TOOLS FOR CHANGE PROJECTS - Home - NHS Employers...TOOLS FOR CHANGE PROJECTS Introduction to the course directory As part of the Tools for Change Projects course, all students apply

Catherine Heaney

Change Leader

Frimley Park Hospital

Cath has been working in the NHS for 12 years, after graduating from the University of London with an honours degree in Psychology. She is an experienced change leader, with NHS roles spanning both community and hospital-based healthcare settings. In her role at Frimley, Cath takes a lead role in Organisation Development and works closely with service managers and clinicians to enable them to make change happen. Her passion is facilitation, especially working with multidisciplinary groups, and her approach is collaborative and inclusive. Cath co-developed the “T4CP” training course for staff at Frimley to support them to deliver their own improvement projects, through a mix of facilitation, mentoring and coaching. This is something she finds particularly rewarding about her role. Outside of work, Cath enjoys having fun with her 5-year-old daughter Grace and amongst their favourite activities are dancing, reading and visiting the seaside, whatever the weather!

COURSE DIRECTORY (Winter 2013)

Page 2

TOOLS FOR CHANGE PROJECTS

Introducing the course leaders

Philip Haynes

Director

Lean Health Management

Phil has worked in Healthcare for 9 years after spending 10 years developing Lean knowledge and skills in automotive manufacturing. He enjoys working directly with people at all levels, supporting them in making a difference in what they do. He is an experienced coach and facilitator and has worked within the UK and internationally on many change programmes. His engaging and collaborative approach helps builds a strong platform for success. In the last two years, Phil has also been working with Forensic Crime Labs and within the Social Care sector, delivering measurable and sustainable benefits. Phil has a good sense of humour and is known for his ability to introduce an element of fun into activities! Outside of work, Phil enjoys the opportunity to travel that his work brings. He is also looking forward to starting a new (genuine) undertaking, Lean in Pubs.


Page 3

TOOLS FOR CHANGE PROJECTS

Introduction to the course directory

As part of the Tools for Change Projects course, all

students apply their learning to an improvement project

of their choice.

This directory provides a brief description of the projects,

who is running them and how they have applied

learning in to practice.

The directory is in order of those projects which are

completed first, followed by those that are currently in

progress.

There is also a selection of case studies giving a little

more detail about the projects and their leaders.

NB: This is a draft document and your feedback is

welcomed. Please contact Catherine.Heaney@fph-

tr.nhs.uk with your comments.

mailto:[email protected]










Page 4

Capacity Management

and Escalation

Project Description: To have a defined, proven and sustainable system of Trust wide capacity and escalation management, that will maintain patient flow

through the Trust, incorporating flexibility to deal with surges in demand

Mena Vallance Head of Nursing

Patient Access

Katie-Jo Tripp Matron

Patient Access

Bleep 718

Applying the learning: Process mapping

• Mapped the journey of a patient arriving by

ambulance to Emergency Department Majors,

identified areas of delay

What did you find the

most helpful about

T4CP?

“Helping me clarify

my project and the

planning I need to

do”


most helpful about

T4CP?

“A lot of information

given, did not feel

overloaded with info

due to the different

ways being

delivered”

COURSE STATUS: Completed January 2013 PROJECT STATUS On-going

One step forward: Group

rehabilitation for fractured

neck of femur patients

Project Description: To change the way staff on the trauma wards look after and rehabilitate patients with NOF fractures to improve patient care.

Thomas Ford Ward Manager

F4 Orthopaedics

Ewa Barrows Sister

F4 Orthopaedics

Applying the learning: Lean thinking, applying 5S

• Designing the rehabilitation programme on the

ward

Dot voting

• To include all members of the multidisciplinary

team on the ward

Process mapping • Admission pre-op post-op rehabilitation


most helpful about

T4CP?

“Lean thinking,

project toolkit and

one-side template”

Comments about

T4CP?

