SUSTAINABLE ACTION PLANNING Sustainable action planning in occupational therapy Ben Whittaker 21 st November 2014 1.

SUSTAINABLE ACTION PLANNING

Sustainable action planning in occupational therapy

Ben Whittaker

21st November 2014

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SAP is…

…a programme to support clinical teams in taking action for sustainability

through helping them to:

o learn about sustainable healthcare

o focus in on their priorities

o put together a sustainable action plan

o create a culture of ongoing improvement

we’ll do it better tomorrow

how?

• Clinical practice

• Local systems

• Clinical practice o prevention, supporting patient self care

o preparation for health effects of climate change

• Local systems

• Clinical practice o prevention, supporting patient self care

o preparation for health effects of climate change

• Local systems o energy, travel, water, waste

o medical supplies (drugs & equipment)

o non-medical supplies (e.g. food, laundry, paper)

o improvements in the way we do things

Sustainable healthcare

What can teams do?

procurement / consumption

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STEP A

SPOTTING OPPORTUNITY

STEP B

PRIORITISING

STEP C

EFFECTIVE ACTION

TOOL 1 - euphemisms for carbon waste

TOOL 2 - inputs and outputs

TOOL 3 - lean questionnaire

TOOL 4 - developing a process flow

TOOL 5 - opportunity spotting

TOOL 6 - collecting data

TOOL 7 – Excel spreadsheet for data

TOOL 8 - initial options & simple prioritising

TOOL 9 - 5-why

TOOL 10 – where are we going

TOOL 11 - from cause to effect

TOOL 12 - 5S

TOOL 13 - incentives that work

TOOL 14 - action plan & setting KPIs

TOOL 15 - example Action Plan & blank

TOOL 16 - management commitment

TOOL 18 – mistake proofing

TOOL 19 – engaging people

T E A M

INTEGRATE INTO NORMAL MANAGEMENT OF THE UNIT

CYCLE OF ON-GOING IMPROVEMENT “We’ll do it better tomorrow, and better still the day after”

www.sap.sustainablehealthcare.org.uk

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Workshop One

GoalTeam agreement on 1-2 issues to tackle first

Agenda1. Introduction to environment and health

• Environment and health• Climate change

2. NHS sustainable development • Actions for whole Trusts• Actions taken by other teams

3. Discussion: priorities for your team

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Workshop 2

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GoalsA sustainable action plan!Plan for ongoing improvement

Agenda1. Exploring your chosen areas:

• Describing how the process works today• Brainstorming problems and ideas

2. Actions3. Ongoing improvement

• Managing implementation and monitoring

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RENAL UNIT AT TRELISKE HOSPITAL: DATA AFTER 2 YEARS

• Food waste 35% to <5%• Linen down by 70%• Reduced packaging. Recycled

cardboard down by 65%• Reduced deliveries 50% (mileage)• Reduced ambulance journeys &

mileage. Now zero abort costs• Waiting times <30 minutes from 55

minutes. Overall 50% less waiting• Improving patient experience and

morale• Better place to work, attendance

>4%• Reduced carbon >52 tonnes CO2e

• Cost avoidance running at £57,500 p.a. = £2,300 per employee

What are you most concerned about personally?

What are the other priorities for the team?

What are your team’s biggest environmental impacts likely to be?

What can you influence?

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Where are you today?

Ongoing improvement

• Obtaining senior backing for our action plan

• Structuring our progress review meeting

• Consolidating team buy-in

• Securing cooperation from other departments

• Celebrating our success

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Sustainability – why take action?

“We’ll do it better tomorrow, and better still the day after”

Discussion

• Can occupational therapists make a difference?

• Where could you make most impact?

• What are the barriers, and what would help you to overcome these?

• Questions about SAP

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SUSTAINABLE ACTION PLANNING

sap.sustainablehealthcare.org.uk

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[email protected]