3. Gaining momentum through dedicated programme management and analytics
It sounds obvious, but we often find clients start a review process with no dedicated programme management or analytical support. This can be tough for the teams delivering the work on top of their “day job” and without a structured programme approach, which can result in lost momentum. Operational commitments regularly encroach on the time people intend to use for project and programme commitments.
Expert programme management, coupled with dedicated analytical expertise can ensure the pace and drive is maintained throughout the review process.
Attain’s Acute Service Review Framework, used by our experienced programme managers, help to shape a programme into four stages of delivery as shown below:
4. Robust governance arrangements for timely decision making
Programme governance is a whole topic in itself – but it’s critical to maintaining pace and momentum. Getting the balance right can be tricky, and there’s no doubt that a tailored approach is needed. We recommend a programme board/steering group for the major decisions including sign-off at each of the four stages, and then a regular operational group to manage the day-to-day delivery of the work.
Service specific groups should oversee the development of clinical models, along with patient/public engagement events to ensure appropriate engagement in the development of options.
5. Commercial acumen to develop vehicles for new models
This might not be your first thought when preparing a skills profile for an acute service review team. However, we have found the implementation of a new model of care can be hindered drastically if a suitable commercial model is not identified as part of the options appraisal. This is particularly relevant for system-level reviews that would like to implement innovative models of care across traditional organisational boundaries.
We always use the expert experience of our commercial team to ensure that as the clinical, operational and activity models are developed for the new models of care, we can also include a commercial / contractual options appraisal to identify the most appropriate commercial vehicle for implementation.