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BIG WHEEL THEATRE COMPANY
OUR WORK FOR THE NHS
 

When people...

turn into patients...

the nightmare begins.

Big Wheel is a major provider of training programmes and conference interventions for the NHS and associated institutions

As well as drama-based presentations, we also facilitate discussions and provide advice on conference format.

We also design, host and facilitate entire conferences and training days.

Click for general information about our conferences.

For DVDs of some of our interventions (for NHS Connecting for Health and the Mental Health Helplines Partnership), contact us.

RECENT WORK FOR THE NHS

TRAINING DAYS

Training days are off-the-peg sessions which can be arranged very easily. All you need provide is your staff. We can even arrange a conference venue if you do not have appropriate facilities available.

There are two main off-the-peg training days:

'I'm a Hospital Patient Get Me Out Of Here'

Improving hospital discharge.

Developed jointly in 2006 by Big Wheel and Southend Hospital this is a one-day training programme to focus attention on the issue of hospital discharge and to develop a strategy to improve practice.

Includes 'The Great Escape': a spoof war film in which three patients (dressed like POWs) try to escape from a prison-like hospital. In association with Southend Hospital, we are offering this programme to NHS trusts nationwide. The intended audience is multi-disciplinary, to include primary and acute care and social services, also interested parties such as private care homes and pharmacies. MORE DETAILS

Specialist Registrars' Service Improvement Masterclass

Commissioned January 2007, this is a regular bi-monthly one-day seminar we present with and for the Wessex Deanery Professional Development Programme

Aimed at Specialist Registrars midway through their SpR programme, this workshop helps hospital doctors identify opportunities for service improvements, and develop strategies to make these improvements happen. The session helps make clinical audits relevant and useful. Ultimately we hope to encourage participants to start leading service improvements at SpR and later consultant level.

This programme has now been extended to include other staff at SpR level, such as nurses, midwives, and paramedics

This training day is offered in association with Wessex Deanery. MORE DETAILS

CONFERENCES

Below is a short summary of our recent work for the NHS and related bodies. If you are wondering how Big Wheel can help you, and want to search by type skip straight to Types of intervention.

The 'Ways of Raising Awareness About The Dangers Of Falling' Show (commissioned in 2001 by NHS National Primary Care Development Team: Healthy Communities Collaborative, and annually since) A 45 minute show with a very long title. Helped focus delegates' minds, entertain them, and clarify the themes of the conference. (Includes the new James Bond movie Fall Over Another Day) More details

'Good Partnership - Bad Partnership' (for Rapid Response Units 2003) A day-long seminar in which Big Wheel presented a mixture of scripted sketches, forum theatre, and facilitated discussion to look at how partnership between different parts of the NHS can make life saving differences. More details

'Special Agents' (for the Modernisation Agency Learning Exchange 2003): A large scale two-day conference to look at the pitfalls facing NHS staff advising hospitals about change. Involved an astronaut in a remote part of the galaxy, several modernising genies, and a game show hosted by Florence Nightingale, yes, Florence Nightingale. More details

'Jargon Nightmare' (for the Coronary Heart Disease Collaborative 2003) The nightmare visit by an NHS external advisor who only speaks incomprehensible Department of Health acronyms and jargon. For scripts and pictures contact us.

'Critical Care: Without Walls' (for NHS conference on Critical Care 2004) We started this conference off with a short symbolic drama encouraging thinking 'outside the box'. For scripts and pictures contact us.

