Journal of the Institute of Management Services
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Winter 2011 Volume 55 Number 4 ISSN: 0 307 6768 CONTACTS
Winter 2011 Volume 55 No 4
ISSN 0 307 6768
Management Services 27 Castle Street, Canterbury, Kent CT1 2PX
Editorial Telephone +44 (0)1795 542429 The Institute of Management Services is the primary body in the UK Facsimile +44 (0)1795 535469 concerned with the promotion, practice and development of the range Email [email protected] Editorial deadline for the Spring 2012 issue is 3 February of methodologies and techniques for the improvement of productivity Publication date is 8 March and quality, known collectively as ‘Management Services’. This embraces the disciplines of industrial engineering, work study, organisation and Advertising methods, systems analysis, and a wide range of management information Rob Aspin and control techniques as illustrated in our Body of Knowledge. Telephone +44 (0)1795 542413 Fax +44 (0)1795 535469 The Institute acts as the qualifying body for the Management Services Email [email protected] profession in the UK, focusing developments in practice and knowledge Media Committee and acting as a forum for information exchange. This in turn enables our David Blanchfl ower, Julian Cutler, Mel Armstrong members who work under a variety of job titles across the whole of the UK economy, to make a more effective contribution to the well-being of Editor their own organisation and to the nation’s economy as a whole. Anne-Marie Jordan In addition to creating and upholding professional standards for the Designer Kate Hayward practice of management services through the adoption of a code of ethics and the provision of a system of qualifying examinations, the Institute Published by of Management Services collaborates with national and international The Deeson Group Ltd on behalf of professional bodies in similar fi elds. The Institute of Management Services The Institute is a member of, or represented on, a number of other Printed by bodies including the World Confederation of Productivity Science, the Bishops Printers European Federation of Productivity Services, and the European Institute of Industrial Engineers.
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In this issue of Management Services… Cover Story Initiated as a project in 2007, implementing lean at the Department for Work and Pensions (DWP) has reaped substantial dividends, with a huge return on investment of 365% and a change in work culture across the Department. With the entire civil service currently undergoing transformation, DWP has paved the way for the rest of government in taking lean forward and making it real. See page 8.
Institute and Improving healthcare quality Is lean a waning fad? 34 Regional News 04 and service 16 John Seddon investigates why disappointment and Chairman’s report and note, regional events and Spotlight on the NHS’ The Productive Ward disillusionment are prevalent among practitioners updates Programme LSS saving lives in warzones 37 In the footsteps of The King’s How LSS increases forensic DNA effi ciency 20 Explores how LSS has increased production of mine- Speech 06 resistant ambush protected vehicles North West Region visit the Queen Street Mill Textile Louisiana State Police’s innovative approach to Museum cutting crime rates SMART objectives 40 Second part of Dr Chamberlin’s spotlight on SMART Energy assessment 07 Measuring well-being in goals and outcomes Harry Hogg reports on his three-hour lecture society 26 Dr John McManus and Dr David Floyd examine Executive coaching 44 Age concerns 10 what represents well-being in the 21st century Philip Atkinson focuses upon the long term, positive The Equality Act in the workplace benefi ts that coaching can bring to companies Leadership lessons in lean Lean and the HMRC 13 construction 30 Profi le of new Chairman 47 Bob Emiliani discusses HMRC’s failure to effectively The story of how lean principles transformed the Meet Dr Andrew Muir, your new Chairman, plus implement lean management into its processes fortunes of a failing fi rm general news
10 26 34 Management Services 4 Winter 2011 News
Chairman’s Column
hope to build. So if I may, on overseas. To this end, Council place to improve and enhance your behalf, thank David for has established a small the Institute’s website. These all his sterling work during his assessment panel, consisting developments will continue in tenure as Chairman. of three senior members order to ensure that the site David has not gone away, of Council, to evaluate and remains relevant and up-to- though: he will remain a approve new providers. date. member of Council as Treasurer Thus far, the panel has Social networking sites and, along with the other six recommended the approval are also being explored members of Council, will form of four new overseas to identify potential a strong team on which I shall providers: two consultancy opportunities for promoting place considerable reliance. firms in Zimbabwe, one the Institute and its values. Indeed, I believe that in order in Harare, the other in The journal is, of course, to achieve maximum success, Balawayo; one consultancy accessible via the website, teamwork – and the synergy firm in Lagos, Nigeria; and but is also distributed in hard to be derived from everyone a fourth consultancy firm in copy. Widely recognised as pulling in the one direction – Sitra, Bahrain. the informative professional This is my fi rst Chairman’s will be essential for taking the It is interesting to note publication on productivity Column after being elected Institute forward. that the consultancy fi rm in in the UK, its editorial panel to the position following the Most of you will be Bahrain, whose chief executive has a remit to ensure that it AGM held on 21 October. It is aware that, in my capacity is a Fellow of the Institute, remains so. both an honour and privilege as Deputy Chairman, I was also wishes to establish a While responsibility for for me to represent you as responsible for chairing the branch in that country. formulating the Institute’s your Chairman and I shall group that reviewed the The second initiative is in strategy traditionally falls endeavour to promote the Institute’s strategy. Initially, relation to the retail and to the Deputy Chairman, it Institute and its values, as I fi ve strategy streams were service sectors. These sectors is my intention as Chairman have done during my 40-plus identifi ed which have now have been identifi ed as to ensure our strategic signifi cant growth areas in aims remain dynamic and the economy and, in order fl exible so we can exploit ... It is my intention as Chairman to to strengthen the Institute’s the opportunities that will involvement, Council has undoubtedly arise in the future. ensure our strategic aims remain approved the setting up of In conclusion, I would like to a working group to develop take this opportunity to thank dynamic and fl exible so we can and promote the Institute my colleagues on Council for and the advantages of electing me as your Chairman. exploit the opportunities that will becoming a member. I shall endeavour to justify the It is signifi cant that our UK trust they have placed in me on undoubtedly arise in the future education providers have seen your behalf. Please remember, an increase in demand for however, that it is your Institute years in the profession. been condensed into three training in these sectors, which and your comments, ideas and/ Before continuing, specifi c strategic initiatives. has resulted in a steady rise in or suggestions on how we can however, I would like to The fi rst of these initiatives student membership. improve the service would be thank my predecessor David is to strengthen the links The third initiative is based most welcome. Blanchfl ower who has, over the between the Institute and its around communications and, Finally, can I wish you and past three years, brought the existing approved education more specifi cally, the use of your family a very happy Institute through some fairly providers and to identify the internet. Many of you will Christmas and a productive and turbulent times and leaves a and develop new links and be aware of the developments prosperous new year. solid platform upon which I providers, particularly those which have already taken Dr Andrew Muir Management Services News Winter 2011 5
The Russell Currie Trust, a charity that seeks to promote the advancement Chairman’s of productivity, is asking readers of Management Services to create short videos on any subject relating to productivity. Details are in this issue of the journal on p43 and there will be a fi nancial reward. We are looking Note for good ideas, rather than top-class technical prowess, so start shooting! Regional News North West Region Board members were shocked his home as a venue for board and saddened to learn of the meetings, even providing us death of Bob Fletcher. He was with refreshments. There remain vacancies well liked as a board member Latterly, Bob became on the Region Board and with his sound common sense increasingly frail and his IMS members in the region and warm brand of humour. daughter Janet stepped in, are invited to join. Those He did much to support helping with the preparations at Bob’s house, we had the interested should contact the Institute, particularly and seeing that the guests opportunity to thank Janet for Chairman Harry Hogg on in its formative days, and were well catered for. Luckily, all the effort she had put in for 01942 863776. contributed a great deal in Janet has inherited Bob’s sense Bob and the rest of us. On behalf of the board, the fi eld of education and of humour and plain speaking Outgoing Chairman the Chairman wishes all training. and made an excellent hostess Kevan Kelly expressed our members and their families When we lost our meeting – she could certainly handle a gratitude to a delighted Janet a happy and enjoyable room at Breighmet Library, Bob group of leg-pulling engineers. and presented her with a festive season. generously allowed us to use At our last board meeting colourful bouquet.
