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Discussion

Development of Daycases

There is a pressure on us to work towards more and more daycases, however there seems to be a constant barrier from nursing staff to change. I know no one likes change and i know we need to bring about change using appropriate stratgies but It is not going to be easy. Any hits, ideas etc to help towards this process?

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Although I worked in general practice our manager was very keen to get staff involvement and did team meetings where everyone was able to put there thoughts across and was also asked for ideas on reaching targets and get their input. Also we always tried it for a month had another meeting and then try to resolve any issues that came up. It was always explained it had to come in but better to do it a way everyone agreed rather than one way that doesn't work. I think he liked to get opinions of the ones who would actually be doing the work

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I have to be honest it is really hard to motivate anyone in the NHS at the moment. I have struggled to set up a nurse led pre-assessment clinic for many years, In the end I went down the lines of OK let me do it and i can show you how well it works. Now I have a big clinic that runs really well and is completely nurse led.

I guess what we need is effective clinical leaders to show the way. It is difficult to influence change if you are not at ground level with an understanding of the impact of these changes and that way you can give good reasons why it will work better.

Day surgery and short stay units have to be the way to go with the difficulty in getting hospital beds and frequent cancellations of in patient surgery there will be no other way of tackeling the waiting lists.

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