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MARCH 2017 | University Hospitals Birmingham NHS Foundation Trust
Innovative move to improve systems A multi-disciplinary group of clinical and managerial staff from across the Trust have created an internal Human Factors Faculty. This recognises the benefits that integration of Human Factors/Ergonomics (HF/E) brings to an organisation’s safety, productivity and morale. Faculty member Peter Isherwood, a Consultant in Critical Care Medicine & Anaesthesia, said: “This is an innovative approach for an NHS organisation and demonstrates the Trust’s commitment to delivering excellence in healthcare, service and staff development. “We hope colleagues will take the opportunity to share their ideas and experience with the faculty to build on the excellent work that is already taking place across the Trust.” The Human Factors Faculty is chaired by the Executive Chief Operating Officer and is working in partnership with the University of Birmingham and Heart of England NHS Foundation Trust. The Faculty’s overall objective is to incorporate HF/E into the fabric of University Hospitals Birmingham at an individual, team and organisational level. In high reliability industries, the application of HF/E has been instrumental in optimising system performance, resilience, culture and safety and shown benefits for staff retention and morale. The Human Factors Faculty’s initial areas of work include: ■ Developing a local Human Factors definition to support understanding.
Friend and colleague Patricia Black (Pat) suddenly and sadly passed away on Thursday 22 December 2016. She had worked as a domestic in the Trust for nearly 30 years. She started in January 1987 on the evening shift and then changed shift a few times working on many areas. These included East 3 liver unit, Relatives Wing in Nuffield House, and lastly she worked at the PET Centre in the Cancer Centre. Since she started she had always worked with Tracey Bradbury and they became best friends. She had many friends in the Trust and we were all very shocked and saddened by Pat’s sudden passing. She will be truly missed by all that knew her. Our thoughts are with her family at this sad time.
PICS Update From left to right: Deborah Mortiboy, Alison Doyle, Peter Isherwood, Tracey Clatworthy, Umesh Salanke, Judith Savage, Fran Ives, Alison Ward, Robert Stone.
■ Measurement of ‘just’ culture within the organisation. ■ Developing a local HF/E framework to support application and integration at a local and organisational level. ■ Developing a HF/E training programme to support incident investigation within the organisation. ■ Introducing a daily briefing for members of the cardiac arrest team. ■ Developing a network to share, learn and collaborate. ■ Providing Human Factors training to teams and individuals.
Members of the Faculty will work with key internal stakeholders throughout the Trust to support and develop Human Factors projects. Peter said: “We hope that by taking a collaborative approach we can help support individuals and teams who already have great ideas and develop new areas of work together to bring real benefits to patients, staff and the organisation.” If you wish to get in contact for further information, get involved or discuss an idea please email peter.isherwood@uhb. nhs.uk or contact any of the faculty who will be happy to help and discuss.
Faculty members ■ Philip Bright, Director of Medical Education, Heart of England Foundation Trust ■ Alastair Williamson, Consultant Anaesthetist, Heart of England NHS Foundation Trust ■ Tracey Clatworthy, Resuscitation Services Manager, UHB ■ Pankaj Das, Project Manager Division A, UHB ■ Alison Doyle, Lead Nurse for Falls Reduction, UHB ■ Tim Graham, Consultant Cardiac Surgeon, UHB ■ Peter Isherwood, Consultant Critical Care Medicine and Anaesthesia, UHB ■ Fran Ives, Ergonomics/Human Factors Advisor, UHB ■ Deborah Mortiboy, Consultant Microbiologist, UHB
■ Lisa Penney. Lead Clinical Educator (Theatres), UHB ■ Umesh Salanke, Consultant Emergency Medicine, UHB ■ Judith Savage, Senior Respiratory Physiologist, UHB ■ Lorraine Simmonds, Head of Service Improvement and Performance, UHB ■ Robert Stone, Professor of Interactive Multimedia Systems, University of Birmingham ■ Emma Tomans, Clinical Research Fellow, UHB ■ Alison Ward, Investigations Officer, UHB ■ Ellen Ward Lindley, Informatics Analyst, UHB ■ Cherry West, Executive Chief Operating Officer (Group Chair), UHB
Success for apprenticeships The success of apprentices across the Trust will be celebrated during National Apprenticeship Week 2017. Between March 6 and 10, the week, coordinated by the Government’s Skills Funding Agency, includes a variety of events and activities for individuals employed as apprentices across England. The Trust’s Learning and Development team will be celebrating apprentice achievements and sharing with others how well our apprentices have progressed since beginning their career. Currently, the Trust has over 60 apprentices, based in various departments across the organisation, ranging from IT, sexual health, outpatients, imaging and medical engineering. After completing the apprenticeship programme, successful candidates have gained full time
Pat Black
employment either in their department or within UHB. Some have secured jobs at bands 4 and 5 including a 2nd year trainee within the medical engineering department who was appointed to a permanent Band 5 post. The UHB apprenticeship programme has had a significant impact since its launch in 2010, with apprentices making a major contribution to the Trust’s day-to-day operation and activities. “We have apprentices in a variety of roles across different areas, and many have gone on to successfully gain employment across a range of departments and bandings,” said UHB Vocational Manager Sue Bell. “This clearly demonstrates that the programme is working and National Apprenticeship Week provides a great chance to celebrate that, and recognise the efforts of everyone involved. We
would particularly like to thank all the managers across the Trust for their support, time and commitment to the programme. “By sharing their expertise, they have grown a new generation of staff committed to cascading the vision and values of education and inspiring future growth across a range of pathways.” If you would like to know more about the apprenticeship scheme ƀ Sue.Bell@uhb.nhs.uk
A wide ranging update to PICS in late February has seen a number of changes that affect all users of the system. New functionality that is included in the update will direct doctors to medications and antibiotics that need reviewing in accordance with new national guidance, as well as new guidance in assessing patients for sepsis. These updates both have CQUINs attached and more detailed information surrounding them is available separately. Mental capacity forms are also now included in PICS, with training for this rolled into mandatory safeguarding training, whilst ‘Supportive Care’ has moved to ‘Comfort Observations’ for patients thought to be in the last days of their life, where the reduction of unnecessary physical discomfort is now the priority for that patient. Some referrals within PICS have also changed for AHPs, in addition to changes in referrals to the Trust’s Diabetes Team as well as Nutrition and Dietetics. Imaging requests from within the outpatients department have also now been opened up – with paper forms set to be refused to reduce any potential delays to patients. Requesting non-urgent blood products are also now available in PICS for the first time which removes the need to call ahead to the blood bank. The process for urgent blood components requests is unchanged. The roll-out of Ward Order Comms (WOC) also continues. WOC is a change in the way laboratory tests are ordered and handled in the hospital. The changes mean that ordering routine tests will be done via PICS. Before taking the sample, the patient will have their Identity confirmed both verbally and via the scanning of their barcoded ID wristband – thus reducing risk of taking samples incorrectly. After blood is taken, blood tubes will be barcode scanned and then sent to the lab where a pre-sorter will handle them. This eliminates the human element of the booking-in process. Results will then be uploaded into PICS from the labs telepath system. Results will then be available sooner due to the streamlining of the whole process. For any further information on Ward Order Comms, please contact Sean in the PICS Training Team: PICSTrainingTeam@uhb.nhs.uk This is an unusually large update to PICS with many changes that affect all clinical staff, therefore it is important that you do take a moment to review the full outline of the changes and release notes where possible on the Trust Intranet.
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