All work

Ward flow, modelled and rebuilt.

Theatre utilisation up 18% without new capital, and a model the trust can rerun itself.

Healthcare · NHS trust · 2025

+18%
Theatre utilisation
−22%
Average length of stay
0
New beds required

The situation

A trust with a chronic flow problem and no capital budget. The official answer for years had been more capacity. Our brief was to find an answer that didn't need any.

What we did

We rebuilt the discharge pathway with the ward sisters who actually run it. We modelled the flow in a tool the trust's analysts could maintain. We sat in the morning huddle for three weeks running.

Outcome

The trust hit its winter targets without a single additional bed. The model is still in use, and the ward sisters present from it.

“They sat with us. That's the thing other consultants didn't do.”Director of Operations