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Title: A commissioning improvement framework : the development and implementation of a lean organisational improvement approach for NHS commissioning
Author: Herring, Liz
ISNI:       0000 0004 2714 9921
Awarding Body: University of Sunderland
Current Institution: University of Sunderland
Date of Award: 2011
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The purpose of this study was to develop an organisational improvement approach in NHS commissioning using the principles of continuous improvement and Lean. This report presents the development and installation of a novel NHS Commissioning Improvement Framework (CIF) within a primary care trust context and evaluates the impacts made in practice. Through a programme of action research, this study has been able to show how the principles of Lean can be introduced into the day-to-day practice of a commissioning organisation and deliver measurable benefits to both patient and the organisation through the application of the CIF. For the past two decades (DH, 2000), it could be argued that the improvement agenda in the NHS has been the 'silent' partner in delivering performance targets; focusing efforts on improving access to treatment In my experience, the basic fundamental of improving patient experience has been overshadowed by the performance agenda. In recent years, there has also been a drive for improvement from a commissioning perspective. However, improvement processes are more suited to the needs of healthcare providers, thus commissioner-orientated improvement methodologies are somewhat lacking. The major contribution made by this study is a new commissioning improvement model (the CIF) that integrates the principles of continuous improvement and Lean into NHS commissioning. Structured into three main domains: Position, Process and Drivers, the new model highlights the importance of a high degree of workforce engagement and staff development. The action research process used was an intuitive part of the change process and provided a prospective view of what was required to further embed improvement into commissioning practice. Complemented by a programme of practice development and classroom education; an increase in workforce improvement understanding and capability has been seen to deliver a number of measured improvements for both patient services and commissioning organisation alike.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (P.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available