building a business case for lean

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Building a Business Case for Lean John Darlington (LERC) & Marie Jones (Child Protection) Acknowledgement to Goldratt & Fox and Dan Jones & John Bicheno

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By John Darlington of LERC shown at the Lean Summit 2011 - Solving Business Problems on 10/11 November 2011

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Page 1: Building a Business Case for Lean

Building a Business Case for Lean

John Darlington (LERC) & Marie Jones (Child Protection)

Acknowledgement to Goldratt & Fox and Dan Jones & John Bicheno

Page 2: Building a Business Case for Lean

The Thinking behind Flow Accounting

top

tens

fifties

hundreds

thousands

• Most large organisations adopt this sort of structure

• It is based upon the valid premise that one person can only manage between 5-15 direct reports effectively

• Splitting things up in an attempt to deal with “complexity”

……..”And Moses chose able men out of all Israel and made them heads over the people, rulers of thousands, rulers of hundreds, rulers of fifties and rulers of tens”

Exodus 18:25

Page 3: Building a Business Case for Lean

The Thinking behind Flow Accounting

• Historically the above structure was adopted by the Church and Army but using different means.

• Now despite the massive growth towards globalised manufacturing organisations and growth in size and volume of service organisations the basic pyramid shape is the same

• Not every part of the organisation adheres to the extended pyramid of the diagram; support functions do not for instance

• So we get “line managers” and “staff or functional managers”

top

tens

fifties

hundreds

thousands

Page 4: Building a Business Case for Lean

The Thinking behind Flow Accounting

• To work well every organisation relies on the FLOW of information down and up it’s structure. Note we call this information not data because it is “filtered” at every level by the managers; “Give me an executive summary”

• Only the magnitude of the decision distinguishes managers

• And here lies a potential flaw; can a local manager make a decision with a viewpoint of the entire organisation? Does she or he have such extensive knowledge?

• Another way of putting it is whether the CEO would make the same decision if they were substituted for a middle manager?

Information

flow

Information

flow

top

tens

fifties

hundreds

thousands

Page 5: Building a Business Case for Lean

The Thinking behind Flow Accounting

Performance

Measures

• To judge whether our manager is effective and their department is run well we develop policies for them, which when quantified deserve the title “measurements”.

• The dilemma we create in doing this is that the local manager tries to optimise what they can control, her or his local system.

• And this begs the question “are the sum of the local optima the same as the optima of the whole?”

• Most people see that the trying to optimise parts of the whole is NOT the same as trying to optimise the whole

top

tens

fifties

hundreds

thousands

Page 6: Building a Business Case for Lean

The Thinking behind Flow Accounting

• The key information a local manager needs to contribute positively to the whole is associated with the limitations of the organisation. It’s constraints to achieving it’s goal.

• Fortunately there are relatively few constraints limiting a business achieving it’s purpose. We can prove this later but for the purposes of describing the objective of flow accounting it is sufficient that we acknowledge the existence of few constraints…. Pareto does exist

Performance

How well did we do?

Measures

Policy

top

tens

fifties

hundreds

thousands

Page 7: Building a Business Case for Lean

The Thinking behind Flow Accounting

• So Flow Accounting emphasises the “whole” and the interaction of the parts.

• It tries to always encompass the boundary walls of the organisation because that is the only place real money changes hands.

• Sub systems must understand how they can contribute positively to the goal of the whole organisation. And not be fooled into some local cosmetic optimisation.