“Very informative and

specific, thank you”

COURSE STATUS: Completed January 2013 PROJECT STATUS Completed Jan ‘13


Page 5

Informatics training

interventions to improve

data quality

Project Description: To improve data quality through user training and generation of specific error reports Aim: to reduce data error rate

David Brown Informatics Training

Manager

Ext 3920

Gillian Barron Higher Information

Analyst

Information


• Mapped how error reports are generated and

actioned currently

Gemba walks

• To go and see how breach data captured and

users trained in this clinical system

Measurement for improvement

• Measured the number of breaches with a reason

reported

Feedback about

T4CP? “

Enjoyed the

presentation. Good

content made better

with real world

examples. Excellent!”


most helpful about

T4CP?

“Enjoyed hearing Dr

Hearn’s project talk,

because it was

motivating. Good to

hear these

approaches work

and her enthusiasm”

COURSE STATUS: Completed January 2013 PROJECT STATUS Completed Jan ‘13

Improve the pathology

helpdesk; implement a

new informatics solution

Project Description: To improve the helpdesk service we provide, following recent service expansion. Aims:

• To create a single point of contact in the new helpdesk

• To give customers access to what they need “there and then”

Berni Mallo Business Manager

Pathology

Ext 4397

Kelly Chilton Client Liaison Officer

Pathology

Ext 2192

Applying the learning: Project charter

• For communication and engagement

Thinking hats

• At a project meeting

Feedback about

T4CP?

“Good, practical

usable information

and tools for our

project, thank you”

Feedback about

T4CP?

“Enjoyable course,

have made a big

task/project

achievable.

Thank you!”



Page 6

Emergency department

dashboard for driving

quality improvement

Project Description: To improve the ED patients’ pathway with regards to quality, safety and effectiveness of

clinical care by monitoring a quality indicator dashboard. To inform the consultants of ED clinical performance.

Tracey Wright Business Information

Analyst,

Innovation & Change

Kevin Percival Symphony Systems

Manager,

Emergency Dept

Ext 3235


• Helped to understand the different aspects of

what needed to be included in the project

Lean Thinking and waste

• ensuring the dashboard is fit for purpose, a

scheduled and easily accessible area for

everyone to avoid wasted time looking for the

dashboard, ensuring no duplication of reports.

What did you find the most helpful about

T4CP?

“Variety, project tools and practical skills”

COURSE STATUS: Completed March 2013 PROJECT STATUS Phase 1 complete

Phase 2 in progress

Reducing Grade 2 Pressure

Ulcers acquired on F5

Project Description: To improve patient care and quality by giving harm free care and in the long term reducing length of stay. Aims - To reduce: • ward acquired grade 2 pressure ulcers • Reduce documentation

Emma Dean Sister

F5 Orthopaedics

Joanne Groves Ward Manager

F5 Orthopaedics

Ext 6743


• Current processes for documenting pressure

ulcers

Dot voting

• Engage staff in what to tackle and how to

improve

Action planning

• To structure project activities

Feedback about

T4CP?

“A great learning

environment, Cath &

Phil are a great

team”


most helpful about

T4CP?

“Being able to get

feedback and

guidance on our

project”

COURSE STATUS: Completed April 2013 PROJECT STATUS Completed Apr ‘13


Page 7

Improving patient

outpatient appointment

letters

Project Description:

To outsource outpatient appointment letters. Aims: • Remove manual handling of letters in

appointment teams • Reduce the cost of mailing letters • Improve the content of letters

Luke Hogan Project Officer

Innovation and Change Team


• To understand how letters are currently prepared

Lean thinking

• To identify and remove waste

Stakeholder analysis and engagement

• Create project team, test new letter templates

How has T4CP supported your project?

“By ensuring I had a vision, aim and intended

outcomes, that I considered how to engage

people in the project and the different ways

people think. Enabled me to understand the

key measures of the project”

COURSE STATUS: Completed May 2013 PROJECT STATUS Completed May ‘13

Improved patient

experience,

post-discharge

Project Description: To improve the information patients are given upon discharge. Aims:

• The right person first time • The right information first time

Phillipa Hooton Head of Nursing

Medicine

Ext 4479

Vera Wakatama Matron

Medicine

Applying the learning: Stakeholder analysis

• Who can influence the project and how

• Identifying a champion

Thinking hats

• Considering all the view points, and approaches

of different medical wards


most helpful about

T4CP?

