Key points

  • The programme resulted in pockets of improvement across six local health boards. The most sustained improvement was achieved across one local health board. It ensured that local ownership and commitment to its pre-existing work on patient flow was maintained and used the national programme as further support.
  • There was a mismatch between the programme’s ambitions and its design, timescale and resources. A two-year time scale was not sufficient to achieve change at system level and the programme didn’t have the resources required for such a large-scale initiative.
  • There was significant variation in programme engagement and leadership support across local health boards. Some local health boards experienced a lack of clarity on responsibility for leading, reporting on and owning the programme and local projects.
  • Many of the projects were not clearly aligned with the strategic objectives of the local health boards. This meant it was difficult to secure the necessary support from management at every level to deliver sustained results.
  • For a national programme, local ownership of projects needs to be balanced with clear national programme coordination, focused on achieving the overarching goal that is aligned with national policy.

This report summarises the findings of the independent evaluation of the 1000 Lives Improvement Patient Flow programme. The programme was implemented between 2013 and 2015.

The report highlights the challenges of delivering a national programme aimed at improving the flow of unscheduled care of patients. Overall there were some positive results achieved but the programme activities were not implemented at the scale and pace originally envisaged.

The programme evaluation was commissioned by the Health Foundation and carried out by the Centre for Systems Studies at Hull University Business School. The programme was led by 1000 Lives Improvement.

Further reading

Learning report

The challenge and potential of whole system flow

December 2016
Learning report

Outlines an organising framework and tested methods that local health and social care leaders can...

Learning report

Improving patient flow

April 2013
Learning report

This learning report describes the work undertaken by two NHS trusts as part of the Health...

You might also like...

Consultation response

Briefing on the Health and Care Bill: House of Lords Second Reading

Consultation response

Our briefing for the House of Lords on the Health and Care Bill 2021/22.

Newsletter feature

Sustainable improvement: growing a greener NHS

Newsletter feature

How does the improvement work we fund contribute to achieving NHS net zero? 

Event

Webinar: NHS recovery – how do we ‘build back better’?

Event

A panel discussion exploring the extent of the backlog facing the NHS in the recovery period and how...

Watch video
Kjell-bubble-diagramArtboard 101 copy

Get social

This week's @ONS data revealed that nearly 25,000 people in care homes died of COVID-19 in 2020 – around one in six… https://t.co/5hpE0IvWUH

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more