• So the challenge for the design of a systematic approach is to identify the few constraints to the goal for the organisation and develop measurements that allow local managers and other employees to contribute in a positive way.

top

tens

fifties

hundreds

thousands

More Successful

Financial Accounting

Less Successful

Management Accounting

Page 8: Building a Business Case for Lean

Two Uses of Accounting data

Accounting data

Statutory

Law based

Inventory < of cost or

market value

Product cost

Management

Preference based

Days inventory

Schedule adherence

Flow Accounting

Lean Accounting

Page 9: Building a Business Case for Lean

Structure of the Flow Accounting Process

•Financially quantified current state

• Testing cause and effect analysis

Value Flow Mapping -

a diagnosis of the

Current State

Value Flow Accounting

& Decision Making

Value Flow

Performance Measures

Data Acquisition

Structure & Modelling

Quantitative financial assessment of the initial future state

Tackle the

whole in one

Break down into

chunks

Clarification of the financial consequences of the current state

Demand Analysis Inventory Analysis Capacity Analysis Policy Analysis People

Page 10: Building a Business Case for Lean

Measures (Simultaneously)

NP Net Profit

UP CF Cash Flow

UP ROI Return on

Investment

UP

T Throughput

UP I Inventory

DO

WN

OE Operating

Expense

DO

WN

?

Page 11: Building a Business Case for Lean

Boundary measures

T £

O.E £’s

£ I

Understand control at the Plant walls:- Real cash flow Real costs

Page 12: Building a Business Case for Lean

A Case Study example “It’s too expensive to stop”

Page 13: Building a Business Case for Lean

Control

Cooled

Heat

Treatment

Finish –

North Line

Finish –

South Line

Joy

Mining Line

Die Shop

Cutting

Induction

Heating

Forge

Shotblast

Shotblast

Con. Cooled £000’s

Sales 9263

Material costs(4179)

Throughput 5084

Heat Treated £000’s

Sales 2738

Material costs(1023)

Throughput 1715

RM

30.8d

3.9d

1.5d

11.4d

19.2d

4.5d

9.6d

5.3d

5.2d

24.5d

Fgds

1.8d

Fgds

1.3d

Fgds

15.7d

Overheads £3048k

£2255k

£366k

£628k

What about looking at the inventory lead times by the distinctive value streams (June results)

Raw material

28.07 days

Finished goods

11.01 days

Work in Progress

33.85 days

CC OTIF

90% by

week

HT OTIF

72% by

week

Value Flow Mapping Forging Business (local “efficiency” gone mad in the name of “unit cost”)

Page 14: Building a Business Case for Lean

Measure of Improvement

Manufacturing Lead Time as Measured by Days Inventory in WIP

28.129.0

26.3

29.1

18.4

20.1 20.0

22.9

16.7

13.0

8.9

12.4

14.6

9.07.8

0

5,000

10,000

15,000

20,000

Period

No. of P

ieces

0

5

10

15

20

25

30

35

Days

Closing WIP (Pcs) 10409113441250712693 8812 9360 7336 8739 7633 6781 6159 5136 7352 4945 4207

Sales (Pcs) 111071174814275130851440113945110101144013700156002075912476151041647316216

WIP Days 28.1 29.0 26.3 29.1 18.4 20.1 20.0 22.9 16.7 13.0 8.9 12.4 14.6 9.0 7.8

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Page 15: Building a Business Case for Lean

`

Castings &

Forgings

RM

35

days

Nuts & Bolts

RM

10

days

Composite

Raw Materials

RM

10

days

GOODS

INWARDS

RM

2.4

days

WIP

49.32

days

$ 24,732 K

AAB FINAL ASSY

CRJ700/ 900 NAC ($4649K/ 8)

GX TAILCONE/ SLATS ($2021K/ 8)

DASH 8 NAC /FLIGHTS ($698K/ 3)

OTHER NAC ($1644K/ 7)

OE = $1301K

QI MAIN FACTORY

CL 604 MID FUSE ($2571K/ 3)

RJ & CL604 NAC ($2338K/ 8)

CRJ700 FUSE/ FLIGHTS ($3024K/ 1)

CRJ900 FUSE/ FLIGHTS ($8341K/ 3)

DASH 8 FUSE ($5897K/ 6)

GX FUSE/ FLIGHTS ($6565K/ 3)

GX TAILCONE/SLATS ($2021K/ 8)

GLOBAL 5000 ($1911K/ 1)

LEAR 40 ($1893K/ 1)

LEAR 45 ($6581K/ 3)

CONTINENTAL FUSE ($2355K/ 3)

RJ 200 FUSE ($925K/ 1)

RJ 200 FWD FUSE ($208K/ 1)

OTHER NAC ($1644K/ 7)

AUBURN ($400K/ ?)

