SASH is one of just five NHS trusts in the country
working in partnership with the healthcare experts at the Virginia Mason Institute in Seattle, USA and NHS Improvement. As part of the partnership our staff are supported to develop a culture of continuous improvement based on lean principles. The SASH+ culture of continuous improvement (kaizen) focuses on putting the patient first and making changes to improve patient care.
The other Trusts taking part in this national partnership are:
- Barking, Havering and Redbridge University Hospitals NHS Trust
- The Leeds Teaching Hospitals
- The Shrewsbury and Telford Hospital NHS Trust
- University Hospitals Coventry and Warwickshire NHS Trust
Find out more about the partnership Sharing improvements across SASH
At SASH we have a range of topics, value streams. These value streams are areas that we are committed to improving. Our value streams are:
The diagnostic imaging department at SASH perform a total of 180,000 x-rays and scans for patients per year, including 64,000 CT scans. Staff at various levels within the department have already embraced SASH+ through Lean for Leaders and started to innovate and develop ways of reducing waste and improving patient experience. The Trust guiding team and the department agreed the time was now right to build on those initial successes and engage imaging more widely with a value stream. The team have chosen outpatient CT as the focus for the value stream as this is a high volume area and there was a strong feeling that our processes there had room for improvement, particularly in terms of reducing unwarranted waits for patients. We expect many of the learnings will be transferrable to other types of imaging.
The role of the nurse
The Trust currently discharges approximately 75-80 inpatients a day. Improving our discharge process will mean a better patient experience, improved quality of care and reduced length of stay. It currently takes 10 days from the decision to discharge to actually leaving the hospital for a simple discharge. The Trust has recognised there are a number of areas that can be improved in house and therefore this value stream will concentrate on simple discharge (where other external agencies are not involved).
In the UK sepsis affects 260,000 lives per year and has a huge financial impact on the UK economy. We aim to improve sepsis care across the Trust by focusing on early identification, treatment within the “golden hour” and definitive management of patients with sepsis. This work will help raise awareness across the Trust and give confidence to our staff to identify potential sepsis and, where necessary, escalate to colleagues.
Management of diarrhoea
Diarrhoea affects a significant proportion of our inpatients. It’s an uncomfortable and unpleasant experience and we are seeking to standardise practice across the hospital and reduce time taken treat the condition.
Lean for Leaders
Our SASH+ transformation work includes our Lean for Leaders development programme that has helped our teams adopt a wide range of effective tools and techniques, which have led to significant improvements for both patients and staff. Take a look at the videos below to see how SASH people are using the SASH+ improvement methodology and applying the principles of lean across the organisation.