nurse first j&j sep 2013
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Our Approach to Social Innovation in
HealthDave Dawes
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Community nursesCommunity nurses
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The Nurse First Model
LeadershipLeadership InnovationInnovation
FinanceFinance Entre-Entre-preneurshippreneurship
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The most important things in helping NHS clinicians take innovation forward were:
• attitude of senior managers in your organisation (31%)
• attitude of middle managers in your organisation (29%)
• being taught the skills & knowledge for innovation (29%)
• protected time (22%)• access to senior managers
in your organisation (17%)
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How easy to access your Chief
Exec?
How easy to access your Chief
Exec?
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Middle manager problem
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Ideas are worthless
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Execution matters
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Dealing with obstacles
Dealing with obstacles
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Emotional resilience
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Money is the Oxygen of the NHS
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Scissors of Doom
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CheaperBetter
CheaperBetter
CheaperWorse
CheaperWorse
Cost moreWorse
Cost moreWorse
Cost moreBetter
Cost moreBetter
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4 Pillars of Innovation
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Pro
ble
m
Gre
at
Idea
Busi
ness
Mod
el
Execu
tion
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Radical, incremental and
adaptive innovation
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Create costed business plans
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£1.2 million savings each£1.2 million savings each
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£1 million = 1 admission prevented per day
£1 million = 1 admission prevented per day
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Measurable personal
development
NHS Nurse FirstClinicians Cohort
% of staff who identify “lack of skills and knowledge” as a barrier to innovation
% of staff who identify “difficulty accessing senior managers” as a barrier to innovation
% of staff who identify “lack of ongoing funding” as a barrier to innovation
NHS Nurse FirstClinicians Cohort
NHS Nurse FirstClinicians Cohort
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Messiness of execution
Messiness of execution
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The reality of success
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Examples of projects
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Mental health & diabetes
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Older people
•£800,000 on acute admissions
•£280,000 on community admissions
•£400,000 on GP & community services
•New service saved £740,000
100 most vulnerable elderly people used:
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NutritionNutrition 12% of residents known to nutrition service
12% of residents known to nutrition service
20% over nutrition
20% over nutrition
22% under nutrition
22% under nutrition
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Falls prevention
Palliative careEx offenders
Infection control
Heart disease
Speech and languageMultiple Sclerosis
Epilepsy
COPDAsthma
Wound care
Sexual health
Diabetes
Cancer
Mental health
Carer support
Staff well-being
Social isolation
IncontinenceLymphodema
Drug and alcohol
Mother and baby
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www.nursefirst.org.uk