061100 NIMROD (£0K/ 0)

OE = $4689K

COMPOSITES

V2500 NAC ($6095K/ 23)

BR710 PODDING ($4526K/ 14)

BOEING RUDDER ($1099K/ 8)

OE = $829K

FABRICATIONS

WIP

26.3 days

$ 1,169 K

[76]

HAWLMARK

(Sheet Metal)

OE = $1734K

All Contracts

SUB ASSYWIP

36.22

days$ 2,611 K

All

Contracts

All ContractsWIP

22.73

days

$ 1,599 K

[04]

METAL BOND

(Panels)

OE = $1249K

WIP

20.55

days

$ 832 K

[29]

MACHINE SHOP

OE = $475K

[44/50/51]

SYSTEMSWIP

45.28

days

$ 709 K

OE = $463K

[06/90]

COMPOSITE

FABS

OE = $2239K

WIP

47.09

days

$ 2,951 K

WIP

42.91

days

$ 452 K

[08]

ELECTRICAL

OE = $203K

FINAL ASSY. (Contracts)RAW MATERIAL

Value Flow Mapping Large Aerospace… (“keep ‘em busy” Syndrome)

Page 16: Building a Business Case for Lean

Relationship of Hours Worked to Manufacturing Lead Time

Relationship between Factory Hours and Work in Progress

9,3249,790

10,723

8,858

10,256

9,324

500,000

700,000

900,000

1,100,000

1,300,000

1,500,000

1,700,000

£000's

0

2,000

4,000

6,000

8,000

10,000

12,000

HO

UR

S

Working Inventory 1,468,386 1,425,597 1,519,449 1,385,284 1,468,457 1,444,057

Factory Hrs 9,324 9,790 10,723 8,858 10,256 9,324

Jan Feb Mar Apr May Jun

Page 17: Building a Business Case for Lean

R

Warehouse

GB

88

days

CE

100

days

GJ

0

days

VO

62

days

LG

46

days

WL

42-187

days

EXT’RN’L

112-

343

days

SS

42-257

days

A

Welding Cell

R

Assembly Cell Freight

Services

8 times

per day

O

62

days

191259

Sales $367k

Mat Cost $(244)k

Throughput $123k

101260

Sales $449k

Mat Cost $(299)k

Throughput 150k

101261

Sales $245k

Mat Cost $(161)k

Throughput $83k

?

days

?

days

?

days

?

days

34

days

0 days

27

days

0-15

days

0-25

days

8 days

0-10

days

3-169

days

13

days

23

days

7

days

OE $157k

OE $94k*

OE

$128k*

OE $150k*

Value Flow Mapping Automotive Machining & Assembly… (protracted

and self inflicted)

52 days

493 days

Page 18: Building a Business Case for Lean

Pareto Exists…………. Use it!

Key Drivers Sensitivity Analysis

P&L Actual 2010 Eur000’s

A 5% Change for better effects the bottom line by: -

Sales 30899

Material Cost 11810

Throughput 19089

Labour 6387

Staff 2967

Depreciation 1566

Energy 1438

Purch Servs 1181

Freight 1090

Consumables 1029

Maintenance 748

Other variable 652

Toolcrib 495

Loss prevention 373

Op Profit/(Loss) 1163

The reason why new product

introduction is so important

There is a volume

dimension to most

businesses

How can people claim

bigger batches are cheaper?

