How can we transform our services?

The Cumbria Production System is part of how we can successfully support change:

 

The changes you may be involved in could be at service level in your setting; a GP practice, acute or community services.  Or, some of you may be involved in large scale change projects, for example: redesigning a care pathway or developing Primary Care Communities.  The three elements of the transitional model above are vital factors, proven to work together to achieve effective and sustainable change.  For any change, large or small, you need to know, what you are trying to improve (Vision), how you will know that a change is an improvement (Method – Cumbria Production System) and how to take everyone with you (Culture – Our Compact).

It can be difficult to know where and when to start and what tools can be used.  Experiences from our organisations suggest that the following approach is helpful.

  1. Think ‘just do it’ and use Plan Do Study Act (PDSA) cycle thinking.  PDSA cycles underlie all improvement work.
  2. Start with Waste (what are we doing that we can stop or reduce?) and staffs’ own ideas.
  3. Learn and practice ‘5S’ (standardisation is OK!).
  4. Pick a process to improve and map it – get a sponsor to define goals (diagnosis and investigation and data).  Process maps are a key tool to help you understand what you are doing and how you can improve it.

CLIC can also help you and your teams to facilitate Rapid Process Improvement Workshops (RPIWs) that use Cumbria Production System tools.

CPS TOOLKIT

Toolkit overview
The purpose of this toolkit
What is the Cumbria Production System?
How can we transform our services?
Cumbria Production System - improvement principles
What improvement outcomes and results can we expect?
When should you use the tools?
Key tool templates and visualisations
Summary of tools
Module 1: Our approach to improvement
1.1 Plan, Do, Study, Act (PDSA)
1.2 After Action Review (AAR)
1.3 Data gathering and evidence and '5 whys'
1.4 Measuring for improvement
1.5 A3
Module 2: Seeing the issues and adding value for the people who use our services
2.1 Maximising value
2.2 Customer Journey Mapping (CJM)
2.3 Process mapping
2.4 Value Stream Mapping (VSM)
Module 3: Waste removal and standardisation
3.1 Waste, waste wheel, waste walk
3.2 Spaghetti diagrams
3.3 5S workplace organisation
Module 4: Flow, demand and standard operations
4.1 Demand analysis
Module 5: Taking people with us
5.1 Stakeholder analysis
Appendices
A. The tools in detail
Module 1: Our approach to improvement
A1.1 Plan, Do, Study, Act (PDSA)
A1.2 After Action Review (AAR)
A1.3 Data gathering and evidence and '5 whys'
A1.4 Measuring for improvement
A1.5 A3
Module 2: Seeing the issues and adding value for the people who use our services
A2.1 Maximising value
A2.2 Patient/ Customer Journey Mapping
A2.3 Process mapping
A2.4 Value Stream Mapping (VSM)
Module 3: Waste removal and standardisation
A3.1 Waste, waste wheel, waste walk
A3.2 Spaghetti diagrams
A3.3 5S workplace organisation
Module 4: Flow, demand and standard operations
A4.1 Demand analysis
Module 5: Taking people with us
A5.1 Stakeholder analysis
C. References and acknowledgements