“Team work / posters

/ hearing about other

people’s projects”


most helpful about

T4CP?

“Discussion with

others in groups.

Picking up on ideas,

suggestions which will

help with our project”



Page 8

CASE STUDY: Medical Records Reconfiguration

Medical Records shared purpose: To accommodate an ever changing environment

to ensure an efficient service of storing, locating and providing patient medical

records to the right location at the right time.

The changes we made: New return to file procedure New reporting structure & staff

Prepping area refurbished Staff uniforms introduced

Tools used: Process mapping Model for improvement Five whys Gemba walks

Project problem:

Determine how the service can be improved in order to support

the increasing demands around patient care.

To focus on current process, structure, environment and staff

morale

Project Outcomes:

T4TP Journey: Interested?

For more information please

contact the project leaders:

Tracy Street,

Medical Records Manager

on x4359

Ian Winder, Deputy Medical

Records Manager

on x3925


Page 9

Enhanced recovery from

planned orthopaedic

surgery: “discharge ticket

home” Project Description:

To empower patients to assist in coordinating their discharge process for planned hip and knee operations. Aim: To adapt and implement the “discharge ticket home” approach developed in Manchester

Arlene Bautista Ward Manager

F6 Orthopaedics

Ext 4388

Rosealeen Killick Sister,

F6 Orthopaedics


• Current discharge planning process

Stakeholder analysis

• The role of the multidisciplinary team

Measurement for improvement

• Patient surveys, length of stay


most helpful about

T4CP?

“Project planning

tool; it is an easy

guide to formulate a

project”


most helpful about

T4CP?

“Practical ideas

about moving

forward with the

project”

COURSE STATUS: Completed July 2013 PROJECT STATUS Completed Jul ‘13

Occupational Therapy

Services (Readmissions)

Project Description: To identify the causes of readmissions which occur within 30 days of discharge and explore innovative ways to improve patient flow and

ease winter pressures.”

Val Sharples Head of Occupational

Therapy

Ext 4421

Tanya Trussler Deputy Head of

Occupational Therapy

Applying the learning: Tools used:

• 5 Whys

• 7 Wastes

• LEAN

• Stakeholder analysis

Feedback about

T4CP?

“Thought day 2 was

great, had an idea of

what the project

might be and really

good to get

feedback from the

others on the course.

Good tools on day 2”

Feedback about

T4CP?

“Excellent facilitation”



Page 10

Developing a Catering

Lead Ward Meal Service

Project Description: To look at the feasibility of the Catering Department managing a Ward Based Catering Service • Standardise the catering service Trust wide • Align staff training and develop

communications with the dieticians

Kevan Wallace Catering Manager,

Catering

Ext 4831

Claire Campbell Nutrition Support Nurse

Medicine

Applying the learning: Measurement for improvement

• Patient surveys and food waste

Process mapping

• Current meal choice collation and service

Stakeholder analysis

• Wards, nutrition specialists, catering and

portering

Feedback about

T4CP?

“Looking forward to

getting going with the

project”


most helpful about

T4CP?

“Feel more

empowered to tackle

areas that need

change”

COURSE STATUS: Completed October 2013 PROJECT STATUS On-going

Improving flow in

processing samples

Project Description: To improve the flow of Microbiology samples

Shereen Johnston Microbiologist,

Supervisor

Ext 6958

Manoj Koothur Microbiologist,

Supervisor

Applying the learning: Many tools applied to their project:

• Lean, value & waste, 6S

• Communication: Project charter, morning

huddle, voting buttons on email

• Process mapping

• Dot voting

• Gantt charts and action planning

• Measurement for improvement

Feedback about T4CP?

“We decided to work with Cath and Phil

through the Tools for [Change] course to

achieve continuous improvement. The

objectives were clearly stated from the start of

the course and I gained a greater knowledge

of quality and service improvement and its

appropriate use.

