Some  topics which workshop attendees have used:

• Effectiveness, clinical or cost, of psychiatric consultant outpatient clinics
• Patient experience of gynaecology community services 
• Decommissioning acute services (rehabilitation)
• Board level equalities and diversity
• Health and wellbeing for staff
• Safeguarding in paediatrics
• Public health services in local authorties
• Gloves in midwifery/delivery services
• Inter-hospital collaboration
• SLAs for library services
• SUpport for NHS legal teams 
• Staff retention and resilience  
• Retention and recruitment of primary care nurses 
• Theatre staff retention and wellbeing
• Transition services (childrens to adults services)
• Process behind integrated MKS services (KM approaches)
• Organisation of elective only hospitals
• Evidence based social care - implementation 
• Training needs assessment for healthcare scientists (haematologists)
• Improving operating theatre productivity
• Skillmix and workforce in psychiatric intensive care
• Link between training and performance 
• Outpatient department efficiency and improvement
• "Breaking the rules" staff feedback approach
• Managing "millennials" -  Retaining and empathy
• Reducing number of bed moves for inpatients 
• Criteria led discharge 
• Transforming the maternity unit
• Vertical integration of GP practices into acute trust
• Neonatal transport
• Operational management of junior doctors workforce
• Reconfiguration of UEC across sites
• Restructuring of NHS estates
• Community treatment orders in mental health
• Managing admin time for patient facing staff
• Service transformation in mental health
• Shared leadership
• Leading effective teams to improve quality of care
• "Hospital at home" - accountability issues
• GP employees within an acute trust
• Choice of gloves in chemotherapy units
• Processes for merging NHS trusts
• LKS support for STP plans 

• Patient flow through the acute hospital (eg including better and more timely hand-offs between their A&E clinicians and acute physicians, ‘discharge to assess’, ‘trusted assessor’ arrangements, streamlined continuing healthcare processes, and seven day discharge capabilities, High Impact change model - see Next Steps Five year Forward View) 

• Best practice in appraisals process
• LEAN process improvement
• Grading systems for clinical incidents
• IV at home - governance issues 
• Staff reorganisation resulting from staff changes / site changes
• Reducing use of clinical agency staff
• DO we outsource or commission school nursing services/
• Nurse led non cancer palliative care in the community/primary care 
• Staff retention in critical care 
• Reminders in OPD
• Knowledge transfer from leaving staff
• Merging services 
• Inpatient accommodation needs of patients undergoing transgender transition
• Transgender treatment pathway 
• Evidence for multispecialty community provider model
• Training needs of care home staff 
• Neighbourhood teams 
• Reduce presentation of childhood asthma at A&E 
• Reducing Out Patient Department clinics 
• Services after cancer reatment 
• Reducing use of private providers to meet 18 week wait
• Does the use of hybrid mattresses reduce pressure ulcers and therefore lOS 
• Career engagement with educational hubs 
• Accountable Care Organisations/Systems and staff motivation  
• Improving patient flow through the hospital 
• How do we improve community staff engagement withorganisational values? 
• Cost of delivering or followup to Outpatients using teleheath 
• Mentoring to reduce gender bias in healthcare
• Compliance with paediatric discharge policies
• Employee engagement and retention in midwifery
• Improve efficiency of use of theatre endoscopy resources
• Retention of newly qualified nurses in mental health hospitals
• Retention of staff rear retirement or bringing back staff who have retired
• Amalgamation of nursing and medical education services
• Restructuring the ITU/crisis intervention team.
• Tools to improve community staff engagement with organisational values
• Evidence of a business case for creation of a HF specialist nurse post
• Patient involvement in service improvement
• Financial arrangements  in models of accountable care organisations
• What is the international evidence / national that outcome based commissioning delivers better value to a system?
• How to reduce agency spend
• Mental health spending in Wiltshire
• Benchmarking for district nursing spending
• How do we improve our admission procedures for stroke patients to meet the A&E to Stroke unit quality standard of 4hrs?
• Consolidation of back-office functions
• Evidence that risk stratification tools are more accurate that GPs or clinicians identifying those who may be most at risk
• Evidence to support the movement of outpatient care into a community setting. Including contracting and procurement models and financial implications.
• Acute mental health services in rural areas
• Care closer to home
• Examples of community gastroenterology services which take activity out of the hospital. 
• Home care in the community
• Integration of primary and secondary care in diabetes
• Patient flow/bed blocking/discharge
• Reconfiguration of learning disability services/learning from Rochdale (where they have adopted a new approach) 
• Consolidation of Learning & Development
• Safe staffing levels in children’s community nursing teams 
• Staff /talent management
• Staff recruitment and retention initiatives
• Training/retaining staff in theatres
• Trust setting itself up as an accredited education provider
• What is the evidence that creating a clinical network improves clinical standards? (reduce activity/cost, improve outcomes).
• Workforce development (upskilling)
• Trust seeking Magnet status (recognition for quality of nursing care)
• Internal trust communications
• Standardising workforce policies
• Use of technology
• Measuring the ROI of a health coaching service (clinicians trained as health coaches  by physios, impacts could include impact on NHS staff and optimum time to measure impact over)
• Memory Assessment Services; good practice
• We are looking at creating a new funding/payment system for autism in children locally and looking at adapting the system to the new NICE pathway. 
• End of life care pathway for the neonatal  unit
• a systematic review of the evidence  to support development of a Children’s Trauma Pathway for CAMHS 
• End of life care in critical care. Policies, guidelines or implementation studies to inform CCU EoL pathway.
• Giant Cell Arteritis-  a care pathway for this condition. 
• Current literature on Metastatic Spinal Cord Compression pathway in hours and out of hours, 
• Anything on the outcomes of specialist centralised eating services vs generic CAMHS.  
• Stroke pathways improvements since the introduction of the SSNAP system across the UK NHS hospitals -looking  at improving the number of stroke patients who are admitted to a specialty stroke ward in under 4 hours of presenting at hospital with Stroke Symptoms.  
• Reviewing Induction in Labour pathway, in particular any new advances/technology/best practice and what is recommended nationally/internationally that we may wish to consider as alternatives to our current practice 
• Year of Care - cost savings and patient experience outcomes in diabetes, asthma, COPD 

Wiki created by Anne Gray, Knowledge Officer, Arden GEM CSU.