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Building outstanding theatre teams challenge

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12 Ideas
59 Votes
23 Comments
27 Participants

Operating theatre teams are a critical link in the elective surgery pathway of care.

How can we support theatre teams to make their best possible contribution to elective care, including treating more patients who are waiting in ways that are long-term sustainable?

How can we improve the experience and career progression of people in theatre teams?

What new ways of working and/or delivering care could we introduce, or scale up by learning from each other? How can we attract, retain and develop people during their careers?

 

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#SolvingTogether Launch session ideas

On the 4th April 13:00-14:00 Tim Ferris, Director of Transformation at NHS England and NHS Improvement. During the session the audience were split into breakout groups and focused on a challenge. Each challenge has two rooms focusing on it. Here are some of the ideas that the audience came up with during the session. Room 1:  Extra team to complete pre-assessment Human Factors work to improve safety Digital pre-assessment Looking at the whole process as a whole pre and post...

0 Score
Comments 0

Theatre Right

The Safe staffing of a operating theatre(s) using the necessary number of theatre practitioners. (Theatre Right) Historical we have seen a variance in the number of staff allocated to minor surgical theatre sessions – amending staff in a theatre is not new but few theatre depts formalise this process early enough in advance. We wanted to  pilot a series of p rocedures undertaken in a operating theatre, that if the estate allowed, could be undertaken in...

5 Score
Comments 3
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Develop and grow skill mix through new roles: Anaesthesia Associates and Physician Associates

Anaesthesia Associates (AAs) and Physician Associates (PAs) have much to offer patients, theatre teams and wider surgical care pathways, and can help address wider workforce gaps, whilst offering an attractive NHS career to life science graduates. Benefits include: Attracting and retaining talent to the NHS workforce. Consistency of staff.  Efficiency and productivity.  Releasing time to care for other members of the MDT. Maintaining high standards of patient...

8 Score
Comments 5

Team work; joining up with other teams currently engaged with other aspects of peri-op

Like ICS concept of working in integrated way/manner; Perioperative Care workstream should also be a joined up initiative involving all key players/teams currently engaged within this area of work, capturing all relevant KPIs; -Processes; i.e. start and finishing time, patient sent for, consent, pre-assessment... -Resources/workforce; allocations, sharing of staff, skill-mix... -Products ; standardisation, waste elimination, efficiencies, cost savings...  -Collaborative working with...

4 Score
Comments 3
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Psychological Safety and a Learning Culture in Theatres

Psychological safety is the shared belief that your team is safe for interpersonal risk-taking. In psychologically safe groups, all team members and all learners feel accepted, respected and cared for. This culture of safety is created when the four quadrants below thrive.

6 Score
Comments 2
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Realising the People Promise in theatres

We know from the NHS Staff Survey that too often the day to day experience of people working in theatres isn't what it should be, and it would be wonderful to change that through #SolvingTogether.  The People Promise describes what staff told us they want it to be like to work in the NHS and the Staff Survey in 2021 is aligned to the 7 elements of the People Promise. You can find the results here; NHS Staff Survey 2021 National results briefing (nhsstaffsurveys.com)   What are your ideas...

6 Score
Comments 1
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Recognise, celebrate and develop theatre support workers

Support workers are important team members across NHS services,  and a ttracting, valuing, celebrating, retaining and developing theatre support workers is a crucial area of developing outstanding theatre teams, including: entry routes into the NHS that attract new people  CPD opportunities at all stages  consistency of scope of practice across an organisation, integrated care system (ICS) and beyond  clear and flexibile progression routes - such as assistant theatre pracitioner or...

8 Score
Comments 2
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Review & update The Productive Operating Theatre: let's create TPOT 2022

The Productive Operating Theatre (TPOT) improvement approach was launched in 2009/10 across the NHS. Here is the link to the original materials:  https://www.england.nhs.uk/improvement-hub/publication/the-productive-operating-theatre/   TPOT was embraced by many NHS theatre teams across England. It delivered improvements in the NHS (see for instance  https://www.researchgate.net/publication/235988099_Introducing_The_Productive_Operating_Theatre_Programme_in_Urology_Theatre_Suites  ;...

9 Score
Comments 4
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Get to the finish on time

It's very satisfying to finish a list on time and to have done all the operating that was planned.  It would be great to bring together everyone's top tips on how to do it.  Mine are: 1) It starts with the planning.  Be as consistent as possible and avoid late changes so everyone can be prepared and be realistic. 2) Brief the team on the unusual in advance. 3) Be ready to start on time. 4) Participate in transitions between cases. It's amazing how much time can be saved and how you...

6 Score
Comments 2
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Instruments are instrumental

Every surgeon will tell you of times when the instruments they use every week can't be found.  One solution is to have lots of large sets.  But this comes at a huge cost; counting in and out, acquisition, sterilisation, storage etc.  It's often a massive problem in orthopaedics where sets and implants need to be aligned.  Working with theatre teams and suppliers to produce integrated solutions that everyone involved understands and are as lean as possible could make a huge difference to...

4 Score
Comments 1
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