Eastern Region Scottish Ray Martin, Chairman of general interest in addition interest to ER is the IMS Eastern Region, welcomed to productivity matters, and Strategic Review. Region past IMS Chairman Tony has attracted several visits. Discussion took place Parry to the regional Any suggestions for the about LinkedIn following meeting held at Eldon development and subjects an email circulated to all House, London. A full for our management toolbox members – ER is looking agenda discussed ‘Liaison would be welcomed. to develop links using the with South East Region’. Richard Bridges, COM system. It was noted that the ER delegate to ER, reported The region was sorry to website is being regularly to the meeting the main read about the death of updated with a variety of points from the recent Bob Fletcher from the North topics, covering items of a COM meeting. Of particular West Region.
East Midlands Region
There was a board meeting In May 2012, there will be dates will be agreed at our Photograph taken at the on 8 October at which a visit to a recycling plant next board meeting; details recent Scottish Region outline plans were made for in Mansfield. to follow. meeting showing Bob the next six months. A further industrial/ Further information and Smith, Scottish Region In March 2012, there research visit will be made joining instructions will be Chairman, after he will be an AGM to which in Lincolnshire at a date available from John Davies, congratulated Dr Andrew a member of the National to be decided, possibly email daviesj@bramcote. Muir on being elected Council will be invited. January; final details and fsbusiness.co.uk. National Chairman. Management Services 6 Winter 2011 News IMS group follows in the footsteps of The King’s Speech
embers of the We were escorted to the IMS North West reception area where Les MRegion and their explained the principles of wives visited the Queen Street weaving on a handloom. Warp Mill Textile Museum, Harle Syke, yarn from the weaver’s beam near Burnley on 29 September. was drawn through healds After clocking-in at 1.30pm, and reed to make cloth. The we were introduced to our weft was transported in a guide Les. The tour started shuttle across the full width of in the boilerhouse where the cloth. we were shown the workings The healds allowed for the of the Lancashire-made boiler. weft to go over one end then The coal no longer came from under the other end to give the local area via canal barges, a plain-weave. After every but from America and Russia. traverse, the reed was pulled During the early days of up to the cloth fell, the healds production, the boilerman were then changed for the shovelled coal to feed the process to be repeated. boilers six days a week while We were then taken the engineer proudly ran and into the warp preparation maintained the engine. department where yarn from Next we arrived at the several hundred bobbins from yarn is transferred from a yarn through two eyelets. This Engine House and this a ‘creel’ – where each end was cone to a ‘pirn’, which is was superseded in later years particular engine offered under tension – was drawn done using a pirn winding by making a cut in the top of 500-horsepower of direct drive through a comb onto the machine where you could the shuttle and the insertion to the lineshafts. When fi rst weaver’s beam. The machine have a number of spindles of a brass device that made installed in the 19th century, ran until the required length winding at the same time. it virtually self-threading. the engine was given the was wound-on. At this point everything Subsequently, the loom speed name of the engineer’s wife, The beams were located in was ready for the loom. The was in the region of 170-weft Prudence. However, at the end the creel of the tape sizing warp beam was placed in insertions or picks per minute. of the war in 1918, the name machine, say, six for example, brackets at the rear of the All machines that required was changed to PEACE and with around 450 warp threads loom, the healds coupled up powered drives were catered still bears this name today. on each, giving a weaver’s to their respective treadles, for by leather belts connected Poppies are displayed on it beam of 2700 ends. The grouped in twos, and the around drive wheels and every Remembrance Day. process added a size mix to reed was fi xed into the sley. the rotation provided by give the yarn extra strength to At each end of the loom, lineshafts. cope with the weaving cycle. the cloth was tensioned to We were then shown the ... ‘shuttle- These size mixes were retained its width by temples, which cloth warehouse where the as top secret, only the sizing consisted of spiked rollers, cloth was inspected, plaited kissing’ – to operative knowing what the two per temple fi xed to a bar and bundled. Here we saw exact mix was. that was connected to the samples of cloth for towels, thread a shuttle, Each weaver’s beam was loom frame. Arab headdresses and Jewish then placed in a looming In the weaving shed, we prayer shawls, among others. a weaver had to frame where each of the were given the chance to After a tour lasting around warp ends had to be drawn see two looms actually in two hours, which everyone kiss the shuttle through an eye in the production. Here we were thoroughly enjoyed, we were heald and each two threads informed about ‘shuttle- shown the visitors’ book with and suck to get through a space or ‘dent’ in kissing’. It used to be the case entries by Colin Firth and the reed. There were four that to facilitate a weaver Helena Bonham Carter, the the yarn through healds, utilising a system of to thread a shuttle, he or lead actors in the award- two-up and two-down. (usually) she had to kiss the winning fi lm The King’s To provide the weft, the shuttle and suck to get the Speech. Management Services Energy assessment Winter 2011 7 The role of energy assessment
Harry Hogg, FMS CeMAP were then explained, as were we have to import around The consumer has the potential DEA, Chairman of the North the differing types, such as for 40% of natural gas. to lower their fuel bills by West Region, delivered a residential, commercial and Carbon capture and improving insulation, heating three-hour lecture on energy public buildings. storage techniques have been systems and installing micro- assessment at St Peter’s Areas of special interest discussed to great length generation power, such as photo Pavilion, Hindley, near Wigan were also covered, including but, as yet, there is no major voltaic panels which can feed back on 13 October. solar photo voltaic panels and headway from UK industry – electrical energy to the National The necessity for the energy feed-in tariffs, solar thermal we cannot get proper pilot Grid, and the Government too by assessment of buildings hot water and pay back studies operational. promoting the introduction of and the associated Energy calculations, off shore and The favourite alternative so continuous upgrades to new build Performance Certifi cate (EPC) on shore wind farms, the UK far is wind energy where total construction methods, which are was derived from the Energy energy mix and how electricity input of energy to the UK contributing towards lower energy Performance of Buildings gets to your home, smart grid is measured in gigawatts. usage and correspondingly lower Directive (EPBD 2002). meters, wave energy and Note that when a wind farm’s carbon emissions. The EPBD has two main liquid gas imports (LNG) and peak output is expressed, objectives: to help reduce new gas pipelines. its actual average output is
CO2 emissions which are around a third of this due to contributing towards climate Further into the future variations in wind speed and change and to focus our The introduction of the transmission losses. attention on the security of ‘smart grid’, along with more The key to any long- energy supplies in the medium widespread use of smart term strategy is to have a to long term. meters, could give greater diversity of supply because The EPC indicates the energy control. we do not want to rely on too effi ciency of the building’s Another suggestion is to few resources or suppliers. fabric and construction, integrate the EU network with Consider oil supplies from including the installed the UK’s National Grid as the unstable countries or gas heating, cooling, ventilation, EU can negotiate better terms supply interruptions from insulation and lighting of supply within the energy Russia – relying on them puts systems for the purpose of market, while energy surpluses them in a powerful position. producing energy usage and in one area can be transmitted The fi rst step to energy
CO2 emission ratings. The to areas with shortages, giving effi ciency is to remove all or certifi cate will also provide increased security of supply. most wastage. The building recommendations to improve Since the nuclear disaster in stock in the UK is being the energy effi ciency of the Japan, many countries have replenished by ‘new build’ by building. become disillusioned with this the rate of 1% or so per year. U values and ventilation form of ‘risk related’ energy Therefore we need to retro- rates were covered and production but, in the absence fi t insulation and low U value by using diagrams and of immediate alternatives, materials to our existing stock. calculations, it was shown some are reverting to the fossil Also, we should encourage the how to design the heating fuel usage, to augment their use of low energy lightbulbs requirements of a room and/or energy gap, which causes price and, where affordable, a complete building. rises and supply shortages. replace any old boiler typically For double glazing and all Also with countries like 60% effi cient with a new window replacements, it was India and China, whose condensing boiler with around explained why the importance populations will want ever 90% effi ciency. of recognising if post-2002 increasing energy usage The lecture proved to be an glass units were installed lifestyles, the point of peak enlightening event. It gave because this is when ‘low E’ fossil fuel availability will insight into where our energy glass was introduced. soon be met. requirements are heading and The basics of how to This is coupled with our own what steps are being taken to conduct an energy assessment dwindling resources – already help secure future supplies. Management Services 8 Winter 2011 Effi ciency DWP lean journey – improving customer service, delivering effi ciency
