Title: A comparative analysis of lean implementations in NHS England hospitals

Authors: Adnan Deara; Mohamed Deara; Christopher Bamber; Enis Elezi

Addresses: University of Salford, Salford Business School, 43 Crescent, Salford, M5 4WT, UK ' Al Jabal Al Gharbi University, Faculty of Science, Libya ' Department of Business and Management, Organisational Learning Centre, Greater Manchester, BL2 1AE, UK ' Department of Business and Management, Organisational Learning Centre, Greater Manchester, BL2 1AE, UK

Abstract: The paper investigates and documents the effect of implementing lean in NHS England Hospitals through an evaluation of one quantitative study that questioned a large number of NHS staff and three case study reviews of implantation of lean projects. The purpose of lean implementation in these UK studies has been shown as predominantly to improve times, use staff more effectively, improve quality, decrease waste and reduce cost and smooth arrivals of patient demands. Moreover, lean in the NHS is used to utilise the available resources in the best manner. This paper indicates that most of the barriers which have been identified by 88% of the interviewed people, from the NHS quantitative study, were due to the terminology of new language and consequently poor communications of lean principles. The critical success factors elicited from this study include a widespread commitment of project success and the application effective governance. Setting clear goals, project planning and competent project teams, are considered by respondents and seen in the analysis of the three case studies reviewed in this study; all play an important role in successful NHS lean projects.

Keywords: lean practices; UK hospitals; quality improvement; effective organisations; enhanced operations; leadership and governance; UK.

DOI: 10.1504/IJLER.2018.093615

International Journal of Lean Enterprise Research, 2018 Vol.2 No.3, pp.218 - 239

Received: 30 Mar 2017
Accepted: 12 Dec 2017

Published online: 12 Jul 2018 *

Full-text access for editors Access for subscribers Purchase this article Comment on this article