Page 19: Building a Business Case for Lean

Relationship of Sales to MLT

Relationship between Sales and Manufacturing Lead Time

34.94

34.22

34.8335.17

36.43

33.85

0

200000

400000

600000

800000

1000000

1200000

£000's

30.00

31.00

32.00

33.00

34.00

35.00

36.00

37.00

Days

Smoothed Sales 846293 1037974 1021344 1000231 876990 1067380

Smoothed MLT in Days 34.94 34.22 34.83 35.17 36.43 33.85

Jan Feb Mar Apr May Jun

Page 20: Building a Business Case for Lean

• June End Inventory of £1.4 million

Working Capital Relationships Current State

Finance Days

63

Payables Days

60

Inventory Pipeline in Days

Raw WIP Fin Gds

28 34 11

Debtor Days

50

Page 21: Building a Business Case for Lean

So what conclusions can we come to?

• We do not need a lot of accounting data to show the FINANCIAL CONSEQUENCES of how we run our organisations today

• Making this simple accounting information as visual as possible opens up the possibility of people being better placed to make a contribution

• The current propensity to try and drive cost accounting down to the shop-floor level looks misguided in the light of the opportunities illustrated by Flow Accounting Value Flow Mapping

• What is needed first are POLICY changes; only senior people can do this.

• The lowest common denominators are TIME and MONEY but though closely aligned these are NOT the same.

• Driving for lead time compression is at the heart of Flow Accounting.

Page 22: Building a Business Case for Lean

A thought on “advances” in accounting thinking

To name a thing is gratifying……….but it is also dangerous: the danger consists of one’s becoming convinced that all is taken care of and that once named the phenomenon has also been explained. (Primo Levi Other People’s Trades)

Page 23: Building a Business Case for Lean

A Flow Accounting Case Study

Children’s Social Services

Marie Jones

Operations Manager – Business & Performance

Children & Families Services

Conwy County Borough Council

Page 24: Building a Business Case for Lean

Research Project

• Lean MSc 2010 Cardiff University (LERC)

• It was NOT an evaluation of social work practice

• The earlier commissioning study had been conducted which over a 2 yr period had:- – Established a service picture and stakeholder views.

– Evaluated service compatibility

– Studied the effectiveness of interventions

Page 25: Building a Business Case for Lean

Service Context

The Corporate Spending Gap:-

Children Services Budget represents 5% of LA revenue

• Reduced Settlements

• Caps on local taxation

• Reduced income

• Redistribution of Grants

Page 26: Building a Business Case for Lean

Service Context

Operational Challenges:-

The regulatory framework.

Serious case investigations

Centrally imposed operational framework (Integrated Children System).

IT system for case recording & workflow

Page 27: Building a Business Case for Lean

Service Context

Operational Challenges:- Culture of continuous change (but not improvement)

Declining performance

Increasing expenditure

Page 28: Building a Business Case for Lean

?? Flow Accounting ??

• Accounting practices – Cash limited budget, principle that the service can

only manage what it can control.

• Organisational measure would not be profit … the budget is a necessary operating condition.

• No obvious production machinery …. but the ICS is a flow system

Page 29: Building a Business Case for Lean
Page 30: Building a Business Case for Lean

Terminology: Throughput ?

The rate the organisational goal is achieved.......

“ to safe guard and protect the welfare of vulnerable children and their families through reducing vulnerability, increasing resilience and managing risk”.

Page 31: Building a Business Case for Lean

Terminology

Inventory?

• All the money tied up in the things it intends to sell.

…..all the children & families waiting for something….

Operating Expense ?

• All the money going out of the organisation.

