Operationalising the Lean principles in maternity service design using 3P methodology

Operationalising the Lean principles in maternity service design using 3P methodology

The last half century has seen significant changes to Maternity services in England. Though rates of maternal and infant mortality have fallen to very low levels, this has been achieved largely through hospital admission. It has been argued that maternity services may have become over-medicalised and service users have expressed a preference for more personalised care. NHS England's national st...

The Participative Design of an Endoscopy Facility using Lean 3P

In the UK, bowel cancer is the second largest cancer killer. Diagnosing people earlier can save lives but demand for endoscopies is increasing and this can put pressure on waiting times. To address this challenge, an endoscopy unit in North East England decided to improve their facilities to increase capacity and create environments that improve the experience of users. This presented a signifi...

Normann's Crane 2.0 Operationalising Service Systems co-design

Service development and delivery is by its very nature an activity that requires cooperation between suppliers and customers. This cooperation does not imply or require parity between the parties. In any such relationship parties divide responsibilities based on a perception of self-competency and subsequent economic value. This is not always rational. One result of many such co-production agre...

Maternity Service in Bristol

not only by referring those cases which he desires the consultant to see but by filtering all his cases through the consultant clinic at least twice, early in the ante-natal period and again at the thirty-sixth week, even if he is delivering the patient in her own home or in a General Practitioner Hospital or Home. In other cases the consultant may reciprocate by getting the general practitione...

Maternity Service in Bristol