#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 theatre time. Integrated working
• Transparency
  

Room 1 - Top 3 ideas 

1) Pathway wide multi disciplinary approach

2) Working on team culture and psychological safety

3) Human Factors & resource utilisation

Room 2:

• Don’t want to have downtime - pts arriving on time and everything is available in the theatre when you need it. Highly refined theatre processes like a production line but personalised!! Smooth running and efficient.
• Aejaz Zahid talked about a case study from India and cataract surgery https://aravind.org/case-studies/
• Consideration of pre-operative processes and services to optimise the theatre experience and prevent problems during and post surgery. Prehabilitation, digital and remote consent
• Work of Prof Shafi Ahmed at Barts Healthcare - use of VR to support training.
• Importance of psychological safety and the ability for people to speak up - situational awareness

Room 2 - Top 3 ideas

1) Use of technology e.g. AR/VR to train people in a safe environment https://www.bartshealth.nhs.uk/news/surgeons-...-the-world-2171
https://www.news-medical.net/news/20160115/Vi...hafi-Ahmed.aspx

2) improve operational efficiency in theatre e.g. India and cataract surgery https://aravind.org/case-studies/ inc how RPA may assist

3) Optimising logistics and supplies for theatres and surgery learning from other industries