Project Description

The programme transformed the Department of Health for the UK Government by:

Establishing, designing and implementing the Healthcare Services Efficiency Delivery Programme
Working collaboratively with the Office of the Deputy Prime Minister, local government representative organisation and 140 local authorities
Providing a robust evidenced-based programme founded on world-class recognised programme governance methodologies

The review was undertaken at the Rt. Honourable Gordon Brown’s request to investigate the UK government’s efficiency, with respect to the provision of public services
This identified circa $34B in efficiency, the primary areas being the Department of Health ($10.5B) and the Office of the Deputy Prime Minister ($10.5B)
Adult Care Services were identified as a significant laggard in progressing efficiency
The transformation provided thought leadership with the aim of designing and developing an efficiency delivery programme that would have a major impact, starting in the 2005/2006 financial year
The UK Government spent circa $23B annually on the care of vulnerable adults in the 140+ local councils, which are primarily delivered through the independent sector

Establishing and agreeing a programme scope
Selecting an effective methodology that would capture the voice of the end user of the service
Obtaining senior minister “buy in”
Establishing a multi-stakeholder communication plan for 20+ discreet groups & bodies
Sourcing and building an implementation team
Establishing a role model governance process and partnerships with 140 local authorities & 25,000+ service providers
Identifying effective and tangible productivity measures
Establishing an effective communication process for the Department of Health, the Office of the Deputy Prime Minister and local authorities. Previously no direct channel of communication with the local councils had existed

Established a “robust body of evidence” ($16B & 60% of end users activity) that directly involved 60+ councils, 1000+ end service users, major service providers and voluntary & community sector interest groups from which solutions would be created
Utilised benchmark process transformation techniques that used Prince 2, MSP & Gateway programme disciplines
The body of evidence included:

Developing a deep understanding of how adult care is commissioned and delivered
Capturing the voice of the customer: the end users (1000+)
Exploring jointly with councils new ways of configuring, procuring and delivering care services in order to turn efficiency gains into higher quality and sustainable services for vulnerable adults
The design and development of a care services efficiency excellence framework
Specifically targeting “non-value added activities” in the care delivery process
Building local and national efficiency partnerships with service providers
Creating and operating a transparent process that facilitates best practice transference and knowledge sharing
Adapting good practice from other sectors that is relevant to social care
Identifying quick wins across the 140+ local authorities

Delivered $3.2B+ of improved value for money
Developed a deep understanding of how care is delivered in local government authorities
Provided role model stakeholder engagement and relationship management
Captured the voice of the customer – the end-users who require care services in the community
Explored jointly with councils new ways of configuring, procuring and delivering care services in order to turn efficiency gains into higher quality and sustainable services for the end users
Designed and developed a care services efficiency excellence framework that specifically targeted the elimination of non-value added activities in the care delivery process
Created local and national Supply Chain centres of excellence
Created a transparent process that facilitated best practice transference and knowledge sharing
Identified quick wins across the 140 local authorities