'Change Your Life' (for The Expert Patient Programme 2004) Two short silly sketches illustrating the insensitivity of many health professionals to chronic conditions were followed by a moving drama lasting about half an hour, following a patient with a chronic condition from hopeless depression to joy and empowerment. Included an unexpected appearance by Laurence Llewellyn Bowen. More details

'Families Leading Planning': (for the National Development Team) This was a set one-day conferences (repeated in different parts of the country) on 'Transition' for young people with Learning Difficulties, their parents/carers and professionals. Two Big Wheel presenters led the conference (and also presented some of the break-out sessions). More details

'Get Stuffed' (commissioned by NHS Healthy Communities Collaborative 2004, and annually since) A series of conference interventions take place in foyer areas during coffee and lunch breaks. Famous celebrities are introduced and interviewed about their diets and undergo a series of Healthy Eating Challenges. (in particular, Elvis Presley never quite gets the hang of low-fat, low-cholesterol, and Winnie the Pooh has problems with the concept of a balanced diet) More details

'Health's Kitchen' (for NHS Performance Development Team 2005) Set in a restaurant which loses its Michelin stars, this 15-minute tour de force of physical theatre graphically demonstrates what it feels like to become a zero-starred trust. For scripts and pictures contact us.

'Finding Our Voice' (for the NHS Valuing People Support Team 2005) Two Big Wheel presenters led the 2-day conference on local Learning Disability Partnership Boards, playing 'parody hosts', (think of the way the Oscars are presented!) conducting the interactive training sessions, facilitating the round-table discussions, and introducing the speakers. More details

'Partnership, Leadership and Change' (for NHS Performance Development Team 2004) A 'forum theatre' workshop incorporating a series of sketches. The day culminated in an after dinner show about famous partnerships (e.g. Thelma and Louise, Starsky and Hutch). For scripts and pictures contact us.

A version of the above show was also performed for the British Academy of Audiologists in 2004.

'Shakespeare for Dinner' (for NHS Performance Development Team 2005) During their end-of-conference dinner party, the team were joined by Macbeth, Lady Macbeth, a ghost and a drunk porter. Highlights included Macbeth's conference presentation on Strong Leadership, and the arrival of a Moving Wood. For scripts and pictures contact us.

'Who ya gonna call?' (for the Mental Health Helplines Partnership annual conference 2006) A moving adaptation of Shakespeare's Hamlet started this conference, portraying the entire mental health care system. Hamlet and Ophelia were played as people with mental health problems, trying to get help. Two short amusing sketches helped stimulate debate later in the day, and the conference ended with a game-show which brought together all the themes of the day. For scripts and pictures and a DVD of this conference contact us.

'Connecting for Health: Ethical issues relating to children' (for various conferences 2005-06 for NHS Connecting for Health: CRDB) Three five-minute sketches, a silly one, a serious one, and a Dickensian period drama, illustrating both opportunities and threats presented by the Patient Record. For a DVD of these sketches, contact us.

'Easing the Patient's Journey': (for various conferences 2006-07 for NHS Connecting for Health) The next instalments in our series about the Patient Record were two versions of a Patient's Journey. The first demonstrates the benefits of the Patient Record and the new technology being introduced by CfH at all points along a Patient's Journey, from ambulance to discharge. The second is a moving drama following the real-life story of a young patient with a chronic condition, presenting a series of potential ethical dilemmas. For scripts and pictures contact us.

'Connecting for Health: Now And In The Not Too Distant Future' (for various conferences 2007 for NHS Connecting for Health) This scenario follows two parallel patient journeys, one now, the other when the improvements envisaged by NHS CfH are up and running. Both scenarios use the example of a woman who suffers a stroke, from ambulance call-out through treatment, rehabilitation and discharge. Funny and moving, this is a really theatrical spectacle, making clear the potential future of a truly connected NHS. For scripts and pictures contact us.

TYPES OF PRESENTATION

The Serious Drama (A Bit Like Eastenders)

The Short Sharp Sketch (To Make a Short Sharp Point)

The Game Show (Like On The Telly)

The Workshop (Training, Role-Play, Forum Theatre, And All That)

Conference M.C.'s (where we present and 'anchor' your conference)

The Fantastic Mixture of Absolutely Everything

Designing a whole conference

The Serious Drama (A Bit Like Eastenders)

Format: a scripted play performed on a 'stage' with costumes and a 'set' (can be presented to large audiences of several thousand)

Duration: a 30-minute play, or a series of 'episodes', like a soap opera

Best for: telling a story, such as the story of a patient's journey

Example: 'Change Your Life' for the The Expert Patient Programme 2004

This format is the opposite style of presentation to the 'Game Show' or 'Workshop' style which are largely un-scripted. For this, we write a tightly scripted play, which the actors rehearse and perform to an audience which just sits and watches.

