Presentation from NHS Improvement endoscopy workshop held at Ambassadors Hotel, London on 29 January 2013 http://www.improvement.nhs.uk/diagnostics/EndoscopyImprovement/Events.aspx Endoscopy Workshop 3 - 29 January 2013 - Welcome Fiona Thow Director, NHS Improvement

1. Endoscopy update
Endoscopy Workshop 3
Welcome back
29th January 2013
Fiona Thow
Director, NHS Improvement

2. Turn the clock back June 2012

3. Congratulations
• Understood your service - data
• Stop / start audit
• Implemented pre-assessment
• Reduced DNA’s
• Direct booking / increased choice
• Improved your cross cover

4. How are you measuring your
increase in productivity?
Have you achieved a 20% increase?
If not have you identified where you can make
that gain?

5. What next?
• Continuous improvement – keeping it
going!
• Support you in writing up your work &
promoting it – regionally, nationally
• An opportunity to show case your work
through productive endoscopy
• Opportunities for wider dissemination
across endoscopy via e-bulletin & website

6. The Productive Endoscopy
Referral Pre
Management Assessment
Patient Experience
Productive Endoscopy House

7. Aggregation of marginal gains
• “Firstly, you need a team with the skills and motivation to succeed”
• “Secondly, you need to understand what you want to achieve”
• “Thirdly, you need to understand where you are now”
• “Then, you need to put a plan in place to see how you can get from
where you are now to what you want to achieve”
• “Also, it’s important to understand the ‘aggregation of marginal
gains’. Put simply….how small improvements in a number of
different aspects of what we do can have a huge impact to the
overall performance of the team.”
Dave Brailsford

8. Endoscopy: NHS Improvement
plans for 2013/14
• More work with sites
• Productive endoscopy
• Looking at Straight to test
• Right test first time
• Reducing variation
• Continued high profile on
diagnostics
• Workforce challenge
• Bespoke site support
www.improvement.nhs.uk/diagnostics/Endoscopy
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