Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013 http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx Endoscopy unit morning prayers Barbara Crean, Lorraine Walling, Jackie Douglas Queen Alexandra Hospital

1. Queen
Alexandra
Hospital
Endoscopy Unit
Morning Prayers
Barbara Crean
Lorraine Walling
Jackie Douglas

2. Endoscopy Unit
• 5 Suites (plus a satellite unit at GWM Hospital)
• 3 Suites on D level
• 2 Suites on G level
• Each have their own admitting rooms,
recovery and discharge facilities.
• All team members work in all areas
• As you can imagine, it is sometimes very
difficult to keep your finger on the pulse.

3. Start Stop Audit Nov 12

4. Problems identified that impacted on
Suites starting on time
• Staff turning up 5 / 10 minutes late for work or
turning up on time but not in uniform.
• Rooms not being stocked up.
• Wrong equipment in each room.
• Resus trolley not being checked daily.
• Top up order book not being done.
• Running out of CDs
• The list goes on and I’m sure other area have
experienced similar problems and can add to the
list.

5. Morning Prayers
From military to NHS
Originally it was more about:
• Team building
• Discussing problems
• Reflecting
• Information sharing
• AND eventually what was happening that day

6. Needed to move with the times.
• Develop something that was more operational
• Short sharp and delivers
• Needed to be to the point
• Only discuss key elements
• Keeping everyone focused
• Problem solving
• Motivating the staff
• Ultimately to increase productivity

7. From this
Morning prayers was renamed
The Huddle

8. The Huddle
Key points:
• Need to ensure everyone was engaged and
listening
• Everyone should be Standing up
• Stood around the allocation board
• Idle chatter to be discouraged
• At the end of the 5 minute huddle the team
should be ready to hit the road running!

9. False Endoscopy Unit
'Huddle' Checklist
The Huddle Date Time 8:00 AM
13:00 PM
Check List All suites stocked and ready
Each suite has 8 o'clock start allocated
YES
YES
NO
NO
Name
Cardiac arrest trolley allocated Recovery
• Version 5 Suite 3
G5
• We are continually looking
Admitting Nurse ready to
at making it more user start YES NO
friendly First inpatient called
for YES NO
• It is a quick tick box
Stop/Start audit handed out YES NO
• Highlights problems
Order books completed:
• Sickness and late comers Monday only CD Book All Suites x5 YES NO
Tuesday allocation to do top up book YES NO
highlighted Wednesday stock book D and G level ready to
go YES NO
• It is also kept and used for
Problems identified/instructions
audit. 8:00 AM 13:00 PM
• It should take 5 to 10 mins
max
Late comers/off sick

12. Positives
• Only time during the day the whole team is
together
• Team Building
• Late comers are noted
• Problems identified early….. skill
mix/decontamination/absences
• Motivation with positive thinking
• Start times improving.

13. Be careful,
It’s a jungle out
there!