SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

5.5 A detailed description of the seven stage process
This section provides a detailed description of the seven stages of the process for identifying
the recommended option during decision making.
5.5.1 Stage 1 – The case for change
The first stage of the process for identifying a recommended option is to detail the Case for
Change (as described in Chapter 4) and confirm it supports the arguments for reconfiguring
services, including confirming that „do nothing‟ is not an option.
Figure 5.3: Stage 1 – The case for change
Stage 1 Purpose Outcome
1
Case for change
• Identifies how care
needs to improve.
• Shows that ‘donothing’
is not an
option.
Document the Case for Change and
confirm it supports the arguments
for reconfiguring services.
Ensure a robust platform exists for
service change
Confirm required improvements
and clinical benefits
Confirming „do nothing‟ is not an
option.
During consultation we asked people whether they agreed with the Case for Change and
this feedback will inform this stage of the process. We also asked for and responded to
feedback when it was published in January 2012. See Chapter 9, Section 9.3.
5.5.2 Stage 2 – The vision for change
Local clinicians agree that in order to meet the challenge set out in the Case for Change,
Shaping a healthier future will be guided by a vision that sets out how patients will be treated
in the future to ensure they receive the highest standards of care. The second stage of the
process establishes a foundation from which to design services.
Figure 5.4: Stage 2 – The vision for change
Stage 2 Purpose Outcome
2
Vision
1 Localising
2 Centralising
3 Integrating
Document the vision for achieving
the objectives stated in the Case for
Change.
Confirm the vision created by local
clinicians for Shaping a healthier
future will deliver the required
improvements and clinical
benefits.
Feedback received during consultation will be used to support this analysis.
5.5.3 Stage 3 – The clinical standards
To deliver the vision and drive the improvements in clinical quality and reduce the variation
documented in the Case for Change, local clinicians have developed a set of clinical
standards based on the latest evidence, see Chapter 7, Section 7.3, including information
and feedback from the Royal Colleges, London Health Programmes, reviews by NHS
London, NICE guidelines, NCAT, work by our Clinical Implementation Groups (CIGs), and
patient groups. These standards cover out of hospital, urgent and emergency care, maternity
and paediatrics.
5. Process for identifying a recommendation 55