Innovation burst kick off slides

1. Innovation Burst
Improving ambulance services with
frontline staff and patients
26th and 27th September 2018

3. Agenda
• Check in: who is taking part?……..Eurovision
• Our challenge for the next two days?
• Our approach to the two days
• Next steps
• Go – be creative…………

4. the collective brilliance of people
who work in ambulance services
(with the help of a few critical friends)

5. Changes we can make
locally that could be
actioned across the
whole country to make a
big difference

6. 12 ideas to be tested in the “innovation burst”
1. Exploring alternative responses to mental health calls
2. Using technology to improve care
3. Engagement and communication approach with communities and the
public
4. Review of high volume (or low volume high resource impact) patient
groups and potential for direct access approaches
5. Optimal strategy and approaches for staff wellbeing
6. Extending “make ready” teams to other ambulance services
7. Fast tracking ambulance staff with health issues into NHS services
8. Improving and standardising the handover process
9. Improving the response to patient falls
10.The “Productive Ambulance: Releasing time to care"
11.Rotation of paramedic roles
12.A directory of "quick wins" based on the ideas for small scale changes
that were submitted to the ideas platform

7. Who is doing what?
7
East of
England London
North
East
South
East
Coast
South
West
West
Midlands Yorkshire
South
Central
North
West
East
Midlands Scotland Wales NI
Mental health responses
Technology
Public engagement
High volume patient groups
Staff wellbeing
Make ready teams
Fast track for carers
Improvementsin handover
An improved response to falls
Productive ambulance
Rotation
Directory of quick wins

8. Help and support - coaches
8
Idea Coach Idea Coach
1 - Mental health
response
Ian Baines - 07702411420
Angela Boyle - 07730391592
7 - Fast track care
for ambulance staff
Horizons
2 - Use of technology Dominic Cushnan
07590288865
8 - Improving
handover
Kate Pound
07990667121
3 - Engaging our
community
Catherine Wilton
07866610200
Beverley Taylor- 07702411012
Carol Munt - 07881911429
Kathryn Perera - 07730374749
9 - Our response to
falls
Diane Ketley
07775730538
4 - Meeting needs of
high volume patient
groups
Sasha Karakusevic
07825522319
10 - Releasing time
to care
Bev Mathews
07717345798
Helen Bevan
07766443625
5 - Improving staff
wellbeing
Rosanna Hunt - 07770704056 11 - Rotation Jude Goddard
07786518644
6 - Make ready teams Zoe Lord - 07721761744 12 - Quick wins Helen Bevan
07766443625
Bev Mathews

9. Overplanning kills magic

10. Some advice
DO DON’T
• Follow the questions in the
design brief
• Work out collectively what
you need to do as a
nationwide team and what
you do locally
• Make good use of your
coach
• Use templates if helpful
• Try to cover the design brief
by the end of 27th Sept
• Tweet your progress
• Capture your work
• Follow the process slavishly
• Start with “what” or “how”
rather than “why”
• Worry if you run into
problems
• Overcomplicate things
• Try to run a pilot rather
than a test
• Think there are “right” and
“wrong” answers

11. Source: Bromford P (2015) What’s the difference between a test and a pilot?

12. Think two steps down
• If you think it will
take a month to
test something,
what can we do in
one day?
• If it’s likely to take
four weeks, what
can we do in four
hours?
Years
Months
Weeks
Days
Hours
Mins Source: Paul Plsek

13. Tapping into the powerful tacit knowledge in
our system
Explicit
knowledge
Tacit
knowledge
Codified
knowledge
Found in Standard Operating
Procedures (SOPs), policies, toolkits,
quality standards
Essential for quality, safety, compliance
and transfer of knowledge
Untaught
knowledge
and know-how
Rooted in local settings,
experience,
practice and values
Hard to communicate
Most valuable kind of
knowledge for innovation and
improvement
Most likely to lead to
breakthroughs

14. Nationwide teams and local teams
Each idea has a design
brief…………
Start by getting together
virtually with the other
teams that are working on
the same idea and with your
coach to decide:
• how you will tackle this
and what you will do
locally and nationally
• When you will come
together as a nationwide
team

15. Coaches and critical friends
• Coordinate
• Support
• Suggest
• Connect
• Challenge
• Curious
• Link to teams
• Will not
• Tell you what to do…….
• Tell you if it is right or wrong ….you
are the experts
• Shout at you!!!

16. Making connections
Remember – you will need to work across the themes, think of
the concept of both a local and nationwide team
Coaches/Horizons have tools to help
• Contact numbers in welcome guide (Coaches and other
ambulance services)
• Provide conference call numbers
• We have SLACK and TRELLO set up……..why not have a go?
• Zoom – ambitious but we’ll help you out if you want to try
• Don’t wait to be told/suggested ……use initiative

17. 1. 15 minutes to discuss what you just heard and
sort out who is doing what in your team
2. At the scheduled time, get together virtually
with your coach and the other teams working on
the same idea to collectively agree how you will
tackle things over the next two days
3. Where your local team is working on multiple
ideas, have different team members go to
different briefings

18. Group conference calls - times
18
Idea Idea
1 Mental health response
10.30am – (0) 20 3695 0088
Meeting ID: 235 436 439
7 Fast track care for ambulance staff
Tomorrow – Conference number to set up
2 Use of Technology
10.30am – 02476 627590
Pin 998914
8 Improving handover
11.00 - 02476627573
User 871256
Chair 101029
6 Make ready teams
10.30 – 02476 627587
User 503759
Chair 104832
9 Our response to falls
11.00 – 02476627574
User 471816
Chair 103943
4 Meeting needs of high volume patient groups
10.45 – 02476 62 7585
User 569345
Chair 462905
3 Engaging our community
11.00 – 0800 917 1950
User 33136606#
Chair – 38970860
5 Improving staff wellbeing
10.45 – 02476627572
User 272729
Chair 182727
11 Rotation
11.15am – 02476 62 7584
User 643980
Chair 362084
10 Productive Ambulance Releasing time to care
10.45am – 02476627586
User 963214
Chair 192837
12 Quick wins
11.15am – 02476 627581
Pin 653496
Chair 492358

19. Go burst