I sit blogging this whilst my daughter is in theatre at Maidstone Hospital – yes that one that made all the press for MRSA deaths. So it wasn’t without trepidation that we approached the place. It’s a toe curling place to be – or rather toe uncurling to be precise – that’s the minor operation she’s in for.
Beth’s last lesson on Friday had been doing TLAFSSOS…three letter acronym for social studies or something… talking about hospital infections. Online yesterday I discovered from a contact in S Africa the sad news that someone I met last year died from complications after an operation. One of Beth’s friends was in intensive care for a month 2 years ago after a minor op here.
What sticks in my mind from a few years ago, was the difference between the private hospital in Tunbridge Wells and public hospital there. Yes the other half of the Maidstone and Tunbridge Wells NHS Trust once run by the infamous Rose Gibb. She that made the news for chasing targets and the resultant dirty hospitals that killed many. She’s still the signature in the “Welcome to our hospital” book today.
But far from being about slagging off the NHS, this is a story of reassurance. Walking into reception at 7.30am this morning, the place was awash ( no pun…) with cleaners. Every corner looks spotless. Every uniform freshly pressed. Every entrance to every ward has disinfecting hand washes and everyone uses them. Whilst sitting in the room waiting, someone has been in and cleaned the toilet. Someone else has waashed down the surfaces, someone else has vacuumed the floors and finally someone else has mopped them. One of the toilets is marked for deep clean 030308 (heh happy 5th birthday to telco 3, launched on 030303 !).
So I can see cleanliness is a top priority. There are no inspectors, just people everywhere paying attention to cleanliness.
There are at least 4 lessons to draw from the tragic history of this place:
- The business of this NHS Trust became focused on its shareholders, the money men, not on its customers, the patients
- The targets set by its shareholders did not reflect the most basic needs of its customers
- Neither the management nor the shareholders would listen to the customers, even when they were dying, because of cost targets that would ultimately cost a lot of money
- The waste of life stands out: the cost now of keeping it clean must be high, but not so high as the price of a death, let alone 100 deaths
It’s about the focus and stamina of the leaders really.
I remember hearing Michael Eisner, CEO of Disney talk last year at ECMW. When he ran Universal, he was frustrated that he could never keep the toilets as fastidiously clean as at Disney. So he called the then CEO of Disney and asked what was the secret. He discovered 3 things:
- Whenever I visit a Disney operation of any kind, the first thing I do is go to the toilets. If I have to pick up paper from the floor myself, I do so. But hell breaks loose if I ever have to do it twice
- The secret is cleaning the toilets most when they are most used eg every 15 minutes at lunch time
- It wasn’t difficult. It just had to be a high priority. And stay a high priority.
So as I relax and wait for Beth to come into post op, I ask you these questions from the 4 lessons:
1. Is your business really focused on the basic needs of your customers, not the money? “Show me the money!”, as the film Jerry McGuire illustrated, just isn’t going to cut it in the 21st century.
2. If you know the most basic needs of your customers, are your metrics about those needs and are they calibrated to match what customers say?
3. Do you capture what your customers are saying? Yes? And do your management priorities get set by what they are saying?
4. The cost of waste hopefully isn’t as evident as at this NHS Trust, but do you really know what it is?
Is every customer of your business as relaxed using your business as I can be sat here?
If you’re not sure, type you company name followed by “sucks” into Google and see what comes out.
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