>>Julie Belton: The Cuckoo Lane Practice is
a nurse led practice. We employ six nurse practitioners; we have three practice nurses,
two health care assistants and practice administrators that are also receptionists and we employ
a GP for approximately three-four hours every day. We knew we needed to change because of having so many part time staff and staff would say
that it was difficult to keep on top of the issues going on. We set up the five minute
five-point huddle, and that was about just over three years ago.
>>Carol Sears: We’d always had a very proactive approach to try to communicate and we had
lots of meetings but I think there as probably a lack of communication across the different
disciplines.>>Julie Belton: One of the reasons for introducing
the huddle was to try and reduce unwarranted variation. An example might be around antibiotic
prescribing so this might be something that we discuss during our huddle. Although you
are always going to have individual clinical judgement, the themes around for example prescribing
around a virus, we want all the clinicians to be providing that same message and that
hopefully cuts down that variation in clinical judgement.
>>Receptionist: We’re having the huddle everyone; come to reception please, thank
you.>>Julie Belton: We led the change around introducing the huddle by consulting with staff first of all.>>Carol Sears: We do it twice a day; at five to eight in the morning and at five to two
in the afternoon before we open. We go round and say has anyone got anything they would
like to raise. We try to get everyone to engage and sometimes it’s harder to get some of
the more junior members of the team to engage but we really do try and we make sure that
there is the opportunity there for them to speak. And that means that patients are getting
the same consistent message.>>Julie Belton: We created a proforma and
on that proforma there was room for five points to be discussed, and the reason to keep it
at five points was to keep it manageable.>>Carol Sears: Starting a twice daily team
briefing, it’s a great thing to do because it really does make a positive change in the
practice but you need somebody, a leader, somebody with drive and inspiration who is
going to champion the whole process.>>Julie Belton: The message I would give to
anybody who wants to make a positive change in their practice is to get staff on board.
Ensure that you are listening to everybody’s views and if you can and those views are valid,
use those ideas because they will be embedded because staff will believe in them.
>>Carol Sears: Our meeting times are more productive. I think the more productive you
can be, the more time you can spend with patients and the better for patient care.