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Waste Types
Overproduction (Hidden)
Unneeded Patient Tests (CT Scan)
Unused financial reports
Unneccesary meetings or people in attendance that could be doing more
important things
Unneccesary Emails
Treating patients in Emergency Dept that could be seen by the GP
Assessing a dementia patient in an acute setting
Repeated tests because we don’t track in real time
Overprocess (Hidden)
Pre-op bed days
Excess Length of Stay
Levels of Bed Mangement (duplication and no added value)
Colour printing when black and white is OK
Suboptimal New to Review ratios
Too invasive procedures for the medical condition
Error Defects (Hidden)
18 week Breaches
Disputed Invoices (lack of collateral)
Overpayments - Payments to people who have left
Misdirected Patients
Miscoded HRGs
Computer Outage due to Electrical testing
Scanning Errors
Accidents & Claims
Inventory (Hidden in part)
Piles of copier Paper
Queueing in Clinics
Excess or unconsolidated ward stocks
Stack of account queries
Private Sector transfers
Capacity Lists
Payments on hold
Waiting (Hidden)
Theatre waiting for Surgeons in Theatre
Waiting for Beds
Waiting for a meeting to start
DNAs (No patient)
Waiting for a parking spot
Waiting for the Patient to arrive in Theatre
Transport (Hidden)
Transport between sites (various)
Transport to meetings across site
Patient Transfers
Transport of Patient records
Transfer from wards to theatres
Transport of Tests and Info
Motion (Hidden)
Movement across finance offices
Walking to Printers
Bed Managers Looking for Empty Beds
Searching for Patient Records
Repeated movements on the wards
Extended pathways across the site
Underutilised Assets (Hidden)
Empty Buildings unutilised
Theatres not running
Empty Clinics
Empty Offices
Lost advertising Revenue from possibilities available
Stockpiled Equipment
Empty Learning Rooms
Underutilised costing and income information
Underutilised Skill (Hidden)
Band 7 doing Band 5 work
Useful Ideas not picked up on
Lean Trained people not applying the learning
Training not utilised fully
Ineffective Training conducted
Poor Teamwork (small teams)
Excess Price Premium
Consultant Locums
First Class Travel
Overtime
Capacity Lists or additional work paid at premium rates
Surgeons favourite consumables & prostheses
Away days that could be on site
Excess Price Premium due to unconsolidated contracts
Disposal of Value / Underutlised Material & Resources (Hidden)
Cancelled Hotel Booking
Unused Train tIckets
Wasted Drugs
Scrap material that could be reclaimed
Inefficient use of Utilities
Resources employed and not used fully
Undercharging for private clinics
Inaccurate Specification (Hidden)
Drugs wrongly prescribed
Unsuitable ward for the treatment eg Stroke patient on an ordinary
ward
Patients misdiagnosed
Recruitment and person mis-specification
Processes badly designed or implemented
Assets over or under utilised due to specification error
Variation on Common Practise (Hidden)
Each division or sector using its own processes where they could be standardised
Consultants using their own controls for lists
Continually using escalated procedures
No process in place therefore ad hoc working - No Common process
Chasing payment on invoices sent out due to incomplete documentation
Routines inc meetings not followed or held
Suboptimisation (hidden)
Divisions or departments not working in tandem for the best overall outcome.
Unclear demand and unclear capability & capacity
Consultants maintaining their own personal working practises
PCT strategy not aligned with Acute Services or Community
Quality initiatives, productivity, safety all implemented in isolation
DOH, PCT, SHA, local all implementing similar initiatives in different
ways
Strategy, Tactics and Operations inconsistent at different levels
Beds, Wards, Theatres and Clinics misaligned and unbalanced
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