…..the service expenditure…

Page 32: Building a Business Case for Lean

Constructing the Value Flow Map

Shared Process Contact/Referral

Shared Process

Initial

Assessment

Children with Disability

Assess and Plan Transfer to

Adult services

Close

Shared Process Review

Child in Need

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term Team

Core Assessment

Transition to Adult services

Closure

Shared Process Review

Child Protection Retain Short

Term

Transfer to Long Term Team

Shared Process Review

Shared Process Conference Plan

Shared Process Review S47

Core Assessment

Concern Decrease Child in

Need

Concern Increase Looked after

Child

Children with Disability

Looked After Child

Independent Living

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term

Team

Core Assessm

ent

Shared Process Review

Court Work

Return home Child in Need

Adoption

Permanent Care Transition to Leaving Care

Children with Disability

Page 33: Building a Business Case for Lean

Analysing Demand

Contact Demand = 6387, but this was 2836 children.

Page 34: Building a Business Case for Lean

Analysing Demand

Shared Process Contact/Referral

Shared Process Initial Assessment

Children with Disability

Assess and Plan Transfer to

Adult services

Close

Shared Process Review

Child in Need

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term Team

Core Assessment

Transition to Adult services

Closure

Shared Process Review

Child Protection Retain Short

Term

Transfer to Long Term Team

Shared Process Review

Shared Process Conference Plan

Shared Process Review S47

Core Assessment

Concern Decrease Child in

Need

Concern Increase Looked after

Child

Children with Disability

Looked After Child

Independent Living

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term

Team

Core Assessm

ent

Shared Process Review

Court Work

Return home Child in Need

Adoption

Permanent Care Transition to Leaving Care

Children with Disability

All Demand = 7112

Contact = 6387

Referral 725

725

475

345 85 73 169 IA = 7

days

40.2% (179/475

Avg 32 days

Decision in 1 working day

59%

428/725

Page 35: Building a Business Case for Lean

Inventory Analysis

How to identify?

– Follow the procedural workflow of ICS

– Work waiting at decision points or tasks would become apparent.

