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P83 Applying NHS productive series model to hospice care – releasing time to care
  1. Cathryn Goodchild and
  2. Maggie Draper
  1. St Luke’s Hospice Plymouth, Plymouth, United Kingdom


Introduction Productive Ward and Productive Community are a series of modules designed to deliver sustainable service improvement, and are well established in the NHS. We decided to adopt the model, fund the education and development and apply it to:

  • Hospice Inpatient Unit

  • Hospice Day Care provision

  • Hospice Community Palliative Care team

  • Hospice Lymphodema Service

Aims To use the series across the organisation to improve efficiency and consider processes in a systematic way using a tested methodology. This will lead to reduction in time wasted, duplication, frustrations etc and the aim is that the time saved can be re-invested in direct patient care. This involves a culture shift within the organisation to adopt new ways of working and is unique within the Hospice movement. The aim is to embed new improved ways of working across the organisation and to empower staff from the “ground up“.


  • External training delivered

  • Steering group established

  • Launch in different teams and establishment of champions

  • Work streams to deliver 2 modules in first year :

    • Knowing How We Are Doing – public display of information e.g.: response times, no of referrals, falls, staffing levels/ sickness rates/ caseload averages/RAG rating etc.

    • Well Organised Working Environment /Ward–review of referral process and pathway, evaluating stock levels and standardisation of store cupboards/ clinician’s bags etc.

Evaluation The Productive Series model encourages:

  • Continuous evaluation and feedback to teams.

  • Ownership of changes, sustaining improvement and embedding practice

  • Empowering of staff across bands and settings to deliver the organisation’s vision and release time to care.

Further information to follow regarding roll out, changes adopted and impact evaluated by October 2013

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