27 January 2010
The power of the checklist
Listening to the radio this morning (BBC Radio 4) I heard a piece about how the airline industry & World Health Organisation has been working with the NHS to deploy the 'Surgical Safety Checklist'. The main principle of this seems to be about team work and making sure that, at the start of an operation, everyone knows what they are doing.
To quote a well known meerkat - "simples!"
There are the other stories about these developments here, here and here. And there is more information about the whole approach to create "The Productive Operating Theatre" on the NHS Institute for Innovation and Improvement here.
But back to checklists... how many other services could be improved for want of a good checklist? Whenever I talk about 'knowledge management' (which is often over complicated beyond belief) I talk about the value of a simple checklist as being the embodiment of practical knowledge.
What checklists do you work with... and what new ones would help?
UPDATE: A couple of good articles here too: New Yorker 1 & New Yorker 2
23 January 2010
Kent County Council: making research more collaborative and cost-effective.
Kent County Council has long been acknowledged as an ‘innovative council’. It has led the way on several fronts including Telecare and Telehealth, the Kent Payment Card, Gateways, Kent TV and a vast range of service specific projects.
In addition to those ground breaking initiatives, the Technology Research and Transformation Team has been looking at how the innovative use of technologies and tools can change the way business is done, support individuals to work smarter and enable knowledge and ideas to be exchanged seamlessly.
This has taken many forms, from the establishment of e-Catalogues to Innovations Fairs through to the development of a public sector ‘mash-up’ service. Our recent focus has been directed towards the deployment of tools that are more collaborative and cost effective. Part of that process has been the establishment of a blog called iNews.
You may be wondering why we are using blogging techniques rather than more traditional mechanisms? Primarily it’s because we recognise that it’s often difficult to find out the latest news and views across a broad topic area. At the moment we are testing out a range of new tools as we want to develop mechanisms for enabling ‘innovation conversations’ with a range of individuals and organisations including officers, Members, partners, private, public, third and FE sectors and the public. Blogging offers an alternative to more traditional ‘broadcast’ mode options as it is immediate, interactive and offers the capability for multiway dialogues.
We want to use emerging technologies to provide a better understanding of key topics as well as establishing a platform for comments, ideas and challenges. From using games to influence behaviours, clubbing for jobs to sharing links on managing knowledge, we feel it’s by sharing stories that we can best convey how innovation can help realise benefits, maintain tangible change and reduce risks.
In addition to sharing what we do, we also use the blog to highlight other projects, reports, conversations, ideas or articles via a free social bookmarking service (http://delicious.com/KCCInnovation). People can opt in to receive a daily digest of research findings, and they can personalise what areas are relevant to them by filtering for specific topics. To maximise participation and help users feel comfortable about using this new way of communicating we provide tips and guidelines on how to blog.
Other ideas we are currently researching and developing include better use of semantic web tools to enable greater engagement, text to speech visual presenters that may potentially save users and staff up to 40% of their time in answering standard questions by an enhanced (and hopefully intuitive) FAQ system, the impact of disruptive technologies on an organisation, opportunities within Web 3.0 and how interactive gaming tools can increase and strengthen community interactions. Clearly there is a lot happening and we welcome readers’ contributions and comments via i-News.
For more information please contact Kirsty on kirstyjoanna.russell@kent.gov.uk and visit our blog which can be found here: www.transformedbyyou.blogspot.com
21 January 2010
10,000!!
Just to note that this blog has now had 10,000 page loads since I started it back at the end of February last year. Woohoo! Thank you and welcome to all readers, visitors and regulars.
Jon
..
Another new eBook on Employee Engagement!
Employee Engagement: Powerful Sentences of Advice for Managers
- Check your own engagement regularly - you need support, recognition and inspiration as much as your employees, in order provide an environment that will engage your people fully. (Anna Buxton)
- Care for people around you and get to know who they are, what strengths they bring and what’s important to them. (Lisa Sansom)
- Understand every member of your teams motivation, align their aspirations to a clearly communicated business direction, give them all the tools to do the job and then empower them to deliver. (Susanne Jacobs)
11 January 2010
Parking - more innovation!
I am sure that most of us hate parking! The whole process of parking from finding a space, squeezing your car into it and then paying the charge can all be very tiresome. The paying bit especially is tricky when you don't have enough change. Especially as parking charges are going up - who wants to be weighed down with bucketfuls of loose change.
One answer to this problem is below where Westminster introduced mobile phone paying. A good idea but one that slightly scares me if truth be told. But then along comes an even better idea (in my view) from Southampton. Moreover it is an idea that a citizen had: Oyster (type) cards to pay for parking. What a great idea!
More information here - thanks to the Daily Echo.
..
