Here are real world examples of solutions delivered by our team members:
An A&E department
We improved their 4-hour KPI from 87% to 94% in a month by understanding how to avoid unnecessary waits and improving staff rotas.
Fractured Neck of Femur CQUIN
The CQUIN encourages rapid integrated care with surgery in less than 24 hours involving both orthopaedic and gerontology care. Hitting the goals required an analysis of workflows and interviews with staff. The evidence based reworked processes and rotas delivered significantly improved KPI performance to above the national standard. Reducing LoS and costs as well as delivering very significantly improved patient outcomes.
Medical and Nursing Agency spend
The arrival of IR35 and staff shortages led to an unplanned spend of more than £10m a year.
This was a project with a great many strands to it. The data piece had struggled to find a reliable data source. The solution was to use the invoices in the financial ledgers linked, using modern data tools to other more expected data sources. The findings were able to highlight a range of changes required to the recruitment and the agency spend processes. There were a range of examples of quite wide variation in approach that were not conducive to best value to delivering staff availability. The unplanned spend was significantly reduced and the agency process streamlined. A better outcome at a lower cost.
Portering impacts on A&E and LoS
Portering was unreliable and creating issues in A&E and across the discharge process with inevitable knock-on effects and raising levels of friction between staff. An analysis of previously unconsidered data in an Access 2000 database was used. The database was a low-level, aging, in-house development of about 15 years previously. The evidence of the data clearly supported the porters’ contentions about the effects of budget restrictions and changes in workload. The solution was to recognise the changing workload and fund and organise accordingly.