Dr Catherine McDonnell stepped down as Chair in June 2019, Dr Francess Doherty took up Chair in January 2020, and Janet Haines-Wood retired in July 2021. Clifford Mitchell has recently taken up post as Improvement Hub Lead.

The MH Collaborative and MH Advisory Groups paused during 2020 due to COVID 19. Francess Doherty, Mark Roberts and Janet Haines-Wood maintained a link to review what improvements had been made and what could be achieved during this period.

Francess Doherty joined a meeting regarding TZS Collaborative with Aideen Keeney, Mark Roberts, Geraldine McDonnell and Gerry Lynch on 2 September 2020.

Francess Doherty connected with Trust Directors of MH Services during September/October 2020 to reactivate the MH Advisory Group.

A MH Advisory Group zoom meeting was convened on Wednesday 4 November 2020. The aim was to agree a plan for regional MH improvement(s) over the next 12-18 months by – Recapping on QI in MH Collaborative – Hearing about the journey of MH collaborative in South of England – Discussion and agreement regarding next steps for MH collaborative This meeting was attended by 16 participants and there was commitment to restarting the MH Collaborative with focus on a few key areas for improvement including; TZS Safety Planning, Patient flow in Adult Mental Health Services and supporting and increasing service user participation.

Another MH Advisory Group zoom meeting was held on Wednesday 20 January 2021, which had 11 participants. The trust areas gave feedback on the areas above.

Francess Doherty and Mark Roberts supported the MH Learning Event for SAI’s, participating in planning events, and co-facilitation at the Event itself on 23 February 2021.

Maternity Collaborative

The HSCQI maternity collaborative is a sub group of the Maternity Strategy Implementation Group (MSIG) that has cross-trust and multi-professional input. The HSCQI maternity collaborative aims to improve the safety and outcomes of maternal and neonatal care by reducing regional variation in practice to provide a high quality healthcare experience for all women, babies and families across maternity services. As part of the work of the Maternity Collaborative all HSC Trusts plan to introduce a physiological approach for interpretation of cardiotocographs (CTG) for intrapartum fetal monitoring to improve maternal and neonatal outcomes. By using a physiological approach to CTG interpretation and having greater understanding and incorporation of physiology, we expect to see a reduction in unnecessary intervention for women as well as a reduction in fetal hypoxic neurological injury, intrapartum stillbirth and early neonatal death. To achieve this transition a Regional Intrapartum Fetal Monitoring Guideline and intrapartum physiological based evaluation tool and checklist have been developed, along with the provision of regional masterclass training for maternity staff.

Dr Penny Hill is the  HSCQI Maternity Collaborative Chair and is supported by Levette Lamb,  Regional Senior Improvement Advisor, HSCQI Hub.

• Driver diagram
• Physiological approach to CTG evaluation – During 2020 the focus of the collaborative has been on the implementation of a physiological approach to CTG evaluation.
• Maternity handheld record redesign  – Also during 2020 the focus of the collaborative has been on the redesign of the Maternity Handheld Record including the new patient information wallet. Click here for front of hand held record and back of hand held record.

Paediatric Collaborative