07 January 2010
Salt and stuff: innovation in Cumbria
In these Arctic times - innovation & creativity are clearly are huge value. I know from personal experience how dangerous minor roads can be in the current cold snap. Therefore it was great to read about this story (thank you LocalGov.co.uk) about Cumbria County Council's response to the crisis:
http://www.localgov.co.uk/index.cfm?method=news.detail&id=85433
..
18 December 2009
Seasonal greetings!
I would like to take this opportunity to offer all readers of this blog my sincere festive greetings and good wishes for 2010. May this forthcoming year and indeed the next decade of this century be healthy, happy and prosperous for you and all those whom you care about.
...
16 December 2009
Bus stop displays help with community safety
...
Customer Journey Mapping Workshop: the results!
A Customer Journey Mapping workshop was held Stoke-on-Trent City Council on Wednesday 4 November 2009. 12 candidates from various organisations attended the workshop, with delegates from Newcastle Borough Council, East Riding of Yorkshire Council, Derby City Council and Staffordshire Connects among the attendees.
UPDATE 1: It is my understanding that this team has now been disbanded
15 December 2009
Community led sustainability in North Devon
Just spotted this story from North Devon in the village where I went to school and my Father was the headteacher:
A community led development in Bickington has been kickstarted today (Tuesday 15 December) with a major £850k funding boost from Devon County Council. The first phase of this innovative scheme, at Little Bickington Farm in High Bickington, will provide 18 new homes, two workshops for local businesses, a plant room for a woodchip heating plant and other community facilities. Planning consent has also been secured for a new community building and sports facilities, a new primary school, a Multi Use Games Area, a Health Centre and allotments.
Critically in the context of this blog:
27 November 2009
Community cohesion - and Open Space
Just blogged on my other about some excellent work happening in Leeds!
http://jonharveyassociates.blogspot.com/2009/11/open-space-and-community-cohesion.html
.
24 November 2009
Wouldn't it be better if...
This is fabulous website brimming with ideas for improvement from the perspective of citizens. I would guarantee that any public agency looking through this list would leave with at least three ideas for where they could improve the services they deliver to their users and publics.
Please visit, browse, take or add ideas - it has certainly got me thinking!
http://publicexperience.com/?v=2
(Thank you to the Cabinet Office for this link)
This is part of the work of the Innovators Council - I thought you might like to know...
.
13 November 2009
New eBook on Employee Engagement
and I helped to write it (along with 200+ other people)! David Zinger is the founder and host of the expanding Employee Engagement Network www.employeeengagement.ning.com.
31 October 2009
Cultural & Communities Resource Unit: Diversity and efficiency in practice
Yesterday I learnt about a fabulous project run by the Metropolitan Police Service. Established some years ago now - the project runs a database of officers and staff with specialist skills. The skills include understanding languages and cultures of the various (and many) communities of London. But the database does not stop there, members of the database offer any information about themselves that they think could help with an investigation or other police operational matter.
- Should all police services have such units?
- And secondly - should all public services have such units?
In the same case study, the CCRU’s founding director, Detective Chief Inspector Keith Fraser, is reported as saying "This database allows us to match up the ‘life skills’ – as well as the professional skills – that officers have with the needs of a particular case. The database contains all sorts of information, not only about an individual’s race, ethnicity, faith or cultural experiences, but also things like experience of child abuse, black magic, hostage situations, and so on. It is a really rich resource and allows us to bring new and subtle understandings to our work."
- A better, more diverse and sensitive service is delivered to citizens
- Staff are valued and acknowledged for all of their talents
- Operational practice is more effective and efficient (with less use of costly external expertise & more efficiently conducted operational business)
30 October 2009
Productive Community Services - Improving frontline NHS delivery
Productive Community Services is an organisation-wide change programme which helps systematic engagement of all front line teams in improving quality and productivity. It is a practical application of lean based techniques that will vastly increase the organisation’s capacity and capability for continuous improvement.
27 October 2009
Having fun with Wordle
MOD: GEMS Annual Awards
Award Winners for 2009 GEMS Annual Awards:
- Most Environment Friendly: Flushing procedure to reduce waste material.
- Most Safety Improving: New design for a universal deployment frame.
- Most Innovative: Maintenance - revised use of Air Supply to pressure test VC10s.
- Most Operational Benefit: Designed a training programme for C130 simulator airframes.
