1 CASE STUDY Community Services Background This midland-based NHS Trust operated at a low productivity level within their District Nursing, Therapy, Integrated Care Team and Older Adult Mental Health Service. Due to unsatisfactory performance levels and unbalanced workload across the teams, Meridian were invited to carry out an analysis after a successful project in Adult Mental Health Services. The Trust wanted to focus on increasing the productivity by taking out surplus resource. Previously there was poor control over resources and capacity need was based on historic demand and previously agreed team sizes. There were no tools to enable the organisation to control and balance the demand and capacity on a higher level, within the teams or on a Trust l

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