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Building a Business Case for Lean
John Darlington (LERC) & Marie Jones (Child Protection)
Acknowledgement to Goldratt & Fox and Dan Jones & John Bicheno
The Thinking behind Flow Accounting
top
tens
fifties
hundreds
thousands
ā€¢ Most large organisations adopt this sort of structure
ā€¢ It is based upon the valid premise that one person can only manage
between 5-15 direct reports effectively
ā€¢ Splitting things up in an attempt to deal with ā€œcomplexityā€
ā€¦ā€¦..ā€And Moses chose able men out of all Israel
and made them heads over the people, rulers of
thousands, rulers of hundreds, rulers of fifties
and rulers of tensā€
Exodus 18:25
The Thinking behind Flow Accounting
ā€¢ Historically the above structure was adopted by the Church and
Army but using different means.
ā€¢ Now despite the massive growth towards globalised manufacturing
organisations and growth in size and volume of service
organisations the basic pyramid shape is the same
ā€¢ Not every part of the organisation adheres to the extended pyramid
of the diagram; support functions do not for instance
ā€¢ So we get ā€œline managersā€ and ā€œstaff or functional managersā€
top
tens
fifties
hundreds
thousands
The Thinking behind Flow Accounting
ā€¢ To work well every organisation relies on the FLOW of information
down and up itā€™s structure. Note we call this information not data
because it is ā€œfilteredā€ at every level by the managers; ā€œGive me an
executive summaryā€
ā€¢ Only the magnitude of the decision distinguishes managers
ā€¢ And here lies a potential flaw; can a local manager make a decision
with a viewpoint of the entire organisation? Does she or he have
such extensive knowledge?
ā€¢ Another way of putting it is whether the CEO would make the same
decision if they were substituted for a middle manager?
Information
flow
Information
flow
top
tens
fifties
hundreds
thousands
The Thinking behind Flow Accounting
Performance
Measures
ā€¢ To judge whether our manager is effective and their department is run well we
develop policies for them, which when quantified deserve the title
ā€œmeasurementsā€.
ā€¢ The dilemma we create in doing this is that the local manager tries to optimise
what they can control, her or his local system.
ā€¢ And this begs the question ā€œare the sum of the local optima the same as the
optima of the whole?ā€
ā€¢ Most people see that the trying to optimise parts of the whole is NOT the same
as trying to optimise the whole
top
tens
fifties
hundreds
thousands
The Thinking behind Flow Accounting
ā€¢ The key information a local manager needs to contribute positively to the whole
is associated with the limitations of the organisation. Itā€™s constraints to
achieving itā€™s goal.
ā€¢ Fortunately there are relatively few constraints limiting a business achieving itā€™s
purpose. We can prove this later but for the purposes of describing the
objective of flow accounting it is sufficient that we acknowledge the existence
of few constraintsā€¦. Pareto does exist
Performance
How well did we do?
Measures
Policy
top
tens
fifties
hundreds
thousands
The Thinking behind Flow Accounting
ā€¢ So Flow Accounting emphasises the ā€œwholeā€ and the interaction of the parts.
ā€¢ It tries to always encompass the boundary walls of the organisation because
that is the only place real money changes hands.
ā€¢ Sub systems must understand how they can contribute positively to the goal of
the whole organisation. And not be fooled into some local cosmetic
optimisation.
ā€¢ So the challenge for the design of a systematic approach is to identify the few
constraints to the goal for the organisation and develop measurements that
allow local managers and other employees to contribute in a positive way.
top
tens
fifties
hundreds
thousands
More Successful
Financial Accounting
Less Successful
Management Accounting
Two Uses of Accounting data
Accounting data
Statutory
Law based
Inventory
< of cost or
market value
Product cost
Management
Preference
based
Days inventory
Schedule
adherence
Flow
Accounting
Lean Accounting
Structure of the Flow Accounting Process
ā€¢Financially quantified current state
ā€¢ Testing cause and effect analysis
Value Flow Mapping -
a diagnosis of the
Current State
Value Flow Accounting
& Decision Making
Value Flow
Performance Measures
Data Acquisition
Structure & Modelling
Quantitative financial assessment of the initial future state
Tackle the
whole in one
Break down into
chunks
Clarification of the financial consequences of the current state
Demand Analysis Inventory Analysis Capacity AnalysisPolicy Analysis People
Measures (Simultaneously)
NPNet Profit
UP
CFCash Flow
UP
ROIReturn on
Investment
UP
TThroughput
UP
IInventory
DOWN
OEOperating
Expense
DOWN
?
Boundary measures
T
Ā£
O.E Ā£ā€™s
Ā£
I
Understand control at the
Plant walls:-
Real cash flow
Real costs
A Case Study example ā€œItā€™s too expensive to stopā€
Control
Cooled
Heat
Treatment
Finish ā€“
North Line
Finish ā€“
South Line
Joy
Mining Line
Die Shop
Cutting
Induction
Heating
Forge
Shotblast
Shotblast
Con. Cooled Ā£000ā€™s
Sales 9263
Material costs(4179)
Throughput 5084
Heat Treated Ā£000ā€™s
Sales 2738
Material costs(1023)
Throughput 1715
RM
30.8d
3.9d
1.5d
11.4d
19.2d
4.5d
9.6d
5.3d
5.2d
24.5d
Fgds
1.8d
Fgds
1.3d
Fgds
15.7d
Overheads Ā£3048k
Ā£2255k
Ā£366k
Ā£628k
What about looking at the inventory lead times by the
distinctive value streams (June results)
Raw material
28.07 days
Finished goods
11.01 days
Work in Progress
33.85 days
CC OTIF
90% by
week
HT OTIF
72% by
week
Value Flow Mapping Forging Business (local
ā€œefficiencyā€ gone mad in the name of ā€œunit costā€)
Measure of Improvement
Manufacturing Lead Time as Measured by Days Inventory in WIP
28.1
29.0
26.3
29.1
18.4
20.1 20.0
22.9
16.7
13.0
8.9
12.4
14.6
9.0
7.8
0
5,000
10,000
15,000
20,000
Period
No.ofPieces
0
5
10
15
20
25
30
35
Days
Closing WIP (Pcs) 10409113441250712693 8812 9360 7336 8739 7633 6781 6159 5136 7352 4945 4207
Sales (Pcs) 111071174814275130851440113945110101144013700156002075912476151041647316216
WIP Days 28.1 29.0 26.3 29.1 18.4 20.1 20.0 22.9 16.7 13.0 8.9 12.4 14.6 9.0 7.8
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
`
Castings &
Forgings
RM
35
days
Nuts & Bolts
RM
10
days
Composite
Raw Materials
RM
10
days
GOODS
INWARDS
RM
2.4
days
WIP
49.32
days
$ 24,732 K
AAB FINAL ASSY
CRJ700/ 900 NAC ($4649K/ 8)
GX TAILCONE/ SLATS ($2021K/ 8)
DASH 8 NAC /FLIGHTS ($698K/ 3)
OTHER NAC ($1644K/ 7)
OE = $1301K
QI MAIN FACTORY
CL 604 MID FUSE ($2571K/ 3)
RJ & CL604 NAC ($2338K/ 8)
CRJ700 FUSE/ FLIGHTS ($3024K/ 1)
CRJ900 FUSE/ FLIGHTS ($8341K/ 3)
DASH 8 FUSE ($5897K/ 6)
GX FUSE/ FLIGHTS ($6565K/ 3)
GX TAILCONE/SLATS ($2021K/ 8)
GLOBAL 5000 ($1911K/ 1)
LEAR 40 ($1893K/ 1)
LEAR 45 ($6581K/ 3)
CONTINENTAL FUSE ($2355K/ 3)
RJ 200 FUSE ($925K/ 1)
RJ 200 FWD FUSE ($208K/ 1)
OTHER NAC ($1644K/ 7)
AUBURN ($400K/ ?)