- Most Business Improving: Making better use of ammunition and Qinetiq facilities
- Best example of Modernisation: Using a Sony Playstation Portable for Mobile Learning Technology Training
Award Winners for 2008 GEMS Annual Awards:
- Most Environment Friendly: Anvis MK9 Helment Rail Assembly Transfer
- Most Safety Improving: Use of Onboard HM Ships Stretcher and Baxstrap Spinal Board. & Up and over Fire Attachement re-design
- Most Innovative: Strategies for Mitigating the Impact of Data Security within systems
- Most Operational Benefit: Field Service Pack
- Most Business Improving: Unscheduled Fault Sympton Coding System
- Best example of Modernisation: Boat – Bowman on a Trolley
Now I must admit I have no idea what most of these things are in practice - but clearly they are of huge value to the Ministry of Defence. I applaud the fact that an organisation as large and complex as the MOD has such a lively and innovative suggestion scheme. Moreover it is great that the people who come forward with their suggestions are honoured & praised in this way.
Why can't all organisations do something similar? I wholly believe that the leadership commitment and administrative support required to make a suggestion scheme 'fly' would be paid back in bucketfuls by the improvements in results and staff motivation that would come about.
Well done MOD!
I know - not many new posts! (but watch the MOD)
GEMS is the MOD-wide staff suggestion scheme that recognises and rewards ideas which are implemented. The GEMS scheme encourages all MOD civilian and Armed Forces personnel, ex-employees, directly employed MOD contractors and their staffs to contribute constructive ideas for improving efficiency and organisation anywhere within the Department, and recognises the value of their contribution.
26 October 2009
Invest in efficiency, says sustainability boss
“We are in an invest-to-save scenario,” Jordan argues. “There are quite a lot of measures that you could invest in that would have a pretty rapid payback in cash terms. “It is my job, in part, to persuade government departments that would be a good investment now, when they still have better prospects of making the investment.” Jordan said the difficulty of finding money for investment in sustainable improvements was a “very important question”.
Read more here.
08 October 2009
Raising awareness in caring for those with a learning disability
07 October 2009
Good Relations Grant Fund - Belfast City Council
A good idea from Belfast City Council - providing small grants to projects involved with building common ground. Even the application form is relatively straightforward - although I think it could be simplified further.
Go to http://www.belfastcity.gov.uk/goodrelations/goodrelationsfund.asp for more information
The Good Relations Grant Fund is for community relations and cultural diversity projects. It is open to community groups and other organisations involved in reconciliation and cultural diversity. The aim of the fund is to promote good relations between people of different religious and political beliefs and different racial groups.
For me this is evidence of the public services engaging in 'empowered citizenship' which I have talked about on my other blog (http://jonharveyassociates.blogspot.com/2009/05/empowered-citizenship.html) - supporting citizens to take effective action to help create the kinds of social outcomes we all want.
Good to see.
28 September 2009
Thinking outside the box
At a time of increasing financial pressure, service commissioners may be tempted to play safe with design – but Ruth Keeling finds that trying new approaches can produce better results and, ultimately, save public cash
After years of efficiency programmes, the state of public finances is such that departments are being asked to cut expenditure again. How will they do that? One answer may be a radical rethink of the way services are designed – at least, that is the idea behind the Design Council’s ‘Public Service by Design’ programme....
24 September 2009
The Shortlist for the Civil Service Awards 2009
http://network.civilservicelive.com/pg/groups/247940/civil-service-awards/
Lots of innovative projects here - worth a visit
14 September 2009
Trust & creativity
13 September 2009
What do I know?!
When I have time, I send out emails asking people for any ideas that they have come across. Many of the responses are shown below. I am hugely grateful for all the examples that have been sent to me. Please keep them coming!
But every now and then I get an email which deflates me a little. I won't reprint one I received in the last few days because - I want to keep to keep the organisation anonymous. Moreover, the email is at pains to make clear that according to the "Re-use of Public Sector Information Regulations 2005 Act, sections 4 and 12" they have not given me permission to use the information.
However, I can say that had this organisation actually had:
- A staff suggestion scheme
- An annual efficiency statement
- Initiatives that have provided a benefit of around £50k
- Success stories communicated to the communications team
- Directors who saw it as part of their responsibility to have some knowledge about these matters...
...then the organisation in question might just be providing a better and more efficient service to its clients and local citizens.
But what do I know, of course?!
03 September 2009
Press cuttings: There must be a better way...
I've been looking at some of the functions the communication and marketing department performs and how they can be performed with less people (we're losing staff through transformation). Specifically if by changing the way we do certain things we can save time and money, or if we can do it better... (rest here)
Useful posting and indeed overall blog about Web 2.0 strategies for local govt (specifically Newcastle City Council) - thanks for the link from http://twitter.com/NewcastleCC
McKinsey report bites the dust - another example of where the small creative ideas have been overlooked?
The government says it has rejected advice from management consultants to cut the NHS workforce in England by 10% over the next five years... Sir Gerry Robinson, the businessman who presented a BBC series about the NHS, said he saw an "enormous amount of waste" and jobs should go. He added he was "infuriated" by yet another report, which cost a lot of money and "tells you the obvious".
