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The Academy of Research and Improvement Academy PROSPECTUS

WELCOME We are focused on leading and delivering community based research innovation and improvement that drives better care for everyone we are the Academy of Research and Improvement Whether you are a Solent employee patient or member of our community our aim is to help people develop the skills tools and confidence to identify areas that could be improved within the Trust as well as manage and deliver projects and measure impact Primarily we want to ensure people enjoy being involved and see the value of research and improvement Fundamentally a culture of enquiry will make us stronger and will make the care we provide even better This prospectus is for the people who work in or with Solent and for the people who receive our care it is these people who understand the best questions to ask and who can see the most effective opportunities to improve Please enjoy engage and connect Dr Dan Baylis Chief Medical Officer The Academy team is made up of people with skills and experience in a wide range of improvement methods We love what we do and are here to help you to get involved and use different tools to continuously develop and learn personally and professionally We work in an integrated way and provide a one stop shop for support and advice and we also carry out research and evaluations on behalf of others Whatever your level of experience or your area of interest and whether you work for Solent or are touched by our services please do get in touch we d love to hear from you Dr Sarah Williams Associate Director of Research and Improvement This prospectus is designed to enable you to identify what training and support is available to help you get involved as well as an overview of activities that are closely interlinked Our training is available for all Solent employees and students our colleagues in the broader care sector and those who use our services Research ways to get involved 1 Quality Improvement training options 5 Clinical Effectiveness improving care 7 Evaluation Hub supporting larger scale projects 9 Innovation supporting and funding ideas 11 People participation working together 13 Library Service accessing resources and tools 15 Sharing learning helping others succeed 15 Workshops training and development 16 Contact us 17 CONTENTS I am incredibly proud of the Academy and of its role within Solent For millennia advances in healthcare have been a consequence of people asking and answering questions and looking for opportunities to constantly improve and to learn We continue this today as a thriving principle of Solent s clinical framework forming a key foundation to our organisation

RESEARCH Research is one of the core pillars of the Solent Clinical Framework We can help you to learn about research how to be involved and how to build programmes of work in your area of care Ways to get involved BECOME A PATIENT RESEARCH ADVOCATE EXPERT BY EXPERIENCE BECOME A RESEARCH CHAMPION Receive a programme of training over the course of up to one year to become a champion of research in your service or area of expertise Contribute to research projects and support design Benefit from allocated paid time that you can dedicate to being a Research Champion Advise on ways that research is carried out eg how to find participants how to make it accessible how to share findings Build supervision and support networks run a small scale project and plan next steps Provide the patient public voice to ensure research is relevant and useful I moved into a Research Nurse position which was invaluable it opened my eyes to seeing how research works in the NHS from research design to recruitment and data collection It also gave me a great understanding of research governance and ethics At the same time I began work on my Master s dissertation this allowed me to experience conducting my own research whilst developing skills in academic research For anyone thinking of getting into research I would say go for it Research is rich rewarding and exciting It doesn t matter where you are starting from there are so many opportunities available Anna District Nurse PhD Fellowship Having watched my husband lose his life to Dementia I wanted to give something back do more and get involved in research Research in any field depends on patients and their families to improve methodology and studies I have taken part in a range of research studies and activities such as finding ways to make questionnaires more dementia friendly so people living with Dementia can express their choices I enjoy sharing the common purpose of being involved in making a difference and contributing ideas that are respected and listened to by all JOIN THE CLINICAL ACADEMIC CAREER PATHWAY Hold a joint role as clinician and academic and lead research in your service or area of expertise Join teams on dedicated fellowships and contribute to research strategy Gain an MSc PhD or post doctoral award Join national networks and present at conferences I have the privilege of being both an NHS Podiatrist and an academic in the University of Southampton Being in both worlds means that I understand and can quickly highlight the needs of service users or staff and then bring people and resources together to improve things I also work with students which means that our future clinicians learn about current challenges and the cutting edge of patient care Lindsey Podiatrist and Academic Mary Side by Side Network Member Contribute to the generation of knowledge in your field I have been part of the SIREN study for just over a year now I felt it was really important to help us understand how COVID affects us working within healthcare It was quick and easy to take part involving a PCR swab every two weeks and a monthly blood test I found it really helpful that we got sent our results by text after each test For me knowing that the measures I was taking washing my hands wearing my mask wiping down all my equipment in between patients etc and getting PCR tests regularly made me feel more confident that I was doing my bit in preventing the spread of COVID with my patients 1 Alexandra Research Participant TAKE PART IN A RESEARCH STUDY AS A PARTICIPANT Volunteer for a research project that you are eligible to be part of REFER YOUR PATIENTS INTO RESEARCH TRIALS Learn about how research works and explore research ethics and consent Increase understanding and the options patients have to get involved in research In my role as health advisor I am continually having conversations with service users around risk behaviours and anxieties involving their sexual health especially in acquiring HIV I supported my service users to take part in the PrEP Impact Trial a prophylaxis medicine people at risk for HIV can take to prevent infection It allowed me to offer additional ways to empower those I speak to in negotiating achieving and enjoying the type of sex life they want the trial was so successful it is now part of standard care Michelle Sexual Health Advisor 2