061100 NIMROD (Ā£0K/ 0)
OE = $4689K
COMPOSITES
V2500 NAC ($6095K/ 23)
BR710 PODDING ($4526K/ 14)
BOEING RUDDER ($1099K/ 8)
OE = $829K
FABRICATIONS
WIP
26.3 days
$ 1,169 K
[76]
HAWLMARK
(Sheet Metal)
OE = $1734K
All Contracts
SUB ASSYWIP
36.22
days
$ 2,611 K
All
Contracts
All ContractsWIP
22.73
days
$ 1,599 K
[04]
METAL BOND
(Panels)
OE = $1249K
WIP
20.55
days
$ 832 K
[29]
MACHINE SHOP
OE = $475K
[44/50/51]
SYSTEMSWIP
45.28
days
$ 709 K
OE = $463K
[06/90]
COMPOSITE
FABS
OE = $2239K
WIP
47.09
days
$ 2,951 K
WIP
42.91
days
$ 452 K
[08]
ELECTRICAL
OE = $203K
FINAL ASSY. (Contracts)RAW MATERIAL
Value Flow Mapping
Large Aerospaceā€¦ (ā€œkeep ā€˜em busyā€ Syndrome)
Relationship of Hours Worked to
Manufacturing Lead Time
Relationship between Factory Hours and Work in Progress
9,324
9,790
10,723
8,858
10,256
9,324
500,000
700,000
900,000
1,100,000
1,300,000
1,500,000
1,700,000
Ā£000's
0
2,000
4,000
6,000
8,000
10,000
12,000
HOURS
Working Inventory 1,468,386 1,425,597 1,519,449 1,385,284 1,468,457 1,444,057
Factory Hrs 9,324 9,790 10,723 8,858 10,256 9,324
Jan Feb Mar Apr May Jun
R
Warehouse
GB
88
days
CE
100
days
GJ
0
days
VO
62
days
LG
46
days
WL
42-187
days
EXTā€™RNā€™L
112-
343
days
SS
42-257
days
A
Welding Cell
R
Assembly Cell
Freight
Services
8 times
per day
O
62
days
191259
Sales $367k
Mat Cost $(244)k
Throughput $123k
101260
Sales $449k
Mat Cost $(299)k
Throughput 150k
101261
Sales $245k
Mat Cost $(161)k
Throughput $83k
?
days
?
days
?
days
?
days
34
days
0 days
27
days
0-15
days
0-25
days
8 days
0-10
days
3-169
days
13
days
23
days
7
days
OE $157k
OE $94k*
OE
$128k*
OE $150k*
Value Flow Mapping
Automotive Machining & Assemblyā€¦ (protracted
and self inflicted)
52 days
493 days
Pareto Existsā€¦ā€¦ā€¦ā€¦. Use it!
Key Drivers Sensitivity Analysis
P&L Actual 2010
Eur000ā€™s
A 5% Change for better effects the bottom line
by: -
Sales 30899
Material Cost 11810
Throughput 19089
Labour 6387
Staff 2967
Depreciation 1566
Energy 1438
Purch Servs 1181
Freight 1090
Consumables 1029
Maintenance 748
Other variable 652
Toolcrib 495
Loss prevention 373
Op Profit/(Loss) 1163
The reason
why new
product
introduction is
so important
There is a
volume
dimension to
most
businesses
How can
people claim
bigger batches
are cheaper?
Relationship of Sales to MLT
Relationship between Sales and Manufacturing Lead Time
34.94
34.22
34.83
35.17
36.43
33.85
0
200000
400000
600000
800000
1000000
1200000
Ā£000's
30.00
31.00
32.00
33.00
34.00
35.00
36.00
37.00
Days
Smoothed Sales 846293 1037974 1021344 1000231 876990 1067380
Smoothed MLT in Days 34.94 34.22 34.83 35.17 36.43 33.85
Jan Feb Mar Apr May Jun
ā€¢ June End Inventory of Ā£1.4 million
Working Capital Relationships Current State
Finance Days
63
Payables Days
60
Inventory Pipeline in Days
Raw WIP Fin Gds
28 34 11
Debtor Days
50
So what conclusions can we come to?
ā€¢ We do not need a lot of accounting data to show the FINANCIAL CONSEQUENCES of
how we run our organisations today
ā€¢ Making this simple accounting information as visual as possible opens up the
possibility of people being better placed to make a contribution
ā€¢ The current propensity to try and drive cost accounting down to the shop-floor level
looks misguided in the light of the opportunities illustrated by Flow Accounting
Value Flow Mapping
ā€¢ What is needed first are POLICY changes; only senior people can do this.
ā€¢ The lowest common denominators are TIME and MONEY but though closely aligned
these are NOT the same.
ā€¢ Driving for lead time compression is at the heart of Flow Accounting.