(BBC: NHS workforce cuts plan rejected)
Many years ago, I read a book by Edgar Schein (Process Consultation Volume 2: Lessons for managers and consultants - which is still available) and it changed my approach to consultancy. In it he describes three model of consultancy: The purchase of information or expertise, the doctor-patient model and process consultation. I have discussed these points at greater length on my other blog (click here)
I make the overall point that all too often the wrong kinds of consultancy are procured - and ownership of the problems are handed over to external consultancies.
It is my ambition that this blog will assist with ensuring that more credence and resources are given over to making sure that staff (including NHS staff) are empowered and encouraged to offer the small & creative ideas that are, can and will make more of a difference to service improvement.
28 August 2009
New initiative by Nick Clegg (leader of Liberal Democrats)
We need to cut out all inefficiencies in order to protect front-line services. This Government has a staggering record on waste. We need to stop money from being thrown away – that means talking to the people who know best about how public services are run: public servants.
Your ideas for efficiency savings will make sure that all the money there is goes on providing quality services.
Railway station pest control - back to the future!
Community cohesion - excellent resource
The iCoCo Practitioners' Network was established in May 2006 to bring together cohesion practitioners. The purpose, remit and aims of the Network are:
- exchange ideas, discuss issues and seek solutions to problems
- find out about successful initiatives operating throughout the UK
- seek out, share and disseminate good practice
- contribute to the development of training opportunities
- provide a 'what works' enquiry system
- identify the need for action research programmes and assist in their development
- advocate on behalf of practitioners and community cohesion in general
Cyclehoop - instant cycle parks!
27 August 2009
Novel way of raising cash for charity
A WRITING workshop is being held to help people create their own novel and raise money for charity at the same time. The one-day workshop has been organised by Lifeline Resources, a local cancer charity which organises four-day therapeutic breaks free of charge for cancer patients and their carers...
More information (thanks to The Plymouth Herald) - click here
Great idea!
Dream...
Not quite a 'small' creative idea - but a rather big one!
http://www.dreamsthelens.com/home.html
Dream: Jaume Plensa's landmark sculpture on the former Sutton Manor Colliery in St.Helens, Northwest England
I like the idea of a sculpture to encourage people to dream. It certainly is
a triumph, a stunning visual feast, and a spectacular object lesson in the "art of the possible", demonstrating what can be achieved when committed people with a shared vision work together towards a common goal.
In my view - the core purpose of the public services is to assist people to dream, have ambitions and realise these - either through providing the tools to enable this (such as education) or remove the barriers to their achievement (tackling ill health and crime). I hope this beautiful sculpture inspires people both as citizens and as service providers - to make more dreams possible.
Congratulations to St Helens!
Environment & Transport savings
- Carrying out bulk, skills training in-house with the external trainers coming to us rather than sending staff away. We did a 2-week in-house road safety training scheme (Rospa) and it is estimated that £8000 was saved . We also ran a risk assessment course in house and saved around £4000.
- Developing skills inhouse rather than using external consultants. By example we have trained up our safety engineers to do safety audits (of new scheme designs). External consultants would charge around £2000 per audit, we now use internal staff at much lower cost.
Thanks to Suffolk County Council for these examples.
Efficiency savings from Audit Services in Suffolk
Format:
Area of work
- Activity
- Amount if quantifiable
- Use of IT Auditor from NHS Audit Services as opposed to private sector IT auditor
- At least £2,640
- Contract Audit Training - Cost of course £70 per delgate. Cost of same course on an individual basis provided externally would be at least £600 per delegate
- Approx £2,000
Internal Audit Programme
- Re de-commissioning of 14 day care centres across Suffolk over a period of 15 months. An 'Establishment Closure Finance Certificate' has been introduced by Audit Services. 12 days for one audit leader at £35 per day
- Approx £3,000
Training
- VFM Training - Cost of course £50 per delegate. Cost of same course on an individual basis provided externally would be at least £300 per delegate.
- Approx £1,500
Training
- West Dean Training Course - Cost of course £500 per delegate. Cost of same course on an individual basis provided externally would be at least £2000 per delegate.
- Aprrox £3,000
Training
- Audit Commission Presentation; free course. Cost of same course on an individual basis provided externally would be at least £150 per delegate.
- Approx £450
Internal Audit Programme
- Use of IT Auditor from NHS Audit Services as opposed to private sector IT auditor
- At least £2,200
Internal Audit Programme
- Use of IT Auditor from NHS Audit Services as opposed to private sector IT auditor
- At least £1,470
- West Dean Training Course - Cost of course £500 per auditor. Cost of same course on an individual basis provided externally would be at least £2000 per delegate.
