G511(P) Introduction of GR8XS into leeds childrens’ hospital

Background Traditional learning from practice via reporting systems has been with the use of the Datix system, reporting incidents and errors. The aim of this project was to highlight learning through areas of good practice (greatex/GR8X). In an era of low staff morale and retention it is important to make staff feel valuable and celebrate good practice. There is some new data to suggest that this practice improves the quality of patient care, staff morale and organisational learning (Kelly et al, 2016). Method This project was led by the Paediatric Chief Registrar and the Junior Doctor Forum (JDF) at Leeds Children’s Hospital (LCH). A standardised operational procedure was agreed whereby any staff member can award a colleague a GR8X by submitting an online GR8X form. The JDF then email GR8X certificates to the staff member to thank them for their excellent care and also email their line manager. The GR8X was piloted on two wards and then launched across the hospital. All clinical governance leads were given access to all anonymised GR8Xs in their relevant department to share learning from the excellent care provided. Results 250 GR8Xs have been awarded so far. Feedback has been overwhelmingly positive and those receiving GR8Xs have said:‘I feel very honoured to receive this award.’‘That has put a huge smile on my face.’‘It makes an enormous difference just to know that someone…somewhere has noticed.’ Common themes from GR8Xs identified that staff are: compassionate, supportive, go above and beyond their duty and show excellent leadership and teaching. Conclusion The role out of a new model for learning has been common part of practice across LCH. It has been well received by staff. We look to secure administrative support to the JDF who are currently running this project. We are discussing how to expand this as a trust-wide process, and how maximise the learning from GR8Xs in the clinical governance setting.