Overnight support action learning set option 1–
Expression of Interest
Organisation name
The Improvement Hub (ihub) is part of Healthcare Improvement Scotland
Please submit your application by Monday the 8th of May by 12 noon to [email protected]
Please note that the contents of this form will be treated in the strictest confidence
To be considered for action learning set option 1 please complete the following Expression of Interest in full and indicate that you are able to attend on all of the
three dates provided.
Organisational Sponsor (Chief Officer/Chief Executive Officer)
Name
Title
Contact Details
Service/Management sponsor(s) – Tell us who will attend the Action Learning Sets from your Partnership:
Name
Title
Contact Details
Please identify two providers who you work with locally
Name
Title
Contact Details
1
Please submit your application by Monday the 8th of May by 12 noon to [email protected]
Aims and Objectives
Please provide an outline of the purpose
of your overnight support redesign work:
Scope
Describe what the scope of your
overnight support redesign work
includes/does not include:
Describe how you are including your
staff
As an organisation, describe how you
have engaged your staff in the re-design
of your overnight support:
Describe how you are including your
stakeholders
As an organisation, describe how you
have engaged your stakeholders in the
re-design of your overnight support:
Data
Please describe what data you already
collect around your overnight support
provision and how you use it. Please
provide examples as part of your
submission:
2
Please submit your application by Monday the 8th of May by 12 noon to [email protected]
Internal Risks:
External Risks:
Evaluation
What outcomes do you want to
achieve? (what outcomes do you want
to achieve for your redesign of overnight
support):
How do you intend to evaluate your
overnight support redesign?
What do you want to find out?
Sharing Knowledge and Learning
How do you plan to share or write-up
what you achieve through this work?
3
Please submit your application by Monday the 8th of May by 12 noon to [email protected]
Local Steering Group
Examples of what we expect for the title/role column are senior sponsor, programme management/lead, data analysis, service leader, service change/
improvement staff, commissioning, union.
Name
Title/Role
Telephone
Email
Role relating to
overnight support
Interest on overnight
support
4
Please submit your application by Monday the 8th of May by 12 noon to [email protected]