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We do this by:
- developing our people
- creating and maintaining our standard work and processes
- modelling our values and behaviours
- delivering our promise to patients and the community in the most sustainable way
Our strategic direction: our vision
Our executive team are responsible for setting the strategic direction for us here at North Mid and they have summarised our intentions under five strategic themes:
- patient
- outstanding care
- people
- partnerships
- sustainability
Each of these strategic themes have no more than 1 or 2 short term objectives to support us prioritising our capacity for improvement.
Our patient first triangle is a visual reminder that the patient is at the heart of everything we do. it reminds us to uphold our trust values and to continue to challenge our current ways of working to make experiences/outcomes better for our patients. underpinning our strategy are our strong foundations on which all high performing organisations pride themselves.
These core elements, consistently executed, provide stability, rigour and accountability for our actions and enable a strong culture of safety, quality and improvement.
Our strategic goal is to be the best acute trust in London for staff feeling respected, included and work in a safe environment.
Our seven respectful behaviours
These are our current respectful behaviours which existed before the introduction of the patient first management system. They are aligned with the Trust values and work hand in hand with the patient first management system to drive improvement throughout North Middlesex University Hospital.
The methodology and tools within the patient first management system are used and coached through adherence and role modelling of our values and behaviours
- Being consistent
- Actively listening to others
- Supporting each other
- Speaking up
- Being curious
- Learning from mistakes
- Showing humility and empathy
Our values
We are open
What it means
- We embrace change and continuously challenge ourselves and colleagues to create meaningful improvement
- We ask for help when we need it; we offer help when we see a colleague struggling and we are always open to challenge
- We actively look for new ways of working and explore new partnerships across teams, divisions and organisations
Our behaviours
- Speaking up
- Being curious
- Learning from mistakes
We are fair
What it means
- We respect and understand each other’s differences and backgrounds
- We are consistent with providing realistic, clear expectations and constructive feedback
- We are always looking for opportunities to develop all our staff and our services
Our behaviours
- Being consistent
- Listening to others
- Supporting each other
We are caring
What it means
- We are compassionate and take time out to check on colleagues and patients
- We are understanding and recognise each other as individuals
- We are committed to improving our community for colleagues, patients and care
Our behaviours
- Showing empathy
- Being curious
- Showing humility
- Listening to others
What is patient first management system (PFMS)?
It is a lean management system, which is an approach to managing an organisation that supports the concept of continuous improvement, a long-term approach to work that systematically seeks to achieve small, incremental changes in processes in order to improve efficiency and quality
The patient first management system (PFMS) is not a project or programme, it is the new way of working here at North Mid which will enable us all to know our business, run our business and improve our business, understanding our daily work and helping us improve the way we do things in line with our strategy.
This will be a change in mindset for us, the PFMS will provide you all with tools and techniques to support you with this new way of working.
Problem solving is at the heart of PFMS, with four other core areas:
Huddles
- Safety huddles
- Huddles
Problem solving
- A3 thinking
- PDSA
- Improvement tickets
- Improvement huddles
- Kaizen events
Standard work
- Standard work
- Leader standard work
Visual management
- Visual management board
- 5S - workplace organisation
Strategy alignment
- Status sheets
- Scorecards
- Business rules
- Countermeasure summaries
- Driver metric meetings
- Strategy deployment reviews
- Gemba visits
Strategy deployment review (SDR)
Strategy Deployment Reviews (SDRs) are meetings to review scorecards and countermeasure summaries (CMSs). SDRs are conducted across the trust including at an executive level and with divisional and corporate teams.
SDRs provide a forum to monitor performance of metrics, that define improvements within an area of the organisation. This may be within business-as-usual elements or bespoke improvement work. SDRs ensure alignment with our strategy and accountability for performance from leaders across organisation.