UK health visiting: challenges faced during lean implementation

Leadership in Health Services

Volumn 23, Issue 3, 2010, Pages 204-218

  Grove, A L ^a   Meredith, J O ^a   Macintyre, M ^a   Angelis, J ^a   Neailey, K ^a  

^a UNIVERSITY OF WARWICK   (United Kingdom)

Author keywords

Health visitors; Management effectiveness; National Health Service; Primary care; Quality; Transformational leadership; United Kingdom

Indexed keywords

EID: 77954848898     PISSN: 17511879     EISSN: None     Source Type: Journal    
DOI: 10.1108/17511871011061037     Document Type: Article

References (37)

1. Appleby, J., Boyle, S., Devlin, N., Harley, M., Harrison, A. and Thorlby, R. (2005), “Do English NHS waiting time targets distort treatment priorities in orthopaedic surgery?”, Journal of Health Service Res. Policy, Vol. 103 No. 2, pp. 167-172.
2. Bahensky, J., Rose, J. and Bolton, R. (2005), “Lean sigma – will it work for healthcare?”, Journal of Healthcare Information Management, Vol. 191 No. 1, pp. 39-44.
3. Barker, R., Pearce, M. and Irving, M. (2004), “Star wars, NHS style”, BMJ, Vol. 329 No. 7457, pp. 107-9.
4. Bateman, N. and David, A. (2002), “Process improvement programmes: a model for assessing sustainability”, International Journal of Operations & Production Management, Vol. 22 No. 5, pp. 515-526.
5. Ben-Tovim, D., Bassham, J., Bennett, D., Dougherty, M., Martin, M., O'Neill, S., Sincock, J. and Szwarcbord, M. (2008), “Redesigning care at the Flinders Medical Centre: clinical process redesign using ‘lean thinking’”, The Medical Journal of Australia, Vol. 188 No. 6, pp. 27-31.
6. Bevan, G. and Hood, C. (2006), “Have targets improved performance in the English NHS?”, BMJ, Vol. 332 No. 7538, pp. 419-422.
7. Bigelow, B. and Arndt, M. (2000), “The more things change, the more they stay the same”, Health Care Management Review, Vol. 25, pp. 65-72.
8. Brown, T. and Duthe, R. (2009), “Getting ‘lean’: hardwiring process excellence into Northeast Health”, Journal of Healthcare Information Management, Vol. 231 No. 1, pp. 34-38.
9. Catford, J. (1991), “Health targets”, BMJ, Vol. 302 No. 6783, pp. 980-1.
10. Deming, W.E. (2000), The New Economics for Industry, Government, Education, MIT Press, Cambridge, MA.
11. Department of Health (2007), “Facing the future”, white paper, Department of Health, London.
12. Dunn, A. (2009), “Implementation of lean manufacturing in General Motors Manufacturing Luton (GMML)”, University of Warwick, Coventry, unpublished EngD thesis, 19 January.
13. Esain, A., Williams, S. and Massey, L. (2008), “Combining planned and emergent change in a healthcare lean transformation”, Public Money & Management, Vol. 281 No. 1, pp. 21-26.
14. Fillingham, D. (2007), “Can lean save lives?”, Leadership in Health Services, Vol. 204 No. 4, pp. 231-241.
15. Fremont, A., Cleary, P. and Hargraves, J. (2001), “Patient-centered processes of care and long-term outcomes of myocardial infarction”, Journal of General International Medicine, Vol. 16, pp. 800-8.
16. Grey, J. (2007), How to Get Better Healthcare, Offox Press, Oxford.
17. Grove, A., Meredith, J., Mac Intyre, M., Angelis, J. and Neailey, K. (2010), “Lean implementation in primary care health visiting services in NHS UK”, Quality and Safety in Health Care (in press.).