By Peter Beuster, Head of DWP Central Lean Unit.
ean in DWP began as a challenges presented by strict project in 2007, becoming fi nancial settlements. Lone of the largest of “Lean is a journey, not a its type globally in either the destination. We’ve had some public or private sector. Four tremendous successes with lean years later we have successfully and DWP has paved the way different operational areas, customer insight extensively to introduced lean practices and for the rest of Government each with high volume, improve service for Jobseeker’s initiated a change in work in taking lean forward and customer-facing processes and Allowance claimants reaching culture across much of the making it real,” writes Jeremy clear business metrics. These the 13-week stage of their Department. Groombridge, Lean Senior early initiatives were run as claim. Surveys, group sessions In doing so, the project Responsible Owner, DWP. collaborations with external and face-to-face interviews has achieved a huge return consultants and internal teams were used to establish what on investment of 365%, Collaborations and delivered internal lean customers and staff thought realised through demonstrable The DWP serves 22 million expertise in DWP through skills about the existing service. process and customer service customers with whom it transfer, more customer-focused improvements, delivered completes a huge number and standardised processes, Real value alongside improved staff of daily transactions. These improved accuracy and reduced This dramatically improved engagement. encompass a diverse set of rework and, in doing so, proved claimant and staff satisfaction Following a number of activities including: the case for lean in DWP. – and added real value to successful lean pilots, we • high volume transaction The success of these early interventions. Customers selected lean as a structured processing pilots led to an acceleration of initially rated the service 6.5 and proven method of • calculation and payment of lean activity across traditional out of 10 and, 12 months later, delivering effi ciencies and benefi ts departmental boundaries and rated it 8.2. placing the customer at the • complex activity such as all business areas from 2008. Any strategy designed to heart of the organisation’s policy development Internal lean experts – skilled increase fl exibility and reduce service delivery model. We in training and coaching waste needs the commitment of remain fi rmly committed to The geographical spread, and both leaders and staff in senior leaders and the support continuous improvement and sheer size of the organisation lean behaviours, as well as in of frontline staff if it is to lean continues to be seen as presented a wide range of the application of tools and succeed and not be viewed as pivotal to future improvements practical and cultural challenges. techniques – have led the way simply ‘fl avour of the month’. as we strive to meet increasing Initial project activity was to success. With a mandate to introduce customer expectations and the focused in seven initiatives in Hereford Jobcentre deployed and embed lean working Effi ciency 9 within DWP systems, the customers need, not because 2008 2009 2010 2011 project set out clear objectives that is how the business wants Lean experts 30 139 171 283 around transactional and to do it. Culture changes are transformational change always hard but if it’s better Lean practitioners 300 785 963 1700 and standardised reporting for customers, our job becomes across the Department in four better too,” Julia Kory, Lean lean training, are now working staff and customer feedback, key result areas: capability, Expert, Hereford Jobcentre. on processes that had been they removed duplication culture, customer and process The project extended its improved by lean. and re-worded sections that improvement/effi ciency, all of activity in 2010 into specialist In addition, we have steadily customers found frustrating and which were subject to internal areas such as HR, Legal and grown our own internal lean unclear. and external validation. Policy Groups. This was a expertise over the life of the The new lean script was key objective as these areas project, as these fi gures show, rolled out nationally, resulting DWP Lean Academy determine the high level design to help sustain those gains and in reduced call times for at The project focused on of operational processes and deliver further improvement in least 2,500,000 DWP claimants developing internal expertise, infl uence the organisation’s core the future. annually calling to make a claim informed by and benchmarked systems which can enable or As the core DWP lean project to benefi t. against external lean learning, constrain lean ways of working. came to a close, each of the While much remains to be and standardised this across The challenge proved very Department’s major businesses done, DWP has undoubtedly the organisation through different in those areas as assumed ownership for the made signifi cant progress the establishment of its own the focus was very much on ongoing implementation of over the last four years. If the DWP Lean Academy and an the internal customer, with lean as we continue our journey Department only maintains its externally accredited lean low volume work, little or no and move towards our 2017 current lean commitments, the learning routeway. standardisation of processes lean vision of making lean projected savings over ten years Our skilled people have led and hierarchical, multiple sustainable and ‘business as are estimated at £2.3 billion. and supported improvements in checking tiers. usual’ across DWP. These successes provide a sound sites such as Midlands Disability Although initially harder to foundation for DWP to continue Benefi t Centre (DBC). Here they fi nd and quantify, signifi cant Development Centres its lean journey and ultimately used lean project support to improvement opportunities In evolving its lean approach, realise our longer term vision train staff in lean techniques, were identifi ed, demonstrating we have recognised the of becoming a truly lean freeing up more than 50 staff how lean can be applied fl exibly importance of capturing organisation by 2017. to deal effectively with the in non-operational areas, and systematically testing We are also sharing our transfer of work from Wembley starting with small improvement improvement ideas. We have experience and best practice DBC whilst maintaining service initiatives, such as the handling established seven Development with other government to existing customers. of ministerial correspondence Centres, led by lean experts, departments who are Engaging and empowering to convince, establish and prove designed to test and channel embarking on their own lean frontline staff in lean activity the application of lean in more these changes into the wider journeys. from the outset was key to complex environments. organisation. In addition, we As we go through our current delivering successful and “I think the benefi ts of lean are currently embarking on organisational transformation, sustainable results. At fi rst, working speak for themselves a more structured process to work will continue to fully some appeared sceptical, seeing and I’d advise anyone to generate and capture ideas for integrate and embed lean lean as relevant only to the give it a go. Lean is tried and change and innovation from into DWP systems and to grow manufacturing sector. tested with clear results and front line staff. the culture of innovation and However, as they became I think it emphasises the ‘can To support this, there continuous improvement across involved in informing and do’ approach to changing our is increased focus on the whole of the organisation. delivering visible business everyday work,” Sue Owen, strengthening problem improvements, they proved DWP Director General Strategy. solving skills as the purpose of quick to engage with lean and At the point of project closure continuous improvement is to Lean is a adopt tools and techniques to in June 2011, our customer make things better – and that deliver better, quicker and more service had improved in terms means understanding what is journey, not a accurate results for customers. of time, cost and quality and wrong in the fi rst place – and Details of their successes and we had improved people being comfortable in bringing destination ... experiences were published engagement. problems to the surface. This is a internally across DWP, making Our analysis shows a 12% tough cultural challenge for any and DWP has advances visible, and building improvement in staff experience organisation. the opportunity to continue to and engagement. 54% of The requirement to deliver paved the way drive lean forward and to share staff in the Department have a better customer service at good practice. been on lean training and are reduced cost led telephony for the rest of “The biggest shift for people now applying that learning in agents in Grimsby Contact is to think in terms of delivering practice. A further 28% of staff, Centre to redesign the call government our services in a way that who have not been through script. Based upon structured Management Services 10 Winter 2011 Legal topic Age concerns: How the Equality Act affects individual rights in the workplace
