Laboratory management

2.15pm – 3.50pm BST, 11 June 2024 ‐ 1 hour 35 mins

Parallel session

Chair:  Helen Bruce

2.20 - 2.50 - The curiosity of change - Denise Cook

Our organisations in all sectors have had to face and cope with massive change, both externally and internally for many years. This often brings turbulence to our different environments, including our work environments. None of us would have predicted the scale and pace of change through the pandemic, and emerging from this time we feel the effect of this huge turbulence, which has altered irrevocably the psychological contract between our organisations and our employees.

The impact of this is that for possibly the first time, we have had to think about what we can do for our staff as well what they can do for us. It is no longer about the just managing a change, we must now look at our leadership style and consider managing change with compassion. In this context, leadership as well as management.

2.50 - 3.20 - Crafting Care: A collaborative journey towards evidence-based care sets development within a pathology network - Sarah Curtis

The Cheshire and Merseyside Pathology Network (CMPN) encompasses seven provider sites, each playing a vital role in delivering high-quality healthcare services: Countess of Chester Hospital, Mersey and West Lancashire Hospitals, Liverpool University Hospitals, Warrington and Halton Hospitals, Wirral University Hospitals, Alder Hey Children's Hospital and The Walton Centre. 

We have developed a laboratory-led collaborative and evidence-based approach to the development of harmonised care sets for primary care. The overarching goal is to enhance the standard of clinical care, foster system sustainability, and minimize unwarranted variation across the network.

Upon conducting an initial assessment of the existing configurations across all CMPN sites, benchmarking revealed a "Top Ten" of common themes for prioritisation, which also concorded with an outline of care sets designed by colleagues at NHS Tayside, categorised into “New presentations” and “Long term conditions” and generously shared with us, demonstrating the value of developing communities of practice.

Our recommendations stem from a thorough examination of multiple clinical guidelines and other sources of best practices.  Each recommendation underwent rigorous evaluation across four key domains: clinical safety and effectiveness including equality impact, standardisation (addressing regional and national variation, including insights from the pathology GIRFT report), sustainability (considering financial implications and workload impacts), and practicality (assessing ease of implementation across diverse laboratory and informatics landscapes).

We discovered that simultaneous development of agreed harmonised profiles by the same guiding principles to be key to our success, enabling clear and consistent understanding of precise components included in every care set.

This was truly a collaborative effort, with contribution and engagement from every organisation and a general practitioner within the group membership.  As we continue to build upon these robust foundations, we are confident that our approach will propel us closer to our target operating model.  This model envisions the consolidation of secondary care pathology services onto a unified laboratory information management system, coupled with a single ICE order communications system for primary care, thus streamlining operations and enhancing overall efficiency across the network.

3.20 - 3.50 - Discussion panel. Service crisis: Developing collaborative solutions - Denise Cook, Sarah Curtis

The health needs of the population are changing, and many people need more co-ordinated care across primary, community, social and our hospital services. More co-ordinated care requires us to collaborate well across organisational and professional boundaries. How do we do this with increasing pressure in our services and teams?

In this session we will share