The trainers got the learning message across

by breaking everything down into simplified

sections. One great thing about the course is,

the instructor supports you throughout your

project and guides you, as a mentor”

COURSE STATUS: Completed October 2013 PROJECT STATUS Completed Oct ‘13


Page 11

CASE STUDY: Community Midwives Informatics

The shared purpose: To provide a booking appointment for pregnant women that

maximises direct patient care time, provides a clear written summary and instigates

prompt onward referral and care planning

The changes we made:

Analysed options Business case prepared, approved & funded Laptops purchased

& built Software finalised 60+ midwives trained Go live achieved on time

Tools used: Process mapping Stakeholder analysis Driver diagram Action plans

Project problem:

To capture the complete maternity pathway electronically

Phase 1: Booking appointments in the community.

Baseline measure : 60 midwives filling in 300 forms, (2 sides of

A4 paper) = 60 batches of paperwork posted or driven to the

hospital office every month

T4TP Journey:

Interested?



Adrienne Price,

Head of Midwifery on x4210

Vicky Curtis, IT Specialist

Midwife

on x6184 Also in project team:

Karen Jones, Community Midwives Matron

Becky Smith, Tracy Andrew – IT Midwives

Project Outcomes:


Page 12

Implementing the

customer service strategy

Project Description: To develop and implement a trust-wide approach to improving customer service

Claire Quinn Head of Learning &

Development

Ext 4209

Susan Cornish Staff Development

Advisor

Applying the learning: Stakeholder analysis

PDSA cycles

Measurement for Improvement

Gemba walk : included designing a patient

shadowing toolkit to share with staff


“The study days provided focus and

protected time to work together on delivering

a strategic project”

COURSE STATUS: Completed January 2014 PROJECT STATUS Completed

ANRAP: Antenatal referrals

and booking process

Project Description: To redesign admin processes following community midwives bookings live in to Euroking system

Debbie Wilde Midwifery Matron

Kathy Franks Screening Specialist

Midwife

Chris Barlow Admin Supervisor

(not pictured)


Measurement for Improvement


most helpful about

T4CP?

“The models

associated with lean

management”


most helpful about

T4CP?

“Feedback and

networking with other

departments”



Page 13

CASE STUDY: Blood Sciences turnaround time

The shared purpose: To provide results of diagnostic tests to the Emergency

Department, so that appropriate clinical decisions can be made.

The changes we made: Buddying system in specimen reception Urgent samples

colour coded 6 s carried out in urgent processing area Track master role standard

process getting rolled out Dedicated person for processing and monitoring urgents

Tools used: Process mapping Gemba walk Visual Management 6S

Project problem to solve:

To improve turnaround time from a baseline of 78% within 1

hour, and the quality of samples

To reduce the number of phone calls received chasing up

the result

Project Measures: Visual Management

T4TP Journey: Interested?



Linda Parambath,

Biochemist on x2112

Rachel Connolly,

Deputy Team Leader,

Biochemistry


Page 14

CASE STUDY: Initial 4 hours of acute stroke care

Shared purpose: To reduce disability and mortality in patients with confirmed strokes

by streamlining the initial four hours of acute stroke care

The change we are planning: New direct to CT pathway for suspected patients

arriving to the Emergency Department by Ambulance

Tools applying for this project: Lean thinking Stakeholder analysis Process mapping

Dot voting Gemba walks Elevator pitch

Project problem:

To determine where time can be saved when treating patients who arrive to the

Emergency Department with a suspected stroke so that thrombolysis is

administered within the gold standard time of 60 minutes and patients are

admitted directly to the Hyper Acute stroke Unit within four hours of arrival.

From Alison’s perspective: “Motivated and eager to

get things moving. Feel we have the necessary

support and advice”

Tina’s feedback about the study days: “Useful,

beneficial, good use of resources. Very good pack for

candidates”

Feedback from Chris about T4CP overall: “Very good

course for getting your teeth into a work-based

project for you and a colleague.

