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…

Involving Doctors in Improvement

Involving doctors in improvement work can be……difficult. Professor Michael West, an organisational psychologist, touched on this at a presentation at the 2013 Faculty of Medical Leadership and Management conference. West has worked with colleagues on an enormous survey of culture and behaviour in the National Health Service in England. The full text of a published summary…

Healthcare is different. So there.

Taking models from industry is always controversial in health care. It is now uncommon to come across people who feel there is no role for quality improvement in health and social care. Anyone who works with Lean methods, however, regularly meets people who feel that ‘it’s all about cars’, and ‘you’re treating people like mechanical…

Competing tribes

A post on Community Care offers an insight in to different constructions of Lean. Simeon Brody asks about the nature of lean and six sigma, and quotes some extracts from a Wikipedia entry. The nature of the replies provides good examples of competing constructions of Lean. Some respondents see these approaches as inhumane, and entirely…