Hospital Improvement Programme Development

Working with a Teaching Trust to develop and implement an improvement programme to ensure efficiencies for a UK hospital.

To discuss how we can help you with similar challenges please contact Mark Ellis.

The Problem

  • A large Teaching Trust was looking to achieve foundation status and had to balance its finances to achieve submission of the application.
  • The CEO’s vision was for an improvement programme to be developed and delivered to ensure efficiencies of £36m, with our team supporting the establishment of the trust-wide programme.

The Solution

  • Together with the CEO, one of the 4C team launched a Lean hospital improvement programme, ensuring the staff were trained to a basic awareness level.
  • They established the centralised PMO to ensure divisional ownership through alignment to divisions.
  • The team identified opportunities by looking at overspent, performance failing pathways and services.
  • They established workstreams to provide efficiency projects for delivery by divisions, including integrated pathway development, bed and theatre modelling across the trust, implementation of seven day working, review of all back-office functions and workforce efficiencies such as PA reviews through standardised job planning and e-rostering.

The Impact

  • The trust programme was identified as Exemplar by NHSL, with a culture of enabled clinical change leaders, established PMO and programme, savings of £40m and Foundation status achieved.
  • They achieved an organisational development through the establishment of the Board and Associated Steering Group and a clinical governance committee.
  • A successful proposal to NHS London to become an exemplar site securing substantial funding and support was developed.
  • They designed and delivered the launch event attracting over 200 delegates.
  • They development the Kazien (rapid change) Lean change leaders programme in conjunction with the medical school.
  • Furthermore, they identified and developed additional commercial opportunities, providing further opportunities to improve research and patient wellbeing.
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