Creating a service
Idea
Creating a service
Networking / consultation
Identify the need
Find funding
Create a project plan
Business Plan
Creating a serviceCreate a project plan
Aims
Indicators of success / outcomes
Target
Monitoring
Objectives
Evaluation
Creating a serviceCreate a project plan
Client pathway
Policies and procedures
Consent forms
Considerations for therapy / patients charter
Leaflets
Patient information
Recording information / client notes
Communicating with other professional
Gathering information for monitoring and evaluation
Organisational chart
Creating a serviceRecruitment
Training & CPD requirements
Job description
CRB
Insurance
Contract
Person Specifications
Interviews
References
Advertising
Creating a serviceAdapting the project
Clinical Governance
Audit
Patient feedback
Staff feedback
Team Meetings
Referrer Feedback
Creating a serviceAdapting the project
• The aim of audit is to identify how closely your practice relates to best practice as described by standards, clinical guidelines or other sources of best practice.
• A systematic examination of current practice to assess how well you are performing against set standards (i.e. allows you to measure performance against targets)
• Analyse systematically the quality of care provided and to monitor improvements.
• It is a useful tool for showing you where you are and helping you decide where you want to be in the future.
• A variety of methods may be used in performing an audit (e.g. observing practice, examining case records, activity levels)
• The outcomes of the audit are compared with the set standards.
• Any deficit is addressed by implementing changes, which in turn are re-audited to measure their effectiveness.
Audit
Creating a serviceAdapting the project
Audit Cycle
Identify a topic / issue/ problem
Set standards / goals
Collect data and measure quality
Identify if change is needed
If needed, decide on a strategy for
change
Implement change
Measure effectiveness of
change
Creating a serviceAdapting the project
Clinical Governance
• Continuously improving the quality and effectiveness of the service
A system of being accountable for:
• Maintaining / safeguarding existing high standards
• Ensuring that patients receive the highest possible quality of care
• Creating an environment which aims for clinical excellence
Creating a serviceAdapting the project
Clinical Governance
Must be willing to:
• To accept that there may be scope for improvement
• To accept that as demands and needs change, the project might
need to change to maintain the existing good service
• Look out for the need to change / adapt
• Make the changes / adaptations
• Continually review the situation
Creating a serviceAdapting the project
Clinical Governance
Risk avoidance
Well trained staff
Continued Professional Development
Clear procedures and guidelines (policies and procedures)
Safe environment
Risk management
Creating a serviceAdapting the project
Clinical Governance
Poor performance
Early recognition
Decisive intervention
Effective self regulation
Feedback on performance
Complaints procedure
Creating a serviceAdapting the project
Clinical Governance
Quality Methods
Good practice spread
Clinical policies evidence based
Lessons learned from failure
Improvement processes integrated
Clinical audit
Creating a serviceAdapting the project
Clinical Governance
Culture
Open and participative
Good leadership
Education and research valued
Patient / carer participation
Ethos of teamwork
Creating a serviceAdapting the project
Clinical Governance
Infrastructure
Access to evidence
Time allowed to plan
Training and development strategies
Information technology supports practice
Integrated Care Pathways
Creating a serviceAdapting the project
Clinical Governance
Coherence
Goals of individual, team and organisation aligned
Excellent communications
External partnerships forged
Professional and Organisational Accreditation
Cost effectiveness
Creating a service
Sustainability
Keeping up with the changing needs of the service user
Funding if original funding is time limited
Continued promotion of the service
Creating trust in those who would refer to you
Spreading the news about good practice and outcomes
Partnership working
Networking
Outreach Children’s Project
Gave a talk at a local community children’s centre about Freshwinds.
Identified that families would like to access service but too far for them to come.
Attended local Birmingham Children’s Fund Meetings as a way of letting relevant people know about Freshwinds’ Children’s Project
Contacts made through these meetings led us to successfully submit a funding bid to the Birmingham Early Years Development and Childcare Partnership for an outreach therapist to attend at an inclusive play scheme based at the children’s centre.
The funding bid had to be adapted to the criteria of the funder – e.g. incorporating educational elements and giving priority to children up to the age of 5 years.
At an inclusive play scheme
Outreach Children’s ProjectCreate a project plan
Aims
Indicators of success / outcomes
Target
Monitoring
Objectives
Evaluation
Outreach Children’s Project
Aims
To contribute to the holistic picture of health and well-being (physical, emotional, psychological and social well-being) of
children with life-threatening and life-limiting health conditions, and their families, through the safe provision of
complementary therapies, and access to information about complementary therapies, within the setting of an inclusive
play scheme, held at the children’s centre.
Outreach Children’s Project
Objectives• To provide individual complementary therapy sessions (in at least one type of therapy) for the child, siblings and parents/carers
• To educate carers and children (where appropriate) in some basic complementary therapeutic skills (relevant to the therapy that the therapist is qualified in) that can be utilised by themselves, thus empowering them to look after themselves / their child.
• To offer staff and volunteers within the play scheme the opportunity to experience a complementary therapy session, to access education about the therapy and to learn some basic therapeutic skills, so that they are able to give informed advice to carers regarding complementary therapies.
• To act as a resource of information about the complementary therapy that the therapist is qualified in, as well as about the principles of holistic care, including giving talks and demonstrations
Outreach Children’s Project
Indicators of success
• Parents/carers and children (where appropriate) report positive benefits to their or their child’s health and well-being as a consequence of having access to the complementary therapy
• Carers and children (where appropriate) make use of learned basic therapeutic skills to help with their or their child’s health and well-being
• Carers and children (where appropriate) feel better able to make informed decisions about complementary therapy
• Staff and volunteers feel better able to give informed advice about complementary therapy
Outreach Children’s Project
Targets
• On average, for each play scheme day attended by the therapist, to provide therapy for at least 3 individuals (children, carers or staff/volunteers), excluding days put aside for group talks/demonstrations
• Within a 12 month period, to provide at least 2 sessions of talks or demonstrations or basic skills sessions
Outreach Children’s ProjectMonitoring
• Feedback questionnaires after talks, demonstrations or basic skills sessions to assess immediate impact
• Feedback questionnaires after individual therapy sessions to assess immediate impact
• Feedback questionnaires to all participants at the end of the year to assess overall and long-term impact of the service
• Record the number of therapy sessions provided
• Record the number of people who have accessed therapy sessions
• Record the number of talks, demonstrations or basic skills sessions done and the attendance at them
Afternoon groups
Funding & Networking
Monitoring and evaluation
Policies and procedures
Working safely with children