Supporting a £4 Million Improvement
- Tom Smith

- Jan 10
- 3 min read
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 reduced financial revenue from surgical activities.

CHALLENGES
Financial Impact of Lost Surgical Sessions
The Trust lost approximately 2,300 surgical sessions annually. This not only resulted in fewer treated patients but also significant financial losses due to reduced revenue and the increased cost of alternative measures to manage patient backlogs.
Costly Imbalance in Specialty Session
Allocation Uneven distribution of surgical time led to wasted resources and low utilisation in some specialties, while others faced theatre shortages, extending patient wait times and missing revenue opportunities. This imbalance drove up costs and hindered productivity across the Trust.
Wasted Booking Capacity
The Trust's focus was solely on scheduling theatre lists, without ensuring those sessions were actually going ahead. Many sessions were cancelled last minute, leading to wasted
booking resources. Given the already deficient booking capacity, a significant portion was diverted to rebook cancellations, exacerbating inefficiencies.
Financial Drain from Last-Minute Cancellations
Frequent last-minute schedule changes caused staff shortages, which led to premium pay costs and increased on-the-day cancellations. These disruptions delayed patient care and escalated operational costs, eroding the Trust’s financial position and creating bottlenecks that further hindered revenue recovery.
SOLUTIONS
Change Management
The transformation began with process mapping, engagement, and training, laying the foundation for a structured implementation. FLOORPLAN now drives efficiency, uniting clinical, administrative, and operational teams to streamline performance, optimize operations, and ensure smooth execution across the Trust.
Work Smarter with New Software
FLOORPLAN optimizes session management by aligning the required resources with session demands, driving revenue through increased sessions or reducing costs by managing fewer sessions efficiently. It ensures resources are allocated effectively, maintaining financial sustainability and RTT compliance. By bridging the gap between operational performance and financial targets in elective care, FLOORPLAN helps the Trust meet both operational and financial goals.
Reporting and Forecasting
FLOORPLAN delivers both live and historical reports, enabling specialties to track their progress against targets and effectively plan future workloads. It also forecasts financial outcomes with 99% precision and identifies risks that must be addressed to achieve financial objectives. FLOORPLAN’s cost-reduction capabilities help ensure financial sustainability by reducing the overhead of running patient activity while maintaining a strong RTT position for specialties.
OUTCOMES
The Trust recovered 800 surgical sessions
Increasing the number of patients by 9% and advancing from Tier 1 to Tier 2.
£4 Million in Additional Revenue
The increase in surgeries has generated additional revenue and is on track to deliver £4 million, which is being reinvested to enhance patient care.
500 Sessions per week coordinated
Reports from FLOORPLAN helped right-size the theatre schedule, ensuring surgical specialties with the highest demand receive the appropriate capacity.
350+ Clinicians Aligning Job Plans to BP Targets
FLOORPLAN aligned surgeon and anaesthetist job planning with business goals, highlighting workforce gaps and anticipating premium pay costs.
40% Savings on Premium Pay
The Trust salvaged 800 sessions and reduced premium pay and Waiting List Initiative (WLI) session costs by 40%, achieving more with its core capacity.

