Abstract 10 Example improvement outcomes from Lean work in Bolton PCT Provider Services

Reduced access delays		April 07	Dec 07	Comments
Podiatry	Nail surgery	12 weeks	4 weeks	Used assistants practitioners to release podiatrist time
	General podiatry	12 weeks	4 weeks	Developed hub and spoke model and mixed skills of the teams
Paediatric audiology	Diagnostic access	14 weeks	2 weeks
Neuro rehab	Wait for physiotherapy	54 weeks	3 weeks

Reduced access delays		April 07	Dec 07	Comments
Complex falls	SE locality caseload	82 patients	50 patients	Reduced active caseloads by goal attainment scoring with patients and managing length of stay on the caseload
	NE locality caseload	50 patients	34 patients
	West locality caseload	70 patients	34 patients
Podiatry	% Diabetic referrals receiving screening	50%	100%	Generated 50% more capacity by merging diabetic foot and eye screening
	Treatment intervals	16 weeks	10 weeks	Best practice guidance states 10 weeks

Value for money				Impact
Audiology team	Improved process and scheduling through two existing audiology booths, eliminating the need for a third booth			£70,000 saved
Musculoskeletal clinical assessment team	Aim: to reduce expenditure on agency admin and clerical staff by 50% by streamlining the process			£50,000 saved in 6 months
	Actual: eliminated use of agency A&C staff