Here's what he had to say:

What is your name, organisation and job title?

Dave Grewcock, Head of Improvement, University College London Hospitals NHS Foundation Trust.


How did you hear about Hexitime?

At a QSIR Associate Network event, John Lodge gave a presentation.


What was your offer (or request) on Hexitime?

John put out a Hexitime call for a QSIR accredited trainer for a Trust that needed a 1 day introduction to Quality Improvement for a group of its staff. They do have some internal training capability, but couldn’t cover one particular session because of other commitments.


Can you tell me a little more about your offer -  e.g. how was it delivered, to who and when?

Once I’d discussed the requirement with Epsom and St Helier University Hospitals NHS Trust it became clear that it wasn’t essential that I deliver a QSIR 1 day programme. Instead we decided that I deliver the 1 Day QI module that we use as part of our Leading Teams programme at UCLH. This module has a “improvement leadership” flavour and is designed principally for band 5-7 leaders in our Trust. This suited me better because I am very familiar with delivering this course, and that meant that I could deliver the Epsom and St Helier commitment with relatively modest preparation.

The module was delivered on 5th Sept 2019. The audience was a group of 11 relatively newly appointed clinical matrons who are principally ward based and are expected both to lead improvement work themselves and also guide others in leading improvement projects. Most of the attendees were relatively new to Quality Improvement and we agreed that I would go “from the ground up” on my understanding of QI.


How did it go?

I received very positive feedback from those who attended. Most agreed the course was “excellent”. One person said, “the ice-breaker was great, it’s amazing what came out of the exercises.” Another commented “...good ice-breaker to meet other members of staff.” It was described by someone as “an enjoyable and informative day...I now understand what QI is and is not.”

From my perspective, to be honest, at one level it was simply nice to travel to a different place and meet a group of people from another organisation - an opportunity to break my usual patterns. And of course, it was interesting to see how the assumptions and examples I brought to the course landed with people who didn’t share my day to day context. One comment I did have during the training was that it was useful to hear from someone “neutral”, outside their organisation, describing examples that were nonetheless “familiar” to them. As always, it’s useful to be reminded that we are all tackling the same sort of challenges and experiencing the same sort of complications whichever organisation we are working in.

I genuinely enjoyed myself, it was slightly “testing” to “do what I do”, but with a different group of people.


What do you think about the Hexitime platform and process of exchanging time credits for quality improvement skills?

I think it is a great idea, as long as we do not get too narrow about what “quality improvement skills” are – maybe, for instance, I would like to access a psychologist or a behavioural scientist? We all have gaps in our experience or knowledge or team capability, and it would be great to have a way of calling out for help without the financial and administrative complexities that might otherwise be involved, but in a way that represents a genuine exchange or trading of time and experience.


Would you recommend Hexitime to others?

Yes. It may not work for everyone, but I think it is worth at least trying – there seems to me to be very little to lose.


What would you like to use your credits for?

Potentially several things - getting access to expert speakers? Access to statistical expertise? Access to psychologists and behaviour change and OD experts? There are huge possibilities.          

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