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Minister ALaunches Productive Operating Theatre Launch BOP DHB

Fuseworks Media
Fuseworks Media
Tony Ryall
Tony Ryall

Hon Tony Ryall Minister of Health, 15 October 2010, Speech Notes for Launch of Bay of Plenty 'The Productive Operating Theatre' 1 pm.

We are all here today because we want our operating theatres to work as well as they can, and to be places where staff are happy and keen to work.

Increasing safety, improving reliability and staff wellbeing, and adding value and efficiency are the goal of this new quality improvement programme - The Productive Operating Theatre (TPOT).

They are also priorities for the National Government.

As you will probably know, seven DHBs have committed themselves to delivering TPOT.

50 staff from across the country received training from experts from Britain's National Health Service last August..

I visited that training session and I was impressed by the interest and passion for improvement amongst the DHB teams.

All of them - from Waitemata, Auckland, Tairawhiti, Whanganui, Hawkes Bay, Hutt Valley and Southern DHBs wanted to improve their operating theatre environments, because they work in them everyday.

This demonstrates the commitment of these DHBs to a safe and effective workplace and a good patient experience.

It also demonstrates the DHBs' willingness to listen and learn from your ideas and expertise - you are the people working on the frontline, providing the treatment and care for the patients.

You know what needs to be done.

But it will only happen if people work together.

It will only happen if you work as a team to improve the quality of care you give your patients.

Together you can find ways to improve the quality environment for clinicians, and ensure the efficient use of scarce health resources .

The Government gave DHBs more money last year and again this year. We are committed to protecting and growing our public health services.

But times are tight and will be for quite some time to come.

We all need to be sure that patients and taxpayers are getting value for money.

This shouldn't mean doing without, but it does mean making hard choices about what the best way is to provide a service.

When we think about the ways we work, and especially when we discuss these openly with other people, it's often possible to come up with better and more efficient ways of achieving our goals.

This programme will enhance the excellent work already being done in many DHBs to improve operating theatre management.

The new programme encourages frontline staff to identify problems with their operating procedures and find ways of solving them.

Theatre staff are often frustrated by delays in starting the day's surgical list, and delays in preparing patients. These delays often mean less productivity with patients having their operations cancelled.

Results from the NHS programme suggest productivity improvements can be made in a number of key areas:

improving start time and turnaround, session uptake and utilisation, and staff wellbeing

reducing time wasted searching for equipment

improving rates of pain control in recovery

more smoothly running surgical lists with fewer glitches and improved safety culture with the introduction of briefing and debriefing, along with the WHO checklist,

Theatre staff report fewer cancelled operations, up to 25% reduction in start time delays, up to 60% faster turnaround between each operation, and significantly improved job satisfaction.

The public health service is making progress in doing things better, and making the most of our resources. This approach will help us provide even more operations with the same resources.

It is very encouraging to see clinicians like you showing such enthusiasm for making even greater improvements to the way they work.

The National Government is strongly committed to improving quality and efficiency in the public health service. District Health Boards are already successfully running the NHS programme The Productive Ward -Releasing Time to Care which focuses on improving the way wards and staff work.

"This programme has given nurses up to 50% more time to spend with their patients and other gains include reduced patient falls by up to 100% and a reduction in medication errors of up to 85%."


I encourage you to make the best of today. This is the first time this training has taken place outside the United Kingdom. We are also the first country to implement this programme outside of the United Kingdom.

But more than that, this is a great opportunity for you all to work out what you want your workplace to be.

Thank you again for having me here today and for your commitment to your workplace and - most especially - to your patients and community.

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