Who are we?
We are a small team of project and programme managers who lead on major projects across the Trust, and provide support to others involved in projects and continuous improvement, to help ensure objectives are met and benefits realised.
The team is involved in a diverse range of projects and programmes to support the Trust's Strategic Objectives. We also maintain the Trust's Project Management Toolkit.
Current Projects & Programmes
This is a summary of our current focus:
Service Line Management (SLM)
This programme is to implement service line reporting and service line management across the Trust.
The programme consists of four key projects; Service Line Reporting, Business Processes, Organisation Development and Business Intelligence reporting.
Contact: Simon Lanceley, Associate Director - Programme Management & Service Improvement
Saving & Efficiency Programme
The Programme Management Office provides support to the Director of Finance and Savings Board to help shape and support delivery of the Trust’s annual savings and efficiency programme.
From 2011/12 this includes working with NHS Gloucestershire to influence the design and implementation of Quality, Innovation, Productivity and Prevention (QIPP) schemes.
Workstreams being led by the Programme Office this year include: Unscheduled Care, Planned Care & Workforce redesign.
Contact: Simon Lanceley, Associate Director - Programme Management & Service Improvement
Radiotherapy at Hereford
In January 2010 approval was given for a Satellite Radiotherapy Unit to be built on the Hereford County Hospital site. The Unit, managed and staffed by Gloucestershire NHS Foundation Trust, will predominantly serve the population of Herefordshire and Powys, with the hope of eliminating the well documented ‘Misery Miles’ which some patients who require radiotherapy treatment currently experience. The project is now up and running, with an appointed contractor (Balfour Beatty) and an anticipated ‘open to patients’ date of April 2013.
Contact: Simon Lanceley, Associate Director - Programme Management & Service Improvement
Site Reconfiguration
This programme involves planning and implementing changes to the distribution of specialist services across the Trust’s two main hospital sites: Cheltenham General Hospital and Gloucestershire Royal Hospital. Each of the changes is driven by increasing clinical standards and the need to make best use of limited money.
Contact: Jenny Hill, Programme Manager
E-Rostering
This project is rolling out a system of electronic rostering across the Trust's wards.
E-rostering will enable nursing rosters to be created in a more efficient way, with an equitable approach to allocating shifts and ensure maximum deployment of staff to their full contractual hours and shifts required. The system allows nurses to request 'off duty' on-line from work or home and will reduce spending on bank and agency staff.
Contact: Gill Bridgland, Programme Manager
PAS+
Linking directly with the Trust's Patient Administration System (PAS), PAS+ is an IT system which can display real-time bed management information. Admissions, Discharges and Transfers can be entered in real-time, helping the Bed Management Team to allocate and manage emergency and elective beds. The roll-out of PAS+ has started and will provide the hospitals' wards with large whiteboards which will be used to give ‘at a glance’ information to clinical staff. All information on PAS+ can be audited and monitored, giving the Trust the ability to identify delays in patient pathways.
Contact: Jayne Oldfield, Project Manager
Digital Dictation
This project is delivering a system by which letters and other correspondence dictated by doctors is stored electronically as a secure audio file. This allows secretarial teams to instantly access the file and start typing, without the need for tapes to be transported between clinics and offices. The system will soon be in use in all departments and has already cut the turn-around time for typing.
Contact: Jayne Oldfield, Project Manager
Hospital @ Night
This project is focussed on improving the working arrangements of the specialist medical and nursing teams based in the hospitals at night, to help them provide seamless care when the day teams hand over and respond quickly to the wards when called by the nursing teams.
Contact: Jayne Oldfield, Project Manager
Copying patient letters
The NHS Constitution 2010 pledges that all patients should be able to receive copies of correspondence sent between clinicians about their care. This project is establishing the processes for a patient to 'opt-in' to receiving copies of letters sent from the hospital to their GP after outpatient appointments and any stay in hospital.
Past Projects & Programmes
UTOPIA – a new model of unscheduled care
UTOPIA was a two year Trust-wide change programme (Unscheduled Treatment Of Patients In the Acute sector), to radically redesign the Trust’s unscheduled care pathway. The programme was winner of the HSJ's Efficiency Award for Efficiency in Acute Service Redesign 2011.
The programme was managed in three distinct phases; discovery, redesign and transition. The new model of care was phased in from August 2009.
The new model has delivered significant clinical, operational and financial benefits, including;
- Statistically significant reduction in acute length of stay with no impact on readmission rates or mortality.
- £6M saving by reducing Trust bed base on back of reduction in length of stay
- £1.5M saving to health economy by increasing the number of GP referred patients discharged direct from ED
- Reduction in the percentage of patients requiring Coronary Pulmonary Resuscitation (CPR)
Contact: Simon Lanceley, Associate Director - Programme Management & Service Improvement
Women's Services Reconfiguration
This programme involved the reorganisation of maternity, neonatal and gynaecology services in the county. With the building of the new Women’s Centre at Gloucestershire Royal, all high-risk obstetric and neonatal services were centralised to Gloucester and a new midwife-led Birth Centre was created at Cheltenham General Hospital. The programme completed successfully in early 2011 and local women and their families are now benefiting from the new facilities and enhanced clinical care.
Contact: Jenny Hill, Programme Manager
Rapid Improvement Events
Rapid Improvement Events (RIEs) are facilitated, five-day workshops where specific patient pathways or operational processes are mapped out, analysed and redesigned using the principles of LEAN methodology. The event itself is always part of a longer term project involving a team of people who know their area and can implement the agreed changes.
Contact: Jenny Hill, Programme Manager
Releasing Time to Care
This programme focussed on improving processes and facilities on the hospitals’ wards so that nurses’ valuable time could be ‘released’ for the provision of direct clinical care for patients. Using tools from the NHS Institute’s Productive Ward, as well as experience from other Trusts and related programmes, the key elements were:
- Redesign of the processes for general supplies to the wards
- Redesign of the processes for IV fluid and dressings to the wards
- Standardisation and improvement of the wards’ storage systems and stock control
- De-cluttering the ward environment
Contact: Jenny Hill, Programme Manager
Patient Wristbands
Completed in April 2010, this project rolled out the technology and training for all patients to be fitted with a printed wristband, thereby reducing the risk of error under the previous system of hand-written bands.
Contact: Jayne Oldfield, Project Manager