Mr Gerry Marr

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• Mr Gerry Marr
• Chief Operating Officer
• NHS Tayside, Scotland

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From Practice to PolicyA Case Study

• How did an application to The Health Foundation
  to join the Patient Safety UK Initiative by one
  hospital in Scotland, emerge within two years as
  the government policy in Scotland ?

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(No Transcript)
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Building Alliances Creating Networks
With Organisations
With Individuals Recognised
Health Foundation Institute of Health
Improvement The Four SPI Sites Regulatory
Bodies The Health Department The Royal
Colleges Qulturum (Snedden)
Having self belief Self Awareness Drive for
Improvement Politically Astute Seizing the
Future Leading Change Through People
Building a Movement
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Building on the Evidence

• Not a managerial initiative launched top down
• rather
• An evidence based clinically engaged process
  which, through ruthless commitment to
  measurement, demonstrates real benefits to
  patients and reduction in harm over time.

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RESULTS ! Percentage of Unreconciled Medicines
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RESULTS ! VAP Rate
Rate is unusual and caused by 3 pts who each had
3 VAPs
3 long stay patients - one hypoxic brain injury,
one GBS, one burn and head injury
3 long stay patients - one hypoxic brain injury,
one GBS, one burn and head injury
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RESULTS ! Ventilator Bundle Compliance
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RESULTS ! ICU Average Length of Stay
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Using Results

• Presentations to - Chief Executive Officers
• - Chairs of Governing Boards
• - Department of Health
• - Royal Colleges and Academies
• - Bodies for Regulation and Inspection
• Coalition of Alliances - Organisations
• - Individuals
• Shaping the Agenda and Policy