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Reconfiguration of Clinical Services


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25 Nov 2014

 

Given significant financial and workforce constraints, the pressure to reconfigure clinical services is likely to increase. A new report from The King’s Fund aims to help those planning and implementing major reconfigurations to ensure that change is as evidence-based as possible.

The report takes as its starting point more than 100 reviews conducted by the National Clinical Advisory Team between 2007 and 2012; the first review of such a large number of clinical reconfigurations within the UK. It investigates five drivers (quality, workforce, cost, access and technology) of previous reconfigurations in 13 service areas, also summarising the research evidence and professional guidance available in each.

It finds that local leaders taking forward major clinical service reconfigurations often do so in the absence of a clear evidence base or robust methodology. It also emphasises the value of strong clinical engagement and service input.

  • To read the section on the reconfiguration of acute surgical services click here.
  • To read the section on the reconfiguration of elective surgical care click here.

To read the full report please visit the King's Fund website.


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