Low levels of data being reported

– No confidence in the reports

• ? Technical error or under-reporting

Page 36: Building a Business Case for Lean

Analysing Demand

Shared Process Contact/Referral

Shared Process Initial Assessment

Children with Disability

Assess and Plan Transfer to

Adult services

Close

Shared Process Review

Child in Need

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term Team

Core Assessment

Transition to Adult services

Closure

Shared Process Review

Child Protection Retain Short

Term

Transfer to Long Term Team

Shared Process Review

Shared Process Conference Plan

Shared Process Review S47

Core Assessment

Concern Decrease Child in

Need

Concern Increase Looked after

Child

Children with Disability

Looked After Child

Independent Living

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term

Team

Core Assessm

ent

Shared Process Review

Court Work

Return home Child in Need

Adoption

Permanent Care Transition to Leaving Care

Children with Disability

All Demand = 7112

Contact = 6387

Referral 725

725

475

345 85 73 169

Short

Term Long

Term

CWD

Decision in 1 working day

59%

428/725

IA = 7 days

40.2% (179/475

Avg 32 days

170

146

1

43

7 4

158

4

184

Page 37: Building a Business Case for Lean

Operating Expense

Shared Process Contact/Referral

Shared Process Initial Assessment

Children with Disability

Assess and Plan Transfer to

Adult services

Close

Shared Process Review

Child in Need

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term Team

Core Assessment

Transition to Adult services

Closure

Shared Process Review

Child Protection Retain Short

Term

Transfer to Long Term Team

Shared Process Review

Shared Process Conference Plan

Shared Process Review S47

Core Assessment

Concern Decrease Child in

Need

Concern Increase Looked after

Child

Children with Disability

Looked After Child

Independent Living

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term

Team

Core Assessm

ent

Shared Process Review

Court Work

Return home Child in Need

Adoption

Permanent Care Transition to Leaving Care

Children with Disability

All Demand = 7112

Contact = 6387

Referral 725

725

475

345 85 73 169

170

146

1

43

7 4

158

Short term

£449,397 Long Term

£1,052,991

Dedicated CWD £1,558,471

Decision in 1 working day

59%

428/725

IA = 7 days

40.2% (179/475

Avg 32 days

Dedicated CP £80,470

Dedicated LAC £5,420,105

184

Page 38: Building a Business Case for Lean

Shared Process Contact/Referral

Shared Process Initial Assessment

Children with Disability

Assess and Plan Transfer to

Adult services

Close

Shared Process Review

Child in Need

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term Team

Core Assessment

Transition to Adult services

Closure

Shared Process Review

Child Protection Retain Short

Term

Transfer to Long Term Team

Shared Process Review

Shared Process Conference Plan

Shared Process Review S47

Core Assessment

Concern Decrease Child in

Need

Concern Increase Looked after

Child

Children with Disability

Looked After Child

Independent Living

Plan Shared Process

Review

Retain Short Term

Transfer to Long Term

Team

Core Assessm

ent

Shared Process Review

Court Work

Return home Child in Need

Adoption

Permanent Care Transition to Leaving Care

Children with Disability

All Demand = 7112

Contact = 6387

Referral 725

725

475

345 85 73 169

170

146

1

43

7 4

158

Short term

£449,397 Long Term

£1,052,991

Dedicated CWD £1,558,471

Decision in 1 working day

59%

428/725

IA = 7 days

40.2% (179/475

Avg 32 days

Dedicated CP £80,470

Dedicated LAC

£5,420,105

Shared Service Resources £1,274,253 Overhead Costs £1,558,471

184

Page 39: Building a Business Case for Lean

What did it tell us?

INVENTORY

TOTAL 717

CIN TOTAL 500

CWDS 170

ST 184

LT 146

CP TOTAL 48

CWDS 1

ST 4

LT 43

LAC TOTAL 169

CWDS 4

ST 7

LT 158

OPERATING EXPENSE

TOTAL £10,853,648

OVERHEAD £1,558,471

SHARED RESOURCES

£1,274,253

CWDs £1,017,961

SHORT-TERM

£449,397

CP £80,470

LONG-TERM £1,052,991

LAC £5,420,105

THROUGHPUT

All Demand 7112

C=6387

R= 725

Referral Decisions

428/725 (59%)

made in one working day

Initial Assessment

179/475 (40.2%) complete within 7 working days

32 days average

Page 40: Building a Business Case for Lean

Stage 2: Detailed work

ICS system map

– To understand the complaints of a burdensome system

• To distinguish between the requirements of ICS and local requirements

• Assess the statutory fit of National Indicators

Traditional Process Mapping

Page 41: Building a Business Case for Lean

Findings

• Retention/delay of cases at the “contact” stage

• Skill mix and specialist Case Holders in Assessment Team reduced assessment capacity.

• Distinction between gathering information and beginning the assessment process

• High levels of Child Protection investigation but much lower levels of conferencing

Page 42: Building a Business Case for Lean

Relevance to the system?

1. Levels of the Eligibility Criteria

2. CP referrals do not require consent

3. Supported joint investigation by the police

Page 43: Building a Business Case for Lean

Variation

252219161310741

50

0

-50

A ssessment

Wo

rk

in

g D

ay

s

_X=22.7

UC L=78.6

LC L=-33.3

252219161310741

60

45

30

15

0

Observation

Mo

vin

g R

an

ge

__MR=21.04

UC L=68.74

LC L=0

Timeliness of Initial Assessments (June 2009)

Type of Variation:

• Request

• Effort

• Ability

• Preference

Page 44: Building a Business Case for Lean

Capacity – Availability of the IT system

– Assessment capacity

– Authorisation capacity

Inventory – Raw data

– Client waiting

– Completed record & storage.

Page 45: Building a Business Case for Lean

What did we do about it?

Triangulation of knowledge....

– Findings from Commissioning Study

– Findings from Detailed mapping

– Work with practice specialists for professional development

Formed the basis of a Business Case for service development

Page 46: Building a Business Case for Lean

Understand Customer Value

• Commissioning Study provided insight into Customer views and experiences.

