Ed Seward

Clinical Lead for Endoscopy, Barts Health

National Clinical Lead, NHS IQ

Knowing How We Are Doing

3 room endoscopy unit

8 GI consultants, 4 CR surgeons, 1 UGI surgeon

2 endoscopy CNSs

BCS accredited

pH/M and video capsule endoscopy

ERCPs performed in interventional suite

Colonoscopy: Caecal & TI intubation

What to include and why

•Must be relevant

•Needs to be honest

•Must impact positively on some aspect of service

•Good to give a nod to management aspirations

And How?

•Pictures

•Punchy

•Pretty

Choosing what you measure and display

•Top 3 whinges (start/ finish times, glitches, scoping in-

patients…)

•Audit/ abstract requirements (Blatchford scoring,

unsedated colonoscopy, discharge times)

•Whatever you find interesting and relevant as a unit – use

the huddle

•Try to include everyone

Choosing what you measure and display

•Simple

•Measureable

•Aspirational

•Realistic

•Time bound

3 second rule

Be prepared for some stick

Be prepared to have to defend the data (so

ensure quality from the beginning)

Where to put up your board

How many boards (e.g staff/public/ training…)

Less Obvious Benefits for the Unit

•Staff morale rockets

•Grass roots ideas and decision making

•Calm atmosphere

Communicating Outside the Unit

•You will be flavour of the month with management, patient

groups

•Beacon site within trust

To Summarise

•Keep it simple

•Keep it relevant

•Keep it fresh