|
Big Wheel
is a theatre company that has specialist knowledge of running
a wide variety of workshops with and for the NHS. This workshop
is a one day session focussing on the theme of Service Improvement.
Many Specialist
Registrars, though full of ideas about things that are wrong
or inadequate in their institutions, find it hard to articulate
exactly is wrong, what the root causes of the problems are,
and how to make improvements.
STRUCTURE: The first half of the session explores opportunities
for service improvements; during the second half participants
develop a strategy to achieve these improvements.
CONTENT: The day is a mixture of:
- Exercises
involving the audience
- Facilitated
discussion
- Dramatic
presentations by the actors, including:
'Doctor in the Past'. Inspired
by the recent TV series, Life on Mars, this imagines
a scenario where a doctor from the present day finds herself
in a hospital in 1973. Over a throaty commentary, the (female)
doctor encounters three or four characters to whom she expresses
amazement at examples of poor practice. Each character in turn
ignores, rejects, or misunderstands her ideas for improvement,
at the same time being incredibly politically incorrect (e.g.
idiotic comments about the capabilities of a woman doctor).
Characters are clear caricatures and smoke all the time.
This provides a model for identifying opportunities
for service improvements, and shows that some improvements have
been made.
'Patient Journey / Doctor Journey'.
Two parallel stories are presented, one from the patient's
perspective, alongside the same story as seen by a SpR (in this
example an anaesthetist). The audience tries to spot all the
service failures (there are lots!). This is followed by a 'forensic
analyis' of the story. Working in teams, the audience examine
'evidence' relating to the story (for instance, a soiled sheet,
an incomplete MEWS sheet). The audience is then challenged to
carry out a root cause analysis of the problems and the opportunities
they present for service improvements.
'Pride and Prejudice'. Later in
the day, when participants are learning about how to persuade
colleagues to take on service improvements, Darcy's proposal
to Elizabeth Bennett provides a light-hearted but highly relevant
example of (a) how misplaced pride in your idea will alienate
the hearer and (b) how misplaced prejudice may prevent you giving
other people's idea a fair hearing.
EXPERIENCE: Big Wheel has worked for a wide variety
of NHS departments including: The Modernisation Agency, Connecting
for Health, the Healthy Communities Collaborative and associated
bodies including: Mental Health Helplines Partnership.
ADVISORS: 'The Service Improvement Masterclass' was
created jointly by Big Wheel Theatre Company and the Wessex
Deanery Service Improvement Team for Specialist Registrars and
other NHS Staff at this level.
PARTICIPANTS: This is aimed at Specialist Registrars or any
staff at that level - participants have included nurses, midwives,
paramedics, and GPs. The session is designed for a small group
(maximum 25) but could be adapted for a large conference as
appropriate.
OUTCOME: Participants should leave the session with a clear
idea of what service improvement means and how to start bringing
it about. Participants are given a number of simple tools to
assist them develop their own service improvement projects.
They are encouraged to think in terms of change that will be
long-lasting and effective. ('transformational change', rather
than 'transactional change').
In the immediate term, Specialist Registars will approach their
clinical audits in a more positive way. In the long term the
programme is designed to train people to take a lead in improving
services at SpR and consultant level.
BENEFITS:
- Good
Fun!
- Team
Building
- Opens
a forum for discussion
- Respectful
and sympathetic to present staff practices, knowledge and
needs
- Interactive
and challenging
- Outcome
- Practical plan of action
- Leadership
skills
TECHNICAL REQUIREMENTS: All we need is a room large enough
to accommodate us and your staff, we bring everything else -
It's that easy!
FEE: Starting at £2750 + VAT per session
ADDITIONAL SERVICES: If you are unable to accommodate the workshop
'in-house' we can also arrange a full conference package including
venue and catering.
REFERENCES: If you would like a professional recommendation
please email one of our NHS referees.
Alex
Tobin (Service Improvement Lead, Wessex Professional
Programme, NHS Wessex Deanery)
Big Wheel works with Alex and her team at the Wessex Deanery
presenting a monthly one-day Service Improvement Masterclass,
as part of their Professional Development Programme. Alex has
worked with Big Wheel on a variety of other NHS training projects.
Simon
Eccles (Clinical Lead, NHS Connecting For Health)
As well as working for CfH, Simon is an A&E consultant
at the Homerton Hospital, London. He has co-written and co-presented
many of Big Wheel's productions for NHS Connecting For Health.
Dominic
Hall (Service Improvement Lead, Southend Hospital,
Essex)
Dominic and his team developed and piloted our Hospital
Discharge Training Day, 'I'm A Hospital Patient Get Me Out Of
Here' with Big Wheel in close collaboration with Southend Hosptital,
and Primary Care Trusts and Social Services in Southend and
Essex County.
For
other ideas for training days please contact
us
|