RESEARCH DESIGN AND RUN YOUR OWN STUDY More ways to get involved Apply for research ethics Apply for a small scale research grant Build a research team and lead a study that is relevant to your service area or care need Publish and share your learnings and build networks for collaboration BECOME A PRINCIPAL INVESTIGATOR Take responsibility for how a study is carried out in Solent Receive specialist training and learn about research governance and management Work with a team of Research Clinicians or a Clinical Research Assistant My objectives are to support inspire and develop future researchers build research capacity and ensure that we are in a strong position to apply for and be granted research funding I have been co applicant on two successful NIHR funded projects and a Principal Investigator on another investigating the clinical and costeffectiveness of two commonly used pain interventions The first trial led to improvements in techniques in the management of sciatica We have already reduced variation in the technique in the UK through development of a consensus document on the technique and further training Cathy Consultant in Pain Management JOIN THE RESEARCH DELIVERY TEAM Take on a role in delivering research such as Research Nurse Research Therapist or Clinical Reseach Assistant Be responsible for setting up and running national or international trials that Solent are supporting I have been involved in setting up and delivering the new fibromyalgia service within Solent West Traditionally these patients were seen in secondary care but there is a drive for them to be supported within a community setting Allied Health Professionals at the Royal United Hospitals Bath designed and implemented a therapy led Fibromyalgia Self Management programme that Solent is now delivering It s a great opportunity to be involved in research and hopefully we will have some robust evidence to support setting up a similar service in the East providing an effective community based programe for our fibromyalgia patients Lucy Musculoskeletal MSK Physiotherapist Receive specialist training in research ethics set up and management Having worked in the research field for 20 years I have been lucky enough to be involved in many cutting edge trials that have led to new and often life changing treatments I feel honoured to have been involved with so many patients who have volunteered for trials often with no direct benefit to themselves except for giving something back and helping future generations Research is at the heart of evidence based care and improving patient outcomes Jo Senior Research Nurse BECOME A STUDY OR GRANT COLLABORATOR Be part of a design team for a study that is relevant to your service or care need Support adoption of innovation and get involved in the creation of publications Work as with patient advocates and join networks of patients clinical and academic experts I have really valued having the chance to form new partnerships which has reinvigorated research activity in my clinical service With support we ve been able to reflect question and explore what we do and how we can improve it alongside our service users As a result we have just had the first homegrown IAPT research study in Wessex to be adopted onto the NIHR portfolio hopefully the first of many Tanya Cognitive Behavioural Therapist To find out more about Research at Solent please visit 3 www academy solent nhs uk research 4

