Abstract

Patient and service user involvement in developing and delivering care has become part of every day practice. Over the last six years the NHS Leadership Academy has built an evidence base for how involving patients in leadership development positively influences the perception of healthcare leaders and in turn delivery of services. Through initiatives such as reciprocal mentoring, recruitment and selection training and storytelling, it has been possible to show that leaders think and behave differently as a direct result of their experiences. Initially evidence centred on the perspective of leaders but has now encompassed the extent to which patients, carers and service users themselves gain skills from the very act of involvement which has then been shown to support and enhance other areas of their life including a route back into employment. This seminar focused on understanding the nature of developing transferable skills through co-production and what is required in order to facilitate this successfully for mutual benefit.

Presentation slides available here

Abstract

This talk will critically explore the current trend towards more participatory methods for bringing about change within (and outside) healthcare organisations, and the resulting opportunities and challenges that arise for applied (and not so applied) qualitative health researchers. By revisiting the radical origins of such methods the talk will provide an opportunity to consider how they relate to more recent constructs such as Patient & Public Involvement. The potential for combining both imagination and rigour in qualitative research which might contribute to beneficial change in the organisation of healthcare service delivery will be discussed..

Biography: My research at King’s College London draws on the fields of organisational studies and organisational sociology. It incorporates the study of innovations in the organisation and delivery of health care services as well as quality improvement interventions. My current research interests include collaborating with service designers to identify and test any creative and participatory methods that might have value in addressing some of the challenges facing the NHS. Through a part-time Chair at Jönköping University, Sweden I am also collaborating on a long-term research programme which is seeking to explore, enhance and measure the value of co-production for improving the health and social care of citizens.

Abstract: This is a very personal, thought-provoking and heart-warming session that will leave you inspired, reflective and overall in awe of such an amazing individual that we were blessed to have as part of healthcare.

My inspiring wife Dr Kate Granger MBE along with myself came up with a social media campaign that has gone on to revolutionise patient care across global healthcare. This session will take you on the journey from the conception of #hellomynameis to how it now fits within healthcare and how Kate’s legacy continues through the work I do and the numerous accolades named after her.

Biography: Hello, my name is Chris Pointon and I am the husband of the late Dr Kate Granger MBE who was a doctor and patient. My wife died in 2016 aged just 34 after 5 years living with a terminal cancer diagnosis. Throughout that time we raised over £250,000 for charity (now at £380,000) and changed global healthcare through a simple campaign we started in 2013 entitled #hellomynameis. Following Kate’s death I continue to promote the campaign through talking at various conferences across the globe and worldwide awareness on social media.

I don’t officially work in healthcare myself and have spent my career of 26 years within retail and logistics with the last 17 years in the home office of a major global retailer. I recently finished a 12 month sabbatical from my career travelling the world raising awareness of the campaign and promoting compassionate care in healthcare and beyond, along with raising vast amounts of money for charity.

Presentation slides available here

Abstract: A growing number of reports and research studies show that people discharged from hospital often experience a sense of abandonment and stigmatisation, and that they all too often receive delayed, inappropriate or unsafe care. In many ways it can seem that these people are seen as less important or valuable to the care system. This paper draws upon the work of Giorgio Agamben to understand how the social organisation of care transitions can reduce people to their ‘bare’ life thereby making possible harmful and degrading treatment. The concept of ‘bare’ life is derived from classical Greek and Roman law, and describes a ‘life’ that is deprived or stripped of the safeguards and protections that are usually accorded to citizens in the form of a ‘qualified’ life.

The findings of a two-year ethnographic study are analysed to show how some people experience hospital discharge as a vulnerable, inhumane and unsafe process, as found in their lack of involvement in care planning, delayed discharge from hospital and inappropriate and unsafe follow-on care. This is shown to stem from the way patients are constituted as ‘unknown’ and ‘ineligible’ and, in turn, professionals become ‘not responsible’ for care during and after the discharge processes. The social production of ‘bare life’ is found to be an inadvertent feature of patients ‘falling between gaps’ of different professional practices and cultures within a complex care system.

Biography: I completed my doctorate in Sociology at the University of Nottingham (2004) on ‘The social construction and control of medical errors’. I am now Professor in Organisational Sociology at Nottingham University Business School. In 2013, I founded the Centre for Health Innovation, Leadership & Learning (CHILL), which leads the Business School’s research on health systems improvement, and in the same year was awarded a Health Foundation Improvement Science Fellowship to undertake research on major system change. I am currently Associate Dean for Research within the Business School, and also the Lead for the ‘Implementing Evidence and Improvement’ Theme for NIHR CLAHRC East Midlands, and the Lead for the ‘Safer Care Systems and Transitions’ Theme for the NIHR Greater Manchester Patient Safety Translational Research Centre.

Presentation slides available here.

Abstract: Patient safety has established itself as a multidisciplinary research arena for over 2 decades. During this time, a number of high profile safety-improvement interventions have been developed and evaluated, with some showing very promising results in scientific trials and other studies. Yet, descriptive evidence and anecdotal accounts from the frontline of healthcare delivery suggest that some of these interventions have struggled to gain adequate traction within routine health services – such that their expected positive impact on patient outcomes has not always been consistent.

In this seminar I will explore some of the above barriers, with specific examples from acute healthcare. I will offer an overview of the basic tenets of implementation science and reflect on their application within the current evidence base for patient safety. I will conclude the seminar with a call for reflection and debate with the audience regarding the need for further patient safety studies that evaluate clinical effectiveness, compared to studies that focus on implementation effectiveness instead – arguing that the latter are now more timely than ever.

Biography: A psychologist by training, Nick is Director of the Centre for Implementation Science at King’s College London, Academic Director of the Quality Improvement and Implementation Science Clinical Academic Group within King’s Health Partners, Chief Editor of BMJ Simulation and Technology Enhanced Learning and Associate Editor of Implementation Science. His research is situated at the interface of patient safety, improvement and implementation sciences. For the past 15 years, Nick has been studying perioperative and cancer pathways, aiming to address human factors in care delivery; to understand barriers and drivers of implementing and sustaining evidence-based improvement interventions; and to increase capacity to undertake safety and quality improvement at the frontline of healthcare delivery. His research has been disseminated in over 300 publications and chapters to-date.

Presentation slides available here