It introduces you to a wide variety of transformation

tools and gives you access to lots of resources for

ensuring your project is a success”

The group’s feedback so far: Interested?

For more information please contact the project leaders:

Chris Barrett, Stroke Data Analyst on x 6114 Alison Machell, ED Sister Tina Sargeant, Stroke Coordinator

on bleep 635 (not pictured)

Course status: Project in progress, assessment presentation due January 2014

Project Activities:


Page 15

Developing an education

process for the critical care

team


To develop a standardised, effective induction for critical care nurses • Improve quality indicators • Improve staff retention, vacancy and

sickness rates • Achieve good staff and patient experience

Sharon Burfield Sister

Critical Care Unit Ext 4146

Applying the learning: Lean thinking – about who the customer is

Process mapping – to understand new starter

process

Model for Improvement

Stakeholder Analysis


“Very well run, excellent setting and

entertaining”


Voice-activated digital

dictation Phase 1

Project Description: To support the delivery of the Informatics Health Strategy with a particular focus on streamlining the process from outpatient clinic dictation document GP Practice.

Aim: To standardise the turnaround times of clinic letters to improve patient care through the delivery of same day clinic and referrals letters

Linda Rawlins Asst Project Manager,

Informatics

Ext 3915

Sandra Barrett Secretary,

Breast team

Ext 4160

Applying the learning: Process Mapping

Stakeholder Analysis

Five Whys

Thinking Hats


most helpful about

T4CP?

“Liked the videos and

references to

practical examples”

Feedback about

T4CP?

“Feeling

empowered”



Page 16

CT requesting for

pulmonary embolism

Project Description: To follow up audit about CT requesting and pulmonary embolism.

Prash Menon FY2, GP Trainee

Applying the learning: Assessment presentation due in May 2014

What did you find the most helpful about

T4CP? “Feedback on my poster helped me

decide what to do next”

COURSE STATUS: Assessment May 2014 PROJECT STATUS On-going

Improving ward-based

phlebotomy services

Project Description: To investigate and improve the turnaround of phlebotomy in the ward environment

Leanne Eveson FY1 Doctor

General Surgery

Phylip Scott

SHO / FY2 doctor

Emergency Department

Ext 3125


What did you find

most helpful about

T4CP? “Dedicated

time slot for discussion

of project. Very well

run, thank you”

What did you find most

helpful about T4CP?

“Brainstorming / blue

sky thinking each

other’s projects”



Page 17

Easy IT project

Project Description: To trial the use of virtual desktop devices and single sign on technology, before acting as clinical champion in the trust-wide roll out of this new technology

Jonathan Hern Consultant Surgeon,

ENT

Ext 4015

Mohan Radja Associate Specialist,

ENT



most helpful about

T4CP?

“Concepts and info

about leadership”


most helpful about

T4CP?

“Informal discussion

about own project.

Interactive sessions”


Care Assistants

Apprenticeship

Programme


To standardise the care assistant roles across the trust and develop an apprenticeship programme

Nikki Morgan Practice Development Nurse,

Corporate Nursing

Ext 6967



“A lot to take in but lots of tools that can help

and move things forward”



Page 18

Introducing sucrose

as pain relief in the

Special Care Baby Unit

Project Description: To introduce sucrose as pain relief in the Special Care Baby Unit

Geraldine Banfield Practice Development

Nurse, Neonatal Unit,

Ext 4357

Hayley Cooles Sister

Neonatal Unit



most helpful about

T4CP?

“Structure to suit

different projects.

Good focused

feedback”


most helpful about

T4CP?

“Gaining knowledge

of new tools to help

implement project”



Page 19

Correct Patient Zoning

Project Description: Patients are admitted to beds in the wrong areas. This project aims to ensure that the right patients are in beds in

appropriate areas (i.e. where nurses have to appropriate skills to look after them) first time.

