Scotland

The National Health Service in Scotland.
Good News…How Hospitals Heal Themselves, along with the
accompanying book, The Nun and the Bureaucrat… was requested by the Department of Health in Scotland to be used in conjunction with their overarching programme of development and improvement training for local programme managers.

Specifically they used the approach of Clinical Systems Improvement (CSI) designed by Warwick University Business School. This course aim is to increase knowledge and understanding of clinical systems improvement and management within the health sector. It is particularly aimed at those who have responsibility for service improvement and need to gain the capacity to apply these principles to make sustainable improvements in patient flow and meet the government's 4-hour emergency access target.

It encompasses quality improvement tools and methods adapted to healthcare from disciplines such as Theory of Constraints, Lean Thinking and Six Sigma. The book and DVD have been helpful in achieving these aspects and highlighting common themes and issues across different systems and methods. The documentary and the book highlight the benefits to both patients and healthcare workers including improving patient services and clinical outcomes by supporting improvements in patient flow across organisational boundaries, particularly at the arrival, admission and discharge interfaces.

In particular its user-friendly, accessible style and common-sense approach was of great help to the NHS Scotland in putting across ideas and strategic approaches to healthcare re-design.

The Improvement Service in Scotland -
The Improvement Service is devoted to improving the efficiency, quality and accountability of public services in Scotland through learning and sharing information and experiences. On this site practitioners and others may share views and access resources on hot topics that concern Scottish local government, to increase understanding and promote improvement of those areas. More