Summary
East Kent Hospitals University NHS Foundation Trust (EKHUNFT) is one of the country’s largest NHS Hospital Trusts, serving a population of 759,000 comprising five hospital sites: Buckland Hospital, Dover; Kent and Canterbury Hospital, Dover; Queen Elizabeth The Queen Mother Hospital, Canterbury; Royal Victoria Hospital, Margate; Folkestone and the William Harvey Hospital, Ashford.

The Cellular Pathology department provides a centralised service for the population of East Kent located at the William Harvey Hospital, Ashford. The laboratory provides a routine histopathology service and Tables 1 and 2 show average weekly slide production and annual workload, respectively. To maintain and keep up with this growing workload (6% per annum), we apply Lean principles and embrace modern technology wherever possible to provide a safe and efficient service, which includes digital voice recording, speech recognition and specimen tracking.
Histology remains traditionally a collection of predominantly manual processes easily divided into definable and auditable stages. Prior to CEREBRO of 2014 (Figures 1–4). The CEREBRO pilot had proven it was able to significantly improve patient safety and facilitate the management of the workflow with effective monitoring of each part of the process.
