The RAPID process

Recovery, Action, Planning, Implementation and Delivery

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, North West, Integrated

The problem

The trust needs to create a mechanism for escalation and support to divisions around their financial performance, otherwise there is a significant risk that the financial plan will not be delivered.

The challenge

  1. How might we provide enhanced executive support to divisional teams so that decisions are taken swiftly to address operational pressures in a collaborative manner?
  2. How might we decide where extra focus is required so that we can target additional resources and scrutiny where needed?

The outputs

  1. A clear set of metrics, reviewed quarterly, to monitor and report upon financial performance at a divisional level.
  2. A defined escalation process with RAPID meetings triggered when necessary.
  3. Executive level RAPID meetings coordinated to facilitate discussion and decision making.

The outcomes

  1. Enhanced support for the divisional teams with executive understanding of critical issues and agreed action plans.
  2. Forecast scenario planning utilised to capture and quantify actions so these can be monitored, providing assurance to the finance and performance committee.
  3. Improvement in CIP delivery and financial performance.

The Innovation

Read the full innovation on the RAPID process

All the documents and resources relating to this innovation can be found in the downloads section at the bottom of the page.

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What the peer-reviewers said

“This is a fantastic innovation bridging the gap between finance and clinical/management of the hospital”

“Visual way of presenting information to develop honest communications and strong relationships”

“Engaging simple set of metrics to support and stimulate conversation with clinical teams”

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Here are all of the documents and resources related to this innovation

Innovation H4

The RAPID (recovery, action, planning, implementation and delivery) process


Supporting evidence H4 (1)

Overview presentation – Powerpoint


Supporting evidence H4 (2)

Rapid triggers – PDF