Cumbria Production System Toolkit

CLIC, working with all our partners in health and social care, have developed an approach to Continuous Improvement called the Cumbria Production System. This toolkit brings together various evidence based improvement methods and tools which are being successfully used across the Alliance.

You can download a PDF version of the full toolkit here, along with 'Our Change Model', which outlines the tools you might use in different improvement/change process steps:

Alternatively, you can dip in and out of different parts of the toolkit by clicking on the links below and/or by navigating through the links in the left hand menu.


The purpose of this toolkit
Bringing together a number of evidence based methods and tools that are being successfully used across the Alliance organisations
What is the Cumbria Production System?
CLIC's approach to continuous improvement across health and social care in Cumbria
How can we transform our services?
The Cumbria Production System is part of how we can successfully support change
Cumbria Production System improvement principles
The Cumbria Production System is based on embedding several key principles in our approach to improvement
What improvement outcomes and results can we expect?
Achievement of benefits, measureable improvements, improvements linked to organisational priorities, embedding improvement
When should you use the tools?
An overview of when you should use which improvement tool
Key tool templates and visualisations
Download key Cumbria Production System tool templates and visualisations
Common improvement terms (glossary)
Definitions of various words and phrases used in the improvement field

The Tools

5S workplace organisation
A structured process which involves 5 steps to create an ideal work environment
A visual tool on A3 sized paper to help you focus on making improvements
After Action Review (AAR)
A facilitated reflective discussion identifying key lessons learned
Customer Journey Mapping (CJM)
The process of tracking and describing all the experiences that customers have as they encounter a service
Data gathering and evidence and 5 whys
Data can help to assess if you have a problem: 5 whys asks why something is done as it is
Demand analysis
Helps to identify some “quick win” service improvement opportunities
Maximising value
Understanding value from the perspective of people who use our services to improve quality and safety and reduce costs
Measuring for improvement
How you will know if a change is an improvement
Plan, Do, Study, Act (PDSA)
A framework for developing, testing and implementing change that may lead to improvement
Process mapping
Used for the identification of improvement opportunities
Spaghetti diagrams
A diagram or a map showing movements in a process
Stakeholder analysis
Enables you to identify everyone with a concern or interest who needs to be involved
Value Stream Mapping (VSM)
Identifying and analysing value from a customer/patient/service user perspective
Waste, waste wheel, waste walk
Eliminating waste with a focus on value for the customer