Quality Improvement and Health Inequalities

Health inequalities are a major public health concern. Some differences in health status are caused by pressures entirely out with a person, or group’s, control. Despite the scope for gain, Health Inequalities work and Quality Improvement work have tended to be two separate islands of activity. There are examples of application of QI techniques to…

Teaching Lean Online

I teach and coach within the NHS, and I was excited when the University of the Highlands and Islands – UHI – gave me the chance to teach on line. The Course UHI wanted to establish an online Postgraduate Certificate in Quality Improvement, linked to an existing MA. There is a lot of focus on…

Quality Improvement Success

Introducing Lean in to an organisation takes work. Sometimes it flies. In other cases it is a long, hard slog, or is abandoned altogether. I’ve written about problems in using Lean in the past, including in a book review and a discussion of problems in Canada.  In this post, I want to talk about the…

Lean and Person-Centred Care

I am running teaching on Lean for first line health and social care managers. The groups include Charge Nurses, Team Leaders, Senior Staff Nurses, Care Home Managers, dental team leaders and people with similar responsibilities. With a few exceptions, they are people who have been promoted from posts in which all their time was spent…

The Habits of Lean

Mark Graban has edited a new book, ‘Practicing Lean‘.  Mark’s description says – ‘If we keep practicing, we might get good at it eventually. We all have a starting point in our personal “Lean journeys.” Looking back at our first year of work in Lean or continuous improvement methodologies, we probably weren’t very good at…

Site Visits in 2016

Last year, I reviewed the use of the blog in 2015. I’d had a doubling of views compared to 2014. I was surprised to find the same kind of increase again in 2016. This must say something about the interest in the use of Lean in health and social care. Quite a few people blog…

Washington State Government Lean Materials

Results Washington of the Washington State Government seems to have taken a great interest in Lean techniques. They have sponsored a series of conferences and, as befits a public agency, a lot of the presentations are available on-line, either as pdf files or, in some cases, as YouTube videos of the presentations themselves. The video…