This section of the MCA website contains case studies and stories about microsystem improvement work going on across the Sheffield Healthcare system. The majority of our case studies examine the quantitative benefits to patients following a period of service improvement, and are listed below:
Read about how a large Geriatric Ward is making changes and improvements for patients and staff
Read how the Frailty Unit tested a range of approaches, including using recliner chairs in ambulatory assessment, to ensure patients are assessed early in their stay on the unit.
Read how the COPD team and FCA coaches have worked together to bring improvements to patient care
Sheffield Frailty Pathway
Community and hospital staff meeting in the Frailty Big Room have successfully designed a new discharge process.
Sepsis - Imperial
Read how the Imperial Sepsis team established a 'big room' and used the Flow Coaching Academy methodology to measurably improve patient care
Sheffield Skin Cancer Pathway
Supported by flow coaches, Dermatologists and Plastic surgeons collaborate to redesign skin cancer care
ePAQ-PO is an electronic questionnaire that is changing the way we pre-operatively assess patients. Patients complete the questionnaire on the same day that they are listed in clinic, reducing the...
The Bath Frailty Big Room
Read how the Bath frailty team established a 'big room' and used the Flow Coaching Academy methodology to measurably improve patient care
Diabetes Big Room - Imperial
Read how the Imperial Diabetic Foot team established a 'big room' and used the Flow Coaching Academy methodology to measurably improve patient care
Hillsborough District Nursing Service
Working with an MCA coach the team redesigned their system and processes. As a result the number of visits has reduced and the time spent with patients has increased significantly.
Asthma and Wheeze in Children - Imperial
Read how the Imperial Asthma and Wheeze team established a 'big room' and used the Flow Coaching Academy methodology to measurably improve patient care
Dementia Rapid Response and Home Treatment Team
This service provides NHS assessment, care and treatment to people with a working diagnosis of dementia and who are experiencing some degree of crisis or difficulty.
Wainwright are celebrating 20 years of providing high quality respite services for individuals experiencing mental health issues. The unit provides 24 hour support (including step down) aimed at...
Specialist Psychotherapy Service
The Specialist Psychotherapy Service offers tertiary level treatment, consultation and advice for service users and specialist education, training and research.
Short Term Educational Program
The service offers a range of recovery and preventative focused educational programs primarily to service users that have identified short term needs. These are facilitated by an experienced and...
Firshill Rise Assessment and Treatment Service
Firshill Rise is all about families, carers and professionals working together to support adults with a learning disability to receive the best care and support. Our multidisciplinary team provides...
Intermediate Care Beds
Through partnership working, this project aims to design a working document that will be provided to every older adult when they are admitted to an Intermediate Care bed. In Sheffield there are...
Maple Ward is an acute adult mental health inpatient service providing care and support to service users who require an intensive multi disciplinary treatment package that cannot be delivered in...
Darnall Primary Care Centre
Darnall Primary Care Centre has recently merged with Highgate Surgery in Tinsley, Jordanthorpe Health Centre and The Mulberry Practice in the city centre. The practices have merged to provide a...
Endcliffe Ward is a psychiatric intensive care unit which has ten beds. This is a locked unit providing twenty four hour care for people requiring a safe, controlled environment with high...
South East EI
The Early Intervention Team is a community based service for individuals presenting with a suspected first episode of a psychotic illness. Microsystems service improvement work started in December...
Sheffield Community Brain Injury Rehabilitation...
Sheffield Community Brain Injury Rehabilitation Team (SCBIRT) has been holding regular service improvement meetings using the Microsystem improvement approach since April 2015. Two former service...
South Warwickshire Frailty Flow
Staff from Warwick redesigned the front door pathway using the Flow Coaching Academy approach, resulting in a significant reduction in length of stay for patients over 75
Haematology ward microsystem
This poster came third at a recent national conference and illustrates some excellent improvement work in Haematology around Neutropenic sepsis
Pulmonary Rehab Team
Appointment cards and protocols have reduced treatment length from 61 to 38 days.
Renal Transplant - One stop assessment day
The Renal Transplant Team worked with Service improvement to improve and implement a one stop assessment day for Living donor transplant patients. They have developed a combined assessment process...
