The question
The delay was not in treatment. It was in the forty minutes between a decision and a bed. We removed three handoffs. The brief we agreed fitted on one line, and we came back to it every Friday.
What we did
A team of 2 partners, 2 consultants worked on site for 16 weeks. We started with the people doing the work, not the reports about it, and tested each change on a small scale before asking anyone to commit.
What changed
−46 min average A&E wait, measured by St. Aldric Health’s own finance team a quarter after we left. The method, the model and the dashboards stayed behind with them.