Courtesy of iscrimination in 2011) and the Government is than another is treated or Russell Jones & employment on the continuing to consult on the would be treated because Dgrounds of a person’s best way to introduce them. of their age or age group, Walker Solicitors. age is unlawful. The Age unless this treatment can Regulations, which came into The behaviour prohibited be ‘objectively justifi ed’ (as effect in 2006, have now been The Regulations outlaw a explained further in this replaced by the provisions number of different types of article). of the Equality Act 2010 behaviour: direct and indirect prohibiting age discrimination. discrimination, victimisation and Indirect discrimination Those provisions have harassment. Direct discrimination This is where what the law far-reaching effects, giving can also arise where a person is describes as a ‘provision, protection to not just older discriminated against because criterion or practice’ (ie an workers, but those of all ages, they are perceived to be a certain arrangement or feature relating in all areas of employment. age or age group (whether to the employment) is applied correctly or not) or because they or would be applied equally to The protection given are associated with somebody all persons. If this puts or would The Act protects workers of a particular age or age group. put people of a particular from age discrimination in In certain circumstances they age group at a disadvantage, recruitment, employment terms also prohibit discrimination after compared to persons of and conditions, promotions, the employment or working another age group, it may transfers, dismissals and relationship has come to an be indirect discrimination. vocational training. It will end. Employers may also be However this would not be the also protect people from age responsible for the acts of their case if the ‘provision, criterion discrimination in the provision of agents, as well as the acts of or practice’ can be goods and services, but these other employees. ‘objectively provisions have not come into force at the time of Direct discrimination writing (November This occurs when a person is treated less favourably Management Services Legal topic Winter 2011 11 justifi ed’ (as explained further differences in treatment on and where notice of retirement in this article). grounds of age are sometimes is given after 5 April 2011, the An employer necessary. If this is the case, an DRA cannot be relied upon by Victimisation employer will have to show an employer, unless it can show may legally This is where a person is that any such difference in justifi cation: treated less favourably treatment is a ‘proportionate discriminate because he or she has made a means of achieving a legitimate Service-related benefi ts complaint or allegation of age aim’. Tribunals will scrutinise Employers often require a on grounds of discrimination, or is assisting such defences closely and certain length of service before someone else who has taken employers will have to awarding a benefi t such as age if being a action in relation to age produce solid evidence of their private medical expenses discrimination. justifi cation. insurance or increased pay or particular age holiday entitlement. Harassment Exceptions and This could constitute indirect is a genuine Harassment is defi ned as exemptions age discrimination because conduct related to age that The Equality Act previously the younger a person is, the occupational violates a person’s dignity allowed employers to set a less likely he or she is to have or creates an intimidating, default retirement age (DRA) of the required length of service. requirement hostile, degrading, humiliating 65, without requiring them to An exception for this type or offensive environment for justify this. Although the DRA of benefi t has been made as them. It takes account of all was abolished with effect from length of service benefi ts are circumstances, including the 6 April 2011 and any dismissal clearly important for motivating perception of the victim. because of age taking place on staff in certain circumstances, Typical examples of or after 6 April 2011 is direct age rewarding loyalty and harassment include derogatory discrimination under the Equality recognising experience. comments about a person’s Act 2010 (EqA 2010), transitional Any benefi t earned by fi ve age or excluding/ignoring a provisions currently apply. years’ service or less will be person on the basis of their age. The DRA still applies where exempt. If the benefi t is based Harassment may not necessarily notice of retirement was given on more than fi ve years’ service, be targeted at an individual on or before 5 April 2011 and an employer must show that or individuals; for example, an the employee being retired will it reasonably believes that offi ce culture of telling and have reached the age of 65 (or it is using the benefi t to tolerating ‘ageist’ jokes may the normal retirement age if refl ect the higher level qualify as harassment. this is higher) on or before 30 of experience of the September 2011. employee, to reward Objective justifi cation Employees subject to the loyalty, to increase Direct and indirect transitional provisions have the or maintain discrimination on grounds of right to request to continue motivation age may be justifi ed in certain working beyond their normal or that it circumstances. The retirement age however, and otherwise law recognises employers are obliged to fulfi ls the that consider such requests. From employer’s 1 October 2011 onwards, the legitimate default retirement age will business be completely abolished Management Services 12 Winter 2011 Legal topic needs. The extent of evidence to do so. However, this power ABOUT THE AUTHOR required by a Tribunal in this should not be relied upon. Russell Jones & Walker Solicitors case remains to be seen. You may also need to follow are home to the independently top the ACAS Code of Practice ranked employment law team for in- Statutory Redundancy Pay on Discipline and Grievance dividuals within England and Wales. This is currently calculated Procedures (which can be We do not deal with businesses and using age-related criteria downloaded from the ACAS this puts us in a unique position to but is exempt from the age website). This is aimed at assisting advise people regarding their em- discrimination provisions of parties to resolve disputes within ployment rights with no confl ict. The team deals with all areas of employ- ‘The Act’. Enhanced redundancy the workplace. ment law and regularly acts for sen- payments following the If your claim is successful, ior executives and alike negotiating statutory scheme will also but the Tribunal considers that complex settlements and resolving be exempt. If an enhanced you have unreasonably failed employment issues. redundancy scheme is different to comply with the Code, your from the statutory scheme, it compensation could be reduced will not be exempt, and the by up to 25%. There are also employer will have to justify the penalties on the employer if scheme objectively. they do not comply with the Code. Please note that the time National Minimum Wage limit for bringing a claim is not The National Minimum Wage affected by compliance with the is applied by reference to age ACAS Code. It still needs to be bands. brought within three months less one day of the treatment you are Genuine Occupational complaining about. Requirement You are entitled to request In limited circumstances, your employer to complete an employer may legally a questionnaire to obtain discriminate on grounds of information relating to your age if being a particular age complaint. This can be served at is a genuine occupational any time prior to commencing requirement. For example, an legal proceedings, or within 28 actor in a particular role may days of lodging your claim. Once need to be in or around the you have convinced the Tribunal age of the character he or she that an act of discrimination is playing. There are other has occurred, and the employer exemptions in relation to life is responsible, it is up to the assurance, age-related statutory employer to justify their requirements and occupational behaviour. pension systems. If a claim is upheld, a Tribunal can make a declaration that Pursuing a complaint there has been unlawful Strict time limits apply in respect discrimination and award of bringing a claim. Most claims compensation. There is no upper will need to be brought in the limit to the amount that can be Employment Tribunal within awarded. three months less one day of the If you think you are a victim treatment you are complaining of age discrimination, you about. may bring a complaint to an Where that treatment Employment Tribunal. There is no amounts to a continuing minimum service requirement for course of conduct by your bringing a claim. It is important employer, the claim may be to take legal advice at the outset. brought within three months Please visit www.rjw.co.uk to less one day from the end of request a copy of the separate the conduct. In some instances, factsheet Age Discrimination if a claim is lodged out of time, at Retirement for details of the the Employment Tribunal has procedure to be followed for the power to extend the time requests to continue working limits if it is just and equitable beyond normal retirement age. Management Services Management failure Winter 2011 13 Lean management failure at HMRC
By Bob Emiliani, Central Connecticut State University, New Britain, Conn, USA.
