Case Study

Four Eyes Insight and Walsall Healthcare NHS Trust collaborated on a 10-week Endoscopy Programme that was split into two phases (1) diagnostic and (2) implementation, supporting the following workstreams:

1.Pre-Assessment

2.Scheduling, capacity, and session/list productivity

3.Managing the flow of the Endoscopy Unit

Objectives of the programme included:

• To reduce unwarranted variation and benchmark practices with other endoscopy services
• To review productivity data and performance.
• Support operational grip and control across endoscopy including booking processes
• Support flow within the endoscopy service ensuring compliance with JAG standards
• Provide SME and JAG support

The service had several vulnerable areas that needed addressing, including patient pathway/flow within the unit; Pre-Assessment model and delivery; workforce competence and training; data provision, quality and performance monitoring and more.

To drive improvements and understand where the benefits lie, FEI supported the Trust to address vulnerable areas and help them on their way to JAG accreditation.

Results

The anticipated benefits for endoscopy pre-assessment, include:

• Estimated 20% reduction in patient cancellations
• 5% increase in activity from improved planning procedures that optimise funded capacity
• Increased capacity and slots to meet service demand
• Increased list utilisation and management
• Optimisations of pathways
• Increasing alternative pathways
• Anticipated reduction in OTD cancellations.

In addition, FEI supported the team in gaining JAG accreditation.

“Thank you for your feedback and support in achieving JAG, we couldnt have done it without you!” Clinical Lead, Walsall Healthcare NHS Trust