Cohorts 1 3 The journey continues The Cohorts

Cohorts 1 -3 The journey continues…

The Cohorts Cohort Pts assessed Pts Carers Failed to invited & & recruited attended continue confirmed Main outcome, test of change 1 12 11 10 7 0 Goal setting 2 12 8 8 8 1 Concerns checklist 3 6 3 3 1 1 Recruitment process

What Worked Well • Clinics – engagement, risk assessment, identify concerns, person centred approach, reduced prep for pharmacy, fully explore emotional well being & cognitive function with psychologist & refer on if required • Exercise class – evidence of improvement over 5 weeks • Goal setting education & weekly feedback on goals – Peer support, staff involvement

What Worked Well • Education/facilitated discussions after class – Cohort 2 increased peer support via these sessions • Concerns checklist – Embraces person centred care – Shapes content of week 5 (easier with small numbers) – Ensures ownership of tasks within team • GP letters post programme – Highlights outstanding pharmacy issues – HADS & MOCA results – Physio outcomes, referrals

What Worked Well • Volunteers – Excellent in cohort 1 for initial ice breaking, encouragement during class – Real value in patient AND carer volunteers in cohort 2 – Added value to education/facilitated discussion sessions – Fed into weekly feedback with great points • Team work – Communication, what’s app! • Improvement Advisor – Model for improvement threaded through all cohorts

What We Noticed/Learned • Psychology – Importance of split session with patients & carers – 1: 1 beneficial when numbers allow – Increasing reports of earlier input required • Physiotherapy – Education on fatigue management useful but needed earlier – Cohort 2 younger & fitter – would’ve benefited earlier in recovery – Be flexible, every cohort is different • Twitter – Platform to reach wider audience – Promote Inspire within organisation

How Did It Feel • More relaxed environment to spend ‘quality’ time with patients • Team are feeling more confident in process, expectations, individual roles • Cohort 3 pro’s and con’s – Less group discussion, less peer support – Far more 1: 1 individualised input – Felt apprehensive at times

How Did It Feel • 3 month reviews are great! – – Confirm you have had an impact Evidence of improvement in outcome measures Peer support lovely to see Real sense of achievement from everyone (staff, patients, carers)

What We Plan To Test Next • Concerns checklist on a bigger scale – Add distress thermometer • Trial different venue – ? community – Pros & cons • Recruitment process – Investigate reasons for FTA – Text reminder for clinic

What We Need Help With • Ideas around recruitment process • Bridging gap between ICU and In. S: PIRE – ? resources – ? telephone calls, point of contact pre In. S: PIRE – ? structured ward visits pre d/c home • Pharmacy – Development of medicines reconciliation form

What We Could Help With • Spread of concerns checklist • Goal setting, self management • Happy to welcome other sites to Ayrshire • Happy to visit other sites for support