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Transcript of Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd...
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Implementing “Lean” in the School of Nursing and Midwifery
Studies at Cardiff University
Professor Sheila Hunt: Dean and Head of SchoolDr Heather Moyes: School Manager
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Structure
• Context and background
• Scoping and prioritisation
• Major projects undertaken to date: achievements and challenges
• Creating a Lean culture
• Lessons learned to date
• Questions?
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
About the School
• 86 academic staff plus research associates• 23 p/t inward secondments (approx 10 fte)• 46 fte support staff• 1,100 fte students • 46 week academic year• Educational contracts with WAG and local health
boards• £9M turnover• 3 sites
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Context to “Lean School” project
School drivers• Academic/ administrative restructure – “whole
School” focus• Financial constraints• General concern about effectiveness of support
services/ processes• Cultural change from “blame” towards “action”
Institutional drivers• University Lean Team looking for a guinea pig!
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Scoping and prioritisation
• Staff training in key Lean principles and methodologies
• Focus groups & 1:1 meetings with academic and support staff and with students
• Striking level of agreement about problem areas• Divergent interpretations of nature of problems
“Sheila’s wheel”
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
•Blackboard will be available• when needed
People
FinancialInfrastructure
Working
We w
ill a
ttra
ct t
he
best
stu
dents
We
will
sup
port
and
dev
elop
our
sta
ff
We
will d
evel
op o
ur
stud
ents
to e
xcee
d
sta
keho
lder
exp
ecta
tions
We will attra
ct and
retain the best people
We will be collegial &
flexible in interactions
with others
We w
ill develo
p le
an
work
ing
pra
ctices
We w
ill provid
e
eff
ective
&
timely
inform
ation
to
students a
nd
staff
We will develop a
culture of equality,
diversity and social
responsibilityDealing with SONMS
will be a positive
experience
We will provide high
quality infrastructure
both physical & I.T. for
staff & students
We will provide a
learning environment
that supports
,
stimulates, e
nables
& empowers
We
will
con
tinue
to
mai
nta
in t
he h
ighe
st
stan
dar
ds
in r
espec
t
of H
ealth a
nd S
afet
y
•We will gain a clear understanding from stakeholders of value-added
•We will develop & maintain the student handbook
•The student experience will be defined & monitored
•We will ensure that our structure is flexible & fit for purpose
•We will engage in succession planning at all levels
•We will maintain IIP status
•We will balance clarity of responsibilities & roles within a flexible environment
•We will carry out a training needs analysis for staff and support training where identified
•We will enhance the school’s reputation through the implementation of a clear marketing and P.R. strategy
•We will develop student’s life skills by helping them take appropriate responsibility for their own student experience
•Every staff member will have a meaningful annual appraisal
•We will consider issues of equality, diversity, dignity & inclusiveness in everything we do
•We will develop an I.T. strategy
•We will ensure the signage is clear and accurate
•The website will be maintained to be accurate and informative
•We will review the placements & audit process
•We will review the examinations & assessment process
•We will review the extensions policy & process
•We will develop and implement a communications strategy
•We will review the student recruitment process
•We will develop good working relationships with Registry
We will ensure financial probity in everything we do
We will maximise
research income
We will ensure good
stewardship of
resourcesWe w
ill be
Ackn
owle
dged a
s valu
e
for mon
ey b
y our
stake
hold
ers
We w
ill diversify our
income stream
s
•We will review the way in which research income & expenditure is managed within the School
•We will review the budget-setting process
•We will ensure that all staff havea good understanding of the principles underpinning our budget
•We will give teaching & learning and research activities the necessary support to meet theexpectations of students and stakeholders
•We will provide the necessary management information to enable us to manage risk responsibly
•We will maintain robust and transparent financial management systems
•We will implement a replacement programme for equipment
•We will develop a business plan to facilitate a move to a single location
•We will contribute to the development of Blackboard so that it meets the needs of students & staff
•We will work collaboratively with REGIS and the SIMS User Group to address the specific needs of our School
•We will develop an interim space management strategy for the School to improve the current working environment
•We will take responsibility for the maintenance of the s-drive
•We will seek customer feedback
•We will make changes as necessary to improvequality and engage in continuous improvement
•All staff will be members ofmultiple teams
•We will review the meeting and committee structure within SONMS
We will recognise and respect expertise at all levels
•We will identify core competencies for all staff
•We will support staff in their career aspirations
•We will review the student sickness & absence reporting procedure
We w
ill incre
ase
rese
arch
capacity
•We will review the appeals & interruption to studies process
•We will develop & implement an active engagement policy
•We will review the records management process
Resources
•We will review the module timetable / schedule
To provide the NHS with the
best nurses and midwives
Practices
Work about to start
Work in progress
• We will introduce electronic evaluation
•We will introduce on-linesubmission of work
(Turnitin)
•We will review the BSc ClinicalPractice Process
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Initial major projects
• BSc Clinical Practice admissions process
• Committee structures
• Placements
• Examinations and assessments processes
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Further key projects to date
• Student file• Student travel expenses• Room bookings• Student evaluations• Staff conference/ course attendance• IT replacement programme• Budgetary management• Blackboard (VLE) site management
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Standard approach
• Initial scoping and defining boundaries• Current state mapping with process owners/
operators• Focus groups/ 1:1 meetings with stakeholders/
users• Collation of hard evidence• Future state mapping• Implementation• Periodic evaluation• Move to continuous review
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
BSc Clinical Practice
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Noise!
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
BSc Clinical Practice
• Major differences between perceived and actual problem areas
• Much of solution actually lying within School’s own gift
• Academic decisions required in order to streamline processes
• Need to increase awareness of other stakeholders
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Committees
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Committees1 2 3 4 5 6 7 8 9 10 11
Committee
Sheila H
unt
Elaine B
eer
Gail W
illiams
Davina A
llen
Dianne W
atkins
Christine S
mith
Nicola R
owlands (on secondm
ent)
Katie F
eatherstone
Annette Lankshear
Jane Harden
Jane Davies
School Board 1 1 1 1 1 1 1 1 1
Learning and Teaching 1 1 1 1 1 1
Education Partnership Forum (strategy) 1 1 1 1
Associate Lecturer Development & Support sugrp 1 1
Education Provision and New Dev. subgroup 1 1 1 1 1
Learning in Practice subgroup 1 1
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Committees
• Major cultural change: committees for action, not communication
• Empowerment of thematic standing committees
• Encourage discussion rather than stifle it• Professionalisation of committee secretary
role • Speed up decision-making processes• Time savings
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Placements
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Placements
• Lack of shared understanding of priorities and challenges amongst stakeholders
• Challenge of getting from current to future state in a mission-critical live process
• Student Records System issues
• Managing expectations
• Critically appraising evidence and acting proportionately
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Exams and Assessments
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Exams and assessments
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Exams and assessments
• Unravelling real issues in a very complex process
• Major academic changes required to achieve administrative changes
• Tails and dogs
• Local issues threatening progress
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Common themes
• People know what is and is not working• Processes not independent of academic
context• Managing scope versus failing to address
core issue• Dealing with issues that extend beyond own
sphere of influence• Central importance of senior support and
embedding in culture
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Creating a Lean culture
• Management training
• Bite-sized lean
• Induction and appraisal
• Continuous improvement
• Application of lean thinking to academic decision-making
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
"It is amazing how much people can get done if they do not worry
about who gets the credit."
Harry S Truman
Cardiff School of Nursing and Midwifery Studies
Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd
Questions or comments?