THE SAVVY APPROACH TO INCREASING NUMBERS
In the world of childrens reviews, the 2018 changes have produced some unexpected results. For adult reviews or DHRs many wonder whether this, in time, will be a requirement for them too. Some are aligning processes now to make life easier for their partners. We urge those who do this to not bind themselves to tighter timescales unnecessarily.
So what have those unexpected results been? Those conducting the review vary in seniority, but It appears anecdotally that this is being done in many areas at a very high level in social care organisations. There is a feeling that the numbers have increased. In some cases it is the number of serious incident notifications (with a range of interpretations being applied as to when the need for these arises). In others it is the number of rapid reviews. Sadly most feel that reviews are still being done where they are not necessary for learning.
In its recent guidance, the National Panel did not rule out the possibility of extending the 15 working day timescale for completion of the rapid review in the future. But for now, this is the timescale we work to.
So how do you avoid overwhelm? Follow our 5 step formula to ensure you cross the finish line:
- Give careful thought to your rapid review template. Is it overly cumbersome? Is factual material presented in a chronology style or instead to include some concise narrative? Do you not only ask for analysis to assist with application of the criteria for a CSPR but also analysis about learning? How are you positioning the focus of those two sets of analysis? Getting authors to think about the system and the learning from the start really helps with any further review work that may follow.
- How clear are you about how broad/how deep your rapid review will be? 15 working days is such a short timescale that it helps to be realistic about exactly what can be achieved. Provide training (a video can work really well) to explain how you would like to see the template tackled. Give reassurance around what can reasonably be achieved.
- Consider thresholds. Have you have skilled up your decision makers to understand the slight change in wording?Have they had time to reflect on what it will mean or are they fire fighting when a cases arises? Consider training e.g. a structured session with an independent person with worked examples.
- Challenge. If the National Panel feels a review is necessary but you originally did not, a second challenge is often fruitful. You may have more information that changes the conversation.
- Use your evidence. The national panel will collect and publish national data, but what trends are you spotting locally? If serious incident notifications, rapid reviews or full reviews are on the rise, what does that tell you? It will help if you can channel it through the annual consultation, too.
How do the changes feel where you are? Email firstname.lastname@example.org with one of the following codes & we will get back to you:
CONSULTJUL2019 for a free telephone consultation
RAPIDJUL2019 for rapid reviewer video training
DECISIONJUL2019 for structured sessions for decision makers
Or we would love to hear from you about how the changes are working for you.