Royal Derby Hospital: Royal Derby Hospital: Operational Efficiency Operational Efficiency Through Partnership Through Partnership Chris BlunsdonTransformational Team, Derby Teaching Hospitals NHS Foundation Trust

Who am I?

Worked in the health service for 43 years

Started as a Cadet Nurse in Carlisle when I was 16

Qualified as a Nurse in Carlisle Moved to Derby and trained as an

ODP For my sins became Theatre

Manager I retired from my post as Theatre

Manager in April 2015 and started working in Planned Care Transformation on some specific projects pertaining to Theatres.

Stress / Pressure

We’ve all been here!

Strapped for cash

How can you progress and improve when there is ‘no money’?

1. Business case - Wait for NHS to make money available. Slow process

2. Charitable funds - National / Local charities, Long process, NHS Lottery?

3. Partnership - Foster Industry relationships

What are the routes to acquisition of equipment?

Drivers to acquire OR1 Theatres

State of the art equipment required to remain competitive in the region

Capitalise on the expertise of the existing surgeons

Forward-looking aim of attracting additional top surgeons

Drivers to improve training

Live operating for educational courses

Close links with clinical skills department

Live links to lecture theatres in education centre required for medical students

Laparoscopic workshop equipment provided

Process for Managed Service

OR1s purchased July 2010

Need for a managed service was established

Managed Service commenced July 2011

On Site Technician employed as part of contract

A step into the unknown

Apprehension of how the role would be implemented

What exactly would be required of theatre staff and On Site Technician?

What are the responsibilities for existing equipment?

How will the On Site Technician integrate into the team?

Training – would staff lose skills?

Theatre Staff− “What are you selling?”− “What will you do all day?”− Extra pair of hands in theatre? (No patient

contact)

On Site Technician - A UK first

ObjectivesRelationshipsFlexibilityImpartialityEnsure good performance and manage riskVisits from other Trusts

On Site Technician - Role

Trust induction− DBS check− Occupational health clearance− Honorary contract

Daily duties− Preventative maintenance checks and set up

− Troubleshooting

− Training

− Equipment utilisation

− Data management

− Asset management

− Course support

− Educational videos

− Liaison

Relax, it’s taken care of

The ‘STORZ man’ will sort it! Allowed us to concentrate more on

what we should be doing – this was invaluable

Increased confidence of staff due to training

Enabled better planning - more patients could be treated due to the reliability of the equipment

Quarterly meetings update

Need for Expansion

Urology rigid endoscopy sets old and in poor state of repair

No capital funds

Quotes prepared with the aim to rationalise portfolio

Instead of replacing everything, fewer sets were required due to ongoing care of kit and higher performance

12+ months of negotiation internally and with KARL STORZ

Kit was commissioned January 2014

Theatre training and support in theatre

Further Expansion

New stack systems and GI scopes added to contract

Existing camera systems covered for maintenance

ENT/Max Fax O/P Camera systems and nasoendoscopes

Second OST required due to volume of covered equipment

Theatre manager involved in recruitment of new OSTs Becky and Aidan

A Happy Team!

A Happy Team!

Thank you