Pathway Redesign

In commissioning any new services the key objective is to enhance the quality of life and relieve the stresses experienced by patients, potentially by implementing a transition from hospital care to out-of-hospital care (equally, you could simply choose to redesign the hospital pathway). If you choose the former, please keep in mind it is not; however, just about moving from secondary to primary care; it is about sensible and sensitive care pathways being developed in conjunction, and consultation, with patients. At the end of the day patients have experience of what exists currently, and they will be the ones to use new services. The two models below ensure the correct focus when it comes to converting ideas into actions, which then lead to the development of either a redesigned or a completely new pathway/service.The first model The second model below ensures decisions made are both robust and sustainable; it also provides confidence to those involved within the redesign that they can work methodically to complete the work, or, where necessary, can halt the work where it becomes clear the original idea is no longer valid. Working this way ensures neither time nor resources are wasted.

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ensures Practices/Consortia retain a patient centred focus to drive outcomes around the key five drivers detailed above;

Through experience, in developing many new and redesigned pathways, we unearthed that the secret to success lies in the answers to the first three steps. We often find that scant, if any regard, is paid to understanding what happens currently within the existing pathways; however, without this information what do you base your design/redesign upon?

At Scott McKenzie Consultancy we use a practical step by step process to deliver this work within the Practice/Consortium. The process is designed to ensure you can easily follow each step and in doing so maximise your return from Practice Based Commissioning and the opportunities, incentives and levers available from working with the PBC agenda. On completion of steps one, two and three, you will have the information available to go on and develop a business case to commission a service.

From your business case the PCT will then develop a service specification which will be used to procure/tender for a provider.

If you are to commission a new pathway / service there must be clear benefits for patients. If, either at the start, or as you progress, these are not clear we strongly advise you stop and reconsider the rationale for the design/redesign. As commissioners the goal is to commission “best value” services on the basis of need and health outcomes.

For more information on how Scott McKenzie Consultancy can support you in developing business cases for service/pathway redesign, or for a free copy of our business case template, please email enquiries@scottmckenzieconsultancy.com or call 07980 973 596.

We are always happy to discuss your requirements

Please contact Scott:

07980 973596

or email

"Where you are now is not where you always have to be ..."

Chris Gardner

Entrepreneur, author and inspiration for the film "The Pursuit of Happyness."

Our Clients

Our Practice Based Commissioning work is currently recommended by the National Association of Primary Care.

At Scott McKenzie Consultancy we have an open door policy. We invite you to speak to us about any of your Practice Based Commisisoning Issues and we will endeavour to show you a way of resolving the issue.

Email us on our contact page or phone

07980 973596

Copyright © April 2009 Scott McKenzie Consultancy Limited

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