I think some of the issues are more fundamental than just process - I think often the processes whilst sometimes overlong are fundamentally sound.
I think there is an issue with subbing out work e.g. cleaners there is often a long string of companies involved in the provision of cleaning each taking a cut until the person actually doing the job is untrained, unqualified, and under paid. Contractors should not be allowed to sub out work more than once. They should provide staff with demonstrable competence in the extreme levels of cleanliness needed in hospitals, cleaners should be held in higher esteem (this is a cultural issue for the main part) but it is also about the level of professionalism shown - there needs to be better management of cleaning teams and recognition for excellence, they need to be fully staffed and better quality checks held.
Rules need to be abided by everyone so if toilets only for patients then enforce it, for visitors make sure they have facilities too - work with families to help provide care for e.g. when someone in long term and family can provide a level of care work together.
Food should be patient paid - don't want to pay should get your own brought in etc. Not sure how this could work in practice but consideration should be given to it.
Staff resourcing is an issue - fundamentally there are plenty of trained people, but they are no longer working for NHS - in a predominately female workforce whose stupid idea was 10 to 12 hr shifts? There needs to be better all round support for staff to ensure they can continue to work around families and other life commitments be it kids, other dependents, elderly parents, their own health issues etc.
We have an oversupply of "in" ie patients coming in, we need to manage that process better ("Disnefy it if you have to ie set expectations, keep people informed of progress and over deliver in terms of promised wait times). They need to be better screened e.g. using triage system better and having different grades of service for differing injuries and being a bit harder about some of the ways things could be dealt with.
Better health education within school environment or through other sources e.g. bumping up kids in St Johns for e.g. so their understanding of what is pharmacist/GP/A&E is better from a younger age, that people know the right things to do for common ailments. A decent NHS guide to family illnesses published and available in a useable format that could be "gifted" to e.g. new parents - bit like readers digest DIY manuals - lol
Improve the availability of recovery wards or hospitals or homes for people who are not in urgent medical need but are effectively in rehab or recovery or waiting to go home (so assessments etc needing to happen), put a better system for home assessments in place before people actually need hospital - so in the same way that we can childproof homes can we elderly proof them and make available grants for this to prevent falls, knocks, accidents that commonly afflict people (there was an interesting "slipper" project for people with poor sight at one point - providing proper surround slippers to people to prevent falls - they say an elderly person going into hospital for a fall ages more than 10 yrs in a 10 day stay)
There needs to be something around cross working between different medical specialisms - so patient centred care not condition - so where a patient has a range of conditions that they are managed as a whole not in part.
Some bloody IT systems that link together and deliver what they say on the tin
We should have a system that allows us to identify those NOT entitled to free care and a credit card should be taken before treatment or insurance details - we need to be smarter in the NHS environment on what insurance companies will pay for.
We should insist on payback for those trained by the NHS - ie so many years service in terms of hrs served rather than time elapsed unless a genuine reason exists to not do that. (But in the same breath better work arounds for those with ill health or other commitments)
De-politicisation of the decision making, and making statistics based decisions (around allocation of funding) based on proper information not on out of date or known to be skewed information.
Remember you get what you measure and people will find work arounds and ways to screw the system to get outcomes that are measured and adjust process and measures accordingly
Its also little stuff like when you get to A&E and are waiting in an ambulance - that ambulance has to be on for the machinery to work. instal caravan type hook ups - saves diesel, reduces pollution and is healthier. Install green energy production to reduce cost of running and feed into local area.
Relook at delivery to hospital system - the hospital transport system is making peoples lives a misery and is screwing up appt times and causing frustration with other patients as those coming in don't arrive for appointed times, are given priority and queue jump but are still int he hospital for ridiculous lengths of times and these are often the most vulnerable.
Stop people being accompanied by more than one person in waiting areas.