Case Studies and Articles

Following an initial diagnostic assessment to decommission a dedicated trauma theatre at one of its main hospital sites, the analysis highlighted that doing so required more than a single-service solution. The Trust needed to answer a far more complex question: Could the entire elective footprint be redesigned to absorb trauma activity, deliver performance targets, and remain within financial constraints? This required a shift from local optimisation within orthopaedics to a

A large acute Trust was considering a significant operational and estate decision at one of its largest hospital sites: the potential decommissioning of a dedicated trauma theatre. This raised a critical strategic question for the Trust. Could orthopaedics absorb an additional 10 trauma theatre sessions per week into its existing elective capacity while still meeting forecast demand for 2026/27? And, if not, what changes would be required to make this achievable? At first gla

We worked with a large Trust that was facing significant challenges in recent years. It was placed in Tier 1 for failing to meet its elective surgery performance and financial targets. Surgical productivity had stagnated since the pandemic, with surgical time being under-utilised, placing the Trust in the lower performance quartile. Limited focus on the efficiency of operating theatres and staff utilisation resulted in fewer patients being treated, extended waiting times and