Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

The Productive Operating Theatre (TPOT) Programme 2010-2016

The National Clinical Programme in Surgery and National Clinical Programme in Anaesthesia previously ran a programme called The Productive Operating Theatre Programme (TPOT).

Working with the NHS Innovation Centre, it provided training on a systematic proven methodology Lean, to enable theatre teams transform the way they work to deliver significant improvements to quality of patient care, clinical outcomes and theatre utilisation.


The Programme commenced in Ireland in 2010 with the initial training of 5 pilot sites. The pilot theatres alone, delivered annual productivity savings of €3 million and inventory savings of €300,000. Today, there are 13 sites active within the Programme whose four main objectives are to continuously improve across four quality domains:

  • Patient experience and outcomes
  • Safety and reliability of care
  • Team performance and staff well being
  • Value and efficiency

Benefits to you and your patients

  • Improve quality of patient care and clinical outcomes
  • Improved multi-disciplinary team communication
  • Increased awareness of potential issues that may impact patient safety
  • Improved scheduling and patient flow
  • Increased adherence to care bundles
  • Improve staff morale and multi-disciplinary teamwork
  • Empower staff to identify and resolve day to day issues
  • Achieve substantial gains in productivity and efficiency
  • Extra theatre sessions
  • Increased patient throughput
  • Reduction in cancellations
  • Improved turn-around time
  • Reduced errors, cancellations, avoid costs of harm through error
  • Improved scheduling and utilisation, stock control