QUALITY IMPROVEMENT Quality Improvement P R O G R A M M E develop your skills in improvement Our Quality Improvement QI programme is an opportunity for everyone staff patients community partners and the public to get involved in making ongoing improvements to care The programme provides training and support for all levels of experience in QI skills and methods Training is provided in stages to help you develop understanding insight and confidence To find out more about the Quality Improvement training programme please visit QI INTRODUCTION QI FOUNDATION Who it s for Anyone interested in QI Who it s for QI beginners What to expect An introduction to the principles of QI and how it can help you and your service plus examples of relevant projects What to expect Introduction to QI tools the principles of measurement and Plan Do Study Act PDSA cycles as well as working with patients and communities QI PRACTITIONER QI LEADER Who it s for Teams where at least one member has some previous training in QI Duration One hour Duration Three online sessions each two hours long or one day face to face What to expect Exploring how to identify and deliver a QI project and tools that are available We ll look at how and why you should encourage patients to participate the importance of team engagement and how to creatively share your learning Who it s for Those experienced in QI who would like to become a champion and provide support to others Location Online or face to face we can come to team meetings QI FOR PATIENTS PUBLIC AND COMMUNITY Who it s for Patients and members of the public What to expect The session is delivered in partnership with current QI patient leads and will provide an introduction to Solent Quality Improvement and getting involved Duration Two and a half hours Location Online in person training can be arranged It s nice to know that your views are being listened to I ve really grown in confidence 5 Paula Public Participant Location Online or in person The course opened my eyes to establishing a clear aim to the project it s all too easy for something to grow arms and legs and become unachievable or nothing like you set out to achieve The Plan Do Study Act cycles allow for changes in a measured and monitored way if the evidence suggests it is required Jo Building and Environmental Compliance Manager www academy solent nhs uk improvement Duration Four days over six months Location Face to face with other teams The input of QI has been genuinely transformative The standard of the QI training was very high and helped me appreciate the fundamentals of a successful project It has allowed the Care Home Team and Older Persons Community Mental Health Team to work together to support care homes across Portsmouth to have timely and appropriate access for their residents mental wellbeing Chloe Junior Doctor What to expect We ll introduce advanced QI tools as well as the principles of leadership and coaching There will also be a focus on the value of working in partnership and influencing others Duration Four days over six months backfill payments are available Location Face to face It s been such a positive experience I had a lightbulb moment around the importance of coaching now I ve changed the quality of my conversations Dan QI Leader

CLINICAL EFFECTIVENESS THE CLINICAL EFFECTIVENESS TOOLS WE USE CLINICAL AUDIT assurance and improvement The Trust s vision is to provide great care To do this it is important that we measure the effectiveness of our services identify any concerns and plan for improvement Being able to say with confidence that your service is effective or improving is motivating for our teams and reassuring to patients We offer support and training in the project design and delivery We also provide support with data analysis action planning reporting and sharing Getting involved in audit and evaluation can be the start of a broader improvement or research career PURPOSE BEST USES To assess care against set standards where these aren t met improvements can be planned Measures effectiveness of elements of services or new services Captures the impact of care or treatment on an individual for example quality of life or mobility Clinical Audit provides assurance and highlights areas which may need some improvement Service Evaluation is an adaptable tool to explore how a service or initiative is working It also allows for the patient voice and experience to be included Reported Outcomes can be used to guide treatment with patients and to assess how well interventions are working for them Introduction to Clinical Audit workshops Talk to your audit lead Ask for help designing tools Workshops Introduction to Evaluation Surveys and interviewing Demystifying statistics Workshops Using outcomes measures Co designing services Working with the Patient Systems Teams to embed into existing record keeping platforms If you d like to get involved in any of these activities you can Come along to one of our introductory workshops Visit our SolNet webpage to see what is planned Talk to your service line audit leads Our team will happily support you in refining your project idea and helping to plan your process SUPPORT AND TRAINING WHAT PEOPLE HAVE SAID To find out more about Clinical Effectiveness and the tools you can use please visit 7 www academy solent nhs uk improvement SERVICE EVALUATION CLINICAL PATIENT REPORTED OUTCOMES Our recent audit shone a light on the new way of working that had been implemented post redeployment It provided positive re enforcement that the changes that had been made were working well It has also allowed us to see where there are gaps in the teams patient note writing skills Lee Physiotherapist The COVID 19 pandemic required a rapid transformative response to Pain Management Programme delivery Our evaluation showed parity between our face to face courses compared to the new Zoom courses This provided the morale boost that we were still able to offer an effective intervention in drastically changed circumstances Deborah Pain Service Our newly introduced Patient Reported Outcome Measures have helped us to understand the areas we needed to improve Through this the team have been able to be much more engaged in using the tools to improve our patient care Olivia MacMillan Physio 8