For the conference at the Royal Society of Physicians on 'The Expert Patient Programme' we wrote a 30-minute drama which told the whole story of a Patient's Journey.

A man with a chronic condition was seen first unable to cope and very depressed. The audience also saw the bad effect on his wife and their relationship. Over the course of the drama, the man gradually took control of his life and learned to manage his condition in a way that enabled him to enjoy life to the full.

FROM

TO

This play was the second half in a series of presentations - in the first half, we presented a series of sketches caricaturing poor attitudes to Chronic Conditions among professionals and Patients.

To read the full script (with great pics!), contact us

Click to return to list of 'types of presentation'

The Short Sharp Sketch (To Make a Short Sharp Point)

Format: a sketch which is simply watched by the audience (can be presented to large audiences of several thousand)

Duration: 5 to 10 minutes.

Best for: making a simple point really clearly

Examples: (contact us for scripts, d.v.d. and pictures)

  • The NHS Modernisation Agency Learning Exchange conference, Harrogate CC 2003
  • The Coronary Heart Disease Collaborative London conference 2003
  • The National Conference on Critical Care, Birmingham ICC, 2004
  • The NHS Modernisation Agency Performance Development Team (PDT) 'Change From Challenge' Seminar, London 2004
  • The Expert Patient Programme conference, London 2004
  • Connecting for Health CRDB conference 2005 - d.v.d. available

Sketches are economical ways to get a point across in a really clear way, quickly and humorously. They need not be ridiculously funny, if that would be inapproproiate. For instance, the sketch we presented for the conference on Critical Care was actually quite serious (though there were a few good laughs), as the conference organisers were mindful that delegates wouldn't be happy with any sense of 'trivializing' or 'dumbing-down'. But they can be really hilarious - we've had senior NHS execs laughing till they cry!

Click to return to list of 'types of presentation'

The Game Show (Like On The Telly)

Format: a parody of a TV Game Show (can be presented to large audiences of several thousand but normally to smaller 'studio' audiences of a couple of hundred)

Duration:

(1) a 45 minute 'one-off'

(2) a series of interventions over a whole day or several days

Best for:

  • rounding-off a conference (so the partipants leave with a spring in their step, a tune in their heads, and love in their hearts)

  • 'interrupting' a conference so that the delegates have some 'light relief' - also inspiring debate.

Example: The Healthy Communities Collaborative

We used our tried and tested Game Show format to help with three conferences on raising awareness about Health issues. in particular The Dangers Of Falling, part of the 'Slips, Trips and Broken Hips' campaign, and Healthy Eating. Our brief for all the conferences was to help the participants think as imaginatively as possible about ways to raise awareness among a wide variety of target groups.

The 'Ways of Raising Awareness About The Dangers of Falling' Show

This was a 'one-off' 45-minute show, which took place half-way through a three-day conference, so it both re-inforced what the participants had been looking at, and helped inspire their work during rest of the event.

Highlights included:

  • the new James Bond movie 'Fall Over Another Day' - James Bond goes on a mission to save the world but faces various dangers (tripping over Q's gadgets or a rucked carpet in M's office; falling off cliffs, out of bed, down a mine-shaft, or into the arms of a beautiful spy). The audience has to alert 007 to these dangers so that he can successfully complete his mission.
  • 'The Odd One Out' - the audience has to spot the odd one out in a set of items related to falling.
  • 'The Ways Of Raising Awareness About The Dangers Of Falling Game', - working in groups of ten. Each group is given a particular target group, (for instance, supermarkets) and a silly prop (for instance, a banana). Each group has a couple of minutes to come up with an awareness campaign for their target group using the prop, to include a catchy slogan.