18. Hellstrom, A., Lifvergren, S. and Quist, J. (2009), “Applying process management in healthcare – investigating implementation difficulties”, International Annual EurOMA 2009 Conference Proceedings of the 16th Annual International EurOMA Conference, Göteborg, available at: www.euroma2009.org/Proceedings/Papers/FCXST-09068951-1564076-1.pdf (accessed 23 September 2009).
19. Highsmith, J. (2004), Agile Project Management. Creating Innovative Products, Pearson Education, Boston, MA.
20. Jenei, I., Demeter, K., Losonci, D., Matyusz, E. and Takacs, E. (2008), “The difficulty of streamlining health care service processess”, International Annual EurOMA 2008 Conference Proceedings of the 15th Annual International EurOMA Conference, Groningen, available at: www.euroma2008.org/ccSearch Euroma.aspx (accessed 17 August 2009).
21. King, W. (1997), “Organizational transformation”, Information Systems Management, Vol. 14, pp. 63-65.
22. Klein, R. (2007), “The new model NHS: performance, perceptions and expectations”, British Medical Bulletin, Vol. 81 No. 82, pp. 1-12.
23. Kujala, P., Lillrank, P., Kronstrom, V. and Peltokorpi, A. (2006), “Time-based management of patient processes”, Journal of Health Organisational and Management, Vol. 20 No. 6, pp. 512-524.
24. Lewis, R. and Appleby, J. (2006), “Can the English NHS meet the 18-week waiting list target?”, Journal of R. Soc. Med., Vol. 99 No. 1, pp. 10-13.
25. Mehri, D. (2006), “The darker side of lean: an insider's perspective on the realities of the Toyota production system”, Academy of Management Perspectives, Vol. 20 No. 2, pp. 21-42.
26. Mintel (2009), “Medical equipment (industrial report)”, available at: http://academic.mintel.com/sinatra/oxygen/display/id=439732 (accessed 10 September 2009).
27. NHS Choices (NHS Authorities and Trusts in England) (2009), “About the NHS, NHS authorities and trusts in England”, available at: www.hesonline.nhs.uk/ease/servlet/contentserver?siteID=1937&categoryID=1168 (accessed 17 August 2009).
28. Proudlove, N., Moxham, C. and Boaden, R. (2008), “Lessons for lean in healthcare from using Six Sigma in the NHS”, Public Money & Management, Vol. 28 No. 1, pp. 27-34.
29. Raja, U., Rudge, L. and Godfrey, E. (2008), Sustaining Continuous Improvement in Histopathology – Two Years On. Case Study: Calderdale & Huddersfield NHS Trust, NHS Improvement, London.
30. Shah, R., Goldstein, S., Unger, B. and Henry, T. (2008), “Explaining anomalous high performance in health care supply chain”, Decision Sciences, Vol. 39 No. 4, pp. 759-787.
31. Tuck, R. (2009), NHS Doncaster's Innovative Approach to Redesign its TIA Pathway, to Introduce a Rapid Access One Stop TIA Clinic that Includes Immediate Preventative Treatment and Vascular Review, Case Study: NHS Doncaster, NHS Improvement, Stoke and London.
32. Weinstock, D. (2008), “Lean healthcare”, Journal of Medical Practice Management, Vol. 23 No. 6, pp. 339-341.
33. Westwood, N., James-Moore, M. and Cook, M. (2006), Going lean in the NHS, NHSI, NIf IaI, London.
34. Womack, J. and Jones, D. (1996), Lean Thinking, Simon & Schuster, New York, NY.
35. Womack, J., Byrne, A., Flume, O., Kaplan, G. and Toussaint, J. (2005), Going Lean in Healthcare, Innovation Series, Institue for Healthcare Improvement, Cambridge, MA.
36. Young, T.P. and Mc Clean, S.I. (2008), “A critical look at lean thinking in healthcare”, Quality and Safety in Health Care, Vol. 17 No. 5, pp. 382-6.
37. Young, T. and Mc Clean, S. (2009), “Some challenges facing lean thinking in healthcare”, International Journal of Quality in Health Care, Vol. 21 No. 5, pp. 309-310.