The Fit For the Future programme at Guy’s and St Thomas’ NHS Foundation Trust aims to improve the quality and safety of the care we offer our patients at the same time as delivering significant efficiency savings.

Imaging forms one of the twelve core Fit For the Future workstreams. Building on the Clinical Imaging and Medical Physics (CLIMP) Directorate’s recent ISAS (Imaging Services Accreditation Scheme) accreditation, and the service improvement and transformation work that the TOHETI programme is leading, CLIMP has demonstrated commitment as a Directorate, to embedding quality improvement into everyday practice. The learning that has been engendered through TOHETI will feed into the Fit For the Future Imaging Workstream and support its aims to further pull together Directorate-wide transformation/improvement themes.

Siemens Management Consulting

CLIMP directorate worked closely with Siemens Management Consulting for just over a year to drive the internal development workstream. Partnership established series of rapid improvement events (RIE) to concentrate efforts into a single week by identifying problems (waste) in current processes and proposing and testing solutions that can be implemented immediately. The RIE is about changing the way we work and sets the expectation that service improvement is part of everyone’s day job. Representatives from all staff groups and grades participate in RIEs and empowering our teams to make changes to processes is central to the methodology. During the week we:

  • Allow headspace and ignite the energy of the team
  • Promote the culture change required for effective Lean transformation (no hierarchy in the room)
  • Progress initiates that bring us closer to our defined future state RIEs over the last year have covered multiple services: MR, CT, US, plain film, nuclear medicine, interventional radiology and the head and neck cancer pathway.

This engagement work allowed development of GSTT radiology dashboard that displays current performance metrics on demand, capacity and performance in real time. Monitoring of dashboard has enabled shorter waiting times, improved service processes, improved safety of care and reduced variation in processes for patients. There is still work underway to ensure that radiology dashboard is used more widely amongst all staff groups in radiology.

CLIMP Transformation Programme next steps

  • Deliver schedule of rapid improvement events in 2018-2019 and measure benefits.
  • Ensure we optimise the impact of our service improvement capacity in CLIMP - 18 staff now Bronze (Lean) certified and able to support rapid improvement events.
  • Establish the use of service improvement methodologies to address challenges for the service as business as usual. Incorporating service improvement into everyday activities and working with wider Trust stakeholders and network partners.
  • Continue to work in partnership with Siemens with GSTT as a reference site.