A group of decision makers from NHS European office and NHS UK is coming to Jönköping County January 25-26 in order to learn more about the Esther Network. NHS European office is trying to find models for high quality and sustainable care. They have identified four models in Europe that can help them to achieve that and Esther is one of these models.
We are honored that Esther network has been identified as one of the role models and we hope for a great learning opportunity together with you.
You’re welcome to write your questions in advance in this blog so we can start our learning already and continue it even after you visit.
Presentations:
Göran Henriks
Mats Bojestig
Martin Rejler
Focus groups
Senior alert
Esther model in Vetlanda
Co-learning with Qulturum 
Dear Co-learners!
It is a great honor for us to host your visit. Esther and radical customer-oriented care have been a star in our patient management in order to achieve better value for our citizens for 15 years in our region. It has its origin in service value – flow thinking and we have seen how process understanding, measurement teamwork and continous quality improvement are the cornerstones. For the last 6-8 years person-centereness and patient-involvement have helped us to accelerate the work and this is very visible in the Esther network. We would love to co-learn with you after your visit so please feedback your perceptions during your visit and let us find a platform of Learning together.
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http://international.commonwealthfund.org/countries/sweden/
Like to learn more about Sweden – see above link
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Welcome to Jönköping and Sweden!
I´ll meet you for 30 minutes om Monday to tell you about Senior alert. Senior alert is a nationally spread program and a National Qualíty register for care prevention, invented in and spread by Qulturum. It´s all abotu fall, pressure ulcers, malnutrition, oral Health and incontinence. And it´s getting better all over Sweden. I´ll tell you more on Monday!
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Susanne Lundblad, Imrovement ledare Qulturum
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Very welcome to Esther Network and still a snow white Sweden. Looking forward to meet you all and have constructive dialoques about challenges and possiblities in todays Health and Social care.
See you on Sunday evening!Safe travels.
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On behalf of the NHS group can I say a huge thanks in advance to our hosts for making this visit possible. The cross-organisational working in Esther is of real interest to us as we develop our own integrated services and the group is looking forward to seeing first-hand the evolution of the model, how it works in practice and your focus on continuous learning.
See you Sunday/Monday!
Michael
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It looks like a great agenda, really looking forward to meeting you all. Thank you.
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Thank you all very much for the wonderful reception and helpful input that you provided. Your enthusiasm is contagious and impressive. I have a large list of action points as a result. Looking forward to spreading the word in my local health environment.
Many Many Thanks
Ian
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Dear Ian,
Thank you for your visit and comment.It was a joy and very valuable to host you. You make me curious. What is on your list?Would you like to share it? It can give us an idea of what can be valuable in our system that we may take for granted. It would also be nice to know something more. What will you start with ?How will you start? and why?
Good luck with your actionlist. Will be glad to get an update now and then .
Nicoline
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Thank you Nicoline, you were a great host.
Can I ask you a follow up question or two?
I went on the primary care afternoon so didn’t get a chance to ask how the system where GPs can get advice from a hospital doctor within 2 minutes has been arranged. What changes had to be made in the hospital? Is there a special system for getting the calls to the right doctor, who is also free to talk?
Also do you have a “curriculum” or plan of lectures/teaching sessions for your coach training?
And do you know who I should speak to about nurse training in Sweden. It would be really interesting to find out more about how it varies from the UK, since it seems that your nurses expect to do a lot that we would expect of either doctors or of “nurse practitioners” who have had further training.
Thank you again.
Ian
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Hi Ian,
I passed your questions to your host on the primary care Dr. Marie Bäckstroöm-Andersson. She will come back with an answer.I pass you question about the nursing training to Anna Carlbom.
You can find the curriculum of the Esther coaches on the following link
Click to access training_program_for_esther_improvement_coaches.pdf
It is the original coachtraining but we are making changes for the new group starting in september. We will probably have more virtual Learning and only 5 meetings face to face.
Thank you for your questions.Still curious about your action list 🙂
Nicoline
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Hi Nicoline
My list is more mental / virtual than a paper list but here are some thoughts:
How to convey your achievements effectively – materials, presentation, how to describe
Introduction of Esther Cafe Events – already agreed at latest meeting of the complex care group I chair
How to make our health coaches organisational (Esther) coaches too
How to make 2 min access to Physician advice possible – can we? There is a private company that arranges this in the UK through automated “hunt” calls to a bank of consultants across the country but it would be better if we could find a local solution
Could we get hospital doctors conducting Esther interviews with their community colleagues to enhance understanding of the impact each has on the other.
What should we call the UK Esther? Perhaps just Esther!
How do we find out more about Qulturum and how do we implement a central base in our system for quality improvement, education and overseeing the implementation of an “Esther” culture if we can achieve it.
Ian
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Hi Ian
Yiu had a question about the calls to the hospital.
It is arrange in this way, the primary care doctors have a specila telphone number we call, and then ve chose a line depending on if w want to talk to internal medicn, ortopedic or geriatric specelist.
Every speciality has always a senior doctor “on call” and that doctor will take the phonecalls
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Hi Nicoline, et al,
I think what I took away at a macro level was the trust that had developed between and across the health system. The ability, and willingness, of health professionals and others to interact beyond their institutional means almost acted like a ‘system glue’, stopping Esther falling between the stools. There seemed across the various health and care settings (and at all levels, both horizontally and vertically) an acceptance that what was best for the patient was best for the system.
Also, I hadn’t realised how relentless the focus on continuous improvement was and needed to be. The level of commitment given is a real learning point for NHS colleagues looking to do similar.
Thanks once again for your wonderful hospitality
Michael
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