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)
