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The final day to access is Friday 24th March 2017, after this date the site will be available through the national archive.



A range of case studies from both ECIP and non-ECIP systems. If you wish to share examples of good practice and innovation, please contact your ECIP cluster lead or visit the ECIST Network

Northern Devon Healthcare NHS Trust - Making every week a perfect week in North Devon. The Trust implemented three Perfect Week initiatives during 2015/16 as a way of tackling patient flow pressures. It has now taken the unusual step of implementing the Perfect Week way of working into its day-to-day practice, making sustained improvements to patient flow. The Trust explained why and how they are turning every week into a Perfect Week...The case study can be found here.

South Warwickshire NHS Foundation Trust has taken a whole system approach to improving its emergency care performance, and the impact has been felt across the hospital. After identifying a clear connection between patient flow and mortality, the Trust focused on addressing variability to align capacity with demand and improve flow, quality and productivity. This case study describes the whole system principles which the Trust believes are fundamental to efficient patient flow. The case study can be found here.

Ipswich Hospital has one of the top-performing EDs in the country, delivering the 4-hour emergency access standard over eight consecutive quarters and has regularly been rated amongst the top 10 trusts in England. Urgent and emergency care services at the hospital were rated as Outstanding overall by the CQC, which had particular praise for the ED’s innovative escalation protocol. This case study describes how they have worked together to redesign processes and improve patient flow. The case study can be found here, along with supporting documentation on professional standards for the transfer of care for patients here

NHS England 'Breaking the Cycle'

‘Breaking the Cycle’ is an initiative promoted by the Emergency Care Intensive Support Team (ECIST), and designed to support healthcare systems in creating step changes in Emergency Care. NHS England Midlands and East Performance Improvement Team has visited a number of trusts to try and understand what contributes to a successful ‘Breaking the Cycle’ initiative, and equally, which factors might prevent the initiative from making a positive impact on the performance of the trust. The case studies from those trusts are given below: 

The Ipswich Hospital NHS Trust

The Queen Elizabeth Hospital King's Lynn NHS FT

West Suffolk Hospital NHS FT

James Paget University Hospitals NHS FT

Peterborough and Stamford Hospitals NHS FT

Norfolk and Norwich University Hospitals NHS Foundation Trust

ECIP has helped systems in the Midlands and East region run Breaking the Cycle / Perfect Week events over the summer. Below are the presentations used in those events.

Breaking the Cycle Together

South Warwickshire NHS FT

Operations and Delivery Directorate, NHS England

The Queen Elizabeth Hospital King's Lynn NHS FT

University Hospitals Coventry & Warwickshire NHS Trust

West Suffolk NHS FT

University of Cambridge

Peterborough & Stamford Hospital NHS FT


​Below are a range of other case studies from both ECIP and non-ECIP systems: 

Lincolnshire Care Home Trusted Assessor Project

Supporting documents for the Lincolnshire TA project - Discharge Support During Escalation at ULHT andHospital Discharge Developments, Lincoln County Hospital

South Manchester Rapid Response Service 

Today's Bloods Today - South Warwickshire NHS Foundation Trust 

Discharge to Assess - South Warwickshire NHS Foundation Trust 

Easier Access, Better Care - Single Point of Access

Case Study - 90 Minute Length of Stay.pdf

Case Study - Reduce Length of Stay.pdf

Case Study - Service Redesign.pdf

International comparisons of selected service lines in seven health systems