Shrewd Resilience was introduced in 2015. We have seen an immediate transformation. Before we had SHREWD Resilience, system leaders relied on daily emails and narrative from providers to determine where stress was in the system. This led to responses to that pressure being delayed, or not happening, or coming too late to make a difference.

Implementing SHREWD has led to an improvement in patient care. Operational managers can accurately identify which parts of the system are under pressure, and take action early to improve the situation. It also means that system on-call managers make decisions based on hard data, rather than relying on subjective opinions.

SHREWD also gives many opportunities for further development, such as the Escalation tool, which automatically triggers escalation actions when pressures reach a certain level, and a patient-facing app which displays live waiting times at A&E departments and Minor Injuries Units.

David Strivens

NHS Commissioning Manager, NHS Southampton City Council Clinical Commissioning Group

We can all see at a glance where the issues or pressures are and we can generate actions based on real time information.

Simon Perks

Accountable Officer for NHS Ashford and Canterbury and Coastal CCGs

This system has transformed our working practices and saved significant problems. It has helped our operational teams and commissioners to really get to the root causes of pressure within the health economy.

Dr Mark Jones

Chair of NHS Canterbury and Coastal CCG and the East Heathcare

KSS AHSN Head of Innovation Rob Berry believes that the key to SHREWD’s success is that it was developed collaboratively by those that will use it. “This is a great example of how the NHS, acting as ‘lead customer’, can work with an industry partner to create a product that addresses the specific needs of the customer. The benefits are mutual as the industry partner, in this case Transforming Systems, is ensured accelerated adoption. This mirrors the processes used successfully in the national Small Business Research Initiative for Healthcare.

Rob Berry

KSS AHSN Head of Innovation