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The story so far - Liverpool - Nicola Taggart Endoscopy Services Manager Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
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The story so far
Productive Endoscopy at the Royal
Liverpool .
Nicola Taggart
Endoscopy Services Manager
Productive Endoscopy workshop
October 2013
During the presentation I will give brief over view of :-
• Who we are.
• How we became involved.
• How we got started in the project.
• What we have achieved.
• Communication issues.
• Training and personal development of staff.
• Review of what we have learnt along the way.
• Key issues and challenges ahead.
Overview of Presentation
Introduction
• Many interesting changes locally and Nationally
• Workload.
• Workforce.
• Standards in practice.
• JAG accreditation.
• National training centre
• Productive Endoscopy.
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How we got started
• Began end of May 2013
• NHSIQ- approach & support
• Trust board level support
• Establish Module leads.
Why did we need to do this?
Three main
areas of focus
Activity issues
workforceissues
Patientissues
Patient Issues • Lists running over
• Long waits in department
• Identified waits in patient survey
• Communication issues
• Patient experience not standardised
• Poor compliance with enema prep
• Good safety record
Activity Issues
• Yearly increased activity
• Already a high performing department
• Inpatient liaison nurse running duty lists
• Pressure to maintain cancer targets
• Plans for fifth room
• Maintaining a quality service
Workforce issues
• Three large teams working together
• .
• Staff survey in 2012 identified issues
• Areas of poor communication
•
• High levels of union involvement
• Previous experience of Lean was unsuccessful
Sort and Shine store room BEFORE AFTER
Sort and Shine Endoscopy roomsBEFORE
AFTER
Sort and Shine Key Benefits
.Environmental improvements.
• Cleaner and tidier
• Less time wasted
• Everything to hand.
Sort and shine key benefits
Benefits for patients
• Impacts on patient safety
• Staff care more about equipment
• Availability of equipment
• Procedures are quicker and slicker
Sort and Shine Key Benefits
Financial benefits
• Much less waste daily
• No longer routinely over ordering.
• Data collection for service improvement
IMPROVED COMMUNICATION
• Data collection.
• Collaborative working
• Better understanding of departmental pressures
• Regular meetings
• Quarterly newsletter publication, CQC compliant
• Daily feedback at team brief
• Knowing how you are doing board
• Support for Sisters and senior nurses
Education and staff development
• Managing change.
• Staff are motivated in new project work
• Staff feel confident to share their opinions and help to make the
changes
• A culture shift
• More enthusiasm and ideas generated.
Highs and lows
• Visible evidence of success with sort and shine
• Staff understanding each others pressures
• Utilising tools and techniques
• Generation of ideas
• HCA developing and implementing a discharge system
• On-going projects moving forward.
• Time is always an issue
• Some staff will never get on board
Where do we go from here
• Further action post diagnostic phase.
• Maintain enthusiasm.
• Sustaining changes.
• Key projects ahead.
• Improve waiting times
• Improve discharge processes
• Fifth endoscopy room
• New hospital (2017)