We deliver the HOW of healthcare improvement
Background
- 20 years of “front line” experience
- NAO-accredited £1.4B public sector saving
- First in UK healthcare 100,000 lives 2004
- Healthcare transformation on four continents (e.g., Singapore)
- NHS 10 year plan benchmark exemplar results
- Multisite national delivers better results faster than the previous global benchmark.
- First healthcare AIQI work in UAE
- Deep purpose and passion to use experience for the national good
About
Our Intention
To enable the 10 years plans
"BE THE CHANGE"
Create belief
Empower teams, support individuals, help them see opportunity
Clear the path
Improve pathway flow, remove Invisible Harm (Waste, Variation and Overburden)
Be the change
Create ownership in teams and community in delivering the plan.
Our Team
Like a Special Improvement Service
for healthcare.
An elite capability designed to address urgent operational challenges and deliver sustainable improvement across services.
With an ethos of transforming wasteful work and the people it has broken, through teamwork, principles and practice.
Our HOW
Our HOW
Our HOW is our "secret sauce" built on DEEP Experience and five principles.
Engagement practice – That transformation will come from engaging our team members, community and stakeholders in an engagement practice
Flow – That all reports, plans, models, strategies, programmes, projects, training, systems and investment have as a central aim
Our HOW is our "secret sauce" built on DEEP Experience and five principles.
Engagement practice – That transformation will come from engaging our team members, community and stakeholders in an engagement practice
Flow – That all reports, plans, models, strategies, programmes, projects, training, systems and investment have as a central aim improving delivery and how it flows.
Invisible Harm – That central to improving delivery, flow and mitigating resource challenges is the systemic removal of invisible harm (waste, variation and overburden).
Holistic – That transformation will come from a higher guiding integrated systemic approach (Purpose, Process, Culture, People, Leadership, Policy, Technology, Money).
Individual – That we want to help our team members be the best version of themselves and be responsible, with their team, for the improvement of what they control (e.g., their local basic process performance and costs)
Results
Surrey
Triggered by Vital Signs and a Vital Signs Value Stream Analysis (VSA) at Royal Surrey
End-to-end frailty care pathway enhancement
Achieved CQC Outstanding
80% of frail ED patients discharged same day
75% ED time reduction
24% Length of Stay reduction
10% decrease in long-term patients
£2.4M ROI through bed day reduction in the frailty pathway.
Integration of community frailty management resulted in 37% fewer GP contacts, 22% fewer nursing visits, and 38% fewer emergency department visits.
End-of-Life Frailty Research co-created frailty measures tailored to end-of-life needs and established a Frailty Academy to offer structured, focused education and training for staff.
Derbyshire
Vital Signs and a Vital Signs Value Stream Analysis (VSA) at UHDB supported the transformation of community-based services to help frail individuals at home.
In one year, it delivered
24259 home visits
2367 fewer Category 3 ambulance callouts
1467 fewer hospital stays
6982 people received rapid (<2 hr) urgent community response nursing and therapy visits
On staff engagement, 95% of staff recommended the service, and 93% considered it a good place to work.