Service infrastructure change ideas

Below are the changes that can be made to your system that should help change service infrastructure. Prioritise which change ideas to implement first based on what you have learnt whilst understanding your current system.

Administrative support

Use a coordinator: Coordinators will work to support services to manage operational workings of teams, manage risks, and expedite issues with a solution focused approach. 

• manage the rota, monitor all types of leave and track delivery of agreed activity
• give responsibility to work in an autonomous manner
• plan ahead 6-12 weeks
• co-ordinate leave, and
• arrange all cross cover.

Meeting and Reporting infrastructure

Give people access to information: Giving people access to information relevant to their role enables them to suggest changes, make better decisions and take action.

Use reminders: Regular meetings and reports will act as a reminder for all staff of services agreements and actions. Reminders will reduce the likelihood of mistakes being made. Establish monthly meetings and regular reporting to allow staff to keep eye on capacity / demand data.

Budget responsibility

Reduce controls in the system: controls are put in place to ensure that processes do not stray from the intended purpose. In many cases controls are required, however, these same controls can cause issues and stifle improvement.  Giving the budget to the service lead can enable greater ownership of the service and support decision making.

Your change ideas

If you have developed your own change ideas that could be included in this change package then get in touch through the feedback form or by emailing us at his.accessqi@nhs.scot.