A thought on ā€œadvancesā€ in accounting thinking
To name a thing is gratifyingā€¦ā€¦ā€¦.but it is also dangerous: the danger
consists of oneā€™s becoming convinced that all is taken care of and that once
named the phenomenon has also been explained. (Primo Levi Other
Peopleā€™s Trades)
A Flow Accounting Case Study
Childrenā€™s Social Services
Marie Jones
Operations Manager ā€“ Business & Performance
Children & Families Services
Conwy County Borough Council
Research Project
ā€¢ Lean MSc 2010 Cardiff University (LERC)
ā€¢ It was NOT an evaluation of social work practice
ā€¢ The earlier commissioning study had been
conducted which over a 2 yr period had:-
ā€“ Established a service picture and stakeholder views.
ā€“ Evaluated service compatibility
ā€“ Studied the effectiveness of interventions
Service Context
The Corporate Spending
Gap:-
Children Services Budget represents 5% of LA revenue
ā€¢ Reduced Settlements
ā€¢ Caps on local taxation
ā€¢ Reduced income
ā€¢ Redistribution of Grants
Service Context
Operational Challenges:-
ļ‚§ The regulatory framework.
ļ‚§ Serious case investigations
ļ‚§ Centrally imposed operational framework
(Integrated Children System).
ļ‚§ IT system for case recording & workflow
Service Context
Operational Challenges:-
ļ‚§ Culture of continuous change (but not improvement)
ļ‚§ Declining performance
ļ‚§ Increasing expenditure
?? Flow Accounting ??
ā€¢ Accounting practices
ā€“ Cash limited budget, principle that the service can
only manage what it can control.
ā€¢ Organisational measure would not be profit
ā€¦ the budget is a necessary operating condition.
ā€¢ No obvious production machinery
ā€¦. but the ICS is a flow system
Terminology:
Throughput ?
The rate the
organisational goal is
achieved.......
ā€œ to safe guard and
protect the welfare of
vulnerable children
and their families
through reducing
vulnerability,
increasing resilience
and managing riskā€.
Terminology
Inventory?
ā€¢ All the money tied up in the
things it intends to sell.
ā€¦..all the children & families
waiting for somethingā€¦.
Operating Expense ?
ā€¢ All the money going out of
the organisation.
ā€¦..the service expenditureā€¦
Constructing the Value Flow Map
Shared Process
Contact/Referral
Shared
Process
Initial
Assessment
Children with
Disability
Assess and
Plan Transfer to
Adult services
Close
Shared Process
Review
Child in
Need
Plan
Shared Process
Review
Retain Short
Term
Transfer to Long
Term Team
Core
Assessment
Transition to
Adult services
Closure
Shared Process
Review
Child
Protection Retain Short
Term
Transfer to Long
Term Team
Shared Process
Review
Shared Process
Conference Plan
Shared Process
ReviewS47
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Children with
Disability
Looked After
Child
Independent
Living
Plan
Shared Process
Review
Retain Short
Term
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Court Work
Return home
Child in Need
Adoption
Permanent Care
Transition to
Leaving Care
Children with
Disability
Analysing Demand
Contact Demand = 6387, but this was 2836 children.
Analysing Demand
Shared Process
Contact/Referral
Shared
Process Initial
Assessment
Children with
Disability
Assess and
Plan Transfer to
Adult services
Close
Shared Process
Review
Child in
Need
Plan
Shared Process
Review
Retain Short
Term
Transfer to Long
Term Team
Core
Assessment
Transition to
Adult services
Closure
Shared Process
Review
Child
Protection Retain Short
Term
Transfer to Long
Term Team
Shared Process
Review
Shared Process
Conference Plan
Shared Process
ReviewS47
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Children with
Disability
Looked After
Child
Independent
Living
Plan
Shared Process
Review
Retain Short
Term
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Court Work
Return home
Child in Need
Adoption
Permanent Care
Transition to
Leaving Care
Children with
Disability
All Demand
= 7112
Contact =
6387
Referral 725
725
475
345
85 73 169IA = 7
days
40.2%
(179/475
Avg 32
days
Decision in
1 working
day
59%
428/725
Inventory Analysis
How to identify?
ā€“ Follow the procedural workflow of ICS
ā€“ Work waiting at decision points or tasks would
become apparent.
Low levels of data being reported
ā€“ No confidence in the reports
ā€¢ ? Technical error or under-reporting
Analysing Demand
Shared Process
Contact/Referral
Shared
Process Initial
Assessment
Children with
Disability
Assess and
Plan Transfer to
Adult services
Close
Shared Process
Review
Child in
Need
Plan
Shared Process
Review
Retain Short
Term
Transfer to Long
Term Team
Core
Assessment
Transition to
Adult services
Closure
Shared Process
Review
Child
Protection Retain Short
Term
Transfer to Long
Term Team
Shared Process
Review
Shared Process
Conference Plan
Shared Process
ReviewS47
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Children with
Disability
Looked After
Child
Independent
Living
Plan
Shared Process
Review
Retain Short
Term
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Court Work
Return home
Child in Need
Adoption
Permanent Care
Transition to
Leaving Care
Children with
Disability
All Demand
= 7112
Contact =
6387
Referral 725
725
475
345
85 73 169
Short
Term
Long
Term
CWD
Decision in
1 working
day
59%
428/725
IA = 7
days
40.2%
(179/475
Avg 32
days
170
146
1
43
7
4
158
4
184
Operating Expense
Shared Process
Contact/Referral
Shared
Process Initial
Assessment
Children with
Disability
Assess and
Plan Transfer to
Adult services
Close
Shared Process
Review
Child in
Need
Plan
Shared Process
Review
Retain Short
Term
Transfer to Long
Term Team
Core
Assessment
Transition to
Adult services
Closure
Shared Process
Review
Child
Protection Retain Short
Term
Transfer to Long
Term Team
Shared Process
Review
Shared Process
Conference Plan
Shared Process
ReviewS47
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Children with
Disability
Looked After
Child
Independent
Living
Plan
Shared Process
Review
Retain Short
Term
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Court Work
Return home
Child in Need
Adoption
Permanent Care
Transition to
Leaving Care
Children with
Disability
All Demand
= 7112
Contact =
6387
Referral 725
725
475
345
85 73 169
170
146
1
43
7
4
158
Short term
Ā£449,397
Long Term
Ā£1,052,991
Dedicated CWD Ā£1,558,471
Decision in
1 working
day
59%
428/725
IA = 7
days
40.2%
(179/475
Avg 32
days
Dedicated CP Ā£80,470
Dedicated LAC Ā£5,420,105
184
Shared Process
Contact/Referral
Shared
Process Initial
Assessment
Children with
Disability
Assess and
Plan Transfer to
Adult services
Close
Shared Process
Review
Child in
Need
Plan
Shared Process
Review
Retain Short
Term
Transfer to Long
Term Team
Core
Assessment
Transition to
Adult services
Closure
Shared Process
Review
Child
Protection Retain Short
Term
Transfer to Long
Term Team
Shared Process
Review
Shared Process
Conference Plan
Shared Process
ReviewS47
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Children with
Disability
Looked After
Child
Independent
Living
Plan
Shared Process
Review
Retain Short
Term
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Court Work
Return home
Child in Need
Adoption
Permanent Care
Transition to
Leaving Care
Children with
Disability
All Demand
= 7112
Contact =
6387
Referral 725
725
475
345
85 73 169
170
146
1
43
7
4
158
Short term
Ā£449,397
Long Term
Ā£1,052,991
Dedicated CWD Ā£1,558,471
Decision in
1 working
day
59%
428/725
IA = 7
days
40.2%
(179/475
Avg 32
days
Dedicated CP Ā£80,470
Dedicated LAC
Ā£5,420,105
Shared Service Resources Ā£1,274,253 Overhead Costs Ā£1,558,471
184
What did it tell us?
