Value Stream Mapping can help you to achieve your planned improvements and measure those improvements. 

If you struggle with waiting lists and bottlenecks, maybe things don’t flow how you would like them to - Value Stream Mapping can help.

It is a way of thinking and capturing improvement, not just a tool in its own right. It can help you to visualise and measure the value you are adding to the things you do and increase that value for patients, carers and staff. You will be able to visualise the flow of patients, materials and/or information. A recent clinical service used Value Stream Mapping as a tool and way of thinking to support improvements in the reduction of waiting times for patients in outpatient clinics, streamline the clinic activities to reduce waste, improve clinic layouts and at the same time improve the whole patient (and staff) experience.

You can book onto our next Value Stream Mapping Bite Size Workshop which is taking place on the 11th December via the below link: 


Are you an accredited coach working in the North Cumbria health and care system? If so, our upcoming CPD Event, ‘Positive Psychology in Coaching’, may be of interest to you. 

Friday 2nd November 2019

Time: 9.30am – 12.30pm

Location: CLIC Training Room, NHS Offices Rosehill, 4 Wavell Drive, Rosehill Industrial Estate, Carlisle, CA1 2SE

Mandi-Sherlock Storey (Head of Leadership Transformation with the North East Leadership Academy) will lead this interactive event on the use of positive psychology tools to support boosting the confidence and resilience of coaches.

Please contact us at if you would like to attend.

Learning Organisation Collaborative (LOC) Fourth International Festival - available to book now!  #LOCintheLakes

Date: Tuesday 5th March 2019

Timings: 9.30am - 4.30pm

Venue: Rheged, Redhills, Penrith, Cumbria, CA11 0DQ

The development of ‘human factors’ as the study of the interaction between people and systems - to make things safer and more productive - has a history of over 100 years. Much is understood and a lot is intuitive - like realising you will make more mistakes when you are tired or distracted - but also a lot of this knowledge is not regularly and routinely built into healthcare.

CLIC has developed the Cumbria Production System - tools and techniques - to help our health and care system in this important work and this year, LOC in the Lakes will focus on some personal, practical skills to help you manage human factors like fatigue, boredom and distraction and also to build more resilient and safer systems, environments and teams.

Fun practical workshops and engaging keynote speakers will help you deepen your knowledge and support your capability. 

Save the day and book your place now on our dedicated LOC in the Lakes 2019: Skills for Safety event page!

We are pleased to announce that we will be coordinating another GP Update course in North Cumbria in early 2019.

Thursday 17th January 2019

Time: 9.30am - 4pm

Location: The Samuel Lindow Building, Westlakes Science & Technology Park, Ingwell Drive, Moor Row, Cumbria, CA24 3JY

Price: £140 (£70 for trainees)

Book your place now on our dedicated GP Update (Cohort 11) event page.

Course Details

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.

Don’t take our word for it – See what our past delegates had to say!

  • Superb course, well presented. By GPs for GPs what more could I want?
  • Excellent and very relevant to everyday practice. Inspiring and encouraging
  • Concise, relevant, provides a year’s worth of education in one day
  • Refreshingly presented. Excellent value for money
  • Revalidation Action Pack - Thank you for this practical strategy. Excellent humorous presentations. Learned much more that I thought possible in one day
  • Can’t wait to get back to the surgery to make some positive changes
  • Reassuring to know that the information presented is free from the influence of pharma companies
  • This course should be made mandatory for all GPs

Course delegates receive a copy of The GP Update Handbook, a 400 page book outlining the results of the most important research relevant to primary care over the last 5 years. The GP Update Handbook is much more than just a set of lecture notes. It covers more subjects more extensively than is possible in the one-day course. It is a valuable resource document for future reference and exam revision, and everything we present is fully referenced.

Delegates also receive a year’s subscription to The GP Update Handbook Online from the course date, plus access from the date you register. We will also give you a copy of The GP Update Appraisal and Revalidation Action Pack which contains step by step guidance on audits, reflective practice and service developments related to the course, so that you have documented evidence of improved care for your next appraisal.

If you have any queries about this event, please contact