Dawn

Hurley

Ward

Manager

Short Stay

Surgery

x3216

Judith

Duguid

Ward

Manager

Cystic

Fibrosis Unit

x4597

Suzy

Armstrong

Ward

Manager

F8 (Surgery

& Vascular)

X4507

Zoe

Dawson-

Couper

Ward

Manager

Applying the learning: TBA: Attended study days in November and

December 2013 as part of ward managers

leadership programme

COURSE STATUS: Assessment June 2014 PROJECT STATUS On-going

Communication

Project Description: There are problems of missing information and subsequent delays following handover of patient care, from one nurse to the next nurse caring for them. This project aims to improve the communication between nurses at handover and actively involve the patient in the process

Becky

Khalil

Ward Manager

F11

(Gynaecology)

x4216

Sarah

Bowyer

Ward Manager

G1

x6277

Bleep 611

Sharon

Bartlett

Ward Manager

F10

x2524

Bleep 717






Page 20

Drug Errors

Project Description: There is a trust wide increase in drug errors on performance dash boards and a focus to reduce drug errors on ward specifically those due to interruptions. The project aims to understand and address the interruptions to drug rounds, specifically concerning “self interruptions”

Aine Pope

Ward Manager

Parkside

(from 13/01/2014)

Heather O’Connor

Ward Manager

F3 (Endocrine)

x4760





Discharges

Project Description: There is a problem with communication around discharge, which means that the process does not always run smoothly. The communication problems are between the clinical teams, the patient and the families. The project aims to understand the issues with discharge communication and what can be done to facilitate smoother discharge.

Corrin

Sheldrake

Ward Manager

G2

(Care of the

Elderly)

x4925

Maria

Lopez

Ward Manager

G3

(Stroke Unit)

x4039

Sarah

Fotheringham

Ward Manager

F2

(Medicine)






Page 21

Education;

Cardiology

Project Description: There is variation in the type and level of training that nurses receive on G9/CCU. Therefore different levels of nurses report

varying levels of knowledge and competence. The project aims to provide training to Band 5 nurses to develop their knowledge, skills and confidence, and to improve job satisfaction and staff retention.

Andrea Lavous

Ward Manager

Cardiac Care Unit

x4682

Steph Murray

Ward Manager

G9 (Cardiac Step-down)

x6673

Bleep 056





Education;

Orthopaedics

Project Description: There is a lack of training in specialist skills in Orthopaedics being provided to ward nurses. This has an impact on staff engagement and retention rates. This project aims to improve the training available to ward nurses to develop more specialist skills in nursing patients with Orthopaedic conditions.

Joanne Groves

Ward Manager

F5 (Orthopaedics)

x2420

Tom Ford

Ward Manager

F4 (Orthopaedics)

x2420






Page 22

Staff breaks

Project Description: Staff are not taking their rest breaks, or are taking them later than planned. This impacts both on the staff and on the safety of the patient environment. This project aims to ensure staff take their breaks at the appropriate times, in order to continuously deliver a safe patient environment

Philippa Dibley

Ward Manager

ADU

x4049

x4089

Zoe Freeman

Ward Manager

ITU





Readmissions

Project Description: Approximately every 5th surgical patient is re-admitted. The pathways for appropriately reviewing surgical patients are unclear. Discharge information provided to patients is inconsistent. This project aims to address these problems in order to reduce readmission rates and improve patient experience

Arlene

Bautista

Ward

Manager

F6 (Elective

Orthopaedi

cs)

Joanne

Oakley

Ward

Manager

F7 (Surgery

& Urology)

x2507

Marvin

Putal

Ward

Manager

MAU

x3192

Victoria

Murray

Ward

Manager

SAU

x6163






Page 23

Page

Adrienne Price Community midwives informatics 11

Aine Pope Drug errors 20

Alison Machell Initial 4 hours of acute stroke care 14

Andrea Lavous Education; Cardiology 21

Arlene Bautista Enhanced recovery in Orthopaedics: "discharge ticket home" 9

Arlene Bautista Readmissions 22

Becky Khalil Communication 19

Berni Mallo Review and Improve SPS Pathology Telephone Helpdesk 5

Chris Barlow Admin process redesign following community midwives bookings in Euroking 12