INVENTORY
TOTAL 717
CIN TOTAL 500
CWDS 170
ST 184
LT 146
CP TOTAL 48
CWDS 1
ST 4
LT 43
LAC TOTAL 169
CWDS 4
ST 7
LT 158
OPERATING EXPENSE
TOTAL Ā£10,853,648
OVERHEAD Ā£1,558,471
SHARED
RESOURCES
Ā£1,274,253
CWDs Ā£1,017,961
SHORT-
TERM
Ā£449,397
CP Ā£80,470
LONG-TERM Ā£1,052,991
LAC Ā£5,420,105
THROUGHPUT
All Demand 7112
C=6387
R= 725
Referral
Decisions
428/725 (59%)
made in one
working day
Initial
Assessment
179/475
(40.2%)
complete within
7 working days
32 days average
Stage 2: Detailed work
ICS system map
ā€“ To understand the complaints of a burdensome
system
ā€¢ To distinguish between the requirements of ICS and
local requirements
ā€¢ Assess the statutory fit of National Indicators
Traditional Process Mapping
Findings
ā€¢ Retention/delay of cases at the ā€œcontactā€ stage
ā€¢ Skill mix and specialist Case Holders in Assessment
Team reduced assessment capacity.
ā€¢ Distinction between gathering information and
beginning the assessment process
ā€¢ High levels of Child Protection investigation but much
lower levels of conferencing
Relevance to the system?
1. Levels of the Eligibility Criteria
2. CP referrals do not require consent
3. Supported joint investigation by the police
Variation
252219161310741
50
0
-50
Assessment
WorkingDays
_
X=22.7
UCL=78.6
LCL=-33.3
252219161310741
60
45
30
15
0
Observation
MovingRange
__
MR=21.04
UCL=68.74
LCL=0
Timeliness of Initial Assessments (June 2009)
Type of Variation:
ā€¢ Request
ā€¢ Effort
ā€¢ Ability
ā€¢ Preference
Capacity
ā€“ Availability of the IT system
ā€“ Assessment capacity
ā€“ Authorisation capacity
Inventory
ā€“ Raw data
ā€“ Client waiting
ā€“ Completed record & storage.
What did we do about it?
Triangulation of knowledge....
ā€“ Findings from Commissioning Study
ā€“ Findings from Detailed mapping
ā€“ Work with practice specialists for professional
development
Formed the basis of a Business Case for service
development
Understand Customer Value
ā€¢ Commissioning Study provided insight into
Customer views and experiences.
ā€¢ Inspection by regulators set out the expected
results & compliance requirements
ā€¢ Case Audit by practitioners provided insight
into levels of achievement
Manage the constraint
ā€¢ Fieldwork restructuring Grouped Social Workers into
PODS by case need/skill set:-
ā€“ to increase assessment capacity
ā€“ increase case-holding capacity (reduced caseloads)
ā€¢ Increased the ratio of Senior Practitioners to Case
Holders to :-
ā€“ Increase decision making capacity
ā€“ Focus on mentoring, risk and case management support
ā€¢ Improvements to IT systems & User skills
Align Capacity with Demand
ā€¢ Fieldwork re-structure:
ā€“ Increased case-holding capacity allowed
redistribution of cases to achieve reduced
individual case loads.
ā€“ Built in ā€œdown-timeā€ for Front Door Assessment
Teams
ā€“ Removed specialist case holders from Assessment
Teams to increase case allocation opportunities.
Manage Inventory
& Compress Time
ā€¢ Data clean up / catch up
ā€¢ Head of Service led practice forums to monitor work in progress.
ā€¢ Refinement of monitoring / measures reporting
ā€¢ Relaxation of Assessment timescales
ā€¢ Devolvement of the scheme of delegation (in-part)
ā€¢ Eradication of spreadsheets/manual monitoring mechanisms to maximise
utilisation of IT system
ā€¢ Practice forums with partner agencies to conduct case audit of referrals.
Create Flow: Pull
ā€¢ Practice Developments:-
ā€“ Practice Development Programme with Child Care Experts
ā€“ Development and use of Analysis Framework Tools
ā€“ Review of Case Transfer procedure
ā€“ Specialist POD for Children in permanent care focus on
post care independence
ā€“ Redefining managerial boundaries across care pathways
ā€¢ Expansion of the case-tracker effectiveness tool for
Resource Teams
12 months on......
ā€¢ Case numbers are the lowest they have ever
been.
ā€¢ The number of Assessment has increased and
timescale for completion has remained stable
37332925211713951
15
10
5
0
-5
A ssessment
WorkingDays
_
X=4.08
UC L=14.65
LC L=-6.49
37332925211713951
12
9
6
3
0
Observation
MovingRange
__
MR=3.97
UC L=12.98
LC L=0
1
Timeliness of Initial Assessments (June 2010)
What did it tell us?
INVENTORY
TOTAL 638
CIN TOTAL 429
CWDS 156
ST 137
LT 136
CP TOTAL 42
CWDS 6
ST 2
LT 34
LAC TOTAL 167
CWDS 4
ST 5
LT 159
OPERATING
EXPENSE
TOTAL Ā£11,430,697
OVERHEAD Ā£1,551,610
SHARED
RESOURCES
Ā£1,343,442
CWDs Ā£1,088,768
SHORT-
TERM
Ā£502,231
CP Ā£93,094
LONG-TERM Ā£947,268
LAC Ā£5,904,284
? THROUGHPUT
All Demand 7773
C= 7084
R= 689
Referral
Decisions
662/689 (96%)
made in one
working day
Initial
Assessment
344/525
(65.5%)
complete within
7 working days
16 days average
Maintaining Flow
ā€¢ Further changes to assessment processes,
timescales and case management would take the
service outside of compliance requirements (doing
the wrong thing righter)
ā€¢ The work so far has focused only on one type of
assessment and is not the full picture.
