Knowing how we are doing - Ed Seward Clinical Lead for Endoscopy, Barts Health National Clinical Lead, NHS IQ Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.

1. Knowing How We Are Doing
Ed Seward
Clinical Lead for Endoscopy, Barts Health
National Clinical Lead, NHS IQ

3. 3 room endoscopy unit
8 GI consultants, 4 CR surgeons, 1 UGI surgeon
2 endoscopy CNSs
BCS accredited
pH/M and video capsule endoscopy
ERCPs performed in interventional suite

4. Colonoscopy: Caecal & TI intubation

5. What to include and why
•Must be relevant
•Needs to be honest
•Must impact positively on some aspect of service
•Good to give a nod to management aspirations
And How?
•Pictures
•Punchy
•Pretty

6. Choosing what you measure and display
•Top 3 whinges (start/ finish times, glitches, scoping inpatients…)
•Audit/ abstract requirements (Blatchford scoring,
unsedated colonoscopy, discharge times)
•Whatever you find interesting and relevant as a unit – use
the huddle
•Try to include everyone

7. Choosing what you measure and display
•Simple
•Measureable
•Aspirational
•Realistic
•Time bound

10. 3 second rule

16. Be prepared for some stick
Be prepared to have to defend the data (so
ensure quality from the beginning)

21. Where to put up your board
How many boards (e.g staff/public/ training…)

27. Less Obvious Benefits for the Unit
•Staff morale rockets
•Grass roots ideas and decision making
•Calm atmosphere

28. Communicating Outside the Unit
•You will be flavour of the month with management, patient
groups
•Beacon site within trust

29. To Summarise
•Keep it simple
•Keep it relevant
•Keep it fresh