For the Nursing Times, HSJ and NHS Improving Quality ‘Challenge Top Down Change’ campaign, we looked at best practice examples of how staff could be encourage to make small incremental changes that make a difference to the quality of care being delivered and the experience felt by staff and patients.
Using crowdsourcing - the change challenge campaign identified 10 barriers to change, and 11 building blocks. The videos below, filmed at Nottingham University Hospital, showcase examples of overcoming a few of the barriers to change as well as incorporating some of the building blocks required for any change initiative.
In 2009 Nottingham University Hospitals embarked on a large scale transformation programme which would consistently search for improvements in quality, safety and value for money. The Better for You programme was about empowering staff to make change happen in their own areas of work by acting upon their own ideas. Part of this involved a Just Do It scheme whereby if staff had an improvement idea they could ‘just do it’.
As part of this scheme Tina Kirk, a housekeeper on its children’s ward came up with the idea of getting patients drawing colourful designs on white tiles with ceramic pens, which are then fired in an oven ready to be put up on the walls of the hospital. This gives the children something to do whilst in hospital and also helps brighten the bathrooms within its wards.
The idea was an instant hit and not only went towards improving bathrooms within wards but a few of the tiles are now on display within the corridors of Nottingham University Hospital.
The Better for You programme also sought to provide a space for people to innovate by setting up a Children’s hub which staff could use to discuss ideas amongst teams.