Fiona Thow NHS IQ Director describes the new productive endoscopy service improvement toolkit

1. design
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Productive Endoscopy
Overview- AUGIB workshop
January/February 2014
Fiona Thow

2. These modules create the
Productive Endoscopy Unit

3. design
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Changed modules to reflect
Endoscopy more appropriately
Executive leaders
guide
• 10min précis incl. NHS Change Model,
followed by full change management
module
Programme leaders
guide- extras added!
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Handover, recovery &
discharge (combined
module)
• Identify requirement to standardise the
process
• Eliminate duplication and delay
• The discharge process
Session start-up &
changeover
(combined module)
NHS Change model
A3 thinking/pdsa
Energy for change
Benefits realisation
• Safe & efficient transfer between functions

4. design
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Totally New Modules!
Referral
Management
• Understanding referral into & the
process within the unit
• Reducing inappropriate referrals,
delays & cancellation
Patient Experience
• Putting the patient at the centre of
improvement activities
• 6C’s-Compassion in Practice- care,
communication, courage,
competence, commitment,
compassion
Pre-assessment (&
patient
preparation)
• Correct patient evaluation, advice &
support
• Creating efficient, no delay, ‘pull’
into rooms

5. design
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Writing new
modules &
re-writing
modules to
ensure
endoscopy
focus
NIL’s working
on site
•test
improvements
•develop
appropriate case
studies/example
s for inclusion
Partnership with
JAG & alignment
to GRS
(endorsement)
•Joint Advisory
Group on
Gastrointestinal
Endoscopyaccreditation of
endoscopy units &
colonoscopists
working in the
BCSP
Learning
workshop
(October 2013)
• Showcase of
achievements
to date (see
posters
displayed)
• Training for
sites

6. design
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Approaches used
Two differing
strategies
All modules divided
up & module leads
selected
Selected modules
only attempted
Very tight
timeframe of only
6 months to
develop, test and
write up!
Amazing results
from teams so
far
Case
studies/examples
of improvements
made
Posters
showcasing
progress
Quotes from staff
& patients
involved

7. design
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Robust Measures
quality/
safety
staff
morale
Across the 4
domains to
improve the
patient
experience &
outcomes
timeliness
/delivery
cost/
value for
money

8. design
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Robust Measures
Measures
representing Trust
Values & NHS
Outcomes Framework
mapped to 6C’s
individual
module
measures
module lead
measures for use
in PDR process

9. design
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Measures

10. design
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Measures

11. design
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12. design
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"We're trying to create
the Bible for the
Endoscopy Unit" Jim
Buenaventura,
Endoscopy Unit
Manager, Whipps Cross
University Hospital
“ I now couldn’t work in
a unit that didn’t display
metrics to show how it
was performing ”
Clinical Lead, Barts
Health
"It's important that the
team make the
connection that each
piece of paper in this unit
is a patient!" Koralie Bird,
Sister, Portsmouth
Endoscopy Unit
“Our team now
understands the
importance of
communication & are
utilising the brief and
debrief to good effect, as
well as time-out sessions to
plan changes” Lead Nurse,
Liverpool
"Always end the huddle on a
high!" Jim Buenaventura,
Endoscopy Unit Manager,
Whipps Cross University
Hospital
"This was a very different
approach to what we'd had
before. Previous
experiences of Lean left us
feeling very 'done to' but
this was very inclusive"
Nicky Taggart, Endoscopy
Manager, RLBH NHS Trust
“All you need are a few flip
charts and some creative
minds.”
Ed Seward – Consultant
gastroenterologist, Whipps
Cross Hospital, Barts Health

13. PE Learning Event

14. design
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15. PE Mock up