In feedback the particpants emphasised that the great aspect of this presentation was the number of ideas generated in a very short time, all of them interesting and amusing, some of them potentially really useful. This helped enormously when they spent the rest of the conference attempting to develop similar ideas in more detail, as it broke down the intitial block to coming up with new concepts.

Click to return to list of 'types of presentation'

'Get Stuffed'

This was a series of interventions over a three-day conference

At a Blackpool hotel, teams assembled from all over the country, all dedicated to promoting healthy eating. We opened the conference with an evening Game Show, called I'M AN UNHEALTHY EATER, GET ME OUT OF HERE! Various celebrities were introduced and interviewed about their diets. E.g... ·

  • Luciano Pavarotti, who ate a very healthy diet, but had a problem with portion sizes;
  • Jack Sprat, who was worried about his wife's cholesterol intake;
  • The Old Woman Who Lived In A Shoe, who had so many children she didn't know what to do, never mind them all living in a most unsatisfactory environment

Over the course of the conference, during coffee and lunch breaks, in different parts of the hotel (such as the entrance lobby, the dining room) the characters engaged in a series of fearsome and dangerous challenges, in order to try to raise their awareness of healthy eating. (e.g. The Affordability Challenge, The Accessibility Challenge). The audience tried to assist them, and voted them off the show one by one, telling them to 'Get Stuffed'. Here are some highlights:

The Big Bad Wolf has a serious problem with the concept of a balanced diet

Elvis Presley and Goldilocks both opt for unhealthy, easily available breakfasts

Old Mother Hubbard is far more worried about finding something for her dog than something for herself. And having only a cupboard but no fridge is a problem.

Delegates unsuccessfully try to persuade Winnie the Pooh to vary his diet.

Click to return to list of 'types of presentation'

Other Game Shows have included:

  • 'The Florence Nightingale Show' - in which the Lady With The Lamp herself hosted a Game Show reminiscent of 'Blind Date' in which a contestant had to choose between three possible 'dates', basing her decision on their ideas for improving the NHS Modernisation Agency.
  • 'Person Centred Planning: The Game Show' - in which a presenter works with the audience to help a friendly but rather stupid robot develop a person-centred plan.

Click to return to list of 'types of presentation'

The Workshop (Training, Role-Play, Forum Theatre, And All That)

Format: a variety of drama-based exercises, for a smaller group (20-100)

Duration: normally a whole day (but this would usually include other input - such as speeches and presentations by other professionals)

Best for: working out policy, reviewing good practice, analysing methods, practicing how to work well.

Examples: NHS Rapid Response Units Seminar: Leicester 2003

We were asked to lead a seminar for a group within the NHS called the RRU's (Rapid Response Units) which are 'sent in' to help improve the serivces provided by under-performing Primary Care Trusts. The particular issue of the day was 'Partnership'. The aim was to improve the way different departments within the NHS work with each other, in particular Primary and Secondary Care, and also their partnership with other statutory bodies like Social Services, and with the voluntary sector.

Big Wheel provided a theatrical framework for the day, introducing each topic with a theatrical presentation. Other professionals added their contributions; there were three speakers from within the NHS, who presented more conventional lectures. Reference was made by the lecturers to the dramas, and by us to the lectures.

A professional facilitator was also involved, helping participants to focus on the issues through a variety of teaching aids, and assisting with a summing up at the end of the day.

The framework of the day was based on a genuine case history we had been given by the NHS, in which failures of various NHS departments to work well in partnership led to a patient suffering unnecessarily, to huge extra costs to the NHS, and finally to a malpractice suit.

We used drama in different ways during the day. Some examples:

  • Bad Partnership / Good Partnership: a scene in a G.P.'s waiting room, presented firstly when partnership is working badly, then when it's working well.
  • The NHS in the dock: a courtroom scene in which lawyers sum up the case for and the case against the NHS.
  • The G.P. makes a call: a piece of 'forum theatre'. A G.P. makes a call to the patient on a referral from an emergency doctor. The audience suggests ways in which the doctor can use the call more effectively.
  • The Partnership Web: We follow the path of a patient through the NHS with the whole audience representing different departments and associated bodies

Click to return to list of 'types of presentation'

The Conference M.C.'s (where we present and 'anchor' your conference)

Format: a couple of Big Wheel presenters act as 'hosts' of your conference, usually playing a bit of a double act rather like hosts of a TV programme. We make sure things happen on time, that participants know what to do and where to go, and that the atmosphere is cheerful and energetic.

