The Leeds Teaching Hospitals NHS Trust

The Leeds Improvement Method

How this work links with our corporate strategy

Our aim is for The Leeds Improvement Method to underpin all of our work across the Trust. The diagram below shows how our vision, values and goals link together to enable us to provide the best possible care for our patients. All of this work is underpinned by the Leeds Improvement Method, spreading a consistent approach to continuous improvement.

LIM Pyramid


Here at Leeds Teaching Hospitals NHS Trust we have been successful in being selected as one of the five Trusts to take part in the NHS Improvement Partnership working with NHS Improvement and the world-renowned Virginia Mason Institute in Seattle.

The Virginia Mason Institute is known for helping healthcare organisations around the world create and sustain a ‘lean’ culture of continuous improvement. This programme is about ensuring we continue to provide the highest quality care for our patients whilst reducing inefficiencies and getting the best value for public money.

Virginia Mason is currently regarded as one of the most efficient and effective healthcare providers in the world, having developed a unique methodology for applying lean principles in a healthcare setting. The concept and principles of the underpinning Toyota Production System complement much of the work we have already undertake in the Trust over the last two years to develop The Leeds Way, our values, behaviours and culture.

This five year programme will enable us to take our work to the next level by learning from the experiences of clinical staff at Virginia Mason and empowering our own clinical teams to adopt the relevant parts of this to ensure we have continuous quality improvement across our organisation and we think differently about how we deliver services. This is what is known as the Leeds Improvement Method. This will enable us to not only be more efficient with all of our resources but also provide an improved experience and better outcomes for our patients.

Other trusts taking part in this programme include:

To find out more about the programme please take a look at this short film:


Our programmes of work (Value Streams)

We have agreed four programmes of work known as Value Streams where we are starting to use The Leeds Improvement Method as a way to improve the services we provide. Within each of these Value Streams we will be reviewing a number of pieces of work using an approach called Rapid Process Improvement Workshop.

Value Stream 1 - Elective Orthopaedics

Value Stream 2 - TURPS

Value Stream 3 - Critical Care Flow

Value Stream 4 - Opthalmology outpatients