Healthcare Case Studies

Northumbria Healthcare NHS Foundation Trust

Northumbria Healthcare NHS Foundation Trust is committed to a year on year reduction in infections such as MRSA bacteraemia. The trust approached ISRU for support in analysing monthly MRSA data, so that it had an independent forecast of the number of cases expected in the future. ISRU provided consultancy and a workshop for NHS staff that allowed them to; analyse MRSA data through time using statistical software to identify significant statistical improvements in the number of cases of MRSA; create a mechanism based on SPC control charts to monitor performance and forecast the numbers of MRSA cases expected in the future; have a better understanding of statistical analysis techniques relevant in the NHS environment. Further work has involved ISRU developing a bespoke automated tool for analysing and reporting infection rate and infection control performance. A data collation system has been developed that gathers data from clinical areas across the NHS trust and automatically imports the data into a data repository. The analysis component of the tool provides an objective measurement of infection rates and infection control performance, automatically analysing data and producing reports via time periods and clinical area.

AAW NHS Teaching Primary Care Trust

A Lean Six Sigma programme delivered by ISRU allowed AAW NHS Teaching Primary Care Trust to significantly improve patient care pathways and reduce expenditure. A framework of training and ongoing support was provided that addressed organisational change and development issues, in addition to delivering technical tools and methodologies. Members of staff from a wide range of areas and levels within the trust undertook the programme from community nursing staff to the director of corporate management. Projects included: reducing the expenditure on tertiary contracts, reducing the number of delayed discharges in community hospitals, reducing average waiting times to receive drug treatment and extending access times to primary care services. The NHS is beginning to see the power of using Lean Six Sigma in addressing crucial issues and this programme demonstrated the absolute transferability of this approach from industrial to public sector service settings. Throughout the programme there was a demonstrable increase in the Trust’s awareness, understanding and commitment to Lean Six Sigma. The projects successfully highlighted and reduced the cost of poor quality built into their key processes.

NHS Logistics Agency

ISRU provided a health check on NHSLA sampling procedures and recommended a more suitable continuous improvement methodology to replace the overly complicated and outdated acceptance sampling methods previously used. Simple Random Sampling is now undertaken by the organisation more professionally and reliably. Project outcomes allowed the organisation to a) rely upon the sample to provide a true error rate for the population b) reduce claims for credit by being able to compare a claimed error rate in a delivery from a customer with what the sampling methodology predicted c) track and take corrective actions by using the ISRU sampling plan in commodities where higher error rates are expected.


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