royal derby hospital: operational efficiency through partnership chris blunsdon transformational...
TRANSCRIPT
Royal Derby Hospital: Royal Derby Hospital: Operational Efficiency Operational Efficiency Through Partnership Through Partnership Chris BlunsdonTransformational Team, Derby Teaching Hospitals NHS Foundation Trust
Who am I?
Worked in the health service for 43 years
Started as a Cadet Nurse in Carlisle when I was 16
Qualified as a Nurse in Carlisle Moved to Derby and trained as an
ODP For my sins became Theatre
Manager I retired from my post as Theatre
Manager in April 2015 and started working in Planned Care Transformation on some specific projects pertaining to Theatres.
Stress / Pressure
We’ve all been here!
Strapped for cash
How can you progress and improve when there is ‘no money’?
1. Business case - Wait for NHS to make money available. Slow process
2. Charitable funds - National / Local charities, Long process, NHS Lottery?
3. Partnership - Foster Industry relationships
What are the routes to acquisition of equipment?
Drivers to acquire OR1 Theatres
State of the art equipment required to remain competitive in the region
Capitalise on the expertise of the existing surgeons
Forward-looking aim of attracting additional top surgeons
Drivers to improve training
Live operating for educational courses
Close links with clinical skills department
Live links to lecture theatres in education centre required for medical students
Laparoscopic workshop equipment provided
Process for Managed Service
OR1s purchased July 2010
Need for a managed service was established
Managed Service commenced July 2011
On Site Technician employed as part of contract
A step into the unknown
Apprehension of how the role would be implemented
What exactly would be required of theatre staff and On Site Technician?
What are the responsibilities for existing equipment?
How will the On Site Technician integrate into the team?
Training – would staff lose skills?
Theatre Staff− “What are you selling?”− “What will you do all day?”− Extra pair of hands in theatre? (No patient
contact)
On Site Technician - A UK first
ObjectivesRelationshipsFlexibilityImpartialityEnsure good performance and manage riskVisits from other Trusts
On Site Technician - Role
Trust induction− DBS check− Occupational health clearance− Honorary contract
Daily duties− Preventative maintenance checks and set up
− Troubleshooting
− Training
− Equipment utilisation
− Data management
− Asset management
− Course support
− Educational videos
− Liaison
Relax, it’s taken care of
The ‘STORZ man’ will sort it! Allowed us to concentrate more on
what we should be doing – this was invaluable
Increased confidence of staff due to training
Enabled better planning - more patients could be treated due to the reliability of the equipment
Quarterly meetings update
Need for Expansion
Urology rigid endoscopy sets old and in poor state of repair
No capital funds
Quotes prepared with the aim to rationalise portfolio
Instead of replacing everything, fewer sets were required due to ongoing care of kit and higher performance
12+ months of negotiation internally and with KARL STORZ
Kit was commissioned January 2014
Theatre training and support in theatre
Further Expansion
New stack systems and GI scopes added to contract
Existing camera systems covered for maintenance
ENT/Max Fax O/P Camera systems and nasoendoscopes
Second OST required due to volume of covered equipment
Theatre manager involved in recruitment of new OSTs Becky and Aidan
A Happy Team!
A Happy Team!
Thank you