Copyright 2011 Right Care

What to Change Service Reviews & Cases for Change

Professor Matthew Cripps BA MA CPFAProgramme Director NHS Right Care

August 2013

Online Learning Series

Right Care for Populations

2

Where to look

What to change

How to change

PRINCIPLES OF CHANGE

Delivering Value

CURRENTSERVICE

FUTURESERVICE

Fit forPurpose

Efficiencyand

marketoptions

Supplyand

capacityoptions

No/ lowbenefit

Step 1 – define:

Step 3 –

categorise:

Step 2 – define:

Redesign,Contract,Procure

Contract,Procure,Divest

Step 4 –

recommend:

Maintain

Divest

Service Review Pathway – Diagnostic steps

Fit forPurpose

Efficiencyand

marketoptions

Supplyand

capacityoptions

C1 Circulation health check Health CheckC2 NICE CVD prescribing Primary Care ManagementC3 Appointment following emergency admission Pathway Reform - OutpatientsC4 Cardiology post-NE pathway redesign Pathway ReformC5 Cardiology referrals threshold Threshold policyC6 Cardiology diagnostics Diagnostics pathway reformC7 Cardiac Intermediate care setting Pathway Reform - Secondary

care - Community careC8 Non-elective percutaenous coronary intervention

pathwayPathway Reform - Contract management

C9 DVT pathway Pathway ReformC10 Cardiology self care Expert Patient ProgrammeC11 Telephone consultation Pathway reform - Follows upC12 Cardiology Excess bed day reduction XSBD ratiosC13 Cholesterol management (statins) Prescribing policyC14 Heart failure prescribing Prescribing policyC15 Reduce multiple first outpatients appointments Pathway Reform - Outpatients

managementC16 Varicose vein treatment threshold Threshold policy

5

Online Learning Series

Right Care for Populations

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Find the full series at:

www.rightcare.nhs.uk/resourcecentre