My Leadership Initiative Develop A New, Simpler And...

Part A The focus of my leadership initiative is to develop a new, simpler and leaner approach (Fillingham, 2008) to the assessment process, ensuring safe and reliable delivery of right care, in the right place and at the right time, to the patients. Recently we implemented monthly practice governance meetings in our team to regularly reflect on areas of improvement and discuss changes that would improve patient care. I have been using the practice governance meetings to present results from our recent audit demonstrating increased treatment-waiting times, share real stories highlighting the gap between the current and desired state of the service and encourage engagement of frontline staff in delivering this initiative. Staff was given opportunity to perform a Cause and Effect Analysis (figure1) and map patient journey (figure2) to identify activities that add value (Bennington, 2011) and reduce waste. I was hoping to use these meetings to frame and embed a strategy of implementing t he improvement initiative and whilst I have been successful in developing a framework of the new leaner assessment process, the process has suffered from poor staff engagement and conflicts with trusts’ agenda of standardising the delivery of care. During these practice governance meetings, the team was unable to come up with any suggestions to improve the assessment process and other agendas related to the new community service review policies were given greater priority. 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