C ARE HUB introducing our new Community Applied Research and Evaluation C ARE Hub https www academy solent nhs uk covid 19 We are now able to offer support or consultancy for larger scale evaluations or appraisals Please get in touch to find out more WHAT WE DO THE VALUE We provide expertise and support in the design and delivery of applied evaluation and research in multiple settings across our systems and communities Rapid and responsive timely insight into the impact of new initiatives and models of working We use progressive and innovative methods to facilitate flexible rapid and forward thinking evaluation and research that adapt and respond to community settings We believe strongly that evaluation allows constructive and collective learning that can lead to improvement It is not about judgement but purely to facilitate learning improvement and innovation 9 Future thinking identifies preferences and opportunities for future development THE OFFER EVALUATION DELIVERY Access diversity and inclusion captures the experience of a wide range of people increasing inclusion as well as building future engagement in improvement People focused our evaluations focus on people with an emphasis on collective involvement and accessible learning Leadership listening learning and responding setting a precedent for a culture focused on people and improvement Carrying out rapid evaluation and appraisal on your behalf Producing reports infographics and web suitable materials for feeding back Using stories and case studies to capture the human element Appreciative Inquiry understanding what goes right Ensuring that the user voice is captured Facilitating the co design of workable recommendations and improvements EVALUATION SUPPORT EVALUATION TRAINING Supporting you to carry out your own evaluations Evaluation methods and approaches Advice on design and methods People participation Analysis and reporting of findings Sharing the learning Planning any change Using evaluation findings for seeking funding for future projects or research Helping the inclusion of people s voices community staff patients families Ideas around dissemination and sharing of learning Take a look at how we have learned and evaluated during COVID 19 www academy solent nhs uk COVID 19 10

INNOVATION Continuous innovation is critical to continuously improving care To find out more about Solent Dragons Den and how we can support your idea please visit This can range from new uses of technology modernising equipment or different ways of working If you have an idea or would like some support in sourcing funding building an evidence base or testing change then we can help Small scale funding for pump priming innovation is available through Solent Dragons Den www academy solent nhs uk improvement dragons den CHILDRENS THERAPIES TEAM DIABETIC FOOT IMAGING POCKET THERAPY MEMORY AIDS The Childrens Therapies team led the implementation of a digital version of Boardmaker supporting the education communication access and social emotional needs of children The Podiatry Diabetes Service has introduced the use of MolecuLight i X a handheld camera that is simple to operate Bethany was our first service user to win funding from Solent Dragons Den and worked with her Clinical Manager Jo Tedbury to produce a set of pocket memory aids to support those in mental health recovery The team worked alongside the Solent IT Team to be able to use this tool Childrens Therapies team says It may sound dramatic but it will be life changing I got very excited when I saw that little icon this morning that has well and truly made my week SOLENT DRAGONS DEN 11 The camera uses fluorescence to quickly safety and easily visualise potentially harmful bacteria in wounds that could otherwise go undetected and cause bacterial infection This allows clinicians to visualise bacteria and measure wounds providing them with maximum insights for accurate treatment selection and accelerated healing Bethany says The idea for this project came directly from my experience I am a graphic designer and a service user I have spent many years designing and also many years struggling with my mental health I have undergone different therapies and this is where I met Jo The therapies I received were a lifeline that hugely changed the way I approached my mental health and taught me new ways of thinking about it Most importantly they showed me how I could understand and live with my diagnosis This is where the idea for a memory aid was born 12