- Approx £6,000
Training
- Delegate under 19 years old and AAT is therefore free
- £540
- Review & disposal of files held in storage - destroyed 250 boxes, storage now costs £38.54 per month, or £462.48 per year.
- Annual £2,640
Internal Audit Programme
- Use of IT Auditor from NHS Audit Services as opposed to private sector IT auditor
- At least £2,310
Galileo Training
- Provision of Galileo training to Audit Services staff - Training to 15 members of staff - estimated cost £200 per delegate
- Approx £3,000
26 August 2009
New Adopt a Box Scheme to Combat Graffiti - Harlow
Local residents are being asked to help combat graffiti on cable TV and phone boxes through the new Adopt-a-Box scheme.
Dozens of the boxes are targeted each year by vandals but, due to their locations in public areas, there are few ways of protecting them. The Council is now asking local people to help by adopting and repainting boxes in their neighbourhoods....
More information - click here
Reading group - in a pub
14 August 2009
Customer Journey Mapping Workshop
One of the earlier posts on this blog featured details of how Stoke-on-Trent Council have developed a model for Customer Journey Mapping (see the post below for more information). This has created such interest that the Council have decided to put on a workshop - here is their notice:
Great to see this and I wish them well with their workshop!
UPDATE 4: It is my understanding that this team has now been disbanded.
07 August 2009
This blog is not on holiday...
Cornwall and then Tunisia beckons - so this blog will be quiet for the next couple of weeks. Thanks to everyone who has visited over the last few months - so far there have been over 5000 page impressions.
Whether you are a regular visitor here (and there is a growing number) or you have wandered in by accident or come here for the first time - you are most welcome. Please browse and be inspired by all the good ideas I have managed to assemble so far.
In my absence - please do add your "small creative ideas" either by making a comment here or email me jon@jonharveyassociates.co.uk if you would like. The idea does not have to be yours - if you spot what someone else is doing and think it deserves a mention here - there is scope to add a link.
Thanks!
Very best wishes to all.
Jon
Good neighbours
Good Neighbours awards (From Knowsley Council)
Do you know somebody in your community who deserves a special thank you?
A person who does that extra little thing that makes your neighbourhood a better place? Someone who has helped you with your garden, or done the shopping for you when you couldn’t? Perhaps they have looked after your children so you can have a break or even go to work? Maybe they’ve just been there when you needed someone to talk to.
If you live in Knowsley, the ‘Good Neighbours’ Awards are your chance to pay tribute to someone special, either adult or young person, whose kindness has made a real difference to your life or that of another neighbour.
The awards are run by the Knowsley Partnership, in conjunction with the Knowsley Challenge.
What a great idea! More information here.
06 August 2009
Swine flu: crisis management (local authority)
When a six-year pupil tragically died of swine flu in the London Borough of Hillingdon, the media spotlight turned on the council. This case study looks at how its communications team supported schools, council staff and the primary care trust.
Further information & helpful guidance on the IDeA website here
UPDATE: There is also an ongoing discussion on the IDeA forum as well - that you may find useful - here
05 August 2009
Get ur voice heard...
Take The Rap: The consequences of gun grime
The consequences of gun crime - a short film from Knowsley Youth Service. The film features amateur actors from the Knowsley area.
Watch it here
Great to see an initiative like this.
Thanks to http://twitter.com/KnowsleyCouncil
03 August 2009
Two improvements from Basildon
- Investment in electronic payment methods allowed the Council to centralise its cashiers offices also improving the payment options and providing better access to the service. The total saving (including the additional investment costs) is approximately £218,999 per year.
- Additionally a major insurance exercise was carried out with a view to redcuing the insurance premiums. This resulted in the previous insurer being relaced by five different insurers achieving a saving of approximately £678,000 per year.
Thank you to Basildon District Council for these two examples.
01 August 2009
Unfurling creativity - being all we can be!
31 July 2009
BME Cancer Advocacy Project wins award
An innovative volunteering project which helps to provide support for people from black and ethnic minorities (BME) who are living with cancer has won an award. The BME cancer advocacy project in Newcastle won the Celebrating Diversity Award 2009 for the North East...
More info: http://www.northoftyne.nhs.uk/news/press-releases/bme-cancer-advocacy-project-wins-award
28 July 2009
Employee engagement - yet again!
27 July 2009
We asked, You said... (WAYS)
Officers in the Bensham area of Gateshead are listening to local residents and acting on their concerns.
On June 22 survey work started in Bensham on Operation WAYS (We Asked,You Said) to find out what local residents are worried about - and do something about it...
