Joining me for Episode #340 of the podcast is <a href='https://www.linkedin.com/in/dr-joy-furnival-ceng-miet-76928a24/'>Dr. Joy Furnival CEng MIET</a>, an experienced senior NHS manager, improvement leader, and chartered engineer. I first crossed paths with Joy at a<a href='https://www.leanblog.org/2015/04/throwback-thursday-a-lean-healthcare-conference-from-2007/'> Lean healthcare event in England back in 2007</a>. At the time, she was working for <a href='https://www.leanblog.org/2008/11/lean-in-bolton-nhs-trust-uk/'>David Fillingham and the Bolton NHS Trust</a>, which was an early adopter of Lean in the NHS.
In this episode, we talk about how we are, in some ways, “Lean twins,” as we both started our careers as engineers in manufacturing. Our career paths then diverged when she joined the NHS whilst I've worked as an outside consultant.
I very much appreciate her perspectives as we talk about her roles in a few different hospitals and as a “national improvement advisor” for the NHS. I hope you'll enjoy the conversation as much as I did.

Joining me for Episode #340 of the podcast is Dr. Joy Furnival CEng MIET, an experienced senior NHS manager, improvement leader, and chartered engineer. I first crossed paths with Joy at a Lean healthcare event in England back in 2007. At the time, she was working for David Fillingham and the Bolton NHS Trust, which was an early adopter of Lean in the NHS. In this episode, we talk about how we are, in some ways, “Lean twins,” as we both started our careers as engineers in manufacturing. Our career paths then diverged when she joined the NHS whilst I've worked as an outside consultant. I very much appreciate her perspectives as we talk about her roles in a few different hospitals and as a “national improvement advisor” for the NHS. I hope you'll enjoy the conversation as much as I did.

Joining me for Episode #340 of the podcast is&nbsp;<a href="https://www.linkedin.com/in/dr-joy-furnival-ceng-miet-76928a24/" rel="noopener noreferrer">Dr. Joy Furnival CEng MIET</a>, an experienced senior NHS manager, improvement leader, and chartered engineer. I first crossed paths with Joy at a<a href="https://www.leanblog.org/2015/04/throwback-thursday-a-lean-healthcare-conference-from-2007/" rel="noopener noreferrer">&nbsp;Lean healthcare event in England back in 2007</a>. At the time, she was working for&nbsp;<a href="https://www.leanblog.org/2008/11/lean-in-bolton-nhs-trust-uk/" rel="noopener noreferrer">David Fillingham and the Bolton NHS Trust</a>, which was an early adopter of Lean in the NHS.
In this episode, we talk about how we are, in some ways, “Lean twins,” as we both started our careers as engineers in manufacturing. Our career paths then diverged when she joined the NHS whilst I've worked as an outside consultant.
I very much appreciate her perspectives as we talk about her roles in a few different hospitals and as a “national improvement advisor” for the NHS. I hope you'll enjoy the conversation as much as I did.

@JoyFurnival, Lean in NHS England

Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
<ul>
<li>
Lean as a management system and cultural transformation—not just a toolbox
</li>
<li>
Continuous improvement and problem-solving, at every level
</li>
<li>
Leadership behaviors that support real change
</li>
<li>
Psychological safety as a foundation for improvement
</li>
<li>
Lessons from the Toyota Production System, Lean Startup, and beyond
</li>
<li>
Candid stories about mistakes—and what we learn from them
</li>
</ul>
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at <a class="decorated-link" href="https://www.leancast.org">www.LeanCast.org</a>. Learn more about Mark and his work at <a class="decorated-link" href="https://www.leanblog.org">www.LeanBlog.org</a>. Questions or feedback? Email <a class="decorated-link cursor-pointer">mark@leanblog.org </a>

Business

Management

Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more. What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization. Topics include: Lean as a management system and cultural transformation—not just a toolbox Continuous improvement and problem-solving, at every level Leadership behaviors that support real change Psychological safety as a foundation for improvement Lessons from the Toyota Production System, Lean Startup, and beyond Candid stories about mistakes—and what we learn from them We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you. Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning. Find all episodes and show notes at www.LeanCast.org.Learn more about Mark and his work at www.LeanBlog.org.Questions or feedback? Email mark@leanblog.org

Since 2006, the Lean Blog Interviews podcast has featured in-depth, candid conversations with leaders, thinkers, and doers in the world of Lean and continuous improvement. Hosted by Mark Graban—author, consultant, and longtime Lean practitioner—the show explores how Lean principles are being applied across industries, including healthcare, manufacturing, startups, and more.
What sets this podcast apart? We go beyond tools and buzzwords. Our guests share real-world stories of success, struggle, learning, and leadership. Whether you’re a seasoned Lean veteran or just getting started, you’ll gain practical insights and fresh perspectives that you can take back to your own organization.
Topics include:
<ul>
<li>
Lean as a management system and cultural transformation—not just a toolbox
</li>
<li>
Continuous improvement and problem-solving, at every level
</li>
<li>
Leadership behaviors that support real change
</li>
<li>
Psychological safety as a foundation for improvement
</li>
<li>
Lessons from the Toyota Production System, Lean Startup, and beyond
</li>
<li>
Candid stories about mistakes—and what we learn from them
</li>
</ul>
We don’t talk much about “Lean Six Sigma” here. But if you believe improvement is about people first—this podcast is for you.
Many episodes feature a special focus on Lean in healthcare, reflecting Mark’s deep work in that field. Hear from leaders working to improve patient safety, reduce waste, and build cultures of respect and learning.
Find all episodes and show notes at <a href="https://www.leancast.org" rel="noopener noreferrer">www.LeanCast.org</a>. Learn more about Mark and his work at <a href="https://www.leanblog.org" rel="noopener noreferrer">www.LeanBlog.org</a>. Questions or feedback? Email <a rel="noopener noreferrer">mark@leanblog.org&nbsp;</a>

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