Duration: however long the conference lasts

Best for: making your conference go with a bang (the really great thing is, you can relax and leave the driving to us)

.... ...

Examples:

(1) 'Families Leading Planning': a series of conferences on 'Transition' for young people with Learning Difficulties (January and February 2004)

This was a set of different presentations over a one-day conference (repeated in different parts of the country). Presentations were aimed at three very distinct groups (total number of participants around 60) all of whom had to feel the conference was FOR THEM:

  • the young people with learning difficulties themselves
  • their parents/carers
  • professionals working in this field

Big Wheel's style of presentation is perfect for this, as it uses a type of humour that is appreciated by all these groups. Everyone could see the relevance of every part of the programme. Two Big Wheel presenters led the conference (and also presented some of the break-out sessions).

(2) Valuing People Support Team 'Finding Our Voice':

A National Event for Family Carer Representatives on local Learning Disability Partnership Boards - 60-70 participants - two day conference, London 2004

Here again two Big Wheel presenters led the conference as 'parody hosts', (think of the way the Oscars are presented!) conducting the interactive training sessions, facilitating the round-table discussions, and introducing the speakers.

On the second day of the conference, they disappeared and re-appeared as actors - an example of...

The Fantastic Mixture of Absolutely Everything

Click to return to list of 'types of presentation'

Most of Big Wheel's work is a mixture of presentational styles. That's our speciality. That's what makes us right for any conference, on any topic, and for any type of audience, however senior and nervous! Most of the examples given above have been combinations of different presentation techniques.

Example: The NHS Modernisation Agency Learning Exchange conference, Harrogate CC 2003

This appears above under the section on 'Sketches' and also gets a mention in the section on 'Game-Shows'. Our participation in the MA's conference was a great example of The Fantastic Mixture of Absoutely Everything. Using Big Wheel in this way allows an audience to get to know the presenters, so they become friends.

The conference was over two days (audience around 1000). We presented three distinct interventions:

(1) Day One, morning: Sketches

As part of the key-note speeches we presented two sketches to illustrate particular concerns of the conference. The first sketch looked at the difficulties faced by peripatetic external consultants (the audience met an NHS astronaut who finds himself on the wrong planet) The second sketch was a re-telling of Aladdin, and showed us a hassled NHS manager being visited by a series of modernisation 'genies'. Each represented a different type of irritating external advisor. For scripts please contact us

(2) Day One, afternoon: workshops

In the afternoon we led two drama-based break-out sessions (each for around 20 participants. The aim of these sessions was to look at different ways drama-based interventions could be used by the MA in training and raising awareness. As a device, we asked the particpants to devise a 'Game Show' which we would present to the whole conference on Day 2. The aim of this 'Game-Show' was to summarize and clarify the main messages of the conference.

(3) Day Three, afternoon: The Florence Nightingale Show

This was a show devised by the groups who attended the Breakout workshop sessions and presented to the final plenary.

Florence Nightingale, yes, the Lady with the Lamp herself, oddly reminiscent of Cilla Black and Dame Edna Everage, presented a version of Blind Date, in which eager 'volunteers' picked a 'date' according to the improvements they would make to the M.A.'s programme. (the 'volunteers' were actually stooges - also something we arranged the day before, so as to have people who were happy about this)

Click to return to list of 'types of presentation'

Fees

Fees depends on how many people are involved and how much planning, scriptwriting and rehearsing is needed - also any very unusual props, (like a NASA space suit!) The conference interventions detailed above cost a range of fees between £1,500 and £11,000. For more information about the kind of project which may suit your event, and likely costs etc - do contact us. It may not be as pricey as you imagine!


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