Making time in general practice

"This report was commissioned by NHS England as part of this wider work to deliver the NEW Deal, strengthening primary care and releasing capacity to introduce new care models."

Making time in general practice
H Clay, R Stern
NHS Alliance
October 2015

Read more here.

The performative dynamics of lean management theory

"...we investigate the case of the Québec public health care system, where a managerial theory – that of “lean management” – has recently emerged, gained saliency and become dominant in 
organizational practice."

Saying what you do and doing what you say: the performative dynamics of lean management theory
V Sergi, M Lusiani, A Langley, JL Denis
Universita Ca'Foscari Venezia
December 2013

Read more here.

How to get better value health care for patients

"The available evidence indicates a range of opportunities to make significant recurrent productivity gains across the NHS by 2021 and beyond."

Closing the NHS funding gap: how to get better value health care for patients
Monitor
October 2013

Read more here.

Read a summary from the Commissioning Elf here.

Continuous quality improvement

"Shared governance and continuous quality improvement (CQI) are concepts that have been re-introduced into the healthcare sector over recent decades through several iterations for the purpose of empowering point-of-care staff."

Continuous quality improvement: a shared governance model that maximizes agent-specific knowledge
V Burkosi, J Yoon
Nursing Leadership, 26 (Special Issue) May 2013: 7-16

Read more here.

Lean management also improves primary care

"The management principles used to improve quality and efficiency at Toyota Motor Corp. and other manufacturers also are linked to better delivery of cardiac care and lower death rates from heart attacks, according to research that demonstrates for the first time how well the so-called lean production system functions across a wide swath of U.S. hospitals."

Cardiac treatment improves after taking page from Toyota playbook
KB O'Reilly
American Medical News
April 2013

Read more here.

Service improvement in blood sciences

"The vision for the NHS pathology services puts patients first by providing services which are:

• clinically excellent;
• responsive to users;
• cost effective; and
• integrated."

Service improvement in blood sciences: how to improve quality, delivery and efficiency for laboratory providers and their customers
NHS Improvement - Diagnostics
January 2013

Read more here.

How does lean work in emergency care?

"Improvements in waiting and lead times (19-24%) were achieved and sustained in the two years following lean-inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem solving."

How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren
Children's Hospital, Stockholm, Sweden
P Mazzocato, RJ Holden, M Brommels, H Aronsson, U Backman, M Elg, J Thor
BMC Health Services Research, 2012, 12:28

Read more here.

How does lean work in emergency care?

"Improvements in waiting and lead times (19-24%) were achieved and sustained in the two years following lean-inspired changes to employee roles, staffing and scheduling, communication and coordination, expertise, workspace layout, and problem solving."

How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Children’s Hospital, Stockholm, Sweden
P Mazzocato, RJ Holden, M Brommels, H Aronsson, U Backman, M Elg, J Thor
BMC Health Services Research, 2012, 12:28

Read more here.