City Research Online

Moving from Service to Sustainable Services: A Healthcare Case Study

Williams, S. & Radnor, Z. ORCID: 0000-0002-1624-5729 (2022). Moving from Service to Sustainable Services: A Healthcare Case Study. International Journal of Productivity and Performance Management, 71(4), pp. 1126-1148. doi: 10.1108/IJPPM-12-2019-0583


Worldwide, healthcare systems struggle to sustain the delivery of services at a time of increasing demand, limited resources and growing expectations from users. Coupled with dealing with the aftermath of the Covid-19 pandemic and the threat of other outbreaks. There has never been a more important time to sustain innovation and improvements. Using an illustrative case, we assess the application of two existing frameworks to identify the key propositions and dimensions required to deliver sustainable services.

This illustrative case study focuses on a service provided by a chronic disease, multi-disciplinary community healthcare team in the UK. Experienced-based interviews were conducted with health professionals, patients and relatives to provide a rich account of a care pathway design. A high-level process map is used to visualise the key ‘touch points.

We identify all seven propositions of the SERVICE framework being present along with additional dimensions relating to sustaining innovation and improvement.

Research limitations/implications:
This research is limited to a chronic disease care pathway. However, we believe the results could be applicable to other medical conditions, which are supported by a similar multi-disciplinary service model.

Practical implications:
We provide a sustainable public service operations SERVICES framework for health professionals and managers to consider when (re)designing care pathways.

This research contributes to the emerging discipline of public service operations research by empirically testing for the first time the SERVICE framework within healthcare. We have included additional factors associated with innovation and improvement and recommended further development of the framework to include factors, such as economic sustainability, highly relevant to the context of universal healthcare systems.

Publication Type: Article
Publisher Keywords: public service operations, healthcare, sustainability, improvement, service, innovation
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: Bayes Business School
Presidents's Portfolio
SWORD Depositor:
[thumbnail of PDF_Proof.PDF]
Text - Accepted Version
Available under License Creative Commons Attribution Non-commercial.

Download (730kB) | Preview


Add to AnyAdd to TwitterAdd to FacebookAdd to LinkedinAdd to PinterestAdd to Email


Downloads per month over past year

View more statistics

Actions (login required)

Admin Login Admin Login