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Richard S Steyn MS FRCSEd(C-Th) FIMCRCSEd MRCGP DRCOG qualified as a Doctor from Aberdeen University in 1984. After completing vocational training in rural general practice (Taynuilt Medical Practice) he returned to surgical training in Aberdeen, Liverpool, Manchester and Birmingham. In August 1999, he was appointed Consultant Thoracic Surgeon at Heart of England NHS Foundation Trust. His main clinical interests are oesophageal cancer and cardiothoracic trauma. He is also an active pre-hospital doctor with West Midlands Ambulance Service and Warwickshire Ambulance Service and was awarded the Queen's Golden Jubilee Medal for his services.
He has been involved in the cancer services collaborative from Phase I as a tumour specific lead (lung) and in Phase II as a regional clinical lead. He has led several initiatives including patient-led follow-up and taping patient consultations. His main interest however has been researching healthcare processes with particular emphasis on understanding the effects of variation and flow on the management of demand and capacity and the resulting waiting lists. He has developed several computer models to facilitate the understanding and teaching of the concepts that must be addressed to allow effective use of healthcare resources. He was appointed National Clinical Lead Demand, Capacity & Patient Flow with the NHS Modernisation Agency in December 2001 and National Clinical Lead Cancer Modernisation in March 2003. More recently he has been appointed as an Honorary Senior Lecturer with the University of Warwick.
Increasingly he is lecturing and consulting on healthcare process design and demonstrating these models both within the UK and internationally to facilitate the understanding of demand and capacity management and planning, queuing theory, theory of constraints and lean thinking as it relates to healthcare. Kate
Silvester BSc
MBA FRCOphth originally
trained and practised as an ophthalmologist. In
1994 she retrained as a manufacturing systems engineer with Lucas
Industries. Kate spent
seven years in management consultancy transferring manufacturing
principles to service industries such as banking, airlines and
healthcare. In
1999 she rejoined the NHS as a programme manager for the Cancer
Service Collaborative. Kate
joined the NHS Modernisation Agency in April 2001 and is worked
on many NHS redesign programmes. Subsequently
Kate has developed the Osprey program (a strategic health authority
sponsored initiative training experienced healthcare staff in the
skills and techniques required to engineer
and design healthcare processes. Kate’s
specific areas of expertise are in the design and management of
organisational systems to improve patient flow across whole healthcare
systems and matching the variability in demand and capacity to
eliminate queues. Paul Walley ... is an Associate Professor with the University of Warwick Business School and has extensive experience of operations management and systems improvement within the UK healhcare system. His main role has been to analyse procedures and to recommend ways of improving the process design. Paul's work within emergency care produced ground-breaking analysis of demand for emergency care and recmmendations of how this demand should be managed and divided into process streams. The early work resulting in large improvements in waiting times, especially for minor patient treatment. This approach was adopted by the emergency Services Collaborative. More recently, Paul has been working to set up a Centre for Clinical Systems Improvement jointly with Warwick Medical School. Matthew
Cooke ... is Professor
of Emergency Medicine at Warwick Medical School and Heart of
England NHS Foundation Trust. His research interests include
clinical systems improvement, lean healthcare and systems approaches
to clinical improvement. This interest commenced from work he
undertook around emergency care reforms as the Department of
Health's emergency medicine advisor. He is currently leading
a project to develop a national curriculum in clincial systems
improvement and developing learning modules in this area at all
levels. He has advised both nationally and internationally on
reconfiguring emergency care systems. Richard
Lendon MBChB
FRACGP qualified
from the University of Birmingham Medical School in 1989. From 1991-1996
he lived in Australia, and worked to registrar level in Paediatrics and
Emergency Medicine. He completed his GP training and subsequently became
a partner in a large practice in Coffs Harbour, NSW. After retuirning
to England, he was a partner in General Practice for 5 years. In 2002,
Richard joined the NHS Modernisation Agency on a full-time basis. As part
of the Innovation and Knowledge Group and along with collegaues Kate Silvester
and Richard Steyn, he has pioneered the clincial systems improvement work
examining the issue of patient flow across healthcare systems. From April
2003 he was instrumental in introducing this approach across healthcare
in England in conjunction with the Improvement Partnership For Hospitals.
He also led the Real Measurement for Real Improvement program.
And of course a cast of thousands within UK hospitals, primary care and healthcare services abroad.
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