{"id":5788,"date":"2018-12-24T15:56:41","date_gmt":"2018-12-24T14:56:41","guid":{"rendered":"http:\/\/www.improvementscience.co.uk\/blog\/?p=5788"},"modified":"2024-09-07T07:40:34","modified_gmt":"2024-09-07T07:40:34","slug":"reflect-and-celebrate","status":"publish","type":"post","link":"https:\/\/hcse.blog\/?p=5788","title":{"rendered":"Reflect and Celebrate"},"content":{"rendered":"

As we approach the end of 2018 it is a good time to look back and reflect on what has happened this year.<\/p>\n

It has been my delight to have had the opportunity to work with front-line teams at University Hospital of North Midlands (UHNM) and to introduce them to the opportunity that health care systems engineering (HCSE<\/a>) offers.<\/p>\n

This was all part of a coordinated, cooperative strategy commissioned by the Staffordshire Clinical Commissioning Groups, and one area we were asked to look at was unscheduled care.<\/p>\n

It was not my brief to fix problems.\u00a0 I was commissioned to demonstrate how a health care systems engineer might approach them.\u00a0 The first step was to raise awareness, then develop some belief and then grow some embedded capability – in the health care system itself.<\/p>\n

The rest was up to the teams who stepped up to the challenge.\u00a0 So what happened?<\/p>\n

Winter is always a tough time for the NHS and especially for unscheduled care so let us have a look\u00a0 and compare UHNM with NHS England as a whole – using the 4 hour A&E target yield – and over a longer time period of 7 years (so that we can see some annual cycles and longer term trends).<\/p>\n

\"\"<\/a><\/p>\n

The A&E performance for the NHS in England as whole has been deteriorating at an accelerating pace over the 7 years.\u00a0 This is a system-wide effect and there are a multitude of plausible causes.<\/p>\n

The current UHNM system came into being at the end of 2014 with the merger of the Stafford and Stoke Hospital Trusts – and although their combined A&E performance dropped below average for England – the chart above shows that it did not<\/strong> continue to slide.<\/p>\n

The NHS across the UK had a very bad time<\/strong> in the winter of 2017\/18 – with a double whammy of sequential waves of Flu B and Flu A not helping!\u00a0 UHNM dipped badly too.<\/p>\n

But look at what happened at UHNM since Feb 2018.\u00a0 Something has changed for the better and this is a macro system effect.\u00a0 There has been a positive deviation from the expectation with about a 15% improvement in A&E 4-hr yield.\u00a0 That is outstanding!<\/p>\n

Now, I would say that news is worth celebrating and shouting “Well done everyone<\/em>!” and then asking “How was that achieved?<\/em>” and “What can we all learn that we can take forward into 2019 and build on?<\/em>“<\/p>\n

Merry Christmas.<\/p>\n","protected":false},"excerpt":{"rendered":"

As we approach the end of 2018 it is a good time to look back and reflect on what has happened this year. It has been my delight to have had the opportunity to work with front-line teams at University Hospital of North Midlands (UHNM) and to introduce them to the opportunity that health care … <\/p>\n

Continue reading “Reflect and Celebrate”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,17,22,33,35,38],"tags":[],"class_list":["post-5788","post","type-post","status-publish","format-standard","hentry","category-delivery","category-examples","category-healthcare","category-quality","category-reflections","category-safety"],"_links":{"self":[{"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/posts\/5788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hcse.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5788"}],"version-history":[{"count":2,"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/posts\/5788\/revisions"}],"predecessor-version":[{"id":6330,"href":"https:\/\/hcse.blog\/index.php?rest_route=\/wp\/v2\/posts\/5788\/revisions\/6330"}],"wp:attachment":[{"href":"https:\/\/hcse.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hcse.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5788"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hcse.blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}