he controversy and and its evolution over the last at the expense of workers. negative reaction 100 years. Taylor’s statement can be It ceases Tsurrounding the The forerunner of lean updated to characterise lean introduction and practice management is scientifi c management today: “It ceases to be lean of lean management in HM management. It too is much to be lean management the Revenue and Customs (HMRC) derided – until one realises the moment it is used for bad.” management seems well-deserved. true intent of its originator, Lean management used for A recent journal paper by Frederic Winslow Taylor. bad is not lean management; the moment it Bob Carter et al, Lean and Taylor wanted to improve it is simply bad management. Mean in the Civil Service: The productive capacity for the This causes enormous is used for bad Case of Processing in HMRC, good of workers (wage headaches and confusion describes the fl awed approach increases, less arduous work among managers and workers taken and the resulting terrible and better trained workers), as to what lean management outcomes. enterprises (sales growth and really is. Being used for bad, From that paper and other improved profi tability) and one can only conclude that sources, it is clear that lean the Nation (GDP growth and lean management must be management was not actually international trade), and also bad. But lean is not bad in put into practice at HMRC. improve cooperation between and of itself; this is a very The civil service unfortunately workers and management. He important point to remember. applied a highly degenerate was specifi cally interested in Unfortunately, zero-sum and dysfunctional derivative eliminating disputes between thinking is deeply ingrained form of new management workers and management among most senior managers practice that resulted in a which inevitably led to zero- and consultants, which is the proliferation of zero-sum (win- sum outcomes. principal way in which lean lose) outcomes. I have long Taylor said the following is recognised as bad. Zero- called this ‘fake lean’. A better words in testimony he gave sum thinking is so integral name, perhaps, would be ‘no to the US Congress in January to management’s mindset lean’. 1912: “It ceases to be scientifi c that senior managers simply management the moment it is do not understand how to Fake lean used for bad.” achieve non-zero-sum (win- It is far more common, This statement captures win) outcomes. It is a concept by a factor of 500 to 1 or Taylor’s enormous frustration so foreign to them that they more, to witness the rapid with how most senior ignore it altogether. The emergence of zero-sum fake managers and consultants approach to lean taken at lean in organisations due to mistakenly interpreted his HMRC, and resulting outcomes, a combination of short-term work, as a fast way to achieve were thus entirely predictable. thinking, ignorance of what zero-sum outcomes that lean management is and benefi t the company at the Different focus ineptitude on the part senior expense of workers. Importantly, this same mistake managers and consultants. The same frustration is made over and over again The ability to discern exists today for people who by senior managers and the true intent of lean advocate lean management. It consultants, despite having management and, hence, to too is seen by most managers gained decades of practical practise it correctly, requires and consultants as a fast way knowledge that inform us of one to understand the history to achieve zero-sum outcomes what to do and what not to do of progressive management that benefi t the company when introducing progressive Management Services 14 Winter 2011 Management failure
lean management into and costs, which increase have been made redundant organisations. inexorably, must be levelled must not lose their job and Consultants should know or reduced by improving instead be re-deployed to this, but apparently practising processes – not by laying other areas of the organisation progressive lean management people off. to do productive work. This correctly does not generate The ‘respect for people’ process is one of bilateral negatively sales to senior managers, most principle refl ects the need to negotiation between impacted of whom are narrowly focused, help ensure that improvements employee, current manager many different time-constrained and demand do not result in zero-sum and future manager to assure stakeholders. immediate cost savings for outcomes – winners and non-zero-sum outcomes. It is too important political or other purposes. losers. Taylor, Woollard and Workers are not the pawns a failure to quickly Lean management is Ohno were management of management in lean, to dismiss it as the result defi ned by two inviolate practitioners, not academics, be placed in jobs that are of bad planning or bad principles: ‘continuous who each held positions convenient for management execution, by blaming improvement’ and ‘respect in industry, ranging from but diffi cult for workers. employees or suppliers for people’. These became engineer or shop fl oor The ‘continuous (the consultants), or by principles of progressive worker to senior executive as improvement’ and ‘respect scapegoating one or two lean management because their careers matured. They for people’ principles are high-level managers. The act its foremost practitioners – learned from experience the practical and effective and of doing this would, in itself, Frederick Winslow Taylor (US, importance of the ‘respect for they encourage people to demonstrate that the ‘respect practice period ca 1880-1914), people’ principle and that it think. And thinking is what for people’ principle is not Frank George Woollard (UK, must not be seen by anyone lean management requires, understood by HMRC senior practice period ca 1915-1933) – especially not by senior as it is often referred to as managers. There is no thinking and Taiichi Ohno (Japan, managers and consultants – as the ‘Thinking Management going on here. practice period ca 1947-1978) something that is optional. System’. Managers have to The root cause of this failure – realised that you cannot If the ‘respect for people’ think and they also have to should be carefully determined have continuous improvement principle is not recognised, or learn to trust workers to think. using formal root cause without respecting people. is recognised but viewed as However, the HMRC case analysis, such as by creating A3 Importantly ‘people’ in optional by senior managers, shows that neither the reports. As senior managers this context means an then failure is certain. The ‘continuous improvement’ at HMRC are responsible for organisation’s stakeholders: mistake that senior managers nor the ‘respect for people’ the failure, they must be the employees, suppliers, customer, almost always make is to lay principles were understood ones to think and learn from investors and communities. people off as the result of and thinking among managers it by analysing its root causes The ‘continuous process improvement. was obviously on extended and identifying practical improvement’ principle That kills employees’ holiday. countermeasures in order to expresses the need to improve desire to participate in Taking HMRC’s ‘no lean’, avoid future failures. on a daily basis in response continuous improvement and zero-sum approach to process Importantly, failure analysis to changing circumstances. fundamentally contradicts the improvement to other civil must not be used as yet The world changes every day ‘respect for people’ principle. service departments in the UK another tactic to assign blame and so must we. At minimum, will result in almost certain and it must not become customers’ expectations of Bilateral negotiation disaster. politicised. It must instead be quality and timeliness, for Is not the cause-and-effect What happened at HMRC used as a means to identify example, increase over time obvious? Instead, people who is a major failure that has process-related problems Management Services Management failure Winter 2011 15
