Copyright 2011 Right Care What to Change Service Reviews & Cases for Change Professor Matthew Cripps BA MA CPFA Programme Director NHS Right Care August 2013 Online Learning Series Right Care for Populations
Feb 22, 2016
Copyright 2011 Right Care
What to Change Service Reviews & Cases for Change
Professor Matthew Cripps BA MA CPFAProgramme Director NHS Right CareAugust 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
pathway Pathway 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
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Online Learning Series Right Care for Populations
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Find the full series at:
www.rightcare.nhs.uk/resourcecentre