Osborn 3 - Discharge Process and TTO's
Through working to improve the TTO process on Osborn 3 the team have:
VIDEO Pre-operative Assessment - RHH
The team have reduced variation across the support worker role by standardising the way they label sample bottles. They are also standardising the staff nurse role after patients complete ePAQ-PO,...
Coaches Survey - March 2017
The results of the recent coaches survey showed that 58% of MCA graduates were still coaching!
Brearley 5 Therapy Project
An already established project adopted microsystem improvement to reduce falls and improve social dining.
Weston Park Inpatients
An increase of 85% in staff using the e-whiteboard
Tongue Tie Service
Reducing the time from referral to treatment from 14 days to 6 days
ENT Stock Case Study
Working in a small area, using the 5S method to break down the work into achievable steps, has given the team a sense of ownership to make their area work for them. The whole department can now...
Surgical Robot Improvement Project Summary Jan...
The surgical robot is an extremely valuable asset for the trust and gives superior outcomes to patients over traditional surgical techniques. After successfully implementing the use of a surgical...
South East Recovery Community Mental Health Team
The South East Recovery Team has been meeting for over two years using the Microsystem improvement approach. With recent organisational changes, the Microsystem has developed to include a wider...
Project Management Workshop for Medicines and...
The workshops were received very positively by attendees and were described as useful and informative. This is reflected in the positive feedback received.
Special School Occupational Therapists
Reducing the turnaround time for requests from 20 weeks to 5 weeks
Standardising letter templates from 80 to 9, saving 2.5 admin hours per week
Nuclear Medicine - Thyrotoxicosis
The PDSA has shown that patient waiting is down from 104 minutes to 84.
The number of reports completed with 21 days has improved from 56% in 2015 to 97% in 2016.
Lower Limb Arthroplasty Improvement Project...
The Orthopaedic RHH theatre team made a 33% increase in throughput on Mr Wassim Tomouks Monday list. Four Hip or Knee replacement operations now regularly take place on this list; before the norm...
Geriatric and Stroke Medicine
This a successful Microsystem, part of the ward collaborative, that has improved E-discharge and has reduced ward noise levels.
MCA Cohort 5 stories
Here are cohort 5's poster stories. Through posters they shared their journey so far of coaching a microsystem. Coaches were from Sheffield Teaching Hospital, Sheffield Childrens Hospital,...
Community Stroke - January 2016
STHs Community Stroke Service team is comprised of Administrators, Nurses, Occupational Therapists, Pharmacists, Psychologists, Physiotherapists, Rehabilitation Assistants and Speech and Language...
MCA Cohort 6 stories
Here are cohort 6's poster stories. Through posters they shared their journey so far of coaching a microsystem. Coaches were from Sheffield Teaching Hospital, Sheffield Childrens Hospital,...
Osborn 3 - Ward Rounds
Through the introduction of a structured ward round the Osborn 3 Team achieved: "An increase in patients who have clear set of actions agreed during the MDT" "A structured approach to ensuring...
Reducing the average time patients are at Uveitis clinic from 1 hr 27 mins to 59 mins
MCA outpatient collaborative - STH
The aim of the Outpatient Collaborative was to improve care for the patients they serve by November 2016. This was done by building quality improvement capability with the staff in those OP...
MCA Cohort 7 stories
Here are cohort 7's poster stories. Via their posters they have shared their journey so far of coaching a microsystem. Coaches were from Sheffield Teaching Hospital, Weston Park Hospital, Sheffield...
As at June 2013 there were approximately 3500 active patients receiving care from the Nurse-led STH Anticoagulation Service, demanding between 250 and 300 patients to be dosed each day; around...
Botox for Children with Cerebral Palsy
Increasing the proportion of patients receiving timely therapy from 52% to 92%
The Cataract team in Ophthalmology were keen to look at the patient pathway to see what improvements could be made. Initially meeting in March 2014, the team have continued to meet bi-weekly using...
Centralised Pre-Operative Assessment (CPOA)
The initial Pre-Operative Assessment (POA) Lead Improvement Team (LIT) initially met in January 2013 and although this was not a true microsystem by definition, the purpose of both teams was the...
