About this project

The project was based on an extended conversation within a unique forum of experts. The Royal Academy of Engineering led the forum, in collaboration with the Royal College of Physicians and the Academy of Medical Sciences. It generated thought leadership from a group of people who would never otherwise have met and generated a network of engaged organisations and individuals committed to taking this framework into action. Designed and facilitated by Emma Adams and Pete Dudgeon, the project ran a suite of workshops in autumn 2016 focusing on different perspectives of a systems approach.

Workshop 1: A systems perspective

21 September 2016 at the Royal Academy of Engineering

Workshop 2: A design perspective

28 September 2016 at the Academy of Medical Sciences

Workshop 3: A risk perspective

5 October 2016 at the Royal College of Surgeons

Workshop 4: Integration and dissemination planning

2 November 2016 at the Royal Academy of Engineering

The majority of participants attended all workshops and included:

  • patient leaders
  • acute trust clinicians and physicians who are leading transformation programmes
  • system engineers (including INCOSE UK members)
  • RCP Future Hospital Programme
  • NHS Improvement
  • improvement charities and funders
  • service providers including pharmacy, mental health services and housing
  • clinicians and managers involved in quality improvement and service design.

This work was the continuation of a preliminary study conducted by Engineering the Future, led by the Chartered Institution of Building Services Engineers (CIBSE), the Institute of Healthcare Engineering and Estate Management (IHEEM), and the Institute of Physics and Engineering in Medicine (IPEM) that explored the importance of engineering to health and care.

Workshop participants

Nick Barber, Emeritus Professor, UCL

Richard Beasley, Rolls-Royce plc; INCOSE UK

Professor David Bogle FREng, UCL

Rhona Buckingham, Royal College of Physicians

Cassandra Cameron, NHS Providers

Sarah Campbell, Royal College of Physicians

Carol Caporn, Patient Carer Network, Royal College of Physicians

Fiona Carragher, NHS England

Darren Challender, East Lancashire Hospitals NHS Trust

Professor John Clarkson FREng, Cambridge Engineering Design Centre, NIHR CLAHRC East of England

Alex Davison, Academy of Medical Sciences

Dr John Dean FRCP, East Lancashire Hospitals NHS Trust

Liberty Dixon, Academy of Medical Sciences

Simon Dodds, Health Care System Engineer and Consultant Surgeon

Dr Matthew Fogarty, NHS Improvement

Dr Chris Gibson, National School for Healthcare Science

Professor Patrick Godfrey FREng, University of Bristol

Professor Trisha Greenhalgh, Oxford University

Dr Christine Hill, University of Cambridge, NIHR CLAHRC East of England

Dr Keith Ison, Guy's and St Thomas' NHS Foundation Trust

Ella Jackson, Royal College of Physicians

Dr Gyuchan Thomas Jun, Loughborough Design School

Dr Alexander Komashie, Cambridge Engineering Design Centre, NIHR CLAHRC East of England

Mandip Korotana, Health Foundation

Wendy Lewis, Advancing Quality Alliance

Helen Liggett, North West Healthcare Science Workforce Lead

Professor Chris McMahon, University of Bristol

Waseem Munir, Advancing Quality Alliance

Bernie O’Hare, Advancing Quality Alliance

Penny Pereira, Health Foundation

James Rooney, Devon Partnership NHS Trust

Philippa Shelton, Royal Academy of Engineering

Dr Kate Silvester, Clinical systems improvement expert

Cathy Sloan, Advancing Quality Alliance

Ruby Smith, South Yorkshire Housing Association

Debbie Sorkin, The Leadership Centre

Dr Emma Sparks, Cranfield University

Dr Chris Subbe, Bangor University

Dr Mark Temple, Royal College of Physicians

Professor Mark Tooley FREng FRCP, Royal United Hospitals Bath NHS Foundation Trust

John Trewby FREng, formerly University Hospital Southampton NHS Foundation Trust

Clare Tudor, South Yorkshire Housing Association

Professor Christos Vasilakos, University of Bath

Dr Louella Vaughan, Nuffield Trust

Dr James Ward, Cambridge Engineering Design Centre, NIHR CLAHRC East of England

Tracy Webb, Health Foundation

Tom Wells, Government Office for Science

Frances Wiseman, Health Foundation

Dr Naho Yamazaki, Academy of Medical Sciences

Professor Terry Young, Brunel University London

Workshop facilitators

Emma Adams, Oxidate Consulting and Health Foundation Generation Q Fellow

Pete Dudgeon, PD Transformations and Generation Q core faculty

Additional reviewers

The report was reviewed by a group of external experts. Reviewers were asked to consider whether the evidence and arguments presented in the report were sound and supported the conclusions. Reviewers were not asked to endorse the report or its findings.

Dr Tom Bashford, Addenbrooke’s Hospital, Cambridge

Dr Darren Challender, East Lancashire Hospital NHS Trust

Professor Mary Dixon-Woods, University of Cambridge

Professor Manfred Morari, University of Pennsylvania

Dr Mohammad Farhad Peerally, University of Leicester

Dr Peter Pronovost, Johns Hopkins Hospital, Baltimore, MD

Secretariat

Nicola Platt, Royal Academy of Engineering

Philippa Shelton, Royal Academy of Engineering

Sarah Campbell, Royal College of Physicians

Aimee Protheroe, Royal College of Physicians

Dr Naho Yamazaki, Academy of Medical Sciences 

Working group chair

Professor John Clarkson FREng, Cambridge Engineering Design Centre

Working group

Professor David Bogle FREng, UCL

Dr John Dean FRCP, East Lancashire Hospitals NHS Trust; Royal College of Physicians

Professor Mark Tooley FREng FRCP, Royal United Hospitals Bath NHS Foundation Trust

John Trewby FREng, formerly University Hospital Southampton NHS Foundation Trust

Dr Louella Vaughan FRCP, Nuffield Trust

Acknowledgements

The project was led by the Royal Academy of Engineering and supported by the Royal College of Physicians Future Hospital Programme and Academy of Medical Sciences. Many thanks to those who have provided input and advice to this preliminary report and to all of the workshop participants and working group members.

The understanding brought by additional colleagues – Cambridge Engineering Design Centre, the Health Foundation, Advancing Quality Alliance and INCOSE UK – has informed all aspects of the project and has been central to its development and focus.

Thank you to the many people who have engaged with the project in different ways, including the Institute of Healthcare Engineering and Estate Management, Institute of Physics and Engineering in Medicine and Chartered Institution of Building Services Engineers.

Report authors

John Clarkson, David Bogle, John Dean, Mark Tooley, John Trewby, Louella Vaughan, Emma Adams, Peter Dudgeon, Nicola Platt and Philippa Shelton.

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