Paper 1c - NHS Ayrshire and Arran.

Paper 1c
Name of Meeting
Continuous Clinical Improvement Board (CCIB)
Date of Meeting Tuesday 02 October 2012
Place of Meeting
Author(s)
Topic
Room 7, McDonald Education Centre, Ayr Hospital
Professor Craig White, Assistant Director, Executive Medical
Directorate
SAER Lead Reviewer Training - Action Learning Proposal
Situation 1.0 The refreshed roles and responsibilities to implement the new
SAER system will require that training and awareness raising
initiatives and progressed.
Background 2.0 CCIB development events in the past have identified the benefits of
shared learning and development work focused on key
organisational priorities.
Assessment 3.0 Review of the prior experiences of CCIB development and areas
influencing the effectiveness of the SAER Lead Reviewer role have
been identified as:
• Organisational history and culture
• Scrutiny, Governance and Assurance
• System thinking and human factors
• Relationship, communications and emotions
• The process
• Root cause analysis
• Learning and Improvement
A draft proposal for action learning has been developed in
discussion with the OD Lead, Assistant Directors (Executive
Medical and Nurse Directorate), Associate Nurse Director (Primary
Care) and Clinical Improvement Lead.
Recommendations 4.0
Consider and approve a proposal for SAER Lead Reviewer Training
(Annex 1). This proposal is based on action learning principles and
would be facilitated by the OD Lead.
4.1 Agree an approach to ensuring that this is arranged to maximise
attendance.

SAER LEAD REVIEWER TRAINING
Annex 1
Attendance: CCIB, Jenny Copeland, Lorna Kenmuir
Pre-work
• Read the policies and papers in order to have a detailed working knowledge at the event
Session purpose:
• To explore how we as an organisation need to be in order to create a safe, supportive, caring and learning organisation
• To explore in detail all aspects of managing SAERs in order to have a common approach to leaning and improvement
• To enhance the content for the ongoing training of Line and duty managers
Event duration: 1 day
Session duration: 45 mins
Each session to be designed to include / be:
• Evidence based knowledge and practice
• Exploration of behaviours and tone
• Reference to process
• Continuous learning and improvements
• Interactive and enjoyable
Actions:
Obtain agreement for training proposal: CW – BM; DM – F McQ; JC – PL
Identify suitable date: Chris Rodden
Book venue: ACH: Chris Rodden
Brief delegates: Chris to issue outline and Jenny Copeland to discuss at CCIB

SAER LEAD REVIEWER TRAINING
Time Topic Content Duration Props Who
1. 09.00 – 09.15 Welcome and Delegates arrive registration is conducted
registration
1.1 09.15 – 09.30 Clinical • Bob , Fiona and Carol to welcome and set
5 mins Exec
welcome
objectives
1 09.30 – 10.15 History and
culture:
2 10.15 – 11.00 Scrutiny,
Governance
and
Assurance:
11.00 – 11.15 Break
3 11.15 – 12.00 System
thinking and
Human factors
Provide an exploration of the context, history and
culture of NHS Scotland with particular reference to
NHS Ayrshire and Arran
Explore both the system and human aspects of the
SAER culture and how culture change is achieved in
complex systems
Provide an exploration of the organisations Scrutiny,
Governance and Assurance requirements in respect of
SAERs.
Clarify the responsibilities and exposure
organisationally, professionally and personally
Describe complex adaptive systems and the
relationship with human factors that contribute to
SAERs.
45 Mary
McGinn
John
Taylor
Derek
Barron
Grant
McHattie
Ann Gow
Diane
Murray
4 12.00 – 12.45 Relationships,
communicatio
ns and
emotions
Highlight the key considerations both process and
human
Explore and present the impact and effect of
involvement in SAERs for patients, families, staff and
ourselves and how to best minimise risk and potential
damage.
Crawford
McGuffie
Craig
White

SAER LEAD REVIEWER TRAINING
12.45 – 13.15 Lunch
5 13.15 – 14.00 The process Present the elements of the process making linkages to
the system highlighting the key points that may require
increased vigilance
6 14.00 – 14.45 Root cause
analysis
7 14.45 – 15.30 Learning and
improvement
Provide an overview of the 6 steps of the RCA process
describing key tools and techniques.
Establish the groups’ current confidence and
competence and explore the need for further training /
support.
Explore how we learn from SAERs and how we know
that the derived learning is embedded resulting in
improvement.
How can we demonstrate / measure that it is
embedded and delivering the expected improvement
and how can / do we identify when it isn’t.
8 15.30 – 16.15 Help? Given the days inputs and explorations how well
informed and clear are the team in order to go forth to
deliver a consistent SAER process.
Clarify the elements of the training that will be delivered
to the line and duty managers.
Post event action learning sets to be arranged for ongoing peer support
Michele
Caldwell
Angel
O’Neil
Ken
Ferguson
Andrew
Moore
Mark
McGregor
Billy
McClean
Phil
Korsah
Andrew
Murray
Janet
McKay