SUSTAINABLE ACTION PLANNING
Sustainable action planning in occupational therapy
Ben Whittaker
21st November 2014
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SAP is…
…a programme to support clinical teams in taking action for sustainability
through helping them to:
o learn about sustainable healthcare
o focus in on their priorities
o put together a sustainable action plan
o create a culture of ongoing improvement
we’ll do it better tomorrow
how?
• Clinical practice
• Local systems
• Clinical practice o prevention, supporting patient self care
o preparation for health effects of climate change
• Local systems
• Clinical practice o prevention, supporting patient self care
o preparation for health effects of climate change
• Local systems o energy, travel, water, waste
o medical supplies (drugs & equipment)
o non-medical supplies (e.g. food, laundry, paper)
o improvements in the way we do things
Sustainable healthcare
What can teams do?
procurement / consumption
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STEP A
SPOTTING OPPORTUNITY
STEP B
PRIORITISING
STEP C
EFFECTIVE ACTION
TOOL 1 - euphemisms for carbon waste
TOOL 2 - inputs and outputs
TOOL 3 - lean questionnaire
TOOL 4 - developing a process flow
TOOL 5 - opportunity spotting
TOOL 6 - collecting data
TOOL 7 – Excel spreadsheet for data
TOOL 8 - initial options & simple prioritising
TOOL 9 - 5-why
TOOL 10 – where are we going
TOOL 11 - from cause to effect
TOOL 12 - 5S
TOOL 13 - incentives that work
TOOL 14 - action plan & setting KPIs
TOOL 15 - example Action Plan & blank
TOOL 16 - management commitment
TOOL 18 – mistake proofing
TOOL 19 – engaging people
T E A M
INTEGRATE INTO NORMAL MANAGEMENT OF THE UNIT
CYCLE OF ON-GOING IMPROVEMENT “We’ll do it better tomorrow, and better still the day after”
www.sap.sustainablehealthcare.org.uk
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Workshop One
GoalTeam agreement on 1-2 issues to tackle first
Agenda1. Introduction to environment and health
• Environment and health• Climate change
2. NHS sustainable development • Actions for whole Trusts• Actions taken by other teams
3. Discussion: priorities for your team
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Workshop 2
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GoalsA sustainable action plan!Plan for ongoing improvement
Agenda1. Exploring your chosen areas:
• Describing how the process works today• Brainstorming problems and ideas
2. Actions3. Ongoing improvement
• Managing implementation and monitoring
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RENAL UNIT AT TRELISKE HOSPITAL: DATA AFTER 2 YEARS
• Food waste 35% to <5%• Linen down by 70%• Reduced packaging. Recycled
cardboard down by 65%• Reduced deliveries 50% (mileage)• Reduced ambulance journeys &
mileage. Now zero abort costs• Waiting times <30 minutes from 55
minutes. Overall 50% less waiting• Improving patient experience and
morale• Better place to work, attendance
>4%• Reduced carbon >52 tonnes CO2e
• Cost avoidance running at £57,500 p.a. = £2,300 per employee
What are you most concerned about personally?
What are the other priorities for the team?
What are your team’s biggest environmental impacts likely to be?
What can you influence?
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Where are you today?
Ongoing improvement
• Obtaining senior backing for our action plan
• Structuring our progress review meeting
• Consolidating team buy-in
• Securing cooperation from other departments
• Celebrating our success
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Sustainability – why take action?
“We’ll do it better tomorrow, and better still the day after”
Discussion
• Can occupational therapists make a difference?
• Where could you make most impact?
• What are the barriers, and what would help you to overcome these?
• Questions about SAP
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