Improving clinical access to mental health services in the NHS – the application of Lean thinking

Part of book or chapter of book English OPEN
Cheng, Siu Yee ; Bamford, David ; Dehe, Benjamin ; Duggan, Mary (2013)
  • Publisher: British Academy of Management
  • Subject: HD28

This paper serves to disseminate findings from implementing Lean in a clinical decision-making service function in a NHS Trust. Operational and performance disparities were identified within the Trust’s service access points, causing inconsistent processes, poor use of staff resources, and service quality variability.\ud An action research project was designed and research propositions were developed from the literature. We sought to understand the extent that operational performance can be improved following Lean implementation and how it impacts upon clinical decision-making. One of the authors was embedded within the organisation, allowing access to core data and appropriate staff resource. Data collection was achieved through interviews, questionnaires, in-house performance metrics analysis and observations. Lean tools were considered and adapted, then applied with the aim of removing wasteful processes, standardisation and consolidate gate-keeping processes. The effectiveness of Lean implementation was evaluated to determine operational/performance improvements and to capture defined cost/financial benefits and savings.
  • References (30)
    30 references, page 1 of 3

    AL-HAKIM, L. & GONG, X. Y. 2012. On the day of surgery: how long does preventable disruption prolong the patient journey? . International Journal of Health Care Quality Assurance, 25, 322 - 342.

    BAMFORD, D. & CHATZIASLAN, E. 2009. Healthcare capacity measurement. International Journal of Productivity and Performance Management, 58, 748-766.

    BAMFORD, D., THORNTON, H. & BAMFORD, J. 2009. Health-care logistics redesign. Operational Reasearch Society 22, 140-152.

    BIRMINGHAM COMMUNITY HEALTHCARE. 2013. Single point of access for adult services in Birmingham [Online]. Available: http://www.bhamcommunity.nhs.uk/about-us/servicesand-corporate-departments/adults-and-communities/citywide-services/adult-spa/ [Accessed February 2013].

    CASTLE, A. & HARVEY, R. 2009. Lean information management: the use of observational data in health care. International Journal of Productivity and Performance Management, 58, 280 - 299.

    DEHE, B., BAMFORD, D. & BAMFORD, J. 2011. An Application of a MCDA Model for Healthcare Site Selection. In: 22nd Annual Production and Operations Management Society (POMS) Conference 2011, April 29th-May 2nd 2011, Reno, Nevada, USA.

    DEPARTMENT OF HEALTH, 2010. Equity and excellence: Liberating the NHS, Norwich, TSO .

    DICKSON, E. W., ANGUELOV, Z., VETTERICK, D., ELLER, A. & SINGH, S. 2009. Use of Lean in the Emergency Department: A Case Series of 4 Hospitals. Annals of Emergency Medicine, 54, 504 - 510.

    ESAIN, A. E., WILLIAMS, S. J., GAKHAL, S., CALEY, L. & COOK, M. W. 2012. Healthcare quality improvement - policy implications and practicalities. International Journal of Health Care Quality Assurance, 25, 565 - 581.

    FERRARI, L. R., MICHELI, A., WHITELEY, C., CHAZARO, R. & ZURAKOWSKI, D. 2012. Criteria for assessing operating room utilization in a free-standing children's hospital. Pediatric Anesthesia, 22, 696-706.

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    194
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    University of Huddersfield Repository - IRUS-UK 0 194
Share - Bookmark