Portsmouth Hospitals NHS Trust started adoption of LiA in March 2013. It is embedding well and fast becoming 'the way we do things around here'. Staff involved in LiA teams right across the Trust are making fantastic changes which are demonstrably impacting the quality and safety of the care they provide to their patients. Here is what they have to say about their journey so far:
"The Trust Sponsor Group has 14 active members, led by the Chief Executive Officer. It is well established, setting a fast pace and unblocking the way for teams. Our journey began with the LiA Staff Pulse Check to gauge how valued and how engaged staff felt and to judge the climate for change.
Six LiA Big Conversations then took place in May 2013. A rich mix of around 400 staff from across the Trust came along to share their views about what would make the biggest difference going forward. Themes were identified regarding ‘what matters to staff’ and ‘making things better for patients’. Fourteen teams each led by a committed clinician, a nurse and an operational manager then picked up the baton and pioneered adoption of the LiA methodology to address areas for improvement. Widespread actions have followed, which include:
- More efficient portering journeys to and from the Imaging Department
- Initiation of an additional ultrasound room resulting in more patients being scanned
- Improvements in the speed of the availability of test results in Vascular Imaging
- Earlier identification of patients who are fit to leave hospital
- A centralised referral document which has improved the speed of patient referrals
- Better training on electronic clinical information systems for clinical staff
- A new care plan in the Medical Assessment Unit that better meets the needs of our patients
- Embedded our values into the recruitment process and performance reviews
- Improved signposting around the Queen Alexandra site
- Adopting the ‘#hellomyname is’ campaign to ensure that all staff introduce themselves to patients.
In addition, we have had a wealth of Quick Wins that have immediately benefited both patients and staff. These include:
- The introduction of the 'Nurse in Charge' badge
- Patient pagers in outpatient departments
- Reorganisation of staffing within theatre recovery rooms
- Dementia awareness training for the security team
- An Information Technology drop-in session
- Moving patient seating in the main reception so that patients, carers and relatives can see when their lift or taxi has arrived to collect them
- The ‘Please take me back to the nearest reception scheme’, whereby all Trust staff take responsibility for lone wheelchairs and return them so that they are available for patient use.
Our Chief Executive has hosted two ‘Pass It On’ events, where key stakeholders were invited to celebrate Portsmouth’s Listening into Action journey and heard directly from the teams themselves about their inspiring stories. At this inspirational event the LiA Pioneer Teams passed on the staff-led change ‘baton’ to a further twelve teams who then embarked on their own journeys to make things better for patients. Smaller showcase events, which celebrate and share our successes, take place on a quarterly basis in public areas.
The local adoption of LiA is starting to spread and the LiA Conversation format is now replacing some of our formal meetings. There is a real ‘buzz’ around the place. Everyone has heard of LiA, with the LiA Pioneer Teams engaging 'all the right people' in their own team LiA Conversations. Success stories and Quick Wins continue to happen on a monthly basis."