The latest Rapid Process Improvement Workshop (RPIW) on A&E saw the team saving up to 6000 hours of time a year to dedicate to patient care. 

The workshop provided an opportunity for staff working in the department to take time out to discuss the main obstacles they face within their day-to-day roles and how these could be reduced as well as to improve efficiencies and provide staff with more time for face-to-face patient care.

The team, including medical, nursing, allied health professional staff and patient and volunteer representatives, quickly identified and implemented a number of improvements including: 

  • Ensuring  patients in the department are triaged within 15 minutes, aided by the introduction of a dedicated healthcare assistant for triage – this has already gone up from 65% to 85% this week alone
  • Through relocating commonly used documentation, the team will save on steps taken which leads to a saving of up to 400 hours per year of staff time which can then be used for providing patient care
  • Working with the team in Ambulatory Care, clear patient pathways are now displayed in the triage room meaning more patients can potentially be directed straight to Ambulatory Care for assessment and treatment
  • The Pharmacy team has been reviewing medicines management and is looking to create a dedicated area for drug preparation

The team has decided to take an ‘always cubicle’ approach by keeping computers and documentation close to patients so they can involve the patient at every stage and keep them better informed.


As part of the Listening Into Action - Engaging for Improvement - Wave 5 Celebration Event and launch of Wave 6, CLIC presented two annual awards for continuous service improvement to two very deserving teams – the Ward 4 team at West Cumberland hospital who have made considerable improvements to pressure area care and to an improvement scheme to support parents of children with cow’s milk allergy. 

Well done to all of our winners, and congratulations to all 46 teams who have taken part in the LiA Scheme to date.


Since Cumbria Learning and Improvement Collaborative’s (CLIC’s) inception in Autumn 2013, significant progress has been made in the development of CLIC as a resource for all staff in support of driving a positive transformation in health and social care across Cumbria.

This Six Month Report (available to download below) describes our Learning and Improvement Collaborative’s activities and progress during the first six months of the year. It includes key milestones and achievements, and most importantly, highlights what health and social care staff have accomplished with our support.

The next GP Update course is now bookable on the CLIC Website!!

A one day update course by GPs for GPs, GP STs, Practice Nurses and Nurse Practitioners.

The GP Update Course is designed to be very relevant to clinical practice and to help you meet the requirements for revalidation.

GPs want to stay up to date but the task is a formidable one; with the best will in the world, it’s hard to achieve. With all the evidence inundating us it can be hard to know which bits of evidence should change our practice. We want to help by collating and synthesising the evidence for you – so that you don’ t have to! Using a lecture based format, with plenty of time for interaction, the GP presenters discuss the results of the most important evidence and guidance, placing them in the context of what is already known about this topic and the needs of primary care.

We want you to enjoy the day! We’ll use humour and video clips to illustrate points being made and to keep you focused.

How will it help me with revalidation? Revalidation requires us not just to stay up to date, but to show evidence of how our practice has changed. Come on the course and we will give you a copy of The Appraisal and Revalidation Action Pack; a practical step by step guide to prepare for revalidation and prove you are up to date.

Who is this course designed for?

Established GPs and Trainers wanting to keep up to date across the whole field of general practice and to incorporate new evidence into their current practice.

GP ST1, 2 & 3 for whom the course and handbook will provide the perfect launch pad into general practice. Fantastic for AKT and CSA revision.

GPs returning from maternity leave or a career break who want to be brought up to speed with current practice.

Practice Nurses & Nurse Practitioners who will find this a great update on chronic disease management and a good overview of the latest changes across all of primary care.

To book your place on the course please visit the CLIC Website at:     

Cumbria Production System: Awareness – Half day
The Cumbria Production System is a ‘toolkit’ of tried and tested tools that can give guidance to help support improvement work, problem solving and resolve issues.  The purpose of these sessions is to provide: An overview of CLIC and how we can help; an introduction to continuous improvement and the Cumbria Production System, help in getting started with some improvement tools and principles. 

