In Episode 6 we explore different system approaches to improving productivity, with two leaders who have been creative and collaborative in working to successfully reduce waiting times. Our guests are:

• Dr Peter Scolding, Clinical Director of Stewardship for Mid and South Essex Integrated Care Board, on recognising frontline leadership and developing a stewardship model for system working.

• Dr Ruth Gray, Assistant Director of Quality Improvement and Innovation at South Eastern Health and Social Care Trust, Northern Ireland, on using system eco-mapping to improve domiciliary care services.

Peter talks about taking inspiration from the work of Nobel prize winner Elinor Ostrom to improve care pathways across Mid and South Essex, creating improved resource sharing and crucial reductions in waiting lists.

Ruth shares her story of how her trust released 900 hours of domiciliary care, reducing waiting times significantly. They achieved this through workshops and conversations with stakeholders, staff and patients, that led to the creation of a visual system eco-map, identifying improvement areas for their domiciliary care service.

You can find the show notes and references from this episode on our website: https://www.nhsconfed.org/podcast/productivity

For more information on out Learning and Improving Across Systems Peer Learning Programme, please visit: https://www.nhsconfed.org/learning-improving-systems/peer-learning

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