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Failure demand: a concept evaluation in UK primary care.

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Failure demand, a lean concept, reveals waste in healthcare systems, often stemming from demand and capacity issues. Understanding and applying this concept is crucial for improving patient care and system efficiency.

Keywords:
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Area of Science:

  • Healthcare Management
  • Lean Management Principles
  • Quality Improvement Science

Background:

  • Failure demand, a lean concept, is underutilized for waste analysis in quality improvement.
  • A UK Government requirement for reporting failure demand has been removed, potentially hindering its application.

Purpose of the Study:

  • To assess failure demand as a lean concept for waste analysis in quality improvement.
  • To evaluate the missed opportunity in understanding improvement priorities due to limited use of failure demand.
  • To examine the impact of removing the UK Government's reporting requirement for failure demand.

Main Methods:

  • Literature review across the public sector.
  • Application of the failure demand concept to the UK primary healthcare system.
  • Analysis of UK National Health Service (NHS) demand data.
  • Elicitation of patient care impacts through patient interviews.

Main Results:

  • Primary care systems generate failure demand due to existing demand and capacity management practices.
  • Deflected demand impacts other systems, such as accident and emergency departments.
  • Failure demand has a considerable detrimental impact on patient experience.

Conclusions:

  • Further research is needed to optimize the application of failure demand in healthcare.
  • Barriers include poor understanding of healthcare demand, limited systems improvement knowledge, and the need for application beyond reporting.
  • The study offers an objective insight into failure demand in primary healthcare, previously lacking in academic literature.