and to identify opportunities for people’ principle were ML ‘Bob’ Emiliani is a for process improvement. easy to understand, including Senior professor in the School The failure analysis and its inter-relationship with the of Engineering and managers, countermeasures should be ‘continuous improvement’ Technology at Connecticut shared with other civil service principle, then fake lean would State University in New in particular, departments in the UK prior be rare and real Lean would Britain, Conn, where he to their initiation of process be common. But real lean – the teaches courses on lean have a lot of improvement activities within daily application of both the leadership, lean supply those departments. ‘continuous improvement’ and chain management, failure analysis of If not, you can be assured ‘respect for people’ principles homework to do management decisions that other civil service – is rare while fake lean is, and research methods. to gain a correct departments will strongly unfortunately, common. Prior to joining academia resist any efforts to improve The senior managers of in 1999, Bob worked understanding processes when outcomes for HMRC and other civil service in industry for 15 years civil service employees and departments must realise and had management of lean other key stakeholders are that 100 per cent of their responsibility in certain to be zero-sum. university education and engineering (R&D, new management, Now, the question one work experience pertains to product development) and operations should ask is: can the non-lean management. To (manufacturing and damage done at HMRC be emphasise this point, I tell which is a supply chain). He repaired? Yes, but it will people: “Don’t confuse getting had responsibility for prerequisite require an ability to explain an ‘A’ or receiving a diploma implementing lean to HMRC employees what with knowing anything.” principles and practices in for its correct lean management is and That may seem harsh, but both manufacturing and how HMRC’s efforts varied it’s true. Formal education supply networks at Pratt & practice drastically from it in almost systems teach batch-and-queue Whitney. He is the author every way. information processing, while or co-author of numerous books and papers on Management will have to lean seeks to achieve fl ow in lean management. Bob admit its mistakes and show information processing. The received engineering the way forward to better two are completely different degrees from the its lean practice and achieve fi elds of knowledge and University of Miami (BS), favourable outcomes. It is practice, with almost no areas University of Rhode Island likely that some mid-level of overlap. (MS) and Brown University HMRC managers are very Therefore, to adopt lean (PhD). frustrated by what happened management in HMRC or and may also have a proper elsewhere in UK civil service understanding of lean means to learn something management. I am sure they completely new. Senior would love the opportunity managers, in particular, have to put their knowledge to a lot of homework to do to use in leading efforts to help gain a correct understanding senior managers repair the of lean management, which damage. It will be very tough is a prerequisite for its correct going as employees do not practice. The bad news is that easily give second chances to most senior managers are not management. eager to learn new things. The good news is that there Lack of understanding are resources today that did As always, the weakness in not exist ten or 15 years ago senior management’s efforts to help senior managers learn to introduce progressive new things. lean management into The question is: will senior organisations is their lack of managers be motivated to understanding of the ‘respect fi nd and study those resources, for people’ principle. They put into practice what they typically think they are already learned and make adjustments practising this principle or that as their learning develops and they know what it means. improves over time? Or will These are horribly faulty they simply blame someone for assumptions. If the ‘respect failure and move on? 16 Quality improvement Improving healthcare quality at scale and pace
Lessons from The Productive Ward programme, courtesy of The NHS Institute for Innovation and Improvement.
he NHS Institute us and what are we doing organisations successful and for Innovation and about it? others not in terms of take up? TImprovement’s (NHS It is no secret that the NHS is 2 Why do some organisations Institute) Productive Ward: facing the biggest challenge in spread quickly and others do Releasing time to care™ (The its history and that £15-20 billion not? Productive Ward) programme in effi ciency savings have to be 3 What are the time scales aims to empower ward teams to found by 2014. that organisations take to identify areas for improvement There are countless examples spread? by giving staff the information, of money saved and quality 4 Are there organisations that skills and time they need to improved through using the spread quickly and sustain well? regain control of their ward and tools and techniques provided What are the characteristics of the care they provide. by the NHS Institute’s Productive these organisations? This research builds on the Series. Some of these can be 5 What is the process that is insights provided by the NHS found at www.institute.nhs.uk/ used in organisations that have Institute’s The Productive productives. spread and sustained well? Ward: Releasing time to care™ However, we are currently 6 For organisations that Learning and Impact Review, fi nding that, although The struggle, do they share specifi c undertaken February-June Productive Ward has proved factors? 2009, by the National Nursing to be extremely successful in 7 Is it possible to identify Research Unit, Kings College the NHS, so far it has been specifi c actions that could London. implemented in fewer than half overcome barriers? This study (undertaken of the wards in NHS England. April-June 2010 by the same This has to represent a huge It also explores how learning research team) aims to inform missed opportunity – and one from NHS staff experience of efforts to maintain momentum which needs to be addressed implementing The Productive of The Productive Ward, to urgently. Ward can inform the spread It is no secret support NHS staff going forward It is critical that improvement and sustainability of other and to discuss mechanisms programmes like The Productive large-scale change initiatives that the NHS and arguments for continued Ward, which have the potential and provides insight into a commitment and investment. to have a signifi cant impact broader challenge; whether it is facing Broader objectives include on cost and quality, are is possible to take the lessons generalising the benefi ts from implemented on a large scale learnt from The Productive the biggest this learning, creating a set of and as quickly as possible. Ward implementation and move hypotheses about the spread To achieve this it is important from a reactive to proactive challenge in its of large-scale change that can to understand what is needed understanding of the spread of be tested in future change to support ‘spread’ and large-scale change initiatives in a history and that interventions, theorising about what actions can be taken to healthcare context. some of the implications for the overcome potential barriers £15-20 billion spread of The Productive Ward to widespread adoption, Methodology and other large-scale change implementation and assimilation The research applied a in effi ciency programmes across different of such initiatives into routine two-phase methodology. sectors of the NHS, eg mental practice. Phase one comprised of three savings have health and community sectors. The research provides elements: a focused review of signifi cant insight into a number the theory related to spread of to be found by What were the aims of the of questions: innovations within healthcare, research, what does it tell 1 What makes some application of this theory to our 2014 Management Services Quality improvement Winter 2011 17