More info: http://www.northumbria.police.uk/news_and_events/news/details.asp?id=16299
24 July 2009
Leeds Share and Learn
Leeds Share and Learn has been set up as a way to share information, knowledge and experience between health and social care professionals in Leeds. Whether that's details of some learning, an event or training, a useful podcast, a relevant article or some upcoming awards.... If there's something you think would be useful to include just drop us an email and we'll do the rest....
http://leedsshareandlearn.blogspot.com/
A blog rich in ideas about improvement in the health & social care network - in Leeds (but lots of info about improvement generally!)
Have a look
22 July 2009
Employee engagement matters - again!
- Clear sense of where the organisation is going
- Really engaging managers with lots of reinforcing feedback
- Real employee voice - everyone understands how the business is doing
- Bringing together of stated values and behaviours
David MacLeod and Nita Clarke were commissioned by the Department for Business (BIS) to take an in-depth look at employee engagement and to report on its potential benefits for organisations and employees. The Secretary of State for Business, Lord Mandelson, encouraged the independent reviewers to examine whether a wider take up of engagement approaches could impact positively on UK competitiveness and performance, and meet the challenges of increased global competition....
21 July 2009
CSO gains sign language award
A Community Support Officer in Cramlington has been working to bring the police and the deaf community closer together.
Barry Elliot, who has served as a CSO in Cramlington and Seaton Valley for the past four years, identified a communication issue between police and the deaf communities in Northumberland.
More information: http://www.northumbria.police.uk/news_and_events/news/details.asp?id=16126
20 July 2009
The truth about... creativity
15 July 2009
The 'real' NHS innovation websites
Prompted by my thoughts below - I wrote to Lord Darzi. I received this reply today.
_____________
Dear Mr Harvey,
Thank you for your email dated 9 July to Ara Darzi regarding innovation in the NHS. I have been asked to reply.
The website that you refer to, namely www.innovations.nhs.uk , is not the flagship site for the Innovation Commitment that came out of the High Quality Care for All report and is not sponsored by the Department or the NHS, nor is it endorsed by either. It is unfortunate that you came across this site. However, I can assure you that progress is currently being made to close it down.
The site that I think you would find more helpful, which is sponsored by the Department of Health and hosted by The National Innovation Centres website, is to be found at www.nic.nhs.uk. Here you will find tools and advice to support innovators at all stages of the Identify, Grow and Diffuse Innovation cycle, as well as a forum for front line clinicians to suggest areas in need of innovation and a collaborative space for solution providers to engage with them. There is also a range of ‘How To’ guides to support innovators which you may find of particular interest.
The ‘Showcase’ section of this site flags recent or soon coming innovations to the service. These, in turn, are fed by the outputs to the Innovation Hubs, the National Innovation Centre, Universities and companies, and will feature the outputs of the Strategic Health Authorities (SHA) Innovation Funds when the outcomes from these new Funds emerge into the healthcare world.
Research conducted during the Next Stage Review highlighted the need for better adoption and diffusion of innovations. In April, the Department launched a series of initiatives to address this, particularly NHS Evidence and SHA Regional Innovation Funds, which I hope will be of interest to you.
The NHS evidence site, www.evidence.nhs.uk, is a one-stop portal bringing together all clinical and non-clinical evidence on treatments, and will better equip everyone in the NHS who makes decisions about treatments or the use of resources, and also patients who want to know more about their care. The evidence will be comprehensive, quality assured and made available both in its original form and through guidelines, pathways, tools and other resources. It will inform patient care, commissioning and service management.
The aim of SHA Regional Innovation Funds is to provide a dedicated pot of money (£220million) to spend on the development and diffusion of new and innovative ideas, reducing the time it takes to get ideas from ‘bench to bedside’. Where funding was not previously available to support, test and pilot new ideas that will deliver better health, better care or better value for the patient, these can now be accessed through the R egional I nnovation F unds . The se funds will also encourage 'open innovation' in the NHS - working with partners from academia, the scientific community, the private sector, third sector and areas to develop joint solutions to healthcare challenges, encouraging collaboration rather than competition.
Other initiatives supporting the adoption and spread of innovation include:
a series of NHS Innovation Challenge Prizes totalling £20million that will be launched later in the year, and will recognise and reward breakthroughs in the provision of health services;
- a Legal Duty which is now placed upon SHAs to promote innovation. This is the first time any body or organisation has had a statutory responsibility linked to innovation;
- academic Health Science Centrewhich will bring together world class research, teaching and healthcare delivery so that developments in research can be more rapidly translated into benefits in patient care in the NHS and across the world;
- better support for the planning and measuring of uptake of pharmaceuticals and, in response, a number of measures will be introduced, and also to simplify how medical technologies pass from development into wider use, and benchmarking and monitoring uptake; and
- establishing Health Innovation and Education Clusters,phase one 2009/10 has been introduced. We are currently inviting application bids from multi professional partnerships between academia, education, health services and wider industry/ independent sector.
