01
Case 01
Clearing a surgical backlog by fixing the flow that produced it
- Leadership challenge
- A surgical waiting list of approximately 4,000 cases. Previous attempts had added capacity — more sessions, more lists — and the backlog had regenerated each time, because the pathway producing the queue had not changed.
- Actions taken
- Pathway redesign between referral and resolution rather than capacity addition. Pooled capacity where clinically appropriate, cleaner triage at entry, disciplined slot governance, and identification of the handoffs generating rework.
- Measurable result
- A surgical backlog of approximately 4,000 cases eliminated.
- Timeframe
- Under twelve months.
- Confidentiality
- The organisation is not named here.