Framework for the Management of Change Service Improvement and the introduction of consultant and ES

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Framework for the Management of Change Service
Improvement and the introduction of consultant
and ESP posts

• Fiona Jenkins and Dr. Robert Jones
  
• 8th March 2006

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Overview

• Theory of Change
• AHP Service Changes
• New Roles
• Impact

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Theory of Change

• Everything flows and nothing stays
  Heraclitus 513 BC
• Moving from the current to the desired
  situation
  Jones 2004
• Its inevitable, embrace it, so do it and do
  it well!
  Jenkins 2005

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Framework 1Moving From the Current to the
Desired Situation

• Identify Triggers for Change
• Managerial Imperatives
• Political Imperatives
• Shared Vision, Objectives and Critical Success
  Factors

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Framework 2Essential Actions

• Timing
• Setting the Direction
• Staff Participation at all Levels
• Negotiation with Stakeholders
• Specification Phase
• Implementation
• Determine Evaluation Parameters

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Framework 3 Skills for Success

• MANAGEMENT
• Authority, responsibility, accountability
• Strategic thinking
• Creativity
• Negotiating , Influencing
• Resources
• Political awareness
• Inclusive style

• LEADERSHIP
• Enthusiasm and commitment
• Communication
• Ability to challenge comfort zones
• Empowerment of staff at all levels
• Ownership

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Framework 4Evaluation

• Completion within Time and Resources
• Success Criteria
• Training
• Service User, Stakeholder and Staff Feedback
• Adjust and Re-evaluate

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Framework 5Learning Points

• Understanding the Context
• Constraints and Barriers
• Clear vision of Desired Situation
• Importance of People
• Variety of Management Styles
• Communication - Timely, Frequent, Open
• Infrastructure - Organisational Support
• Resilience!

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What Does this mean for AHPs?
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AHP Service Changes

• Patient Orientated
• Changing NHS Policy
• Organisational Change
• Agenda for Change
• Different Ways of Working
• Service Improvement
• New and Expanded Roles
• Improving Working Lives

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Applications of Change Framework

• Systems
• Care Pathways
• 7 day Working
• New Ways of Working
• Demand and supply management
• Cost containment
• PBC, PBR, Choose and Book.
• Connect for Health
• Patient led NHS
• Our health, Our care, Our say

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Applications of Change Framework - New Roles

• Horizon Scanning
• Needs Assessment
• SHA Hoops
• Prescribing opportunity
• Dont forget
• Regulation
• Legal considerations
• Infrastructure
• Clinical Supervision
• Training

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Examples

• Clinical Diagnosis
• Pre /Post Surgery Clinics
• Hand Therapy
• In /Outreach Clinics
• Joint Agency Intemed. Care
• Triage Services
• Musculoskeletal Services
• Rehabilitation
• Paediatric Services

• Consultant
• ESP
• Advanced Practitioners
• Clinical Specialists
• Podiatric Surgeons
• Assistant practitioner
• ADP staff

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Clinical Specialists

• Working at a Highly Specialised Level Within the
  Boundary of the Profession

Core Professional Practice
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Extended Scope Practitioners

• Working at Specialist Level Within and Beyond the
  Boundary of their Profession

Extended Practice
Core Professional Practice
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The Consultant AHP Role
Expert Clinical Practice
LEADERSHIP
Education Professional Development
Research Evaluation
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Consultant Posts

• Provide Better Patient Outcomes
• Clinical Expertise
• Strengthen Professional Leadership
• Research and Development
• Education and Training
• New Career Opportunity

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Impact of New Roles

• Clinical Governance
• Quality
• Effectiveness
• Efficiency
• Clinical Leadership
• Quantity / Activity
• Information Management
• Resources

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Learning Points

• Innovate
• Change management tools and techniques
• Business planning
• Options appraisals
• Information management
• Interpersonal skills
• Negotiation skills
• Evaluation
• Communicate to the wider NHS

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Collaborative Working!