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11 Getting it right, right now, while building services ready for future health needs of populations
  1. Diana Beveridge1,
  2. Susan Hannah2,
  3. Robert Kahn3,
  4. Anette Nilsson4
  1. 1Scottish Government
  2. 2Institute for Healthcare Improvement
  3. 3Cincinnati Children’s Hospital
  4. 4Region Jonkoping County


Background Improving wellbeing outcomes of children has been a joint focus of work for three of IHI’s strategic partners in recent years. They are benefitting from collaborating to support the acceleration of work that they have in common and working to close the equity related gap for children and young people in each of their localities. Although each locality is unique, these partners have found the collaboration of learning powerful for each context, and that they have more in common than sets them apart.

Objectives These large scale efforts are ambitious and focused; identifying the children who require support; identifying interventions that will deliver improved outcomes; working collaboratively across sectors and professional groups to provide services that work for the community; and applying a rigorous improvement method to support implementation of change.

Methods Service redesign approaches; co-production with children and community members; multi - disciplinary working across boundaries; the science of improvement to test, measure and implement changes.

Results Achieving high impact results at scale is the ambition of these partners, however, with the knowledge that population health outcomes are generational and can take many years to realise their full potential; these 3 partners describe impactful work on localities with smaller groups, iteratively learning for scalable work. In early years development, in schools and community centers, qualitative and quantitative data describes the journey that these partners are travelling (figures 1–5). It is a story of improvement science in practice and service redesign modelling with children and young people at the center of all they do.

Conclusions These ambitious Strategic Partners have benefitted from a collaborative and virtual learning environment where the exploration and sharing of methods, theories, evidence and practice has supported this global enquiry into child wellbeing, equity and equality issues for disadvantaged communities, and the application of improvement science methods to accelerate change today and for the future.

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