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 back in 2013 when the Clinical Director, a senior consultant, the service manager and a Service Improvement coach visited Bolton hospital and decided to test out the concept of doing some ward improvement work ensuring the work actively involved the staff at the front line.
The wards set up a CHANGE room displaying all this data and invited all staff to comment on the data. Weekly meetings on Fridays were scheduled with an open invite to all ward staff. Coached by the SI team, at the next few meetings themes for
improvement were generated, aims written, and the processes mapped in question were mapped. This generated lots of ideas for improvement which were then tested using PDSA cycles and time series measurement.
Many ideas and improvements to processes have been tested as listed on the table below.
The CHANGE room still continues meeting fortnightly with new tests of change introduced on an on - going basis. The multiple improvements have also triggered system level improvements, with a sustained reduction in length of stay (See charts below) and reduced HSMR mortality seen over the past months.