Innovation in Healthcare

At the beginning of the year CLIC were successful in being awarded a grant from the Health Foundation for Innovation in Healthcare. We were one of just 22 teams selected from hundreds of applications nationally. The award was to use an innovative, evidence based approach to understanding how teams work together around patient pathways called Relational Coordination.

Relational Coordination measures the quality of relationships and communication involved in the coordination of work processes. This is the first time in Cumbria we have measured relationships in order to improve our work processes, focus has previously been on the work process alone.

This project is using the Relational Coordination survey to evaluate the current inter-team dynamics of two pathways of care and is working with the teams to improve performance and clinical outcomes. The two pathways working with CLIC are – Chemotherapy team at NCUHT and Mental Health crisis within the new MACAS, Multidisciplinary Acute Crisis Assessment Service.

We are currently at the midway point through the project and both teams have been surveyed. Results are being reported back to them and planning for the next phase of improvement work within the project has begun.

A bit about Relational coordination

Relational coordination is a mutually reinforcing process of communicating and relating for the purpose of task integration.


Relational Coordination:

  • Drives quality, efficiency, satisfaction, and engagement
  • Is enabled by effective management practices
  • Matters most for work that is complex, uncertain, and time constrained 


Relational Coordination empowers and engages teams to improve team and organisational performance. Through use of the Survey, organisations are able to diagnose critical communication and relationship patterns that underlie team performance. This allows organisations to structure and build working relationships that enable continuous improvement and supports ongoing development through progress monitoring.

If you would like to know more about Relational Coordination or the Innovation in Healthcare, Health Foundation project please contact Rachel Fleming

A forum for people who are working in the field of Organisation Development in North Cumbria to help them ‘connect, support, learn, grow’ …….

Tricks of the Mind

“As OD and Learning facilitators we often wonder how long the learning will last for course attendees. At times we also need to inject something new into training that can bring technical and dry subject matters to life.

Inspired by Derren Brown’s book ‘Tricks of the Mind’ and his experiences delivering experiential learning over a twenty year period, Matt France from Bay Health and Care Partners OD & Improvement Collaborative will teach a series powerful memory tricks that can really help learning stick. Using memory techniques can be a really powerful way of enhancing OD interventions and he’ll give some examples of where these have worked for participants (if he can remember…)”

Our Journey into improvement

What is it like to be seconded into a learning and improvement collaborative? Sarah Linnard and Nick Jackson will share their experience of being the first seconded OD facilitators to join the Cumbria Learning and Improvement Collaborative and how they plan to share their learning. They will reflect on the challenges faced by those trying to effect change in West, North and East Cumbria and their learning from the successful and sometimes less successful work they have been involved in.

Join Us......... Thursday 7th September 2017, 4:30 to 7:00.

CLIC Meeting Room
NHS Cumbria
4 Wavell Drive

CLIC will be involved in two RPIWs in the next month, the first will involve the Information Governance teams from both the Cumbria Partnership and North Cumbria Acute trusts who are looking at ways to harmonise their processes as well as developing new processes to meet new government guidelines.


The second will be in the A&E department at the Cumberland Infirmary where the main aims of the workshop team will be to reduce waste by 50%, reduce the overall lead time from entering the department to admission or discharge, and to increase the percentage of patients triaged within 15 minutes from 65 to 85%.


AHSN network has subscribed to Life QI, making it free to use for health and social care staff in England, as well as the place to share your QI work and learn from the work of others.

Life QI is a web software platform built to support and manage quality improvement work in health and social care. It makes it easy for teams to run QI projects and organisations to report on QI activity.It is now in use by over 400 NHS organisations and contains over 1,600 active QI projects.



Click on the link below to go to the Life QI System website where you will be able to find out more about the system and sign up for an account.