I thought Noel Plumridge's description of the 'miserable territory of hunting down and eliminating waste' a little trite (HSJ, 22 February)..

I thought Noel Plumridge's description of the 'miserable territory of hunting down and eliminating waste' a little trite (HSJ, 22 February)..

Indeed the case study on surgical pioneers in Dewsbury in your later article demonstrated just one area where there remains significant scope to demonstrably improve service delivery in a hospital setting..

Clinically led projects focusing on service redesign (rather than slash and burn) can deliver vast improvements in efficiency (and outcomes) and patient-level costing provides one of the key strands of evidence required to generate momentum and prove success.

Sarah Atkinson, director, Tribal Consulting