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Managing Patient Flow Across Health And Social Care

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  • Full or part time
    Dr Stratton
  • Application Deadline
    Applications accepted all year round

Project Description

The growing demands on healthcare has resulted in the adoption of system based approaches to manage patient flow commonly referred to as lean, agile and TOC (Radnor, 2010; Olsson and Aronsson, 2015; Stratton & Knight, 2010). These approaches have all been shown to improve performance by taking a holistic perspective, but sustaining such improvement has proved more difficult (Radnor et al., 2012) and there is much debate over how such approaches need to be adapted to this service environment (Bamford et al., 2015). At the same time there is growing acknowledgement of the need to consider patient flow across both health and social care (Ham et al., 2012; Stratton et al., 2014) highlighting the need to encompass patient flow outside the current focus on acute hospitals. The purpose of this research is to explore how these approaches may be better interpreted and integrated in the context of this wider systems perspective.

It is anticipated the exploratory nature of this research will use the case study method in one or more health and social care systems that have or are undertaking systems based approaches to improving patient flow.


Bamford, D., Forrester, P., Dehe, B and Leese, R.G., (2015) Partial and iterative lean implementation: two case studies, International Journal of Operations and Production management, Vol. 35, No5, pp. 702-727.
Ham, C, Dixon, A., and Brooke, B., (2012) Transforming the delivery of health and social care, the case for fundamental change, The Kings Fund.
Radnor, Z.J. (2010), Review of business process improvement methodologies in public services.
Advance Institute of Management.
Radnor, Z.J., Holweg, M. and Waring, J. (2012), Lean in healthcare: The unfulfilled
promise?. Social Science & Medicine, Vol.74, pp. 364-371.
Stratton, R. and Knight, A. (2010), "Managing patient flow using time buffers", Journal of Manufacturing Technology Management, Vol. 21, No 4, pp. 484 - 498
Stratton, R Wilson, A. and West W. (2014) Redesigning community health and social care: an action research study, Proceedings of the European Operations Management Association, June, Palermo, Sicily.

How good is research at Nottingham Trent University in Business and Management Studies?

FTE Category A staff submitted: 23.00

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