Chris Barrett Initial 4 hours of acute stroke care 14

Claire Campbell Ward-based catering services team 10

Claire Quinn Implementing the customer service strategy 12

Corrin Sheldrake Discharges 20

David Brown Informatics training interventions to improve data quality 5

Dawn Hurley Correct Patient Zoning 19

Debbie Wilde Admin process redesign following community midwives bookings in Euroking 12

Emma Dean Pressure ulcer prevention on an orthopaedic ward 6

Ewa Barrows One step forward, group rehab on ward for #NOF patients 4

Geraldine Banfield Introducing sucrose as pain relief in SCBU 18

Gill Barron Improving Data Quality 5

Hayley Cooles Introducing sucrose as pain relief in SCBU 18

Heather O'Connor Drug errors 20

Ian Winder Medical Records reconfiguration 8

Jo Groves Pressure ulcer prevention on an orthopaedic ward 6

Jo Groves Education in Orthopaedics 21

Jo Oakley Readmissions 22

Jonathan Hern Easy IT Project 17

Judith Duguid Correct Patient Zoning 19

Karen Jones Community midwives informatics 11

Kathy Franks Admin process redesign following community midwives bookings in Euroking 12

Katie Tripp Capacity Management and Escalation 4

Kelly Chilton Review and Improve SPS Pathology Telephone Helpdesk 5

Kevan Wallace Ward-based catering services team 10

Kevin Percival ED quality dashboard 6

Leanne Eveson Improving ward-based phlebotomy services 16

Linda Parambath Improving flow in processing samples 13

Linda Rawlins Initial phase of Voice-Activated Digital Dictation project 15

Luke Hogan Outsourcing outpatient letters 7

INDEX: by First Names, A - L


Page 24

Page

Manoj Koothur Improving flow in processing samples 10

Maria Lopez Discharges 20

Marvin Putal Readmissions 22

Mena Vallance Capacity Management and Escalation 4

Mohan Radja Easy IT Project 17

Nikki Morgan Care Assistants Apprenticeship Programme 17

Phil Hooton Improve nurse communication post-discharge 7

Philippa Dibley Staff breaks 22

Phylip Scott Triage and waiting in Emergency Department 16

Prash Menon CT requesting for pulmonary Embolism 16

Rachel Connelly Improving flow in processing samples 13

Ray Vincent Care Assistants Apprenticeship Programme 17

Rebecca Smith Community midwives informatics 11

Rosealeen Killick Enhanced recovery in Orthopaedics: "discharge ticket home" 9

Sandra Barrett Initial phase of Voice-Activated Digital Dictation project 15

Sarah Bowyer Communication 19

Sarah Fotheringham Discharges 20

Sharon Bartlett Communication 19

Sharon Burfield A new process to meet the practice development needs of critical care nurses 15

Shereen Johnston Improving flow in processing samples 10

Stephanie Murray Education: Cardiology 21

Susan Cornish Implementing the customer service strategy 12

Suzy Armstrong Correct Patient Zoning 19

Tanya Trussler Occupational Therapy Services (Readmissions) 9

Tina Sargeant Initial 4 hours of acute stroke care 14

Tom Ford One step forward, group rehab on ward for #NOF patients 4

Tom Ford Education in Orthopaedics 21

Tracey Wright Emergency department data dashboard for driving quality improvement 6

Tracy Andrew Community midwives informatics 11

Tracy Street Medical Records reconfiguration 8

Val Sharples Occupational Therapy Services (Readmissions) 9

Vera Wakatama Improve nurse communication post-discharge 7

Vicky Curtis Community midwives informatics 11

Victoria Murray Readmissions 22

Zoe Dawson-Cooper Correct Patient Zoning 19

Zoe Freeman Staff breaks 22

INDEX: by First Names, M - Z

20140218 T4CP course directory WINTER 2013 vDoOD

Documents

TOOLS FOR CHANGE PROJECTS - Home - NHS Employers...TOOLS FOR CHANGE PROJECTS Introduction to the course directory As part of the Tools for Change Projects course, all students apply