Leadership in Health Services: Volume 20 Issue 4


Table of contents - Special Issue: Introducing lean in healthcare

Guest Editors: Jennifer Bowerman

Can lean save lives?

David Fillingham

The purpose of this paper is to show how over the last 18 months Bolton Hospitals NHS Trust have been exploring whether or not lean methodologies, often known as the Toyota…


Can Six Sigma be the “cure” for our “ailing” NHS?

Jiju Antony, Kay Downey‐Ennis, Frenie Antony, Chris Seow

The purpose of this research is to analyse whether Six Sigma business strategy can be used to improve the financial and operational performance of the NHS. The paper will also…


Health service improvement through diagnostic waiting list management

Amy Lodge, David Bamford

The purpose of this research is to focus on a hospital Division of Diagnostics and Clinical Support (150 medical, 1,975 non‐medical staff) and how systems were enhanced through…


Should doctors stop taking the generic history?: A comparison of house officers' and nursing staff clerking in general surgery

R. Gudena, N. Khetan, S. Luwemba, L.R. Jenkinson

The purpose of this paper is to show how the implementation of the European Working Time Directive in August 2004 has dramatically decreased junior doctors' working hours, as a…

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Emerald Publishing Limited

Open Access:



  • Dr Jennifer Bowerman
  • Dr Jo Lamb-White