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Supporting Continuous Improvement Stephen Gallagher. Framework for Continuous Improvement. Improvement Approach. Tools. Sustainable improvement. Case Studies. Creating the receptive context. High Impact changes. Measurement Value for money. Some truths about Continuous Improvement.
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Supporting Continuous Improvement Stephen Gallagher
Framework for Continuous Improvement Improvement Approach Tools Sustainable improvement Case Studies Creating the receptive context High Impact changes Measurement Value for money
Some truths about Continuous Improvement • Every system is perfectly designed to get the results it gets • Every change has both a technical and a social aspect • Technically rational changes can fail if the social aspects of change are not handled well
What does it mean for individuals/teams? • Culture • Leadership • Focus on systems means more focus on team work • Extended Roles i.e. Extended Role Practitioners • New Roles i.e. Physician Assistants, Cancer Trackers
People and Reform Peter Diegling
And the challenges…………….. • Neglect to develop the organisation or its parts in parallel • Gains can be reversed • Local learning, inward impact only • Priority Mismatch/out of step • Twin NHS Alters of Tribe and Tradition
Joining it up….for sustainability REDESIGN • Reconfiguration • Redesign - Process improvement • Innovation EDUCATION STANDARDS • Demography • Legislation • Educational Changes NATIONALREGIONAL LOCAL WORKFORCE CHANGE
National ‘Improvement’ / Redesign HEAT REDESIGN EDUCATION DELIVERY WORKFORCE
The NHS is full of committed staff who struggle to deliver good care within a set of broken processes – lets fix them!