The ECIP website is now closed, but don't worry, you can find us on NHS Improvement's improvement hub.

 

The improvement hub lets you search hundreds of improvement resources - you can even share your own. You can also collaborate and explore your ideas with colleagues on the discussion board.

 

The final day to access ecip.nhs.uk is Friday 24th March 2017, after this date the site will be available through the national archive.

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Welcome to the continuous improvement page, where you will find additional tools and resources to support your Red2Green campaign and improvement journey.

Improvement resources available on this page include:
- Approach and social movement theory
- Red2Green tracking list
- Improvement tools and resources
- Improvement webinars and videos

Approach and social movement

The Red2Green approach is all about creating and delivering expectation for our patients and colleagues. Red2Green aims to ensure that everyone, especially the person receiving care, knows what the next steps are and knows that the system of care is ensuring there is no waste of their time.

    

Social movement theory – presentation coming soon

  1. Create a social movement through creating a compelling story
  2. Make your campaign matter to everyone with patient and staff stories
  3. Engage communications teams to support and utilise all available methods to communicate to win hearts and minds, i.e newsletters, posters, and social media

Here are some useful presentations to support the Red2Green campaign and developing a case for change:​​

Occupancy - Flow - Mortality, Dr Vincent Connolly

The Risks of Unnecessary Waiting, Dr Ian Sturgess

For a great example of social movement, have a look at the #1000days campaign here.

The Red and Green Bed Days Tool 

Red days should be visible to all – every effort should be made to convert red days to green days today (today's work today). We have developed a Red2Green visual management tool that can support teams in managing Red2Green days. You can access the tool here.

"Try it, it should be fun, it is not a reporting tool it is a learning tool. The power of the tool is not in the tool but how it is used. If we all remember and value the thought that 'patients’ time is the most important currency in healthcare' we will without doubt see improvements that will ultimately benefit our patients and our hard working clinical and managerial teams." Dr Ian Sturgess

Improvement Tools and Resources

Continuous improvement, sometimes called continual improvement, is the ongoing improvement of products, services or processes through incremental and breakthrough improvements.

1. Kotter - coming soon 

2. Model for Improvement

The Model for Improvement is designed to provide a framework for developing, testing and implementing changes that lead to improvement. The Model has been developed and refined for use in healthcare systems by the Institute for Healthcare Improvement based in the USA. It has been widely used to deliver improvements in the NHS and throughout Europe and the USA. It is popular with clinicians and managers because it is simple to use and is similar in many ways to processes used in clinical audit.

 

The framework includes three key questions and a process for testing change using Plan, Do, Study, Act (PDSA) cycles, also known as Deming Cycle or Shewhart Cycle. The Institute for Innovation and Improvement PDSA Guide can be found here, and the template here

3. Logic model - definition and approach
A logic model is a graphic display or ‘map’ of the relationship between a programme’s resources, activities, and intended results, which also identifies the programme’s underlying theory and assumptions, Kaplan and Garrett, 2005.
Using a logic model in developing your improvement approach can support in developing a clear understanding of the relationships and assumptions, between what a programme will do and what changes it expects to deliver, Hayes et al., 2011.
You can find an example of using a logic model for a NHS improvement project here

4. Audit examples
Here are some audit examples from systems testing and implementing the Red2Green approach

Red2Green Bed Days audit form with escalation process

Length of Stay Reduction Programme – Red versus Green day ward analysis

Red and Green Audit

Improvement Webinars and Videos

Please see links below for some useful improvement webinars and videos:

Measurement for improvement:

Mike Davidge (Director, NHS Elect) on the seven steps to measurement for improvement can be found here

ECIP webinar series - Measurement can be found here

To support the Red and Green Days Patient Tracking tool, there is also an animated Excel spreadsheet available here, that shows interim weekly 4 hour performance by trust as well as a scatterplot graph that shows the attendances and 4 hour performance for each organisation since the beginning of the calendar year.

Lean Principles:

ECIP webinar series -  Lean Principles can be found here

Engagement:

ECIP webinar series - Experience Based Design Tool / Patient Questionnaire can be found here

ECIP webinar series - Engagement with the voluntary and community sector can be found here

Sustainability:

ECIP webinar series - Sustainability can be found here