Simulation and lean are approaches that are rarely discussed together, particularly in the
healthcare context. This is surprising given that they have a similar motivation: improvement
of processes and service delivery. With the current focus on the efficiency of health services
there has certainly been a growing interest in both simulation and lean, albeit that this has
been largely along completely separate tracks. In this paper we ask how they might work to
mutual benefit. In particular, we explore the role of simulation in the implementation of lean
in healthcare. The aim is to improve the impact and engagement of both lean and simulation
enabling them to work in a symbiotic relationship in improving healthcare systems. In
particular, this paper aims to introduce an innovative and novel rapid approach to simulation.