Improving patient waiting times in outpatient clinics within Clinical Haematology Services

The Clinical Haematology outpatient department at Gloucestershire Royal Hospital undertook an improvement project with the aim of improving patient flow and keeping the clinic running on time. They implemented two successful change ideas using PDSA cycles. Find out more in our learning summary.


Streamlining a hernia pathway for shorter wait times and fewer appointments

Faced with long waiting times and an inefficient hernia pathway, a team at Princess Alexandra Hospital Trust in Harlow mapped the pathway and eliminated steps that did not add value. Patients now have shorter waiting times and fewer appointments. Learn more by reading our learning summary.


Designing a physical capacity tool for organisation-wide remobilisation

To better understand the physical capacity of different services, a team from NHS Fife used a data-driven approach to develop a tool capable of calculating physical capacity across multiple services simultaneously. This tool is now embedded in NHS Fife governance structures and has been adapted for use in community settings. Find out more in our learning summary.


Using the Last 10 Patients tool to understand patient pathways

Facing a high volume of referrals and long wait times for skin cancer patients, NHS Lothian’s dermatology service participated in the Access QI programme in hopes of reducing patient waiting times. Using the case files for the last 10 patients treated along a pathway, the team mapped out each stage along the pathway and highlighted potential areas for improvement. This data was used to develop a change idea that will facilitate easier identification of patients with potential cancer. Learn more by reading the case study.


Streamlining a patient pathway using process mapping

To improve patient flow along a complex patient pathway involving many different people, NHS Grampian’s urogynaecology service held a Big Room, a multidisciplinary pathway meeting attended by staff from across a patient’s journey. Perspectives and concerns of staff from across complex pathways were collected and a collaborative plan to streamline referral routes and improve waiting times was developed. Find out more from this case study.