A Strategic Framework for Clinical Redesign

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“Working with the TU provided access for us to a range of skills and views that allowed us to work in partnership to shape and deliver a necessary business process to help govern and coordinate our work. I would not hesitate to access their skills and resources again,”

Talib Yaseen O.B.E, Director of Transformation, Healthier Lancashire and South Cumbria.


23rd February 2022
Case study

Developing a clinical approach for service redesign for six specialities


The client: Lancashire and South Cumbria Integrated Care System (ICS).

The Challenge

Lancashire and South Cumbria have experienced funding constraints and rising demand from a growing and ageing population. This has placed services under pressure, it was clear that without action, gaps in funding would worsen significantly.

Our Approach

The client had six priority workstreams: stroke, urology, vascular, head and neck, diagnostics and paediatric HDU. We spent time with each workstream lead to get an informed view of why each workstream had been selected as a priority; identifying what progress had been made, whether the workstream was being clinically led, what governance process they were following, and what timeline they were working to.

The Outcome

We developed a clinical redesign methodology for the ICS which is now being used across all clinical change portfolios. This will support Lancashire and South Cumbria in providing high quality, sustainable services for their population. This includes:

  • A framework for wider clinical and patient engagement
  • Advice on NHS England assurance criteria for major service change
  • A set of consistent deliverables for the scoping and design phases of work
  • Descriptions and templates for each of the recommended deliverables
  • A proposed governance process to review and endorse or challenge clinical deliverables.






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