I hope that you will find this information useful and are able to access your local networks in continuing your innovations efforts.
Yours sincerely,
Martin Gatty
Customer Service Centre
_____________
A very constructive & useful reply, methinks. So grateful thanks for this information which I am happy to put on this blog.
St Albans suggests...
1) Replace the colour photocopier in our reprographics department to enable it to take more in house jobs. This was coupled with better promotion of our in house design and print team to enable us to getter better value for money out of the facility.
2) Early delivery of post by Royal Mail which has freed up three member of staff's time to work in other areas of the business
3) Creatively looking at our training process for Customer Service staff handling planning enquiries to ensure that staff can be trained to a high standard quickly and competently.
4) Sale of Council redundant computer equipment which has generated income for the council as well as ensured that we do not pay a fee for disposing of electronic equipment as previously. It also fits in with our principle to protect our environment.
5) We are currently looking at how our teams are laid out in the council, to ensure that there is maximum interaction between officers to share information.
Suggestions arising from the St Albans City & District Council's staff suggestion scheme - thanks for these examples
General Ideas for developing more small creative ideas
Gather intelligence and ask for user ideas and input at every opportunity – informal conversations, registration desks at meetings, phone conversations and so on. Your customer research doesn’t always have to be formal or costly
Share ideas (while acknowledging colleagues’ contributions) – don’t reinvent the wheel with a report or idea which other colleagues or organisations have used or developed (note that this is more difficult to do in the private sector but is encouraged in public service)
Don’t be hidebound by job titles and protocol. Ask people for help or to join your projects where they can be of assistance. Cultivate allies and people you can work with as you find them, not just as they present themselves to you. If the “accepted” way of working doesn’t work for you, find a way that does – at least until someone stops you and tells you off! At the same time, if people who are supposed to be helping you don’t come through, don’t waste time making them help if you can find another way or bypass them altogether. The very fact a particular colleague is not acknowledged on a piece of work is likely to speak volumes about them in any case.
Surprise people by presenting ideas in a different way (for example, in otherwise formal meetings, using differently formatted reports, workshops instead of formal presentations, posing questions to work through in discussion in small groups). You are likely to find that they will react in a different way to you, and work with you more productively.
Thanks to St Albans City & District Council for these suggestions
09 July 2009
Building confidence in the police
St Wilfrid’s Primary School in Northenden is set to be the first school to receive child size PC and PCSO high visibility vests from the Northenden Neighbourhood Policing Team.
The miniature vests, which fit three to four year olds, have been specially designed for children to use during roleplay in lessons and will be presented to every primary school and nursery in the area....
- Do they have a miniature low visibility criminal uniform too for the role plays?
- Secondly (more seriously) there is no mention of evaluation... I do hope they will assess the impact of this initiative?
08 July 2009
If you have never read Edward deBono...
07 July 2009
NHS Innovation Hubs
England has nine regional NHS Innovation Centres (hubs), aligned to Regional Development Agency and Strategic Health Authority boundaries. They can all be accessed via this site:
http://www.innovations.nhs.uk/
The Centres were established in 2004 / 05 with a dual mission; to champion the cause of healthcare innovation and to identify, develop and commercialize innovations and Intellectual Property created by NHS staff. The multiple drivers for this activity include improved patient care, enhanced service delivery, increased business and enterprise activity and additional revenue that NHS Trusts can re-invest into patient services.
I would really like to be able to say that these websites are packed with innovative ideas that can be applied across the NHS and even to other parts of the public services. However - what they appear to be about are the ins and outs of intellectual property, details of the how NHS innovations can help you (etc.) and a smattering of case studies - if you can find them on these websites...
On the London site - you get a link to:
Community Services Wandsworth’s Approach to Assurance, Clinical Governance and Quality Improvement: http://www.nhsinnovationslondon.com/filestore/documents/Team%20Tool%20Factsheet%20Final%20(2).pdf
... which seems to be an advert for a commercial product you have to buy...
Come on NHS innovations - you can do better that this!
If Lord Darzi's dream of there being lots of 'eureka' moments in the NHS - we need more ideas, more case studies, less emphasis on intellectual property and more openness!
Interestingly - I justtried emailing this organisation at the link given on their website: info@nhsinnovations.co.uk
It does not work! Nor indeed does info@innovations.nhs.uk Is this the basis for innovation in the NHS?
06 July 2009
Community Therapy Service Rehabilitation Assistants
Community Therapy Service Rehabilitation Assistants (Community Therapy Service, Independent Living centre, SCH )
From Wirral PCT "Simply the best" awards programme - This is an award for individuals or groups of staff within the PCT or from independent contractor organisations (GP, dental, optometry practice or community pharmacy). This was the 2008 winner.
