1. Implementation of Releasing Time to Care (RTC) with AHPs
Julia Mackel

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

3. 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, Edinburgh 2012

4. Background
Previous pilot in 2012 with 2 AHP teams

5. 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.

6. The Productive Community Series
NHS III 6

7. Results

8. Participation by setting

9. Participation by profession

10. Modules completed

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

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

14. 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

15. 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

16. 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

17. Questions?