Project A Kick off slides

1. Innovation Burst
Improving ambulance services with
frontline staff and patients
26th and 27th September 2018

3. Agenda
• Check in: who is taking part?……..Eurovision
• Where do we need to get to?
• An “emergent” approach to the two days
• Next steps
• Go – be creative…………

4. Where we need to get to
Four or five ideas that can be implemented by
ambulance trusts across the country over the
next twelve months, supported by the Horizons
team and AACE

5. 12 ideas to be tested in the “innovation burst”
1. Exploring alternative responses to mental health calls
2. Using technology to improve care
3. Engagement and communication approach with communities and the
public
4. Review of high volume (or low volume high resource impact) patient
groups and potential for direct access approaches
5. Optimal strategy and approaches for staff wellbeing
6. Extending “make ready” teams to other ambulance services
7. Fast tracking ambulance staff with health issues into NHS services
8. Improving and standardising the handover process
9. Improving the response to patient falls
10.The “Productive Ambulance: Releasing time to care"
11.Rotation of paramedic roles
12.A directory of "quick wins" based on the ideas for small scale changes
that were submitted to the ideas platform

6. What do successful change
programmes do?
• Define the change they want to see
• Identify the pillars of power
• Create a spectrum of allies
• Seek to attract not overpower
• Build a plan to survive victory
Source: Satell G (2017)
How to create
transformational change,
according to the world’s
most successful social
movements

7. INSERT JARGON BOLLOCKS
Helen – here are my ‘notes’ from our chat this evening – thought they
might provide a stimulus for the next couple of slides……:
• Do not let yourselves be a slave to a process, this is about thought,
testing and trying something different.
• Allow yourself to be emergent in what may happen…….there is no
right or wrong approach…..wherever you arrive at over the two days is
the right answer……different themes will require different approaches
• Don’t get caught up in slavish proformas to fill out, improvement
science jargon or overly ambitious theory – value the thought,
discussion and connections in determining where you arrive at.
• The coach has a vital role to support you through the next two days
…….stimulus, challenge, connections, testing….
• We do want to get you to a conclusion (product) – some may be
better developed than others. Don’t let this worry you at this stage –
we can develop together over the two days…..

8. Reminder of how we want to test…..
Devise: testing a brand new idea to see if it is worth doing
Diffuse: testing the feasibility and practicality of an
initiative that is already working in one or more parts of the
country to the rest of the country
Deduce: discovering what is happening where (e.g,
identifying schemes for direct patient access, capturing
data on high volume patient groups, exploring demand)
Determine: testing fit with other initiatives and
organisational systems
Defix: putting things together (e.g, creating a overall
strategy for wellbeing, building a prototype for a
“Productive ambulance” type approach
Develop: creating a resource over the two days (e.g, a
directory of quick wins)

9. Grouping the ideas by process on 26 &
27 September
Ideas Type of test Description of test
1. Mental health response
2. Use of technology
3. Engaging with the public
4. High volume groups and
direct access
8. Handovers
9. Response to patient falls
Deduce Discovering what is happening where
6. Make ready teams
7. Fast track to NHS services
11. Rotation of paramedic roles
Diffuse Test the feasibility and practicality of
an initiative that is already working in
one or more parts of the country to
the rest of the country
5. Staff wellbeing
10. Productive ambulances
Defix Putting things together
12. Directory of quick wins Develop Creating a resource over the two days

10. Nationwide teams and local teams
Each theme has a design
brief…………
Think about how you will
have to work in your
Trust……but more
importantly how you will
come together with
other teams interested in
the same theme from
across the country……….

11. Coaches and critical friends
• Support
• Suggest
• Connect
• Challenge
• Curious
• Link to teams
• Will not
• Tell you what to do…….
• Tell you if it is right or wrong ….you
are the experts
• Shout at you!!!

12. Making connections
Remember – you will need to work across the themes, think of
the concept of a national team
Coaches/Horizons have tools to help
• Contact numbers in welcome guide (Coaches and other
Trusts)
• Provide conference call numbers
• We have SLACK and TRELLO set up……..why not have a go?
• Zoom – ambitious but we’ll help you out if you want to try
• Don’t wait to be told/suggested ……use initiative

13. What next?
Some suggestions:
• You have time to use……next check in 1pm
• Discuss in your Trust/Service – the design briefs and
themes ……..how might you best organise yourselves?
• Contact your coach……………or they will definitely contact
you at some point…….use them…….(tools etc)
• Remember – it is the first morning……….don’t rush to
solutions
• Think of the whys, the intelligence, the scanning……be
curious …………value your time
• How will you record your emerging work?

14. Go burst