Healthcare case study
The programme delivered $364M in the first year and a further $1.1B in the following years, totalling $3.2B
Project Description
The programme transformed the Department of Health for the UK Government by:
  • Establishing, designing and implementing the Healthcare Services Efficiency Delivery Programme
  • Working collaboratively with the Office of the Deputy Prime Minister, local government representative organisation and 140 local authorities
  • Providing a robust evidenced-based programme founded on world-class recognised programme governance methodologies

Background

  • The review was undertaken at the Rt. Honourable Gordon Brown’s request to investigate the UK government’s efficiency, with respect to the provision of public services
  • This identified circa $34B in efficiency, the primary areas being the Department of Health ($10.5B) and the Office of the Deputy Prime Minister ($10.5B)
  • Adult Care Services were identified as a significant laggard in progressing efficiency
  • The transformation provided thought leadership with the aim of designing and developing an efficiency delivery programme that would have a major impact, starting in the 2005/2006 financial year
  • The UK Government spent circa $23B annually on the care of vulnerable adults in the 140+ local councils, which are primarily delivered through the independent sector

Challenges Encountered & Overcome

  • Establishing and agreeing a programme scope
  • Selecting an effective methodology that would capture the voice of the end user of the service
  • Obtaining senior minister “buy in”
  • Establishing a multi-stakeholder communication plan for 20+ discreet groups & bodies
  • Sourcing and building an implementation team
  • Establishing a role model governance process and partnerships with 140 local authorities & 25,000+ service providers
  • Identifying effective and tangible productivity measures
  • Establishing an effective communication process for the Department of Health, the Office of the Deputy Prime Minister and local authorities. Previously no direct channel of communication with the local councils had existed

Strategic Approach

  • Established a “robust body of evidence” ($16B & 60% of end users activity) that directly involved 60+ councils, 1000+ end service users, major service providers and voluntary & community sector interest groups from which solutions would be created
  • Utilised benchmark process transformation techniques that used Prince 2, MSP & Gateway programme disciplines
  • The body of evidence included:
    • Developing a deep understanding of how adult care is commissioned and delivered
    • Capturing the voice of the customer: the end users (1000+)
    • Exploring jointly with councils new ways of configuring, procuring and delivering care services in order to turn efficiency gains into higher quality and sustainable services for vulnerable adults
    • The design and development of a care services efficiency excellence framework
    • Specifically targeting “non-value added activities” in the care delivery process
    • Building local and national efficiency partnerships with service providers
    • Creating and operating a transparent process that facilitates best practice transference and knowledge sharing
    • Adapting good practice from other sectors that is relevant to social care
    • Identifying quick wins across the 140+ local authorities

Results

  • Delivered $3.2B+ of improved value for money
  • Developed a deep understanding of how care is delivered in local government authorities
  • Provided role model stakeholder engagement and relationship management
  • Captured the voice of the customer – the end-users who require care services in the community
  • Explored jointly with councils new ways of configuring, procuring and delivering care services in order to turn efficiency gains into higher quality and sustainable services for the end users
  • Designed and developed a care services efficiency excellence framework that specifically targeted the elimination of non-value added activities in the care delivery process
  • Created local and national Supply Chain centres of excellence
  • Created a transparent process that facilitated best practice transference and knowledge sharing
  • Identified quick wins across the 140 local authorities
Project Details