The Productive Ward
The Productive Ward Programme is about ‘releasing time to care’ that helps staff organize their ward using improvement techniques from industry, and is aimed at maximising time spent in direct contact caring for patients.
The ‘Releasing Time to Care’ Productive Ward Programme has been developed by the NHS Institute for Innovation and Improvement (NHS II&I) to show nurses how to apply improvement techniques to their work on wards. The basis of this work shows that ward based nurses spend less than 40% of their time on direct patient care with the rest spent on activities such as paper work and administration, handovers, discussion with other staff and seeking equipment.
This 1 year programme will build upon previous productive ward work around the well organised ward, including patient observations, and meals. The previous work formed the foundations to further build upon, with the basis of the more recent work planning to introduce to the ward areas:
Knowing how we are doing boards: these are boards that will be visible to anyone attending the ward areas, and will inform visitors of how ward areas are performing in relation to certain aspects of care.
Patient status at a glance boards: these are white boards within the ward areas that show patient information, so that at a glance staff will be able to use the information to ensure the patients’ journey from admission to discharge runs smoothly. (The boards may use symbols to maintain confidentiality of patient information.)
The NHS II&I have in their pilot sites examined a number of ward processes where ‘knowing how we are doing’ and ‘patient status at a glance’ modules have been implemented and found an increase in safety and reliability of care as well as improved patient experience.
Specific key measures will be examined as a baseline, throughout the project and again once roll out has completed. These include: MRSA/Clostridium Difficile infections, pressure ulcers, falls, absenteeism, patient satisfaction, staff satisfaction, bank and agency spend and length of stay.