Table A1

ASS activities divided into three categories

Non-value added but business essentialWaste
Updating the birth book
Receive and process new birth notifications
Sending welcome packs to parents
Make up birth packs and file for HV
Confirm ante- and postnatal forms match
Ensure essential patient tests are carried out for all tests—for example, phenylketonuria, newborn hearing screening
Opening and distributing post
Receiving reports—for example, neonatal correspondence
Police reports, A&E reports and updating the patient notes
Taking telephone messages and writing them in the HV message book
Processing of patient transfers in or out
Arranging HV assessments
General office administration for example stationary orders and booking meeting rooms
Waiting
Telephone ping pong with other services
Over processing
Searching for information (eg, names, addresses or children)
Duplication of statistics information
Checking others work
Chasing tasks
Transport
Movement between sites
Motion
Opening door to building
Dealing with building maintenance people
Movement of notes and files between filing cabinets
Defects
Resolving double-booked rooms
  • ASS, administrative support staff; HV, health visitor.