Technical Compliance at an NHS Foundation Trust

20% increase in technical compliance

Transition from paper-based records to an electronic database

Improved assurance and record management

Standardised process across the hospitals ensured data integrity

Thank you for your assistance with the water management transformation, this has been a huge help to maintaining assurance against technical compliance.

Raj Odedra, Executive Director of Estates and Facilities

Define it

An NHS Foundation Trust faced critical technical compliance challenges relating to water management. They had a budget of £1.8 million over 2 years for the eradication of legionella and pseudomonas. CI Projects undertook a thorough gap analysis of the current state and identified the following problems:

  • Compliance gaps: Unclear processes and recordkeeping hindered technical compliance with water safety regulations.
  • Limited capacity: Existing staff lacked the time to implement improvements while maintaining day-to-day operations.
  • Inefficient operations: The Target Operating Model (TOM) couldn’t handle timely remedial actions and ongoing maintenance.
  • Data deficiencies: Insufficient data and analytical skills hampered trend analysis and forward-planning.

Improve it

CI Projects partnered with the Trust to deliver a comprehensive water management transformation to ensure technical compliance. This included:

  • Water management process design: A streamlined “to be” process established a more efficient and compliant water management system.
  • Water management tracker tool: A custom-designed tool facilitated tracking and recording of planned preventative maintenance (PPM) activities digitally.
  • Interim implementation team: Provided staff augmentation to embed the new processes and manage PPM records.
  • Centralised asset list: Collaboration with technicians ensured a comprehensive and verified asset list.
  • Model office setup: Archived historical records and created a digital system for future documents.
  • Weekly water hygiene meetings: Enhanced communication, accountability, and risk identification.

Sustain it

Through interim staff augmentation, we facilitated the successful embedding of new water management processes and PPM record management to ensure technical compliance. This ensured knowledge transfer and long-term process sustainability within the Trust’s workforce. Through a collaborative approach and tailored solutions, CI Projects empowered the NHS Trust to achieve enhanced compliance, efficient operations, and a robust foundation for future improvements.

More case studies in this sector

Transformation Programme at Guy’s & St Thomas’ NHS Trust

Implementation of best practice standards and processes resulting in c. £300k efficiency savings and improved compliance and assurance.

Patient Catering Transformation across an NHS Trust

The Front of House service was failing, resulting in service failure penalties and impact to patients. CI Projects delivered a full end-to-end transformation.

Stores Management Lean Six Sigma Review for an NHS Trust

Identified annual savings of c. £500k per annum as a result of improvements to the Stores Management process for an NHS Trust.