Transcript Document
NHS – Enabling Change
Improving processes and adding value
5th February 2015
Ian Quinnell
Associate Director for Programme
Management and Service Improvement
Challenging Times
“We’re in quality improvement
for the long haul,
but real success will be when
Quality Improvement is
business as usual”
The Health Foundation
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Gloucestershire NHS Foundation Trust - GHNHSFT
• One of the largest hospital trusts in the UK
• Provides care for 612,000 people
• Split over two sites – Cheltenham General and
Gloucestershire Royal
• Employs over 7500 staff
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Trust challenges
•
Increase in demand for all services, limited resources
•
Need to align services across the 2 sites
•
Growing population – in 10 years the Trust will need to provide care for
850,000
•
An ageing population – Gloucestershire has a greater than the national
average rise in those aged over 65
•
Chronic disease increase – over the next 20 years those with diabetes
and strokes are projected to increase by over
30% and coronary heart disease by 50%
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Trust challenges: Productivity and Efficiency
• NHS is expected to deliver savings of £20bn by 2015
• Every Trust has Cost Improvement Plans (CIPs) in place
• GHNHSFT needs to save in the region of £24m p.a
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Trust challenges: Cost Improvement Plan
The Cost Improvement Plan (CIP) includes reducing costs and
generating additional income.
There are a combination of initiatives and projects running to achieve
this:
Trust initiatives - technology systems, getting the basics right,
process improvements
Local Improvement Events – within the local area, joint ventures
with other NHS partner organisations
Community wide projects – across counties and regional
networks
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Time for Transformation
Transformational change is
required now
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Time for transformation: Trust projects
Vision for Healthcare Technology for GHNHSFT
Current situation:
• End of life patient administrative system (PAS) & other aging
systems
• Individual clinical systems with no integration
• Government directive for an Electronic Patient Record (EPR)
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Time for transformation: Trust projects
Harnessing the benefits of information technology
to improve the quality of care
SmartCare solution:
• Fully integrated clinical system
• Patient centric electronic record
• Provision of Order Comms and ePrescribing
• Real time data entry providing up to date information
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Enabling the Change
What are we doing now?
• Needed to know what current processes we had in the trust to
support change management for SmartCare
• Visited the ‘hands on’ operational staff, from Porters to Intensive
Care, covering various activities
• Mapped using Microsoft Visio, using swimlanes to identify the
person/group responsible for the task
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Enabling the Change
Managing the cultural change
• Identified over 300 key processes that needed to be mapped
• Lack of actual process in some areas but the visit was used as
an information session and staff engagement
• Useful exercise for identifying inconsistent working practices
across sites
• Obtained sign off and ownership from general managers or
senior supervisors
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Mapping in action: Rapid Improvement Event
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Process Map in Visio
Swimlanes used to
identify the person or
group of people
responsible for the
task
Colour & a code
used to identify
the system
currently used
File
reference
and version
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Person
responsible for
sign off /
process map
owner
Subject Matter
Expert and the
date the process
was collected
Quite complex processes
Some maps are too large
to fit on one page and
therefore cannot be displayed
end to end
Quote Goes here
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Making things simpler
•
Visio maps were quite hard to read and required Visio to view/edit
them
•
To encourage alignment in working processes needed to be made
more transparent and accessible
•
Lack of version control for processes and supporting documentation
•
Data was captured but could not be searched or retrieved to use
effectively
•
Information needed to be easy to get to and
• All in one place
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Introducing a central source of Truth
Quote Goes here
Quote Goes here
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Triaster Process Mapping
Accessed using a web browser, so
it can be viewed by everyone
Quote Goes here
Quote Goes here
Gateway to
the sub
specialties and
all the maps
related to a
division
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Use of a
Keyword to
speed up the
search for
appropriate
map/s
Triaster Process Mapping
Quote Goes here
Quote Goes here
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Local Improvement Event – clear concise mapping
style
Quote Goes here
Links to supporting
information e.g. forms,
procedure notes etc
Quote Goes here
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Supporting the system transformation
• Staff can access the GHNHSFT Process Library from the hospital
intranet
Quote Goes
here materials will Quote
Goes
here on the Process
• All SmartCare
training
only be
placed
Library
• Staff will be required to use the Process Library and processes to
support the implementation of SmartCare
• Process Mapping is also supporting lots of local & community wide
Improvement Projects
• The Process Library drives the management and continuous
improvement of processes
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
The Future
• The Process Library will be the One Stop Shop for all information
Quote Goes here
Quote Goes here
• GHNHSFT will utilise SmartCare as the enabler to introduce Triaster to
the organisation
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Sources of funding
We have £1.5m available for up to 20 teams to test and
develop innovative ideas and approaches to improving
health care delivery in the UK.
Quote Goes here
Quote Goes here
A Regional innovation Fund (RIF) of £5million
was launched by NHS England in November
2013, to support and promote the adoption of
innovation and the spread of best practice
across the NHS.
In collaboration with NHS England Innovation
Exchange is the central point for anyone
interested in innovation in healthcare in the
NHS.
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234
Thank you
Any
Questions?
Join the discussion at www.triaster.co.uk/connector
Call us on +44 (0)870 402 1234