1. Top Tips – with thanks to the Royal Devon and Exeter Foundation Hospital Trust Releasing Time to Care The Productive Ward

2. Getting Started - Executive Support  Set up the steering committee – Sign up the multidisciplinary senior team - even the Finance Director.  Make them aware physical participation required – they need to visit the wards from time to time.  Put a no blame culture in place.  Their support will be invaluable. Releasing Time to Care The Productive Ward

3. Getting Started - Equipment  Camera (needn’t be costly).  A3 laminator.  A4 colour printer.  Access to A3 printing black and white, and colour.  Dymo Letra tag (or similar).  Pedometer – make sure it’s high quality.  Lightweight A3 clipboard.  Other items will be required ensure procurement involved Releasing Time to Care The Productive Ward

4. Knowing How We Are Doing Data  Nominated contact in Information Services.  Ensure data is available before starting other modules.  Appropriate Safety Crosses. Releasing Time to Care The Productive Ward

5. Activity Follow  What’s it like? - It’s easy and interesting! - Positive Experience. - Ensure staff aware it’s ‘no blame’. - Follower to do a maximum 1 or 2 hours at a time.  Carrying out…. - Management/Support Services to assist. Releasing Time to Care The Productive Ward

6. Well Organised Ward  Waste Walk – get on outsiders opinion e.g. the armed forces often do lean work  Methodical approach to photos.  Video a waste walk.  Always complete Waste Walk Sheet.  Allocate 5S day with team.  Facilities management involvement essential.  Visual Management. Releasing Time to Care The Productive Ward

7. Patient Status at a Glance  Photograph current practice  Agree Symbols.  Establish Working Party.  Make semi permanent in first instance.  Magnetic boards / Ricardo tape. Releasing Time to Care The Productive Ward

8. Training events  Focus on practical implications.  Give brief overview of Lean principles.  Take a ‘teach it at 10 o’clock, do it at 11 o’clock principle’.  Do propose some solutions.  Ask wards to present their own successes. Releasing Time to Care The Productive Ward

9. Final word…. ‘A great life isn’t about great big things.... it’s about small things that make a big difference ’ I kea 2008 Releasing Time to Care The Productive Ward