Implementation of Releasing Time to Care (RTC) with AHPs Julia Mackel julia.mackel@nhslothian.scot.nhs.uk

AHP Fellowship Request to fund LEAN training, Green Belt to support implementation of RTC

Project aim To establish infrastructure to support AHP teams and to increase RTC activity by March 2016 Action 5.1 National Delivery Plan Scottish Government. AHPS as agents of change in health and social care. The National Delivery Plan for the Allied Health Professionals in Scotland, 2012-2015. Edinburgh 2012

Background Previous pilot in 2012 with 2 AHP teams

RTC Core Measures Improve patient safety and reliability of care Improve patient experience Improve staff wellbeing Improve productivity Improve patient safety and reliability of care: eg % Care plans completed to ‘standard’ Improve patient experience : eg % patient experience Improve staff wellbeing: eg * Staff engagement %, * Unplanned absence rate % Improve productivity: eg * Average patient facing time %, * Average number of patients seen / 7.5 hour day. Key message Measurement is the cornerstone of improvement – without having a baseline measurement of how you are performing you cannot demonstrate improvement It is important that, as a team, you identify some of the measures to display in order to demonstrate progress. These are areas you want to make an impact on. Core Measures For each of the measures above, RTCC has set some core measures that at the very least will provide you with measures of 1 or 2 things that will enable your team to demonstrate improvements and track this improvement over time. These are team level measures and will allow your team to make decisions about where and how they could make things better.

The Productive Community Series NHS III 6

Results

Participation by setting

Participation by profession

Modules completed

Improvements Well Organised Working Environment (WOWE) Saves time. Range 1-12.5 hours per week/team Workspace tidier Easier to find things therefore reduces staff frustration

Improvements Knowing How We are Doing (KHWD) Increases staff morale Improves communication Brings a team together

Key Findings Completion of (WOWE Module 1) increases completion rates of other modules Some of the RTC modules are not applicable to AHP teams Completion of one RTC module can take up to 6 months therefore full impact will take some time to realise The main barrier to completion of RTC is time, staffing levels and competing priorities Sustainability plan in place to continue to embed RTC within AHP teams

Reflections on AHP Fellowship Has allowed me to gain a deeper understanding and evidence base for LEAN methodology Given me confidence to lead on service improvement Experience of using LEAN tools in a clinical setting

Reflections Continued My learning has had an impact on AHP profession AHP representation within QI team Input to education of AHP workforce Leadership programme Sustainability can be achieved by sharing experiences with other AHPs

Questions?