The report looks at the assumptions and observations about core innovation concepts. It goes on to categorise, giving examples of a wide range of indicators which could be studied to assist spread of an innovation in the context of healthcare organisations, eg identifying and mapping opportunities and constraints (ideas), reviewing organisation’s impact (context) and assessing the capacity for benefi cial change/effectiveness (outcomes). Specifi c challenges to spreading improvement programmes in healthcare are identifi ed and described within the report. Examples range from a lack of receptive organisational context or human receptivity to an absence of communities of practice or an inconsistent organisational/professional group vision. The research explores these factors in relation to spread of The Productive Ward and helpfully summarises critical success factors required to spread improvement programmes at scale and at pace, eg awareness raising of the potential for change, emotional connection to unleash energies for change, learning about benefi ts to self, belief that change can succeed, seeking and forming supportive knowledge of The Productive the implementation of other insider’s perspective of context, relationships and restructuring Ward and identifi cation of new ideas; history, current activity, staff the environment to support benefi cial areas for future Islands of improvement – energy, organisational energy, change. research to inform phase two of Pockets of excellence remain facilitators and barriers, and the research. isolated and unknown to others. future plans. What lessons can be Phase two comprised in- There is a lack of spread or only learned from the literature depth case study interviews isolated uptake of innovations; Insights from the review? with NHS staff implementing Improvement evaporation literature review of the Spread cannot be driven by The Productive Ward. These – A situation where change theory related to spread ‘top-down’ plans and motivation focused on the three areas is not sustained. The decay of innovations within alone – it needs to also focus identifi ed in phase one as of organisational change healthcare on unleashing change from the being most signifi cant for the may be infl uenced by a wide The report helpfully defi nes and system itself by moving people future development of the range of factors including staff clarifi es the term’s dissemination, to change themselves and each programme: commitment, managerial and diffusion, adoption, spread, other. Discontinuation – People (or leadership approach, as well assimilation and sustained Spread has to be user- organisations) decide to reject as organisational, fi nancial, change. focused to meet the needs and an innovation after adopting it, political, cultural, contextual and The case studies in phase two requirements of different groups possibly due to shifts in context temporal factors. of the research are particularly of potential adopters. which make work methods exciting as they provide The rapid spread of ‘good’ and goals obsolete, or because In the case study sites, multiple evidence on a topic which has ideas can be damaging in the sustaining one approach may participant accounts were used not been widely researched longer term if there is not inhibit staff development and to establish a near as possible previously: non spread. adequate time for staff to learn 18 Quality improvement new skills or wider impact (for access to the innovation, provide example, on patients) is not support for implementation, and considered. promote positive relationships There are different types of and client-centredness. barriers to spread, including lack Engaging respected of receptive context, inconsistent individuals to champion the vision, self-sealing groups, initiative, publicise the work of sticky knowledge fl ow, issues of ‘leading’ organisations, identify scaling-up, and inward-looking change agents and networks innovation. Positive actions are to connect and spread clear needed to address specifi c types information and learning about of problems. the innovation. Spread can be perceived Providing clear information as ‘grounding’ innovation about the benefi ts of the within systems – in other innovation in terms of the words confi rming the mutual potential for: advantage, knowledge, beliefs and compatibility with organisational assumptions related to the goals, straightforward innovation. It includes the implementation, trial and formation of groups of people, adaptation to local contexts, and personal investment and local observable improvement. control as well as technical Providing clear information systems such as plans and about the operational measures. attributes of the innovation Spread involves exchange in terms of operational goals, and mutual learning – this usefulness, feasibility and care™ Evaluation Report means taking on board the stages of implementation, (BHSCP 2009). human aspects of change and what type of knowledge and recognising that people is required. For easy access we have infl uence people, eg local Supporting adopting compiled lessons from the ‘change champions’, strong organisations to examine focused review of the wider leadership support and great their organisational context to literature and insights from project management. identify facilitating factors such case study interviews and in as resourcing, leadership, skills, a separate set of ‘top tips’ As leaders of improvement, knowledge-base, transferable for practitioners who are is it possible to infl uence know-how, ability to evaluate leading Productive Ward spread and adoption? the innovation and receptivity in implementation (Top Tips The research indicates that terms of vision, values and goals, for spreading the Productive A greater leaders of improvement as well as critical success factors Ward within NHS Trusts, programmes like The Productive for organisational spread. available at www.institute.nhs. awareness of Ward can learn from the uk/productiveward). above lessons and take positive Review of the four previous the nature of actions to overcome barriers to Productive Ward evaluation Discussion and innovation and spread: studies (listed below) also reveals recommendations for these processes Connecting with wider social characteristics which may have maintaining momentum of and political agendas (including hindered the spread of the The Productive Ward ... could help national policy imperatives), programme: The research confi rms that particularly to secure resources • The Productive Ward: there are numerous frameworks practitioners and negotiate incentives. Releasing time to care™ and models relating to spread Understanding the needs Learning and Impact and adoption and indicates to channel and characteristics of potential Review (NNRU 2010); that this can be confusing for adopters ensures the meaning • NHS London (2009) practitioners. The three-fold resources and of the innovation is clear to Evaluation of Releasing model – determinants, processes them and the adoption decision time to care™; and measures – developed energies into is made as simple as possible. • NHS Scotland (2008) within the report aims to Engaging potential adopters Releasing time to care™ provide a helpful framework areas where at all stages: for example, in Evaluation; within which to refl ect upon development and end-user • Belfast Health and Social and plan locally for spread. it will have the testing to target the innovation Care Trust Productive A deeper awareness of appropriately, enable ease of Ward – Releasing time to the different determinants greatest impact Management Services Quality improvement Winter 2011 19
discontinuation, or looking to Organisational energy is complicated by the fact that improve communication and infl uenced by levels of visible there is no agreed end point to shared learning in the case of executive support, resources implementation or completion islands of improvement. for programme leadership and of the programme. Nonetheless, Finally, organisations might facilitation, as well as building it should be noted that aspects look to invest resources in resilience to times of pressure of The Productive Ward have maintaining staff energy and and change. Continuity of been sustained even when wider engagement if they wish to organisational energy helps to implementation and spread has avoid improvement evaporation. avoid discontinuation. seemingly halted; this includes Practitioners are likely to fi nd Sometimes the decision to embedding improvements it useful to know more about temporarily halt implementation (such as standard procedures how to measure (and explain) can be benefi cial for ensuring and guidelines) into working the spread of The Productive the work is picked up at a practices and leaving a lasting Ward. Such measures could defi ned time in the future, structure (theory base and help to address variation in how rather than struggling on while staff knowledge) for future spread is judged and assessed, as organisational energy wanes and organisational improvement. well as opening up a dialogue contextual issues escalate. between different stakeholders Staff energy drives programme Closing comments from the to reach a more useful and spread, but staff need to know NHS Institute objective agreement about what about the programme, feel they The NHS Institute continues to a ‘successful’ rate of progress is. are backed by organisational work closely with key partners The fi ndings of this study energy and have time