Patient Pathway Redesign – Department of Health

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The brief

Develop a repeatable methodology to optimise the Cardiology care pathways to improve patient access to community based services

What we did

Prior to the project PCT staff had met with considerable opposition from many stakeholder group and the project had effectively stalled. Providing fresh energy, momentum and direction to the project was vital.

We first set about gaining a consensus view on the design principles for a new pathway through extensive consultation with over 40 PCT, GP and Acute sector stakeholders and patient representative groups. Feedback was presented via a series of workshops and the new service was mapped, via a one-day rapid improvement workshop.

The result

The project led to the design of an Advanced Primary Care Service for Cardiology utilising available capacity within the network of Community Hospitals. Financial savings of 17.5% (£350k) were identified. Improved adherence to 18 week and 4 hour A&E targets resulted from the increased capacity and by providing better patient access to cardiology services.

The project received a Management Consultants Association (MCA) Award for Innovation in 2010.