• Inspection by regulators set out the expected results & compliance requirements

• Case Audit by practitioners provided insight into levels of achievement

Page 47: Building a Business Case for Lean

Manage the constraint

• Fieldwork restructuring Grouped Social Workers into PODS by case need/skill set:- – to increase assessment capacity – increase case-holding capacity (reduced caseloads)

• Increased the ratio of Senior Practitioners to Case

Holders to :- – Increase decision making capacity – Focus on mentoring, risk and case management support

• Improvements to IT systems & User skills

Page 48: Building a Business Case for Lean

Align Capacity with Demand

• Fieldwork re-structure:

– Increased case-holding capacity allowed redistribution of cases to achieve reduced individual case loads.

– Built in “down-time” for Front Door Assessment Teams

– Removed specialist case holders from Assessment Teams to increase case allocation opportunities.

Page 49: Building a Business Case for Lean

Manage Inventory & Compress Time

• Data clean up / catch up • Head of Service led practice forums to monitor work in progress. • Refinement of monitoring / measures reporting • Relaxation of Assessment timescales

• Devolvement of the scheme of delegation (in-part)

• Eradication of spreadsheets/manual monitoring mechanisms to maximise

utilisation of IT system

• Practice forums with partner agencies to conduct case audit of referrals.

Page 50: Building a Business Case for Lean

Create Flow: Pull

• Practice Developments:- – Practice Development Programme with Child Care Experts

– Development and use of Analysis Framework Tools

– Review of Case Transfer procedure

– Specialist POD for Children in permanent care focus on post care independence

– Redefining managerial boundaries across care pathways

• Expansion of the case-tracker effectiveness tool for Resource Teams

Page 51: Building a Business Case for Lean

12 months on......

• Case numbers are the lowest they have ever been.

• The number of Assessment has increased and timescale for completion has remained stable

37332925211713951

15

10

5

0

-5

A ssessment

Wo

rk

ing

Da

ys

_X=4.08

UC L=14.65

LC L=-6.49

37332925211713951

12

9

6

3

0

Observation

Mo

vin

g R

an

ge

__MR=3.97

UC L=12.98

LC L=0

1

Timeliness of Initial Assessments (June 2010)

Page 52: Building a Business Case for Lean

What did it tell us?

INVENTORY

TOTAL 638

CIN TOTAL 429

CWDS 156

ST 137

LT 136

CP TOTAL 42

CWDS 6

ST 2

LT 34

LAC TOTAL 167

CWDS 4

ST 5

LT 159

OPERATING

EXPENSE

TOTAL £11,430,697

OVERHEAD £1,551,610

SHARED RESOURCES

£1,343,442

CWDs £1,088,768

SHORT-TERM

£502,231

CP £93,094

LONG-TERM £947,268

LAC £5,904,284

? THROUGHPUT

All Demand 7773

C= 7084

R= 689

Referral Decisions

662/689 (96%)

made in one working day

Initial Assessment

344/525 (65.5%) complete within 7 working days

16 days average

Page 53: Building a Business Case for Lean

Maintaining Flow

• Further changes to assessment processes, timescales and case management would take the service outside of compliance requirements (doing the wrong thing righter)

• The work so far has focused only on one type of assessment and is not the full picture.

• Focus has shifted as care costs continue to rise despite fewer children entering the care system and increased numbers leaving care...nights in care continues to go up.

Page 54: Building a Business Case for Lean

How did Flow Accounting help?

• The Flow Map provided an image that depicted high level care pathways, their interdependencies and financial implications.

• Challenged understanding of demand and capacity but

most importantly throughput. - Discussion point highlighted by the Commissioning Study took on

new relevance

• Exposed the hidden Work in Progress • Challenged effectiveness of business support mechanisms

such as performance reporting/measures and financial processes