and space at all levels of the health system provide insights into how to participate in ways that are to maintain momentum of The organisations can spread learning meaningful and benefi cial to Productive Ward programme and embed improvement by, them. and support NHS staff going of spread (individual, for example, helping ward In implementing organisations forward with other large-scale organisational and contextual) leaders to manage time and there will naturally be islands change programmes. could help practitioners to resources to release staff, as well of improvement because of While discussions regarding improve readiness for spread as supporting shared learning patterns of staff energy and the mechanisms and arguments by identifying facilitators and through local adaptation and approaches to implementation. for continued commitment and challenges for individual staff, then local standardisation of Communication is essential to investment are ongoing, the different ward-based teams tools and techniques. the spread of the programme report indicates that continued and whole organisations. Key and the improvements made. investment in facilitators will be factors include staff receptivity, Conclusions for The It involves promoting the critical in order to sustain and staff energy, engagement, Productive Ward and programme through existing build on improvements which organisational commitment, large-scale change structures such as induction have already taken place in many collective capability, historical The progress of any organisation programmes, education and organisations. context and the way in which implementing a programme training; maintaining interest on The research also indicates organisations function. like The Productive Ward can be wards using informal interactions that robust evidence of impact The study has focused judged in different ways. and refl ection time; and linking measures would be extremely on three selected processes Successful implementation monitoring and reporting into benefi cial to support continued of spread (discontinuation, and assimilation means organisation-wide improvement investment. islands of improvement and spreading programmes at scale meetings. The NHS Institute has improvement evaporation) and as quickly as possible. It In a context of shrinking undertaken Rapid Impact and it shows that one or can also mean making sure the budgets and the challenge of Assessments for The Productive more of these processes can right changes happen, at the scaling up to whole organisation Ward in ten organisations, the be in operation in any one right pace, and that these are roll-out, programme leads and results of which are available organisation at the same time. embedded in organisational facilitators are now focusing at www.institute.nhs.uk/ A greater awareness of working. more on managing staff productiveward. the nature of these processes External observers, executives, expectations about what type of We look forward to continuing – and why they may occur managers and front line work can be done and delivering our support of NHS organisations within an organisation – could staff make different types of support in more effi cient ways. on their Productive journey. help practitioners to channel judgements about how well the Where The Productive Ward resources and energies into organisation is doing. The three- has been able to demonstrate Source: NHS Institute for areas where it will have the fold way of explaining spread cost savings, such evidence can Innovation and Improvement greatest impact. developed here (determinants, be used to make the case for For example, looking to processes and measures) organisational roll-out, even in a To fi nd out more about The continuity of organisational provides a framework within challenging fi nancial context. Productive Series visit: www. commitment and collective which to refl ect upon and plan However, assessment institute.nhs.uk/productives. capability in order to avoid locally for spread. of progress and impact is Management Services 20 Winter 2011 Forensics Louisiana State Polic Increasing effi ciency of forensic DNA
By Melinda Richard, MT(ASCP), Louisiana State Police; Timothy D Kupferschmid, MBA, MFS, Sorenson Forensics. The complete technical report is available at www.ncjrs. gov/pdffi les1/nij/grants/235190.pdf.
hile Louisiana’s The solution submittal form which gathers violent crime rates The LSPCL had a multi-pronged all information and prioritises Wshowed decreases, approach to the problem of the the case prior to submission. violent crime rates were 1.5 backlog, extended turnaround Evidence submissions are initially times that of the nation and times and low productivity. The limited to fi ve items for testing. murder rates were more than overall goal was to create an twice the national rates.2 With effi cient business-like structure Level 2: outsource 40.4% of Louisiana offenders to the scientifi c work and focus LSPCL outsourced work, having committed violent the scientists on the technical such as casework analysis, crimes3 and a recidivism rate laboratory work of DNA analysis training of DNA analysts and of 31.8% (2008),4 the need where the services rendered validation of new equipment. for rapid investigation and would then be timely and Newly hired analysts were resolution to forensic cases accurate, meeting the needs of trained by an external vendor, was apparent. the agencies served. off-site, reducing supervisor Through increased The strategy involved three time needed to train the new sensitivity in testing, levels of improvement: staff. Validation of the robotic laboratories are able to 1. Develop more effective equipment by external vendors isolate DNA profi les from communication between allowed LSPCL to introduce very small ‘touch’ sample agencies and LSPCL technology to shorten analysis sizes, providing an important 2. Outsource as much work cycle time, saving valuable DNA crime solving tool. Coupled as possible to temporarily analyst time. with the ever-increasing create more staff resources power of the national CODIS 3. Improve the effi ciency of Level 3: improve DNA database to produce a CODIS the DNA forensic process forensic analysis workfl ow ‘hit’ or investigative lead, the Louisiana was awarded a 2008 likelihood of DNA forensic The major work points for each Forensic DNA Unit Effi ciency analysis yielding assistance to of the three levels are listed in Improvement grant by the US an investigation is growing, the box opposite and below: Department of Justice, Offi ce provided DNA analysis of the of Justice Programs, National evidence in the forensic case Level 1: communication Institute of Justice (NIJ) to is completed. LSPCL increased communication fi nd innovative and creative Like other public crime with the district attorneys and solutions to this nationwide labs, LSPCL saw increases investigators to scrutinise and problem. in submissions such that prioritise pending cases. The grant was for $600,000, backlogs existed and Once each agency reviewed with $450,000 (75%) supplied turnaround times exceeded its pending cases, hundreds by the federal grant and a calendar year.1 The of DNA cases were cancelled $150,000 (25%) funded by state completion rate was not because the case had been funds. The grant goals were increasing at a rate to solved, closed or otherwise no to: 1) reduce DNA case turn- compensate for the increased longer needed DNA analysis. around-time by 50%, 2) double submittals and a backlog of Today case submittals productivity, 3) reduce DNA case DNA requests continued to are reviewed at the time backlog by 50% and 4) increase accumulate (see table 1). of submission, using a new the number of CODIS hits. Management Services Forensics Winter 2011 21 e Crime Laboratory casework using lean six sigma tools
Year # of DNA % increase in # of # of DNA % DNA requests TAT Backlog as of # of caseworking requests received DNA requests from requests completed 31 Dec FTEs previous year completed 2006 843 -0.6% 458 54% 476 876 11 2007 1032 22.4% 433 42% 561 970 11 2008 1037 0.5% 350 34% 568 1194 8 2009 1501 44.7% 1374 92% 676 910 14 2010 1317 -12.3% 1771 134% 287 286 16+4 trainees
Table 1: LSPCL DNA requests received vs completed, as well as annual backlog
LEVEL 1 LEVEL 2 LEVEL 3 COMMUNICATION OUTSOURCE IMPROVE DNA FORENSIC ANALYSIS WORKFLOW s #ANCEL UNEEDED CASES s #ASEWORK s )MPROVE ANALYSIS CAPACITY AND PRODUCTIVITY s 0RIORITISE BACKLOGGED CASES s 4RAINING OF NEW $.! ANALYSTS s ,EVERAGE TECHNOLOGY s %NSURE COMPLETE SUBMISSIONS s 4RANSFER SCREENING TO NEWLY CREATED &ORENSIC