The ECIP website is now closed, but don't worry, you can find us on NHS Improvement's improvement hub.


The improvement hub lets you search hundreds of improvement resources - you can even share your own. You can also collaborate and explore your ideas with colleagues on the discussion board.


The final day to access is Friday 24th March 2017, after this date the site will be available through the national archive.



Midlands and East - Red2Green Campaign

Go Green this winter

#red2green #last1000 days

NHS Improvement and NHS England are working with ECIP to support all systems across the Midlands and East region to access advice, resources and events to support the Midlands and East Red2Green Campaign.

"Welcome to the Midlands and East Red2Green webpages which we hope you will think a helpful addition to our support offer to increase improvement capability within the region.We are really excited about this approach and believe that it can make a real difference to a patient’s experience of care by reducing unnecessary delays. The resources here have been developed by NHS Improvement, NHS England, ECIP and NHS Elect. They are in a mixture of formats and will provide a range of tools and materials that can be used to implement the approach. The contents of these pages will be developed over time so please check back on a regular basis to read the latest. If you have any suggestions about anything else we could do to support you please do let us know. Hope to see you at one of our regional events!" Mark Cubbon, Regional Chief Operating Officer, Midlands and East


We all know that sometimes patients spend days in hospital that do not directly contribute towards their discharge, and we believe that by working better together we can reduce the number of these ‘red days’ 
in favour of value-adding ‘green days’.


Red2Green Launch Events successfully held in London and Birmingham

Many thanks to those of you attended the two recent launch events for the Red2Green programme, on 29 November in London and on 8 December in Birmingham. The days covered a range of topics related to Red2Green including

  • The clinical rationale for applying the principles of Red2Green 
  • Identifying the regular causes of unnecessary waits for patients
  • The approach to applying Red2Green in the Midlands and East region, and within your systems
  • Examples from four different systems as to have they've applied Red2Green within their organisations
  • The patient perspective from Healthwatch

Presentations from the day are all available on the news and events page here.

See pledges made at the events:


For regular news and updates on Red2Green, please visit the news and events page. 




The red and green day approach (created by Dr Ian Sturgess, NHS Improvement Senior Clinical Improvement Adviser) resonates with clinical and managerial teams as a simple method to reduce unnecessary waiting for patients.

"Reducing unnecessary waiting for patients, and unnecessary chasing up by staff has to be a win win for everyone working in and using our health and care systems. The risks for our patients are well documented and significant.


  • Imagine a hospital where all patients and staff are able to describe what is going to happen this morning, this afternoon and tomorrow to necessarily progress the care a patient needs to get them to the desired result to leave hospital?
  • Imagine patients and families reflecting that they always knew what was going to happen next or at least knew when something may take a day or two longer than expected?
  • Imagine a 'no surprises' recovery as far as is feasible, where the only 'unexpected' was the biological process of recovery not the waits and frustrations of our systems?
  • Imagine a system where the patient is in control and can describe their journey?
  • Imagine a system where you come to work or receive care knowing that the next step is ready and there is no unnecessary waiting?

Urgent and emergency care is a complex adaptive system, as such it requires simple rules and approaches to reduce variation and delays. We created the Red2Green approach to do exactly this – reduce unnecessary waiting by the application of simple rules. This is what Red2Green can deliver when you use it as a learning tool to identify the waits (and reduce them) in your system. Remember, it is easy to identify waits at the end of a person’s journey, but most waits occur early and contribute/cause the waits at the end of a patient’s journey.

The approach is all about creating and delivering expectation for our patients and colleagues. Red2Green aims to ensure that everyone, especially the person receiving care, knows what the next steps are and knows that the system of care is ensuring there is no waste of their time.

Try it, it should be fun, it is not a reporting tool it is a learning tool. The power of the tool is not in the tool but how it is used. If we all remember and value the thought that “patients’ time is the most important currency in healthcare” we will without doubt see improvements that will ultimately benefit our patients and our hard working clinical and managerial teams." Dr Ian Sturgess

A number of sites/systems are successfully using the approach - please see our case studies section for their stories and view our Red2Green video here.


Below are some key resources to use in setting up and delivering your own Red2Green approach.

Further resources will be available soon and will be located in the sub-pages to the left, covering case studies, continuous improvement, webinars and communication​ materials.

Let's start a social movement. Find out more on Facebook, TwitterThe Academy of Fabulous Stuff and The Edge

#red2green #last1000 days