by Sarah Courtney of Portsmouth NHS Trust with Ian Taylor of Lean Enterprise Academy and Michael Ballé of Institute Lean France shown at the 4th Lean Healthcare Forum on 9th October 2007 ran by the Lean Enterprise Academy

1. Creating Basic Stability & Safety
Portsmouth Hospitals NHS Trust
Sara Courtney
Project Manager – 5S

2. PHT Facts
The Numbers
£370 million turnover
500,000 population
51k Elective, 64k Non-elective, 450k OP, 127k
ED
7,000 staff
1300 beds
Largest MDHU in the UK
The Rating
In the top 11% of the country
‘Good’ for both quality of care & finance (HCC)
The Future
Single site ‘state of the art’ hospital
FT status
Electronic Document Management
Best in Peer
Enterprise Wide Lean Transformation

3. Background on 5S pilot
Cardiology 5 day RIE April 07
Work stream 3 of 3 - 5S
Where we started –
Selected team and an area
Sort – Multiple stock storage areas
- 13,500 items (excluding ward)
- £3000 out of date stock
- 170 items never used
- ‘Squirreling’ culture
- Multiple H+S risks
Theoretical Set in Order
Pilot failed at this point

4. What we learned from the Pilot
Never underestimate the ‘Human’ element of
change
Selection of appropriate 5S team membership
Early involvement of Estates team
Early involvement of Supply Chain team
Timescales for true sustainability

5. Where we are now
Weekly 5S meetings
Stock zones implemented
Risks resolved – sharps, infection control, trips
Stores delivered to Delivery zone
Nominated Champions for areas
3S days planned
5S audits commenced
Clutter free environments
Improved staff morale
Reduced excess hours
Roll out through Cardiology
Supply Chain implementation