Fit for the Future

Over the past five years, our Fit for the Future programme, which aims to improve the quality and safety of the care we offer our patients at the same time as saving money, has delivered over £240 million in efficiency savings.

The programme has been run though centralised activity and local action, with a strong focus on staff development and engagement.

Highlights

  • 229 clinical leaders and managers at all levels have graduated from our Fit for the Future development programme, delivering live improvement projects across the Trust along the way. In addition, more than 300 members of staff have undertaken 'Improvement awareness' training, helping them to develop improvement actions to take forward in their work area. This training is now being developed into an online module which will give all staff across the organisation the opportunity to take part.
  • More than 200 patients have benefited from continued IV antibiotics at home, freeing up beds for other patients and saving £1.5 million in 'bed days'.
  • Our procurement team have saved over £34m by expanding influence over total non-pay spend. The Trust has also established a new procurement shared service with Lewisham and Greenwich NHS Trust, Dartford and Gravesham NHS Trust, and Great Ormond Street Hospital for Children NHS Foundation Trust. The shared service is developing a 'patient-centric' supply chain model, integrating supply chain processes across procurement, pharmacy, estates and facilities to release clinical time to care and reduce the risk of unnecessary waste.
  • Clinical coding accuracy has greatly improved across the Trust. Clinical and coding teams are working more closely together which has resulted in financial savings.
  • Thirty six improvement projects have been kickstarted through our 'Dragons' Den', delivering everything from enhanced patient information to support recovery, to an efficient production line of bespoke patient garments that enable vulnerable patients with severe skin diseases to be mobile while having their skin treatment.
  • The Trust has been ranked top among combined acute and community trusts for its staff engagement.

Fit for the Future – next steps

We plan radical changes to the way we provide healthcare, recognising the need to deliver significant and lasting financial savings while maintaining our focus on patient safety and quality.

The drive for sustainable services and increased efficiency will continue to be delivered through our Fit for the Future transformation programmes:

  • Care Redesign which focuses on team-based service improvement
  • Digital Patient Journey which aim is to develop more efficient and responsive patient administration
  • Transforming our Ways of Working which is looking into new ways of working and creating more flexible working environments.

Established change methodologies, increased standardisation, staff development, engaging with patients and better use of digital technology underpin all our transformation activities.  

Specific initiatives are focusing on length of stay, pharmacy, outpatients, pathology, imaging services, surgical productivity, transfers of care, procurement and clinical coding.

Continuous service improvement is underpinned by our unique culture and approach – we call this the 'Guy's and St Thomas' Way'.

New procurement shared service

The Trust has established a new procurement shared service with Lewisham and Greenwich NHS Trust, Dartford and Gravesham NHS Trust, and Great Ormond Street Hospital for Children NHS Foundation Trust.