The dissemination and implementation of strategic Lean thinking and decision making optimisation within the NHS

该项目旨在通过优化NHS内的决策过程来传播精益思想的实施。自2007年以来，三个知识转移伙伴关系（KTP 1717，7352和7698）已经在布拉德福德和Airedale初级保健信托基金（PCT）和曼彻斯特商学院（MBS）之间进行，这使得该组织能够实现大量的成本节约。通过这些计划，实施精益思想和优化决策过程得到了发展--首先是提高PCT后勤资产利用的有效性和效率，其次是设计一个支持PCT战略发展和部署的框架，第三是支持新的医疗基础设施的发展。通过进一步传播从这三个KTP项目中积累的知识，相信初级保健信托基金（PCT）和全科医生（GP）临床调试小组（CCG）可以实现大量的成本节约和改进。例如，通过重新设计和优化信托的运输系统和物流资产管理，PCT每年能够节省超过28万英镑。此外，平衡计分卡和其他战略工具的引入大大改善了不同单位之间以及委托和提供商部门之间的战略协调。最后，通过部分精益实施，基础设施开发周期时间减少了18%，相关成本减少了7.35% -这些都是通过规划和设计决策过程实现的。我们知道，在任何时候都有三到七个基础设施开发项目由不同的信托公司进行，通过集中更多的资源和改变规划，设计和管理阶段，每个信托公司可以节省1，500，000英镑到3，500，000英镑的平均总成本。因此，在当前的重组环境中，责任正在从PCT转移到CCG，我们认为传播最佳实践和积累的知识是挑战现状和修改流程的机会，使用精益思想实现资源的合理化和优化。Bradford和Airedale Primary Care Trust（PCT）将提供50%的共同资金。其中一半（项目总额的25%）是直接捐助（即现金或借调工作人员）。剩下的一半（项目总额的25%）将是间接（“实物”）贡献--使用设施/设备或工作人员时间。为了实现我们提案中所述的目标和目的，研究人员制定了一项连贯而有力的传播战略。我们将从以前的KTP方案中收集整理经验，并与多个利益攸关方一起计划通过以下方式积极传播：关于改进主题、工具和技术的播客;从业人员的视频;带音频旁白的PowerPoint演示; ECCH教育和培训案例研究（见www.ecch.com）;在多个主办大学的客座讲座;会议出版物;研究研讨会;材料托管在哈德斯菲尔德大学商学院网页上。通过挑战他们目前的后勤资产管理和运输系统，他们的战略部署机制和基础设施发展过程，NHS将通过规范决策过程，增加创新和降低成本来提高效率和有效性。该项目将对NHS患者产生影响。请参阅支持文件。

This project is aimed at disseminating the implementation of Lean thinking through the optimisation of decision making processes within the NHS. Since 2007, three Knowledge Transfer Partnerships (KTPs 1717, 7352, and 7698) have been undertaken between Bradford and Airedale Primary Care Trust (PCT) and Manchester Business School (MBS), which have enabled the organisation to achieve substantial cost savings. Implementing Lean thinking and optimising the decision making processes have been developed through these programmes - first to improve the effectiveness and efficiency of the utilisation of the PCT's logistical assets, second to design a framework supporting the development and deployment of the PCT strategy, and third to support the development of new healthcare infrastructure. By further disseminating the knowledge accumulated from these three KTP projects it is believed that substantial cost saving and improvement can be realised by Primary Care Trusts (PCTs) and General Practitioner (GP) Clinical Commissioning Groups (CCGs). For example, by redesigning and optimising the trust's transport system and logistical assets management the PCT was able to save in excess of £280,000 per year. Moreover, the introduction of the Balanced Scorecard and other strategic tools significantly improved the strategy alignment between the different units as well as between the commissioning and provider arms. Finally, with the partial Lean implementation, the infrastructure development cycle time was reduced by up to 18% and the associated costs by 7.35% - these through the planning and design decision making processes. Knowing that between three and seven infrastructure developments are being undertaken by different Trusts at any one time, there is a substantial gross average cost saving between £1,500,000 and £3,500,000 per Trust that could be generated by focusing more resources and transforming the planning, design and management phases. Hence, in the current restructuring environment where responsibilities are being transferred from the PCTs to the CCGs, we believe that disseminating best practice and the accumulated knowledge is an opportunity to challenge the status-quo and revise processes, working toward the rationalisation and optimisation of resources using Lean thinking.Bradford and Airedale Primary Care Trust (PCT) will provide 50 per cent co-funding. Of which half (25 per cent of the total project) is a direct contribution (i.e. cash or secondment of staff. The remaining half (25 per cent of the total project) will be an indirect ('in kind') contribution - access to facilities/equipment or staff time.In order to meet the aims and objectives stated in our proposal, the researchers have developed a coherent and robust dissemination strategy. We will take the collated experiences from the previous KTP programmes and, with the multiple stakeholders plan the active dissemination through, for example: Podcasts of improvement topics, tools and techniques; videos of practitioners; PowerPoint presentations with audio voiceover; ECCH Case Studies for education and training purposes (see www.ecch.com); guest lectures at multiple host universities; conference publications; research seminars; materials hosted on the University of Huddersfield, Business School web pages. By challenging their current logistical assets management and transportation systems, their strategies deployment mechanisms and their infrastructure development processes, the NHS will gain efficiency and effectiveness through regulating decision making processes, increasing innovation and reducing costs. This project will make a difference to the NHS patients. Please see the supporting documents.