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Successfully optimising Theatre productivity and efficiency

We've been working with a large University Hospital in the southeast of England. The initial diagnostic review identified a 28% in-session theatre opportunity to complete additional activity.

Through our theatre programme in T&O, General Surgery, Urology, ENT, Max Fax and Gynaecology we have focused on rapidly increasing in-session productivity and efficiency across the Trusts theatre provision.

  • Quick wins

    The first step was to take our analysis of underutilised lists, focusing on late starts, significant intercase downtime and early finishes. This enabled a rapid increase in productivity across these theatre sessions without changing clinical practice. Once this was in place it was imperative that the Trust improve its ability to fill operating lists at short notice. The Four Eyes team then ensured the processes were in place so patients were ready to be brought forward, minimising list downtime due to short term cancellations.

  • Achievements

    The programme has successfully optimised and sustained theatre productivity and efficiency, including significantly increasing the average cases per list, as well as achieving a sustainable reduction in on-day cancellations.

    The Trust were keen to focus on using the productivity improvements to drive additional activity during 2015/16. The programme has released the capacity for the Trust to progress to implement theatre closures, drawing down of actual capacity, which forms a key part of the Trust’s 2016/17 CIP programme.

  • Financial impact

    The performance that the programme has delivered has been sustained over the course of the financial year. The theatre programme has delivered a £1.9m benefit overall and will secure a significant year end position above contract levels.

  • Sustainability

    This programme was the perfect illustration of how Four Eyes looks at all aspects of the patient’s surgical pathway. Embedding our applications within scheduling and booking processes, targeting surgical flow, including pre-assessment capacity and performance, engaging clinicians and establishing operation rigour. Our work continues with the Trust in building bespoke demand and capacity models and maximising clinical workforce productivity.