Why should the nominee receive an award?
ONE STOP VAN RUN AND SATELLITE STORE
This was a simple idea, using readily available resources, to:-
1) Enhance and improve the provision of equipment to patients in 1 single visit
2) Help Community Equipment store(CES) to meet their delivery targets
3) Reduce the number of contacts for the Community Therapy Service (CTS) thus improving cost efficiency.
4) Set up satellite store in CTS so that all staff could take smaller pieces of equipment out for assessment and leave so patients are safely provided with equipment on same day
In the last 12 months, how has the nominee used innovation to successfully change practice or improve results?
A CTS rehab assistant noticed the availability of delivery vans on certain afternoons. A pilot was proposed. Competency of proposed staff was assured. An audit was undertaken to determine the provision of a satellite store.
Processes for assessment, ordering and delivery of equipment were reviewed and simplified for both CTS and CES. CTS are heavy users of CES so this has had a positive knock on effect in that the need for individual delivery of equipment by CES has been reduced.
How was the need for innovation identified?
Pressure to provide timely assessment and provision of equipment prior to patient admission to the Independent Treatment Centre. The majority of these patients were considerably younger than the usual cohort and so were still working. Access during normal working hours was difficult. An approach was made to CES to see if it was possible for CTS staff to use the vans. Generally, return visits to patients and also to CES were driving up mileage costs and were expensive in terms of clinical time spent driving.
In what way have actions or practice been innovative?
Improved and enhanced service to patients – extended hours and same day delivery. Extended roles for rehab assistants. Maximised use of available resources. Reduced costs in terms of clinical resource and mileage.
In what way has this innovation made a difference, and to whom?
To patients:-
- They have only been inconvenienced by one visit
- It has extended service provision beyond office hours.
- Same day delivery
- Timely provision of equipment prior to hospital admission which offers reassurance to patients.
- Improved delivery times for CES. Fewer deliveries direct to patients to further free up resources
- CTS although 2 staff have attended it has been 1 visit in all,
- Overall mileage has been reduced,
- Reduced need for follow up visits.
- Satellite store – Equipment is instantly available and so all CTS staff can take smaller pieces with them for assessment, delivering same day provision. Supports further service development e.g. Emergency Response
Thanks to Wirral PCT for this example - of a scheme and the idea.
03 July 2009
NHS Innovating (South East)
NHS Innovations - South East: Case studies
http://www.innovationssoutheast.nhs.uk/casestudydirectory/
Not many on this site yet - but watch it grow... (I hope!)
One example from the list:
‘Your Life’ – Education Pack is a form of community mental health provision for adults and young people. Referrals come from primary care, education, adult mental health, social services and the voluntary sector. Individuals are encouraged to take responsibility for positive change in their lives and taught to do this in a non-threatening way. Courses for small groups are based on Cognitive Behavioural Therapy. They are video-taught and facilitated by trained, non-medical personnel. The courses are run in community venues and are delivered over a number of sessions. The use of non-medical staff and operating in a community-setting means that the courses are inexpensive and cost-effective. The team has had very positive feedback from clients....
More at: http://www.innovationssoutheast.nhs.uk/downloads/9_NISE_Life.pdf
Let's Move
"Let's Move" was developed by Clare Kettlewell and Karen Craig, Paediatric Occupational Therapists from NHS Dumfries and Galloway, working closely with families and schools to assist children's skills and learning.
The programme is designed to meet the many needs of children of various ages and developmental stages as well as those with diagnoses such as autism spectrum disorders, developmental co-ordination disorder and other developmental conditions.
More information: http://www.scottishhealthinnovations.co.uk/index.php?option=com_content&task=view&id=187&Itemid=67
The Gateway Experience (Signed) - Kent TV
That said I recommend a visit to the Kent TV site - a good example of services being delivered to the public in a way that makes sense to the public.
02 July 2009
Dignity in Care good practice event
Kirklees Council Adult Services was invited to a July event to showcase its work in Dignity in Care which is an initiative designed to make sure that older people in care are treated with respect.
This regional event took place on July 1 and was attended by the ‘Dignity Ambassador’ Sir Michael Parkinson; Minister of State for Care Services, Phil Hope; Minister for Pensions and the Ageing Society, the Rt Hon. Rosie Winterton, and other Dignity champions.
A key part of the event was the ‘Dignity Activity Market Place’ where examples of good practice from across two regions were exhibited. There was also a ‘Question Time’ panel chaired by Sir Michael Parkinson and a forum theatre...
More information: http://www2.kirklees.gov.uk/news/onlinenews/newsdesk/fullstory.aspx?id=1190
Excellent stuff - but it would have been helpful to have a link to the details of the good practice...