ā€¢ Focus has shifted as care costs continue to rise
despite fewer children entering the care system and
increased numbers leaving care...nights in care
continues to go up.
How did Flow Accounting help?
ā€¢ The Flow Map provided an image that depicted high level
care pathways, their interdependencies and financial
implications.
ā€¢ Challenged understanding of demand and capacity but
most importantly throughput.
- Discussion point highlighted by the Commissioning Study took on
new relevance
ā€¢ Exposed the hidden Work in Progress
ā€¢ Challenged effectiveness of business support mechanisms
such as performance reporting/measures and financial
processes

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Building a Business Case for Lean

  • 1. Building a Business Case for Lean John Darlington (LERC) & Marie Jones (Child Protection) Acknowledgement to Goldratt & Fox and Dan Jones & John Bicheno
  • 2. The Thinking behind Flow Accounting top tens fifties hundreds thousands ā€¢ Most large organisations adopt this sort of structure ā€¢ It is based upon the valid premise that one person can only manage between 5-15 direct reports effectively ā€¢ Splitting things up in an attempt to deal with ā€œcomplexityā€ ā€¦ā€¦..ā€And Moses chose able men out of all Israel and made them heads over the people, rulers of thousands, rulers of hundreds, rulers of fifties and rulers of tensā€ Exodus 18:25
  • 3. The Thinking behind Flow Accounting ā€¢ Historically the above structure was adopted by the Church and Army but using different means. ā€¢ Now despite the massive growth towards globalised manufacturing organisations and growth in size and volume of service organisations the basic pyramid shape is the same ā€¢ Not every part of the organisation adheres to the extended pyramid of the diagram; support functions do not for instance ā€¢ So we get ā€œline managersā€ and ā€œstaff or functional managersā€ top tens fifties hundreds thousands
  • 4. The Thinking behind Flow Accounting ā€¢ To work well every organisation relies on the FLOW of information down and up itā€™s structure. Note we call this information not data because it is ā€œfilteredā€ at every level by the managers; ā€œGive me an executive summaryā€ ā€¢ Only the magnitude of the decision distinguishes managers ā€¢ And here lies a potential flaw; can a local manager make a decision with a viewpoint of the entire organisation? Does she or he have such extensive knowledge? ā€¢ Another way of putting it is whether the CEO would make the same decision if they were substituted for a middle manager? Information flow Information flow top tens fifties hundreds thousands
  • 5. The Thinking behind Flow Accounting Performance Measures ā€¢ To judge whether our manager is effective and their department is run well we develop policies for them, which when quantified deserve the title ā€œmeasurementsā€. ā€¢ The dilemma we create in doing this is that the local manager tries to optimise what they can control, her or his local system. ā€¢ And this begs the question ā€œare the sum of the local optima the same as the optima of the whole?ā€ ā€¢ Most people see that the trying to optimise parts of the whole is NOT the same as trying to optimise the whole top tens fifties hundreds thousands
  • 6. The Thinking behind Flow Accounting ā€¢ The key information a local manager needs to contribute positively to the whole is associated with the limitations of the organisation. Itā€™s constraints to achieving itā€™s goal. ā€¢ Fortunately there are relatively few constraints limiting a business achieving itā€™s purpose. We can prove this later but for the purposes of describing the objective of flow accounting it is sufficient that we acknowledge the existence of few constraintsā€¦. Pareto does exist Performance How well did we do? Measures Policy top tens fifties hundreds thousands
  • 7. The Thinking behind Flow Accounting ā€¢ So Flow Accounting emphasises the ā€œwholeā€ and the interaction of the parts. ā€¢ It tries to always encompass the boundary walls of the organisation because that is the only place real money changes hands. ā€¢ Sub systems must understand how they can contribute positively to the goal of the whole organisation. And not be fooled into some local cosmetic optimisation. ā€¢ So the challenge for the design of a systematic approach is to identify the few constraints to the goal for the organisation and develop measurements that allow local managers and other employees to contribute in a positive way. top tens fifties hundreds thousands More Successful Financial Accounting Less Successful Management Accounting
  • 8. Two Uses of Accounting data Accounting data Statutory Law based Inventory < of cost or market value Product cost Management Preference based Days inventory Schedule adherence Flow Accounting Lean Accounting
  • 9. Structure of the Flow Accounting Process ā€¢Financially quantified current state ā€¢ Testing cause and effect analysis Value Flow Mapping - a diagnosis of the Current State Value Flow Accounting & Decision Making Value Flow Performance Measures Data Acquisition Structure & Modelling Quantitative financial assessment of the initial future state Tackle the whole in one Break down into chunks Clarification of the financial consequences of the current state Demand Analysis Inventory Analysis Capacity AnalysisPolicy Analysis People
  • 10. Measures (Simultaneously) NPNet Profit UP CFCash Flow UP ROIReturn on Investment UP TThroughput UP IInventory DOWN OEOperating Expense DOWN ?