Clinical Immunology & Allergy Unit
As at April 2014, there were approximately 900 patients in the follow-up pool receiving care from the STH Clinical Immunology & Allergy Unit (CIAU), which is run from the Northern General Hospital...
Community Enhancing Recovery Team (CERT)
CERT is an inpatient service in Sheffield Health & Social Care that look after service users with severe or enduring mental health problems in their homes. CERT carries out intensive visits lasting...
Cystic Fibrosis - Project Brandon
Cystic Fibrosis is a life long condition diagnosed at birth which requires multiple and often frequent follow up attendances in clinic. Based at the Northern General Hospital, the STH Cystic...
Diabetic Foot Service
The Diabetic Foot Service forms part of the Diabetes & Endocrinology Directorate and operates three clinics per week, two at NGH and one at RHH. Patients attending this service have advanced...
Fast Track Outpatients
The Fast Track Clinic is a "one stop shop" for women being referred by their GP with any breast related issues. At the Fast Track Clinic the patient will see a clinician and have any relevant...
Foot and Ankle Service
One of the Orthopaedic Foot and Ankle Surgeons was concerned that the experience for his patients was not the best it could be and was keen to work with colleagues to examine this further and see...
Hearing Services (SCH)
Reducing hospital cancelled appointments by 41%, plus many other improvements
Hearing Services (STH)
Hearing Services forms part of the Ear, Nose and Throat (ENT) Directorate at STH and operates a range of services including hearing tests, hearing aid repairs, domiciliary visits as well as...
Looked After and Adopted Children's Health
Understanding systems and processes allows everyone to work to their individual strengths, and increase the timeliness and quality of the work.
MCA Cohort 3 Stories
The MCA held the 1st MCA Connect Event on 1st July 14, members of Cohort 3 presented posters showing some of the quality improvement work they have been doing over the last 6 months in Sheffield...
MCA Cohort 4 Stories
The Cohort 4 graduates recently celebrated their success at the MCA Connect on 16th January. Through posters they shared their journey so far of coaching a microsystem. Coaches were from Sheffield...
Project Evie - Falls Clinic Redesign
The Sheffield Falls Service is a tiered city wide service which aims to reduce falls and subsequent injury, especially of older people, in Sheffield. This project aimed to improve the quality of...
PVDU - Project Red
The Sheffield Pulmonary Vascular Diseases Unit forms part of the National Pulmonary Hypertension Service, and has been developed to deliver highly specialised quality care
In June 2011 the Trusts Service Improvement Team developed a Trust Wide service improvement strategy for Outpatients (OP) services. The purpose of the document was to define key areas for driving...
The Renal team started clinical Microsystem Improvement work in November 2012. The original plan was to start with one of the renal access surgery lists and to review the processes and current...
The four Brearley wing respiratory wards at the Northern General Hospital (Brearley 1-4) have for the past two years been involved in improvement work as outlined on this page. The work started...
Sheffield Wheelchair Service
In July 2014, Angela Green (Improvement Programme Manager) approached Sheffield Teaching Hospitals NHS Trust to discuss supporting the Sheffield wheelchair service team with Improvement. It was...
Nurses and admin staff in Urology Outpatients worked together to turn a 'hectic clinic' into one that is calmer, more organised, and more timely for patients. They reorganised the patient mix in...
VIDEO Antenatal Services
Antenatal Services recently came to one of the MCA Networking Events to talk about their experiences of quality improvement work and working with a microsystem improvement coach.
VIDEO Sexual Health Services
On 4 December 2013 the MCA welcomed the Sheffield Contraception and Sexual Health team to its Ninth Networking Event. The SCASH team talked about what it has been like for them to work with their...
Wainwright Crescent - February 2016
Wainwright Crescent in a nine bedded unit for service users with mental health issues. Service users come to the unit for respite breaks or as a step down from the acute admission wards.
Weston Park Hospital Outpatients
Towards the end of last year a microsystem coach was invited to work with the Weston Park Outpatient team to investigate new ways of working that might improve the experience of patients when they...
Wood Hill House Intermediate Care Beds
Wood Hill House provides rehabilitation in collaboration between Sheffield Teaching Hospitals medical and therapeutic staff, and Horizon, who are the setting owners and take responsibility for...