View
15
Download
2
Category
Preview:
Citation preview
www.england.nhs.uk
General Practice Transformation
Champions
Dr Farzana Hussain MRCGP, GP, Trainer, Appraiser and Coach- The Project Surgery , Plaistow
E13 0LN
Sue Collis Time for Care Programme Advisor – R.N., Spec Pract., B.Sc (Hons) &
M.Sc - NHS England Sustainable Improvement Team
www.england.nhs.uk
Ten High Impact Actions
www.england.nhs.uk
Why are we here today ?
www.england.nhs.uk
As a single handed GP, Federation Rep
and Mentor in Newham, London
www.england.nhs.uk
My reception team and I
www.england.nhs.uk
Our team and the builders making
new homes for the local community
www.england.nhs.uk
Me and my second year medical
students
www.england.nhs.uk
The time for change is now
www.england.nhs.uk
General practice- this is what we do
www.england.nhs.uk
Change Model for Health and Social Care
www.england.nhs.uk
Which tools did you
choose to use and why ?
www.england.nhs.uk
Tools and techniques
Change model – shared purpose and
Leadership for all
Process mapping
Plan Do Study Act
Measurement
www.england.nhs.uk
Leadership
Before and after….finding our shared
purpose through a sense of play
www.england.nhs.uk
Process mapping
www.england.nhs.uk
Process mapping
The Project Surgery Practice – Message taking current state map – Sept 2016
Key: Process step Decision Issue / problem Idea
www.england.nhs.uk
The Project Surgery – message taking current state map – Sept 2016
The output or process map …simple and powerful tool
Rx request made
Patient Receives meds
0.5 Hrs
0.25 Hrs
1.5 Hrs
30 sec
0.25 Hrs
1 min
0.25 Hrs
30 sec 0.5 Hrs
1 min
0.25 Hrs
0.25 Hrs 30 sec 2.0 Days
0.5 Hrs 1.5 Hrs
0.25 Hrs 30 sec
1 min 0.25 Hrs
0.25 Hrs
Key: Process step Decision Issue / problem Idea
Presentation example only
www.england.nhs.uk
Plan Do Study Act
www.england.nhs.uk
What are we trying to accomplish?
How will we know that change is an improvement?
What change can we make that will result in improvement?
The Model for Improvement
www.england.nhs.uk
Plan-Do-Study-Act cycles
Hunches
theories
ideas
changes that
result in
improvement
Very small
scale test
Follow-up
tests
Wide-scale tests
of change
Implementation
of change
Testing and
refining ideas
Implementing new
procedures & systems
- sustaining change
www.england.nhs.uk
Plan Do Study Act
• Repeat prescribing
www.england.nhs.uk
A work in progress…
• What about measurement ?
www.england.nhs.uk
Measurement
How do you measure effectively ?
Anti emetic to measurement !
Measure to motivate.
This is our challenge now and we are trying…
www.england.nhs.uk
Give Quality improvement a go- it
may just be life changing for you as it
is for me
www.england.nhs.uk
Thank you !
• Any questions ?
www.england.nhs.uk
10 High Impact Actions
bit.ly/gpcapacityforum
www.england.nhs.uk
Your Time for Care programme
Preparation Menu of support, readiness,
aligning plans, preparing champions
Productive General Practice Federation development
Online consultation systems (from 2017)
Practice manager development
Reception & clerical staff training
Launch event
Development Advisor Support
Learn from innovators
General Practice Improvement Leaders Programme
CCG investment & support
10HIAs showcase
Recommended