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Service Redesign
A Team Effort !
CPPC Study Day September 2009 Irene Pullar
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The Team ?
or
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The Continence Team(In no particular order!)
• Continence Nurses/advisors• Continence Physiotherapists• GP’s• Urologists• Urogynaecologists• District Nurses• Midwives• Colorectal Surgeons• Physiologists• Carers• Any appropriately trained health care professional• Managers/Budget holders• And last but not least ››››››
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The patient !
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Service Redesign
• Service Design is the activity of planning and organizing people, infrastructure, communication and material components of a service , in order to improve its quality, the interaction between the NHS as service provider and patients and the patient's experience
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Service Redesign
• How do we know our service need changed?
• Think and ask anyone in the ‘Team’
and remember to include Yourself!
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Why does it need changed?
• New guidelines -Local or National
• Departmental changes
• Patient choices
• You
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Why does it need changed?
• Waiting lists
• DNA rates
• National Government ‘Drives’ -18 weeks pathway
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What needs changed?
• Clinic times ?• Patient information ?• Waiting times?• DNA rates?• Staffing ?• Training ?• Attitudes ?
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Have the same changes been done elsewhere?
• Ask other areas
• Google it
• iCSP
• Clinical Governance Dept
• Modernisation team
• Don’t reinvent the wheel
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How do we change it?
• Ask the ‘Team’• Get evidence – Local /National Guidelines• Get help – Colleagues ,Clinical Interest
groups• Modernisation Team • Audit department• Clinical Governance (local or national)
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Clinical Governancehttp://www.clinicalgovernance.scot.nhs.uk
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PDSA Cycle
• Plan• Do• Study• Act• Small pilot• Review • Any further changes• Then implement • Review ……
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PDSA Improvement Model
Cycle 1 Cycle 3Cycle 2
What are we trying to accomplish?
How will we know that a change is an improvement?
What changes can we make that will result in an improvement?
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Does it need funding?
• Small changes may not need funding
• Local NHS Intranet – source local or national initiatives. Fit your project to their project
• Modernisation Teams
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Funding?
• Drug companies.
• Local University/Medical school-lists of bursaries/awards.
• ACPWH/CSP- Lists of bursaries/awards
• Local charities
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How do we know that our change is an
improvement?
• Audit it but Get Help and use your trust’s audit/clinical governance department.
Simple patient/Staff questionnaire QOL scores Validated outcome tools. Touch screen waiting room Questionnaires
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Go for it!
• Think positive
• Jot down ideas
• Go for small projects first
• Try to fit your ideas to any ‘directives’
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Go for it
• If you don’t ask you don’t get!
• Don’t give up at the first hurdle.
• Persevere , if you don’t succeed try again or somewhere else
• Use the NHS Clinical governance/audit departments
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Useful websites
• http://member.goodpractice.net/ContinuousImprovementToolkit/resources/core-improvement-tools/overview-to-core-improvement-tools.gp
• www.scottishcf.org/grantsforwomen
• http://www.show.scot.nhs.uk/CSO/index.htm)
• Your NHS Intranet
• http://www.nice.org.uk/usingguidance/commissioningguides/uiwomen/UrinaryContinenceService.jsp
• http://www.institute.nhs.uk/index.php?option=com_quality_and_service_improvement_tools&Itemid=551.html
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Useful websites
• http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/Tools/Plan-Do-Study-Act+(PDSA)+Worksheet.htm
• http://www.csp.org.uk/director/members/research.cfm
• http://www.18weeks.nhs.uk
• http://www.clinicalgovernance.scot.nhs.uk/section2/pdsa.asp
• http://www.healthdesign.org/
• http://www.google.com
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Any Questions? Or Have I confused you enough!