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Service Reconfiguration Support

An AYLI/Baxendale partnership

Protect Your Change Project

We support NHS teams delivering service change and reconfiguration programmes, providing reassurance, readiness assessments and/or action plans.

Our Audit and Review service ensures you can deliver your project, successfully mitigating the increased risk of challenge following new ministerial powers.

Get in touch
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Service reconfigurations and change programmes

Improving outcomes for patients

Service reconfiguration is about improving outcomes for patients by delivering changes that require a system-wide response. It encompasses any change to the provision of NHS services which involves a shift in the way frontline health services are delivered.

NHS commissioners and providers have duties in relation to public engagement, involving service users, consultation, and local authority consultation on service change. New regulations introduced in January 2024 allow the Secretary of State to intervene in NHS service change and reconfigurations at any stage following a “call-in” from anyone including members of the public. This means service change and reconfiguration programmes are under more scrutiny than ever.

Our approach

 

We have established the AYLI/Baxendale partnership to best meet our clients’ needs in this area. We understand the importance of:

  • Open community and stakeholder involvement from the first stage of considering change
  • A clear vision that provides the context for service change proposals
  • A credible case for change that clinicians and patients advocate for
  • Comprehensive and credible plans for implementation
  • Ensuring that money, transport and emergency care are addressed explicitly as some of the key things that may invite challenge
  • Clear communication of the benefits for patients
  • Facilitating a transparent process from beginning to end to support effective decision-making.

Together, we bring our experience to support clients to deliver a wide range of reconfiguration and services change programmes, including:

  • Large-scale hospital development proposals, e.g. New Hospitals Programme, where new sites are proposed
  • Significant changes to acute provision, e.g. changes to clinical services such as Urgent Care or Maternity services
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Download our service reconfiguration brochure

Our audit and review model

  • is a short engagement 15-25 day reviewing the service reconfiguration (or service change)
  • both interviews (relationship / public engagement) and documentation (key documentation such as travel analysis) from the perspective of challenge (Call-In Powers / Judicial Review)
  • provides two key outputs a) readiness assessment and b) action plan, which is co-designed with the leadership team
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Support at any stage

We can support at any stage of the programme, including:

  • Reconfiguration proposals in their initial stage of development
  • Existing Reconfiguration Programmes
  • Input into Decision-making Business Case
  • Provider changes to Clinical Service (new under the 2024 regulations)

Get in touch!

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Our combined team led by Baxendale Director Tom Davis and AYLI Director Simon Angelides are here to help!

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