Post on 23-Jul-2020
An Associated University Hospital of
Brighton and Sussex Medical School
Roll out plan refresh - summary
January 2018 v1.3
Context / purpose It has been agreed by TGB that each trust should undertake a refresh of their roll out plan and to describe the
alignment with the organisation’s strategy and goals
This:
• addresses a key outcome for every trust of the recent visits
• is an important point in time for all trusts to take stock of progress and future plans and priorities at the 2 year
stage
• will inform business planning ahead of 18/19, including any changes requested by trusts to the contract
profiling with VMI
• will allow trusts to share plans with each other and identify opportunities for support and learn from each other
• allows common themes and challenges across the trusts to be discussed at January TGB
Next steps
Trusts to:
• work with their VMI sensei to begin a draft for discussion at December TGTs
• provide a draft summary of their plans in the template provided by 12th January to feed into TGB on 19th
January
• discuss in January TGTs, utilising the ‘in person’ time of the Executive Sensei
• discuss their plans in report out at January TGB (VMI to also lead a thematic discussion)
Aligning strategy to roll out plan
Overview
• Our aim is to pursue perfection, putting our patients at the
forefront of everything we do, improving safety and quality
by reducing variation and waste in every process. Our
SASH+ work supports an accelerated transformation in
quality by providing us with a structured approach to
continue our improvement journey taking us from a good to
an outstanding organisation.
• Our kaizen promotion office (KPO) team lead the
transformation programme; they provide the structure,
methods and rigour behind the successful implementation
of the SASH+ improvement methodology, alongside
training and developing others to lead using the new
methods.
Through integration and partnership we aim to become both a provider and employer of choice
Annual priorities
Reduce avoidable
harm
Improve discharge planning
Staff health, wellbeing and working lives
Create best environment for patients
Improve efficiency of elective care
Values
Safety & quality One team
Dignity & respect Compassion
Vision We will pursue perfection in the
delivery of safe, high quality healthcare which puts the people of
our community first
Patient
Organisational goals
Strategic objectives
safe effective well-led caring responsive
KPO Team objectives
Support and deliver
management of diarrhoea value
stream
Support and deliver
cardiology inpatient flow value stream
Support and deliver L4L and ALT offering 130 places per year
Develop and deliver taster and
introduction sessions focussed on 5S and waste
Support and deliver
outpatient value stream
Planned improvement activity 2018 Planned dates RPIW# Certification Value stream Sensei visit
wc 29.01.18 13 SC – VMI Cardiology No
wc 19.03.18 14 SC & ZP – VMI Diarrhoea No
wc 23.04.18 15 ZP & PT – VMI Outpatients No
wc 21.05.18 16 PT – VMI Cardiology No
19.06.18 N/A - Launch of VS#4 No
wc 25.06.18 17 SR – SASH Diarrhoea No
wc 06.08.17 18 SR – SASH Outpatients No
wc 10.09.18 19 BP - SASH Cardiology Yes
wc 01.10.18 20 BP - SASH VS4 No
wc 05.11.18 21 - Diarrhoea No
wc 03.12.18 22 - Outpatients Yes
Planned improvement activity 2018 and beyond
• Frequency of RPIWs move from 7 weekly to monthly in August 2018
• To increase number of RPIWs and kaizen events during 2019 from 12
to 16 – 20
• To launch VS#4 in June 2018 and VS#5 in 2019
• Value stream launch for VS#4 planned for 19 June 2018
• In partnership with VMI, agree and test format for 1, 2 and 3 day kaizen
events in 2018 with support from VMI. First kaizen day for sepsis care
planned for 16 March 2018
• Quarterly sensei weeks also planned for 5 – 9 March 2018 and 4 – 8
June 2018
• Ensure continued link with other trust focus areas for improvement
including sepsis, falls, staff health and well being and theatre
productivity
Education and training – roll out plan
Planned for 17/18 Planned for
18/19
Planned for
19/20
Induction All new starters (1101) All new starters
(1100 anticipated)
All new starters
(1100 anticipated)
5S and waste taster
sessions – for all new
and current band 1 – 4s
6 sessions per year - bi
monthly
20 – 30 staff per
session
6 sessions per year
- bi monthly
20 – 30 staff per
session
6 sessions per year -
bi monthly
20 – 30 staff per
session
One day introduction –
for all new starters,
junior doctors and staff
on FTC > band 4
6 sessions per year - bi
monthly
20 – 30 staff per
session
6 sessions per year
- bi monthly
20 – 30 staff per
session
6 sessions per year -
bi monthly
20 – 30 staff per
session
Mistake proofing 1 session planned for
25 staff in March 18
To review continuing for
L4L once complete
TBC TBC
Promoting innovation 1 session planned for
31 staff in January 18
To review continuing for
L4L once complete
TBC TBC
Education and training – roll out plan
Planned for
17/18
Planned for
18/19
Planned for
19/20
L4L 4 cohorts of 30 staff
planned to commence
each year
4 cohorts of 30
staff planned to
commence each
year
4 cohorts of 30 staff
planned to
commence each
year
0%
5%
10%
15%
20%
25%
30%
35%
0
10
20
30
40
50
60
70
80
Cohorts 1 & 2Jun 16 to Jun
17
Cohorts 3 & 4Feb 17 to Mar
18
Cohorts 5 & 6Sep 17 to Oct
18
Cohorts 7 & 8Jan 18 to Dec
18
Cohorts 9 &10
Jul 17 to May19
Commenced
Graduated
Cumulative L4L total
Cohort target
Attrition
Education and training – roll out plan
Planned for
17/18
Planned for
18/19
Planned for
19/20
ALT 2 cohorts of 10 staff
planned to commence
1 cohorts of 5 staff
planned to
commence each
year
1 cohorts of 5 staff
planned to
commence each
year
0
2
4
6
8
10
12
ALT originalcontract
SJ, AH, HG,KM
ALT cohort 1ZP, SC, PT,
SR
ALT cohort 2Feb 18 toMay 18
ALT cohort 3Jun 18 toSep 18
ALT cohort 42019
ALT cohort 52020
Commenced
Certified
Target
RPIW cert
Cumulative RPIW cert
VMI support - 2018
VMI support 2019/20
Proposal for VMI future support • Move quarterly sensei visits to an annual sensei visit for 1 week
• Use contract money released from reducing frequency of sensei visits
to consider support from VMI in:
- 3Ps (production, preparation, process) development. This is about
creating a future state vision and process for new and evolving
services in advance of the development of them.
- The format for kaizen events and when to use them
- Supporting L4L in the 12 – 18 months following their completion of
the programme
- NED engagement and development
- Wider board development
KPO infrastructure
Current structure
KPO Director VSM 1.0wte
KPO Specialist Band 8C 2.2wte (1.0 on phased
return and 0.6 still on long term
sick)
KPO facilitator Band 7/8A 1.8wte
Temp KPO facilitator Band 7 0.6wte
Temp KPO administrator Band 2 0.4wte
Proposed structure 2018
KPO Director VSM 1.0wte
Deputy KPO Director/Senior KPO
specialist
Band 8C 1.6wte
KPO specialists Band 7/8A 3.0wte
KPO administrator Band 4 1.0wte
Up to 5 certified ALT staff to support at
least 1 RPIW per year and /or teaching.
Max 16 days per year
Sarah Rafferty
Paula Tucker
Allana Hansell