PEOPLE PARTICIPATION working together with patients families and communities We can provide our staff and colleagues with advice and support around involving patients and community members including Providing training and supporting you as you work in partnership Supporting patient and community led improvement activity Identifying ways to learn about ideas for improvement Sharing ideas and stories Any improvement and learning should happen alongside those that use our services or those that we work alongside in the community There are many ways that we can work in partnership and for our patients families and community colleagues to be involved in the development and growth of our services When we work together with our patients carers families and communities to improve and develop services everyone benefits Connecting with others who involve patients as volunteers peer workers and in co production SIDE BY SIDE Side by Side is the name of our network of patient and public facilitators and supporters This is a group that meets regularly to work on projects or events and to help with our strategic direction and planning Projects have included EXAMPLES OF OPPORTUNITIES TO GET INVOLVED sidebyside USING YOUR PATIENT EXPERIENCE TO IMPROVE SERVICES SITTING ON INTERVIEW PANELS DELIVERING TRAINING TOGETHER CO DESIGNING SERVICES PROVIDING PEER SUPPORT BECOMING MEMBERS OF COMMITTEES The thing I found most fulfilling was being part of an interview panel it was great to be able to represent the patient voice It made me feel I was contributing to the planning and future in getting the right person for the job Julian Volunteer and Patient Planning our annual conference Setting priorities for the year Judging our awards Being part of recruitment and interviews Writing guidelines and top tips for partnership working Peer support working It s done in a friendly caring environment and it s a good opportunity to have fun and learn about what s going on and have your say If you take part in this you will find it fulfilling because you can see the benefits of your work and your ideas Roger Carer and Patient HELPING TO PLAN AND RUN EVENTS PRODUCING PATIENT INFO THAT IS ACCESSIBLE AND RELEVANT SHARING INNOVATIVE IDEAS AND GETTING THEM PUT INTO PRACTICE I hadn t realised the value of patient participation until I used this approach with my service development project It has really added depth and important changes to my approach Sita Women s Health Physiotherapist 13 Find out more about getting involved www academy solent nhs uk join in 14

LIBRARY SERVICE using evidence Solent provides an online and physical library service Our dedicated Knowledge Specialist can support you with literature searches and in refining your topics and ideas Training is also available to help you carry out your own literature searches Using the best and latest evidence improves the quality of care It s important to investigate what knowledge is out there before trying research and improvement projects Find out more by visiting the SolNet Library webpages They helped me get to the heart of what I needed narrowing down my ideas significantly making the subject matter much more relevant and focused than I would have done by myself Wow This was terrific and really helpful in untangling a series of quite diverse thoughts I thought I knew about searching and identifying literature but the abstract provision really opened my eyes to areas I was missing SHARING LEARNING disseminate WORKSHOPS training learning developing Throughout the year we run a series of workshops to help you gain or brush up on skills and knowledge Topics include Research and Improvement methods and tools Project management and leadership Effective communication Using social media Patient involvement and participation I learnt a lot very informative and made me think outside the box The speaker was very engaging It made me think about how I react in situations and highlighted just how difficult it is to coach and not mentor Sharing learning is really important and there are lots of ways we can help you to do this either via the workshop programme for instance writing for publication social media and short film making or with more bespoke support such as Writing a blog or creating a vlog that we can publish for you Writing a short summary or case study for the Academy website and or Solent s intranet Presenting at internal learning events and conferences the workshop was set at a pace and level that was easy to understand Sharing your learning at a variety of learning forums Designing and creating posters Writing an abstract to apply for conference presentations Writing a short piece or full paper for journals Nominating someone for a Learning from Excellence award The presenters were very informative and they involved everyone by giving us time to ask questions To find out more about our workshops and the topics we cover please visit www academy solent nhs uk improvement 15 16

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