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Criteria for selecting Always Events®: Always Events® in Primary Care

Gregor Smith, Medical Director, NHS Lanarkshire and Senior Medical Officer Primary Care, Scottish Government gives a case study presentation on Always Events® in Primary Care at today’s conference. In his presentation Gregor discussed:

  • critically reviewing  criteria for selecting ‘Always Events® and generating a candidate list examples based on the patient feedback data
  • a step by step guide to learning from patients about what matters to them
  • our experience in supporting organisations to develop their own primary care always events

Gregor Smith’s full presentation is available for download at the end of this page

In his presentation Greogor discussed:

“Potential AEs can easily be developed in a GP practice setting”

“These have potential to be used as patient-driven QI measures”

“Selection criteria may need adapted for Primary Care / UK setting”

“The ‘Always Event’ (AE) concept (Picker Institute/IHI) offers a person-centred QI approach to optimising aspects of the patient’s experience of their healthcare”

“Actions and behaviours - create a satisfactory patient experience”

“Plays opposite to Never Events”

“‘Open Architecture’ – identify, contextualise, define, adapt”

“Application of process likely to produce different localised AE lists”

“Ascertain from patients what really matters to them on a personal level of such high importance that it should ‘always happen’ when they interact with healthcare professionals and staff groups.”

Critically review existing criteria for selecting ‘always events’ (AEs) appropriate to the Scottish context”

Generate examples of AEs based on the patient feedback study data collated and demonstrate how these could be implemented for QI purposes.”

“We asked these 3 questions in our survey

  • What matters to you about the care you receive from your surgery?
  • What do you feel is so important that it should ALWAYS happen when you have contact with your doctor’s surgery?
  • Please complete this sentence: The care I receive would be better if.......

“We found 4 key themes from our surveys

  • Theme 1 - Emotional support, respect and kindness
  • Theme 2 - Clinical care management
  • Theme 3 - Communication and information
  • Theme 4 - Access to, and continuity of, healthcare”

Gregor Smith’s Biography

Dr Gregor Smith is proud to be a GP and now combines roles as a Senior Medical Officer in the Scottish Government and medical director for Primary Care in NHS Lanarkshire. He is a Fellow of the Scottish Patient Safety Programme and is passionate about improvement and innovation in healthcare.

He is currently involved in developing new models of care and a novel Scottish GMS contract that will help to realise the Scottish Government’s 2020 Vision of Health and Social Care. He chairs the group overseeing the Scottish Patient Safety Programme in Primary Care and continues to collaborate with NHS Education Scotland, Health Improvement Scotland and many other stakeholders on fresh approaches to improving patient care and public involvement.

Expanding his enthusiasm for the model for improvement, he is yet to achieve anything close to reliability with his guitar technique but is beginning to move the dots in his attempt to complete a 140.6m swim/bike/run.

Also of interest:

Clinical Audit Masterclass
Tuesday 10 November 2015, Hallam Conference Centre, London


Reducing Medication Errors: Improving Patient Safety: Towards Zero Tolerance
Friday 27 November 2015, ICO Conference Centre, London


Eliminating Avoidable Pressure Ulcers
Wednesday 2 December 2015, Manchester Conference Centre, Manchester


Interactive Masterclass: Are you as LEAN as you could be?
Monday 7 December 2015, Hallam Conference Centre, London


Root Cause Analysis: 2 Day Intensive Training Course
Wednesday 9 December 2015 — Thursday 10 December
Hallam Conference Centre, London


Leading your Organisation to Zero-Harm
Thursday 10 December 2015, Hallam Conference Centre, London


Download: Gregor Smith"s full presentation

22 October 2015


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