ENT is a surgical specialty which generates £4m income for University Hospital Leicester (UHL). In spite of high demand, UHL faced an issue with under-utilisation of ENT theatre capacity. £420k of activity has been provided by out of hour initiatives at premium rates and this work could be performed by the Trust at normal rates by scheduling and planning for clinics and theatres more effectively.
At the University Hospital Leicester (UHL) the scheduled ENT theatre cases were frequently cancelled (average x12 cases per week) in response to emergency activity demand. In performance terms this led to an average theatre session utilisation rate of 50-60 percent, an 18 week waiting list "backlog" of treatments and reactive "fire-fighting" approach to waiting list management, which impacted in theatre scheduling and associated resourcing requirements.