We identify, implement and embed effective and sustained change. We specialise in improving productivity and efficiency in operating theatres, across outpatient clinics and throughout patient pathways. We also build bespoke patient pathway level demand & capacity business plan models to design a service for your needs.

Record of success

We have built our reputation on a consistent record of success, including transforming a £5m deficit into a £2m surplus. Whilst creating a 45 per cent increase in cases through operating theatres in a trauma and orthopaedics unit. Our theatre programmes have been delivered in over 30 trusts with over 1000 clinicians signing off our methodology.

Sustainable change

Our whole focus is on creating sustainable change that lasts. The process starts with analysing our client’s detailed operational data down to surgeon/clinician, procedure and theatre/clinic level. Getting clinician buy-in at every stage of the process, resulting in client-led solutions building on robust and credible data.

Holistic process

We stand apart because our process is holistic, covering design, delivery and implementation across the whole hospital and patient pathway. From when the patient is seen in clinic to when they are discharged post surgery our approach looks at every step. Supported by our bespoke tools, it even extends to remote monitoring for ongoing support after the initial implementation is complete. This monitoring and regular reports ensure new procedures are being captured as well as offering early intervention if productivity slips.

Clinical experience

Our team, who have extensive hands-on experience, guide clients every step of the way through the implementation process, standing shoulder-to-shoulder with them as the new processes are embedded, always on hand to explain and adapt where needed. We prioritise strong clinical engagement throughout the programme as we have determined that this is the single most critical factor in creating sustainable efficiencies.



The first step in our process is to undertake credible analysis of client-specific data. This process, which includes identifying any quick wins where increases in productivity and efficiency could be made immediately. These are always validated by experts on the ground.

This is followed by optimised scheduling, which aligns an individual surgeon/clinician performance to potential capacity and looks for improvement opportunities.




The implementation phase sees our experienced clinical and operational delivery leads working hands-on with staff to share knowledge and expertise. They will also target and tackle any operational issues and blockers preventing required productivity improvements. Our approach will help provide pace and strengthen operational grip, in a sustainable way.

Practical tools and techniques are deployed, including Four Eyes Insight’s own solutions, to immediately begin changing practices.


Rapid Change

Our implementation programme is based around results from week one. First on the cards is the realization of quick wins agreed with the clinicians during the analysis. The speed of these programmes are designed to maximize the Full Year Effect. Establishing quick wins with the Trust is an essential part in providing direction and focus,



Following Implementation we can continue to offer arms-length support through remote monitoring of performance, offering regular reports using Four Eyes’ ‘in-session’ productivity approach to highlight performance and progress against the established efficiency improvement targets.

Using Four Eyes Insight’s proven processes and applications mean clients can help translate the significant efficiencies we find into a sustainable reality as well as creating a high ROI.



Is at the core of our business ethos. Whether its through our custom-designed capacity management solutions or a light touch continuous service. Four Eyes strives to provide continued support of operational improvements and future service redesign.