  • 11. Boundary measures T Ā£ O.E Ā£ā€™s Ā£ I Understand control at the Plant walls:- Real cash flow Real costs
  • 12. A Case Study example ā€œItā€™s too expensive to stopā€
  • 13. Control Cooled Heat Treatment Finish ā€“ North Line Finish ā€“ South Line Joy Mining Line Die Shop Cutting Induction Heating Forge Shotblast Shotblast Con. Cooled Ā£000ā€™s Sales 9263 Material costs(4179) Throughput 5084 Heat Treated Ā£000ā€™s Sales 2738 Material costs(1023) Throughput 1715 RM 30.8d 3.9d 1.5d 11.4d 19.2d 4.5d 9.6d 5.3d 5.2d 24.5d Fgds 1.8d Fgds 1.3d Fgds 15.7d Overheads Ā£3048k Ā£2255k Ā£366k Ā£628k What about looking at the inventory lead times by the distinctive value streams (June results) Raw material 28.07 days Finished goods 11.01 days Work in Progress 33.85 days CC OTIF 90% by week HT OTIF 72% by week Value Flow Mapping Forging Business (local ā€œefficiencyā€ gone mad in the name of ā€œunit costā€)
  • 14. Measure of Improvement Manufacturing Lead Time as Measured by Days Inventory in WIP 28.1 29.0 26.3 29.1 18.4 20.1 20.0 22.9 16.7 13.0 8.9 12.4 14.6 9.0 7.8 0 5,000 10,000 15,000 20,000 Period No.ofPieces 0 5 10 15 20 25 30 35 Days Closing WIP (Pcs) 10409113441250712693 8812 9360 7336 8739 7633 6781 6159 5136 7352 4945 4207 Sales (Pcs) 111071174814275130851440113945110101144013700156002075912476151041647316216 WIP Days 28.1 29.0 26.3 29.1 18.4 20.1 20.0 22.9 16.7 13.0 8.9 12.4 14.6 9.0 7.8 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
  • 15. ` Castings & Forgings RM 35 days Nuts & Bolts RM 10 days Composite Raw Materials RM 10 days GOODS INWARDS RM 2.4 days WIP 49.32 days $ 24,732 K AAB FINAL ASSY CRJ700/ 900 NAC ($4649K/ 8) GX TAILCONE/ SLATS ($2021K/ 8) DASH 8 NAC /FLIGHTS ($698K/ 3) OTHER NAC ($1644K/ 7) OE = $1301K QI MAIN FACTORY CL 604 MID FUSE ($2571K/ 3) RJ & CL604 NAC ($2338K/ 8) CRJ700 FUSE/ FLIGHTS ($3024K/ 1) CRJ900 FUSE/ FLIGHTS ($8341K/ 3) DASH 8 FUSE ($5897K/ 6) GX FUSE/ FLIGHTS ($6565K/ 3) GX TAILCONE/SLATS ($2021K/ 8) GLOBAL 5000 ($1911K/ 1) LEAR 40 ($1893K/ 1) LEAR 45 ($6581K/ 3) CONTINENTAL FUSE ($2355K/ 3) RJ 200 FUSE ($925K/ 1) RJ 200 FWD FUSE ($208K/ 1) OTHER NAC ($1644K/ 7) AUBURN ($400K/ ?) 061100 NIMROD (Ā£0K/ 0) OE = $4689K COMPOSITES V2500 NAC ($6095K/ 23) BR710 PODDING ($4526K/ 14) BOEING RUDDER ($1099K/ 8) OE = $829K FABRICATIONS WIP 26.3 days $ 1,169 K [76] HAWLMARK (Sheet Metal) OE = $1734K All Contracts SUB ASSYWIP 36.22 days $ 2,611 K All Contracts All ContractsWIP 22.73 days $ 1,599 K [04] METAL BOND (Panels) OE = $1249K WIP 20.55 days $ 832 K [29] MACHINE SHOP OE = $475K [44/50/51] SYSTEMSWIP 45.28 days $ 709 K OE = $463K [06/90] COMPOSITE FABS OE = $2239K WIP 47.09 days $ 2,951 K WIP 42.91 days $ 452 K [08] ELECTRICAL OE = $203K FINAL ASSY. (Contracts)RAW MATERIAL Value Flow Mapping Large Aerospaceā€¦ (ā€œkeep ā€˜em busyā€ Syndrome)
  • 16. Relationship of Hours Worked to Manufacturing Lead Time Relationship between Factory Hours and Work in Progress 9,324 9,790 10,723 8,858 10,256 9,324 500,000 700,000 900,000 1,100,000 1,300,000 1,500,000 1,700,000 Ā£000's 0 2,000 4,000 6,000 8,000 10,000 12,000 HOURS Working Inventory 1,468,386 1,425,597 1,519,449 1,385,284 1,468,457 1,444,057 Factory Hrs 9,324 9,790 10,723 8,858 10,256 9,324 Jan Feb Mar Apr May Jun
  • 17. R Warehouse GB 88 days CE 100 days GJ 0 days VO 62 days LG 46 days WL 42-187 days EXTā€™RNā€™L 112- 343 days SS 42-257 days A Welding Cell R Assembly Cell Freight Services 8 times per day O 62 days 191259 Sales $367k Mat Cost $(244)k Throughput $123k 101260 Sales $449k Mat Cost $(299)k Throughput 150k 101261 Sales $245k Mat Cost $(161)k Throughput $83k ? days ? days ? days ? days 34 days 0 days 27 days 0-15 days 0-25 days 8 days 0-10 days 3-169 days 13 days 23 days 7 days OE $157k OE $94k* OE $128k* OE $150k* Value Flow Mapping Automotive Machining & Assemblyā€¦ (protracted and self inflicted) 52 days 493 days
  • 18. Pareto Existsā€¦ā€¦ā€¦ā€¦. Use it! Key Drivers Sensitivity Analysis P&L Actual 2010 Eur000ā€™s A 5% Change for better effects the bottom line by: - Sales 30899 Material Cost 11810 Throughput 19089 Labour 6387 Staff 2967 Depreciation 1566 Energy 1438 Purch Servs 1181 Freight 1090 Consumables 1029 Maintenance 748 Other variable 652 Toolcrib 495 Loss prevention 373 Op Profit/(Loss) 1163 The reason why new product introduction is so important There is a volume dimension to most businesses How can people claim bigger batches are cheaper?
  • 19. Relationship of Sales to MLT Relationship between Sales and Manufacturing Lead Time 34.94 34.22 34.83 35.17 36.43 33.85 0 200000 400000 600000 800000 1000000 1200000 Ā£000's 30.00 31.00 32.00 33.00 34.00 35.00 36.00 37.00 Days Smoothed Sales 846293 1037974 1021344 1000231 876990 1067380 Smoothed MLT in Days 34.94 34.22 34.83 35.17 36.43 33.85 Jan Feb Mar Apr May Jun
  • 20. ā€¢ June End Inventory of Ā£1.4 million Working Capital Relationships Current State Finance Days 63 Payables Days 60 Inventory Pipeline in Days Raw WIP Fin Gds 28 34 11 Debtor Days 50
  • 21. So what conclusions can we come to? ā€¢ We do not need a lot of accounting data to show the FINANCIAL CONSEQUENCES of how we run our organisations today ā€¢ Making this simple accounting information as visual as possible opens up the possibility of people being better placed to make a contribution ā€¢ The current propensity to try and drive cost accounting down to the shop-floor level looks misguided in the light of the opportunities illustrated by Flow Accounting Value Flow Mapping ā€¢ What is needed first are POLICY changes; only senior people can do this. ā€¢ The lowest common denominators are TIME and MONEY but though closely aligned these are NOT the same. ā€¢ Driving for lead time compression is at the heart of Flow Accounting.
