David Fillingham of Bolton Hospitals NHS Trust shown at the 2nd Lean Healthcare Forum on 6th June 2006 ran by the Lean Enterprise Academy www.leanuk.org

1. Is Lean any use to
PCTs?
6th June 2006

2. • Service Provision
• Health Improvement
• Commissioning

3. The Commissioning Process
Needs
Assessment
Evaluate existing
Service provision
Develop service strategy
Implement
Monitoring
Contracting
Partnerships
Other

4. The Lean Process
Determine
Value
Current State
Map
Future State Map
Implementation
Evaluation
JDIs
RIEs
Projects
Repeat Cycle

5. The Lean Process in Support of Commissioning
Determine
Value
Current State
Map
Future State Map
Implementation
Evaluation
JDIs
RIEs
Projects
Repeat Cycle
Needs Assessment
Existing Provision
Service Strategy
Implementation
Monitoring

6. LEAN can give Commissioners:-
• An understanding of true experiences and
underlying processes
• Powerful analytical tools
• Proven methods to reduce waste and improve
access
• A way of engaging clinicians
• An overview of end to end journeys
BUT: Need to ensure Choice and Contestability
are built in

7. How could lean fit into the
Commissioning process?
Mike Maguire

8. Lean in Commissioning
• Specifying what service is required
• Output based
• Lean techniques:
to examine current state
To design ideal future state
Create a minimum standard pathway with
which to compare bids from potential
providers