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Case Study: Acute Healthcare

A Dual-Site Acute Healthcare Provider

Appointed Turnaround Director and latterly interim COO working alongside a seven-strong Kingsgate team

Background

  • Two site district general hospital, c.£350m revenue
  • The Trust was embarking on major reconfiguration of services as part of the overall Trust strategy and facing a significant financial sustainability challenge
  • Tasked with delivering a significant CIP programme to ensure financial position of the Trust

Kingsgate’s strategy

  • Placed Emergency department expert
  • Increased pace and control over change programme to ensure 2012/13 CIP target delivery
  • Implemented weekly reviews with all clinical areas
  • Developed operational plans for strategy implementation and CIP delivery
  • Ensured close integration of turnaround programme with ongoing operations at directorate level to ensure sustainability
  • Launched major clinical administration review to realise additional £4m CIPs

Key issues and requirements

  • 2012/13 CIPs £7m adrift of £21.5m target
  • £17.5m CIP required 2013/14
  • Significant operational issues and lack of detailed planning for strategy implementation

Results and achievements

  • Delivered a surplus in 2012/13
  • Closed 90 beds in three months
  • Implemented detailed plan for £17.5m of savings in 2013/14
  • Significant turnaround of 4-hour A&E performance
  • Fully integrated workforce plans covering strategy implementation and CIP
  • Retained by the Trust from April 2013 to support operational plan and CIP