  • 22. A thought on ā€œadvancesā€ in accounting thinking To name a thing is gratifyingā€¦ā€¦ā€¦.but it is also dangerous: the danger consists of oneā€™s becoming convinced that all is taken care of and that once named the phenomenon has also been explained. (Primo Levi Other Peopleā€™s Trades)
  • 23. A Flow Accounting Case Study Childrenā€™s Social Services Marie Jones Operations Manager ā€“ Business & Performance Children & Families Services Conwy County Borough Council
  • 24. Research Project ā€¢ Lean MSc 2010 Cardiff University (LERC) ā€¢ It was NOT an evaluation of social work practice ā€¢ The earlier commissioning study had been conducted which over a 2 yr period had:- ā€“ Established a service picture and stakeholder views. ā€“ Evaluated service compatibility ā€“ Studied the effectiveness of interventions
  • 25. Service Context The Corporate Spending Gap:- Children Services Budget represents 5% of LA revenue ā€¢ Reduced Settlements ā€¢ Caps on local taxation ā€¢ Reduced income ā€¢ Redistribution of Grants
  • 26. Service Context Operational Challenges:- ļ‚§ The regulatory framework. ļ‚§ Serious case investigations ļ‚§ Centrally imposed operational framework (Integrated Children System). ļ‚§ IT system for case recording & workflow
  • 27. Service Context Operational Challenges:- ļ‚§ Culture of continuous change (but not improvement) ļ‚§ Declining performance ļ‚§ Increasing expenditure
  • 28. ?? Flow Accounting ?? ā€¢ Accounting practices ā€“ Cash limited budget, principle that the service can only manage what it can control. ā€¢ Organisational measure would not be profit ā€¦ the budget is a necessary operating condition. ā€¢ No obvious production machinery ā€¦. but the ICS is a flow system
  • 29.
  • 30. Terminology: Throughput ? The rate the organisational goal is achieved....... ā€œ to safe guard and protect the welfare of vulnerable children and their families through reducing vulnerability, increasing resilience and managing riskā€.
  • 31. Terminology Inventory? ā€¢ All the money tied up in the things it intends to sell. ā€¦..all the children & families waiting for somethingā€¦. Operating Expense ? ā€¢ All the money going out of the organisation. ā€¦..the service expenditureā€¦
  • 32. Constructing the Value Flow Map Shared Process Contact/Referral Shared Process Initial Assessment Children with Disability Assess and Plan Transfer to Adult services Close Shared Process Review Child in Need Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessment Transition to Adult services Closure Shared Process Review Child Protection Retain Short Term Transfer to Long Term Team Shared Process Review Shared Process Conference Plan Shared Process ReviewS47 Core Assessment Concern Decrease Child in Need Concern Increase Looked after Child Children with Disability Looked After Child Independent Living Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessm ent Shared Process Review Court Work Return home Child in Need Adoption Permanent Care Transition to Leaving Care Children with Disability
  • 33. Analysing Demand Contact Demand = 6387, but this was 2836 children.
  • 34. Analysing Demand Shared Process Contact/Referral Shared Process Initial Assessment Children with Disability Assess and Plan Transfer to Adult services Close Shared Process Review Child in Need Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessment Transition to Adult services Closure Shared Process Review Child Protection Retain Short Term Transfer to Long Term Team Shared Process Review Shared Process Conference Plan Shared Process ReviewS47 Core Assessment Concern Decrease Child in Need Concern Increase Looked after Child Children with Disability Looked After Child Independent Living Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessm ent Shared Process Review Court Work Return home Child in Need Adoption Permanent Care Transition to Leaving Care Children with Disability All Demand = 7112 Contact = 6387 Referral 725 725 475 345 85 73 169IA = 7 days 40.2% (179/475 Avg 32 days Decision in 1 working day 59% 428/725
  • 35. Inventory Analysis How to identify? ā€“ Follow the procedural workflow of ICS ā€“ Work waiting at decision points or tasks would become apparent. Low levels of data being reported ā€“ No confidence in the reports ā€¢ ? Technical error or under-reporting
  • 36. Analysing Demand Shared Process Contact/Referral Shared Process Initial Assessment Children with Disability Assess and Plan Transfer to Adult services Close Shared Process Review Child in Need Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessment Transition to Adult services Closure Shared Process Review Child Protection Retain Short Term Transfer to Long Term Team Shared Process Review Shared Process Conference Plan Shared Process ReviewS47 Core Assessment Concern Decrease Child in Need Concern Increase Looked after Child Children with Disability Looked After Child Independent Living Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessm ent Shared Process Review Court Work Return home Child in Need Adoption Permanent Care Transition to Leaving Care Children with Disability All Demand = 7112 Contact = 6387 Referral 725 725 475 345 85 73 169 Short Term Long Term CWD Decision in 1 working day 59% 428/725 IA = 7 days 40.2% (179/475 Avg 32 days 170 146 1 43 7 4 158 4 184
  • 37. Operating Expense Shared Process Contact/Referral Shared Process Initial Assessment Children with Disability Assess and Plan Transfer to Adult services Close Shared Process Review Child in Need Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessment Transition to Adult services Closure Shared Process Review Child Protection Retain Short Term Transfer to Long Term Team Shared Process Review Shared Process Conference Plan Shared Process ReviewS47 Core Assessment Concern Decrease Child in Need Concern Increase Looked after Child Children with Disability Looked After Child Independent Living Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessm ent Shared Process Review Court Work Return home Child in Need Adoption Permanent Care Transition to Leaving Care Children with Disability All Demand = 7112 Contact = 6387 Referral 725 725 475 345 85 73 169 170 146 1 43 7 4 158 Short term Ā£449,397 Long Term Ā£1,052,991 Dedicated CWD Ā£1,558,471 Decision in 1 working day 59% 428/725 IA = 7 days 40.2% (179/475 Avg 32 days Dedicated CP Ā£80,470 Dedicated LAC Ā£5,420,105 184