  • Cohort 57: 12th December 2017- CREA, Penrith
  • Cohort 58: 16th March 2018- Seminar Room 2, Cumberland Infirmary


Influencing and Implementing Improvement – 1 Day
This workshop is suitable for anyone who wants to understand how to deliver successful improvement projects in their workplace. Combining the practical methods to use with the skills and techniques for leading improvement.

  • Cohort 4: 17th October 2017- Penrith Methodist Church
  • Cohort 5: 18th January 2018- ADM 5, Workington Community Hospital


Cumbria Production System: Practitioner – 3 Days
This is a three day, more in-depth Cumbria Production System Practitioner Workshop, for staff who have attended the CPS Awareness Session above.

  • Cohort 16: 13th, 20th, 27th November 2017- Penrith Methodist Church
  • Cohort 17: 1st, 7th, 15th February 2018- Cockermouth Community Hospital


Improving Leaders – 3 Days
This is again a three day programme aimed at providing opportunity to understand the behaviours of successful leaders and to give practical improvement tools to help leaders lead more effectively.

  • Cohort 9: 9th November, 7th December, 11th January- Rosehill, Carlisle
  • Cohort 10: 16th February 18, 23rd March, 20th April- Workington Hospital


Coaching Skills Workshops – 1 Day
The aim of our Coaching workshops is to enable our staff to communicate using core coaching skills in their relationships with their staff and colleagues in order to build a coaching culture throughout the local health and care system.

  • Cohort 11- Energus, Workington: 22nd November 2017
  • Cohort 12- Rosehill, Carlisle: 26th February 2018


Wellbeing and Resilience – Half day
The session aims to be a practical and thought provoking look at what resilience and wellbeing are, and a look at ways to focus on them and ultimately plan to get more of what you want in the workplace.

  • Cohort 15 - Tuesday 14th November 2017 – Cockermouth Community Hospital
  • Cohort 16 – Monday 15th January 2018 - CLIC Training Room, Rosehill, Carlisle



  • 11th October 2017: Masterclass: Mistake Proofing - Building in Safety - CLIC Training Room, Rosehill, Carlisle
  • 13th December 2017: Masterclass: Inner Game Theory - building personal effectiveness - West Cumberland Hospital
  • 13th February 2018: Making Your Pitch Masterclass - CLIC Training Room, Rosehill, Carlisle


Bitesize sessions:

  • Cohort 2: PDSA - 23rd October 2017 - West Cumberland Hospital, Whitehaven
  • Cohort 9: Waste and Workplace Organisation - 30th November 2017- Rosehill
  • Cohort 3: PDSA - 31st January 2018 - Rosehill
  • Cohort 12: Value Stream Mapping - 15th March 2018- Rosehill


CLIC Clinical Skills Programme: SAGE & THYME Communication Skills Training
The SAGE & THYME Communication Skills training is a Level 1, half day training course designed to give you the tools to effectively communicate with patients, relatives and carers.  It is relevant to all staff engaged in face to face communication. The transferable skills gained by attending this workshop can be applied to any situation where individuals may be emotional, distressed or concerned.  The knowledge and skills learned in this course are fundamental to most roles in the NHS and other care organisations.

  • Cohort 46 – 16th October 2017 - 1:00pm - 4:00pm: Furness General Hospital
  • Cohort 47 – 24th November 2017 - 1:00pm - 4:00pm - Royal Lancaster Infirmary
  • Cohort 37 – 7th December 2017 - 9:30am - 12:30pm: Education Centre, West Cumberland Hospital            
  • Cohort 48 – 13th December 2017 - 1:00pm - 4:00pm: Furness General Hospital


Project Thinking – Half day
Do you or your team have an idea for improvement but are unsure of where to start or how to take it forward? The Project Thinking Bespoke Session can help. This 4 hour session is designed to guide your team through the planning process of small to mid-scale improvements or projects.

  • Cohort 3 – 16th November 2017 - CLIC Training Room, Rosehill, Carlisle
  • Cohort 4 – 21st February 2018 - CLIC Training Room, Rosehill, Carlisle