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  • Better for You Report

    2013

  • If you would like this report in a different language or format, please contact us on 0115 924 9924 x70411 or e-mail nuhcommunications@nuh.nhs.uk. An e-copy is available on our website at www.nuh.nhs.uk.

    Contents1 Introduction ..................................................................................................................1

    2 Case studies ...................................................................................................................2Informing bed planning through data analysis ............................................................................................. 2

    Childrens champion staff engagement ....................................................................................................... 3

    New welcome for new starters ................................................................................................................... 4

    Ward receptionists create Service Charter pledge ........................................................................................ 5

    Staff just do it ........................................................................................................................................... 6

    Nottingham Childrens Hospital Tinas Tiles, just do it ............................................................................... 6

    Maxillofacial Unit appointment process overhaul ......................................................................................... 7

    Summary Care Record ................................................................................................................................ 8

    Staff-led change key to buy-in..................................................................................................................... 8

    Protected typing time ................................................................................................................................. 9

    Sterile Services improvements ................................................................................................................... 10

    Childrens Outpatients transformation ........................................................................................................11

    Better for You highlights timeline 2013 .................................................................................................. 12

    Staff collaboration results in faster CT scanning system ............................................................................. 14

    Porters achieve record high efficiency in Radiology ................................................................................... 15

    How Better for You helped NUH achieve national recognition for Intra-operative Fluid Management ........ 16

    Better organised theatres .......................................................................................................................... 17

    Audit of emergency triage process identifies good practice ....................................................................... 18

    @betterforyounuh is transforming the way we communicate .................................................................... 18

    Improving patient data process delivers greater efficiency for the Trust...................................................... 19

    Nottingham Childrens Hospital communicating values and behaviours ................................................... 20

    Trust, Commissioners and GPs join forces to deliver greater patient care .................................................... 22

    Wildly Important Goals ............................................................................................................................. 22

    E40 Disney window stickers ...................................................................................................................... 23

    Transfer to Assess ..................................................................................................................................... 24

    Improved efficiency in Cardiac Catheter Laboratories ................................................................................ 25

    Improved triage process in Childrens ED ................................................................................................... 25

  • Nottingham University Hospitals NHS Trust Better for You Report 2013 1

    1 IntroductionBetter for You (BfY), our established whole-hospital continuous improvement programme, continues to deliver exceptional results. Believed to be the biggest change programme of its kind in the NHS, it is our template for designingchange to support all improvement work across NUH.

    Building on the achievements since its inception in 2009, BfY continues to evolve in response to the changing needs of our organisation, and the feedback we receive from our patients, their loved ones, carers and staff.

    Twelve months ago we brought together our process and system redesign and our Learning and Organisational Development programmes. This is enabling us to better support all of our improvement work across NUH, including those focused on quality, safety, improving value for money, behaviour and culture. We have continued to renew and update our plans to repeat key national developments in the last year. Our priorities have been influenced by publications including the Francis, Keogh and BerwickReviews.

    This report highlights a selection of case studies which demonstrate the variety and breadth of the improvement activities led by NUH staff and our continued progress in identifying problems, developing solutions and introducing change. It tracks our progress since the development of our joint BfY and Learning and Organisational Development strategy in 2012.

    In 2014 five years into BfY wewill take stock of all of the improvement activities that make up our wide-ranging transformation programme. Our internal response to the changing external landscape and the views of our patients and staff will guide the future journey for our transformation programme. We will audit the effectiveness of our values and behaviours programme which also launched in 2009 by seeking the views of our staff and external stakeholders and will consult extensively with our patients, local community and our staff to create a shared vision for the future of NUH beyond 2016.

    Jenny Leggott

    Deputy Chief Executive and Executive Sponsor, Better for You

  • 22

    2 Case studies

    Informing bed planning through data analysis The winter season is traditionally challenging for all hospitals as an increased number of patients with more complex health needs are admitted. The winter of 2011/12 was a particularly demanding. Over 1,000 operations were cancelled due to a lack of bed availability and patients were left feeling distressed and let down.

    The Analytics and Intelligence Team believed that analysing bed usage patterns could be used to help create an improved bed capacity planning process and using the BfY approach began working to achieve this goal.

    The team found that bed planningwas effectively carried outby individual directorates but often the bed situation across the

    whole of the hospital was not readily available.

    It also found that bed planning was often calculated by examining average usage over a year. The team decided to analyse daily requirements over a year and as a result, a clearer picture of when and where the pressures arose across the whole Trust emerged.

    Quarterly reports are now escalated to the senior management teams which gives an overview of the impact that different seasons have on bed occupancy. Analysing this trend year on year helps better anticipate future pressures.

    For this work the Analysis and Intelligence Team won a national award for best use of analysis to manage demand and capacity at

    the Centre of Excellence Healthcare Analysis in 2013.

    Andrew Barraclough, Head of Analysis and Intelligence, said: I was delighted that the team was recognised for its work in helping to tackle very complex data to help better manage bed capacity. No-one can predict fully the demand on beds from one year to the next; its an issue the entire health community has to wrestle with. But now that we have a fuller understanding of how the need for beds varies over the year, we can help ensure that patients dont face a similar situation to that in the winter of 2011/12.

  • Nottingham University Hospitals NHS Trust Better for You Report 2013 3

    Childrens Hospital champion staff engagementMore than 300 staff took part in Octoberfest 2013, considered to be the most innovative staff engagement initiative ever held at the Nottingham Childrens Hospital.

    To encourage staff to participate the team held a variety of fun competitions and invited a sharing of ideas as to how they could be made to feel more valued at work. A huge blackboard, post-it notes and opportunity to chat informally all played their role.

    Alongside the apparent fun themeto its activities, the open door style October fortnight plays an instrumental role in improving staff involvement and patient care,boosting morale which contributes to helping the hospitalshape its strategy.

    First launched in 2012 and held in The Hub at the Childrens Hospital,

    Octoberfest was designed as an engagement event to review and comment on the Childrens Hospital strategy, check and challenge BfY projects and priorities and identify new ones for the future.

    The 2013 event was the ideal forum to report on progress made against Octoberfest 2012 output; staff comments have been used to update the strategy and issues affecting s