Path Links - Developing seven day services in microbiology

Report
Seven day
services in
Microbiology.
Mark Cioni.
Directorate Service Manager
(Bacteriology) and Laboratory Manager.
Path Links.
North Lincolnshire and Goole NHS
Foundation Trust.
Improving health outcomes across England by providing improvement and change expertise
• Lincolnshire wide pathology
service hosted by North
Lincolnshire and Goole NHS
Foundation Trust, but also
providing United Lincolnshire
Hospital Trusts.
• Exemplars in National
Improvement Programmes.
• Provider in the ‘North East
Lincolnshire out of hospital
providers’ early adopter
community.
• Lord Carter of Coles
Pathology services reviewendorsed as a model of
centralised service provision.
Improving health outcomes across England by providing improvement and change expertise
Improving health outcomes across England by providing improvement and change expertise
Current Service Provision
Boston
Blood Sciences: Working time directive (WTD) compliant shift rota (approx. 41hrs) with band
payments.
Microbiology:
Non WTD compliant on call system with band payments
Grantham Blood Sciences: Working time directive (WTD) compliant shift rota (37.5hrs) with
shift payments
Grimsby
Blood Sciences: Working time directive (WTD) compliant shift rota (37.5hrs) with band
payments
Lincoln
Blood Sciences: Working time directive (WTD) compliant shift rota (37.5hrs) with band
payments
Scunthorpe
Blood Sciences: Non WTD compliant on-call system with band payments
Microbiology:
Non WTD compliant on-call system with band payments
Improving health outcomes across England by providing improvement and change expertise
‘RESHAPING PATHOLOGY’
THE PATH LINKS INNOVATION &
IMPROVEMENT PLAN 2010 – 2014
Path Links management endorse recommendations of the Operational
Managers Group to:
1. Defer implementation of Agenda for Change Terms & Conditions, Section 2
(2.8 – 2.30),for Out of Hours payments for BMS staff pending the outcome
of national agreement scheduled for 31st March 2011.
2. Pending Trust agreement, support the option to progress with full
implementation of Agenda for Change Terms & Conditions for Out of Hours
payments for BMS staff post 31st March 2011 in the absence of a national
agreement.
3. Restrict OOH working of laboratory duties to Band 6 grades and below
cross all Clinical Directorates.
Improving health outcomes across England by providing improvement and change expertise
Path Links Microbiology
• Path Links strategy to
provide 24/7 services.
• Northern Lincolnshire and
Goole NHS Trust strategy to
provide 7 day services.
• Technological advances in
rapid testing in microbiology.
• Whole pathway approach to
service provision.
Improving health outcomes across England by providing improvement and change expertise
Patient Impact
• Earlier diagnosis.
• Responsive and appropriate
treatment.
• Faster recovery.
• Reduced risk and suffering
from inappropriate care and
treatments.
• Less need for critical care
and isolation
Improving health outcomes across England by providing improvement and change expertise
Staff Impact
•
•
•
•
•
On - call to shift.
Negotiation.
Service need.
Work-life balance.
Less stress from
managing backlogs.
• More time to focus and
activities that add value
instead of managing
problems associated with
backlogs.
Improving health outcomes across England by providing improvement and change expertise
Impact on the Overall System.
•
•
•
•
Improved management of
capacity and demand and
patient flow.
Supports earlier clinical decision
making when teams work 7 days
across the whole system
including transport .
Reduces the risks and costs of
inappropriate treatment and
delayed patient management.
Bed utilisation is improved and
less requirement for expensive
critical care and isolation
management which reduces
costs overall.
•
•
•
•
•
Can help admission avoidance.
Improved Infection prevention
and control.
Reduction in staff costs and
increased capacity from running
services as a network instead of
at every hospital.
Better value for money for
commissioners of services.
Improved patient safety and
patient experience.
Improving health outcomes across England by providing improvement and change expertise
Key challenges and solutions
to delivering 7 day services
Challenges:
Solutions:
• Inflexible working patterns.
• Involve staff in redesign.
• Changes to staff terms and
conditions.
• Well planned negotiation
and communication with
staff.
• Balancing the flow of work
across the care delivery
system.
• Engage with teams across
the whole pathway when
redesigning services.
Improving health outcomes across England by providing improvement and change expertise
Top Tips
• Strategic leadership is very important.
• A real understanding of demand and capacity is a helpful
key step when making changes.
• Measurement and tracking of benefits can help to motivate
staff and demonstrate added value to stakeholders.
• A team that has an embedded improvement culture is
easier to work with and they can have the ideas of how
best to make changes.
Improving health outcomes across England by providing improvement and change expertise
Thank
You.
Improving health outcomes across England by providing improvement and change expertise

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