General Surgery Improvement Programme

University Hospital Sussex partnered with Practicus and The Transformation Clinic to improve the leadership, culture and ways of working and delivery of emergency care within its General Surgery Department


Following a CQC inspection and critical reviews by external bodies such as Edgecumbe, Professor Dawson and NHSE, it was deemed necessary to undertake an improvement programme to deliver change within the General Surgery department. Gaps in performance were a result of a mismatch between demand for the service and the availability of workforce and physical capacity. The requirement entailed new models of care that would facilitate the repatriation of Upper GI Cancer Surgery, restore trainees, improve the departmental reputation and create a new fit-for-purpose operating model.

What we did

Through an experienced team that had unique insight into the operational nuances of the department, they have created:


The project has seen significant improvements made against the programme’s delivery goals since September 2022. Within a short timeframe, UHS has benefitted from:


Imperative to the success of the programme was to achieve success in delivering against the following workstreams:

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