  • 38. Shared Process Contact/Referral Shared Process Initial Assessment Children with Disability Assess and Plan Transfer to Adult services Close Shared Process Review Child in Need Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessment Transition to Adult services Closure Shared Process Review Child Protection Retain Short Term Transfer to Long Term Team Shared Process Review Shared Process Conference Plan Shared Process ReviewS47 Core Assessment Concern Decrease Child in Need Concern Increase Looked after Child Children with Disability Looked After Child Independent Living Plan Shared Process Review Retain Short Term Transfer to Long Term Team Core Assessm ent Shared Process Review Court Work Return home Child in Need Adoption Permanent Care Transition to Leaving Care Children with Disability All Demand = 7112 Contact = 6387 Referral 725 725 475 345 85 73 169 170 146 1 43 7 4 158 Short term Ā£449,397 Long Term Ā£1,052,991 Dedicated CWD Ā£1,558,471 Decision in 1 working day 59% 428/725 IA = 7 days 40.2% (179/475 Avg 32 days Dedicated CP Ā£80,470 Dedicated LAC Ā£5,420,105 Shared Service Resources Ā£1,274,253 Overhead Costs Ā£1,558,471 184
  • 39. What did it tell us? INVENTORY TOTAL 717 CIN TOTAL 500 CWDS 170 ST 184 LT 146 CP TOTAL 48 CWDS 1 ST 4 LT 43 LAC TOTAL 169 CWDS 4 ST 7 LT 158 OPERATING EXPENSE TOTAL Ā£10,853,648 OVERHEAD Ā£1,558,471 SHARED RESOURCES Ā£1,274,253 CWDs Ā£1,017,961 SHORT- TERM Ā£449,397 CP Ā£80,470 LONG-TERM Ā£1,052,991 LAC Ā£5,420,105 THROUGHPUT All Demand 7112 C=6387 R= 725 Referral Decisions 428/725 (59%) made in one working day Initial Assessment 179/475 (40.2%) complete within 7 working days 32 days average
  • 40. Stage 2: Detailed work ICS system map ā€“ To understand the complaints of a burdensome system ā€¢ To distinguish between the requirements of ICS and local requirements ā€¢ Assess the statutory fit of National Indicators Traditional Process Mapping
  • 41. Findings ā€¢ Retention/delay of cases at the ā€œcontactā€ stage ā€¢ Skill mix and specialist Case Holders in Assessment Team reduced assessment capacity. ā€¢ Distinction between gathering information and beginning the assessment process ā€¢ High levels of Child Protection investigation but much lower levels of conferencing
  • 42. Relevance to the system? 1. Levels of the Eligibility Criteria 2. CP referrals do not require consent 3. Supported joint investigation by the police
  • 44. Capacity ā€“ Availability of the IT system ā€“ Assessment capacity ā€“ Authorisation capacity Inventory ā€“ Raw data ā€“ Client waiting ā€“ Completed record & storage.
  • 45. What did we do about it? Triangulation of knowledge.... ā€“ Findings from Commissioning Study ā€“ Findings from Detailed mapping ā€“ Work with practice specialists for professional development Formed the basis of a Business Case for service development
  • 46. Understand Customer Value ā€¢ Commissioning Study provided insight into Customer views and experiences. ā€¢ Inspection by regulators set out the expected results & compliance requirements ā€¢ Case Audit by practitioners provided insight into levels of achievement
  • 47. Manage the constraint ā€¢ Fieldwork restructuring Grouped Social Workers into PODS by case need/skill set:- ā€“ to increase assessment capacity ā€“ increase case-holding capacity (reduced caseloads) ā€¢ Increased the ratio of Senior Practitioners to Case Holders to :- ā€“ Increase decision making capacity ā€“ Focus on mentoring, risk and case management support ā€¢ Improvements to IT systems & User skills
  • 48. Align Capacity with Demand ā€¢ Fieldwork re-structure: ā€“ Increased case-holding capacity allowed redistribution of cases to achieve reduced individual case loads. ā€“ Built in ā€œdown-timeā€ for Front Door Assessment Teams ā€“ Removed specialist case holders from Assessment Teams to increase case allocation opportunities.
  • 49. Manage Inventory & Compress Time ā€¢ Data clean up / catch up ā€¢ Head of Service led practice forums to monitor work in progress. ā€¢ Refinement of monitoring / measures reporting ā€¢ Relaxation of Assessment timescales ā€¢ Devolvement of the scheme of delegation (in-part) ā€¢ Eradication of spreadsheets/manual monitoring mechanisms to maximise utilisation of IT system ā€¢ Practice forums with partner agencies to conduct case audit of referrals.
  • 50. Create Flow: Pull ā€¢ Practice Developments:- ā€“ Practice Development Programme with Child Care Experts ā€“ Development and use of Analysis Framework Tools ā€“ Review of Case Transfer procedure ā€“ Specialist POD for Children in permanent care focus on post care independence ā€“ Redefining managerial boundaries across care pathways ā€¢ Expansion of the case-tracker effectiveness tool for Resource Teams
  • 51. 12 months on...... ā€¢ Case numbers are the lowest they have ever been. ā€¢ The number of Assessment has increased and timescale for completion has remained stable 37332925211713951 15 10 5 0 -5 A ssessment WorkingDays _ X=4.08 UC L=14.65 LC L=-6.49 37332925211713951 12 9 6 3 0 Observation MovingRange __ MR=3.97 UC L=12.98 LC L=0 1 Timeliness of Initial Assessments (June 2010)
  • 52. What did it tell us? INVENTORY TOTAL 638 CIN TOTAL 429 CWDS 156 ST 137 LT 136 CP TOTAL 42 CWDS 6 ST 2 LT 34 LAC TOTAL 167 CWDS 4 ST 5 LT 159 OPERATING EXPENSE TOTAL Ā£11,430,697 OVERHEAD Ā£1,551,610 SHARED RESOURCES Ā£1,343,442 CWDs Ā£1,088,768 SHORT- TERM Ā£502,231 CP Ā£93,094 LONG-TERM Ā£947,268 LAC Ā£5,904,284 ? THROUGHPUT All Demand 7773 C= 7084 R= 689 Referral Decisions 662/689 (96%) made in one working day Initial Assessment 344/525 (65.5%) complete within 7 working days 16 days average
  • 53. Maintaining Flow ā€¢ Further changes to assessment processes, timescales and case management would take the service outside of compliance requirements (doing the wrong thing righter) ā€¢ The work so far has focused only on one type of assessment and is not the full picture. ā€¢ Focus has shifted as care costs continue to rise despite fewer children entering the care system and increased numbers leaving care...nights in care continues to go up.
  • 54. How did Flow Accounting help? ā€¢ The Flow Map provided an image that depicted high level care pathways, their interdependencies and financial implications. ā€¢ Challenged understanding of demand and capacity but most importantly throughput. - Discussion point highlighted by the Commissioning Study took on new relevance ā€¢ Exposed the hidden Work in Progress ā€¢ Challenged effectiveness of business support mechanisms such as performance reporting/measures and financial processes