Lean Sharing Forum Leeds Royal Armouries

12th June 2014

Developing Improvement Capabilities

Over 60 delegates from more than 30 healthcare organisations gathered at the Royal Armouries in Leeds for the first joint Lean Sharing forum hosted by Lean Healthcare Academy and Leeds Community Healthcare NHS Trust.

Attendees Leeds Community Healthcare NHS Trust

Bradford Teaching Hospitals NHS Foundation Trust Southport and Ormskirk Hospital NHS Trust

Nottinghamshire Healthcare NHS Trust South West Yorkshire Partnership NHS Foundation Trust

National Institute for Health Research Derbyshire HealthCare NHS Foundation Trust

Humber NHS Foundation Trust NHS England

A&C Consultancy & Training Services Ltd Staffordshire and Stoke on Trent Partnership NHS Trust

Strategic Health Network St James’s University Hospital

NHS West and South Yorkshire and Bassetlaw CSU Sheffield Teaching Hospitals NHS Foundation Trust

Moseley Hall Hospital Business Transformation Services

Manchester Business School NHS Chorley and South Ribble CCG

Mersey Care NHS Trust NHS Employers

Parkside Community Health South Staffordshire & Shropshire Healthcare Foundation Trust

The York Hospital Pica Pica Business Consultants, North East Transformation System

Northumberland Tyne & Wear NHS Foundation Trust Birmingham Community Healthcare NHS Trust

York Teaching Hospitals NHS Foundation Trust InRhodes ltd

Ashford and St Peter’s

Presentations by improvement experts from Leeds Community Healthcare NHS Trust, NHS West and South Yorkshire and Bassetlaw CSU and Derbyshire Healthcare NHS Foundation Trust gave delegates plenty of ideas on how to implement and develop improvement initiatives.

Guest Speaker Biographies

Lisa Falkingham

Service Improvement Facilitator, Leeds Healthcare Community NHS Trust Lisa has been working in the NHS for 27 years in both acute and community settings. She is currently on secondment with the Service Improvement Team and prior to this worked as a health visitor and on a pilot project as a Clinical Advisor in Health Visiting. She has recently completed a coaching programme and offers coaching to staff at the Leeds Trust and other NHS organisations.

Debbie Flintham

Service Improvement Facilitator, Leeds Healthcare Community NHS Trust Debbie started her career as a Health Visitor before becoming a Deputy Manager of a Sure Start project then a Senior Nurse Advisor. She now works in the Service Improvement Team and has 25 years’ experience working in the NHS.

Krishna Nair

Senior Associate Expert: Quality Improvement and Innovation and Transformation Projects Manager NHS West and South Yorkshire and Bassetlaw Commissioning Support Unit Krishna is an award winning Advanced Lean Practitioner with over 20 years clinical and managerial experience in healthcare. He has a Master’s degree in Advanced Practice and Health and Social Care Teaching. He won Lean Healthcare Academy’s ‘Lean Champion of the Year 2013’ award for successfully delivering a number of Quality, Innovation, Productivity and Prevention projects.

Bev Green Releasing Time to Care Lead Derbyshire Healthcare NHS Foundation Trust Bev is a qualified Mental Health Nurse with over 34 years’ experience in the NHS and has previously worked as a Ward Sister, Advanced Nurse Practitioner, Matron, and Acting Associate Director of Nursing. She is currently the Lead for Releasing Time to Care / Productive Care Pathway. In this role she oversees the programme, plans and ensures strategic fit and clinical facilitation whilst also contributing to a large transformational programme.

Jo Smith

Service Improvement Facilitator, Leeds Healthcare Community NHS Trust Jo has worked for the Service Improvement Team at Leeds Community Healthcare NHS Trust for the last three years. Prior to this role she worked as a Clinical Advisor on the SystemOne implementation. She has also worked as a Senior Drug Practitioner and has 12 years’ experience working in the NHS.

Kim Sheild

Releasing Time to Care Clinical Facilitator Derbyshire Healthcare NHS Foundation Trust Kim has worked in the NHS for 37 years and is a qualified Mental Health Nurse. Her past roles have included Staff Nurse, Ward Sister and Essence of Care Lead. She is currently the Clinical Facilitator for the Releasing Time to Care / Productive Pathway Programme. This role involves team level programme management, supporting cohorts and reporting progresses whilst ensuring excellent standards of care are maintained.

Presentations Derbyshire Healthcare NHS Foundation Trust spoke about supporting transformational change and shared the benefits they are reaping from their implementation of The Productive Series. One example they gave was the reduction in the length of hospital stays going from 107 to 68 to 50 and now with a new target of 40. NHS West and South Yorkshire and Bassetlaw CSU spoke about Unlocking Leadership Capabilities using The Productive Leader, the first CSU to adopt Productive improvement methodologies. Leeds Healthcare Community NHS Trust spoke passionately about their Improvement Learning Programme and their MAD ideas (Making a Difference) stating sometimes the smallest changes can make the biggest difference. The overriding message from all presenters was one of how a managed bottom up approach to change empowers staff to take ownership.

Table Top Exercise Mark Richardson, Senior Lean Facilitator at Virtual College facilitated a fun table top exercise where delegates were asked to build paper aeroplanes which demonstrated the importance of Standard Operating Procedures and how they can reduce variation. Lunch and coffee breaks gave delegates the opportunity to network and view the Leeds Community Healthcare NHS Trust Innovation and Research Forum .

Question Time After lunch the improvement experts, joined by Mark Richardson, made up the panel at the Question and Answer session. Discussion was held around: • How improvement activities can be seen as “business as usual” and not temporary or transient

projects • How to overcome financial barriers to service improvement • How to measure the impact on the quality of service provision • The impact of improvement programmes across organisations • How process mapping supports the redesign of corporate and support services • How to change the mind-set of senior staff and rigid salary structures • How to evaluate how embedded a culture of improvement is within an organisation • How to engage consultants in service improvement • The Productive Leader and its influence on Commissioning Services

Leeds Community Healthcare NHS Trust Innovation and Research Forum