CASE STUDY:THEATRE IMPROVEMENT PROGRAMME BACKGROUND The Meridian study and implementation took place during a period of extreme financial constraint for the Foundation Trust. Financial deficits had led to intervention by Monitor and all expenditure was under intense scrutiny. The study showed that while action had been taken to cease additional spend on ‘extra’ outpatient capacity, there was no system in place which assessed the impact of these types of decision. Similarly, there was no means of quantifying or reviewing the utilisation of the resource in place and therefore no sense of whether the department was achieving its full potential in terms of income to the Trust. A study

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