Clinical service reconfiguration - from strategic case to implementation
Reconfiguring a clinical service is one of the hardest things any health system does. It touches clinical pathways, workforce, estate, finance, statutory consultation and often the politics of place. We lead reconfiguration programmes end to end - as PMO, programme director and honest broker across the many partners the work involves.
What we do
- Strategic case development - the clinical, operational, workforce and financial case for a reconfiguration, built for board and system endorsement.
- Options appraisal - robust, comparable evaluation of reconfiguration options with clinical, workforce, activity, estates and finance dimensions.
- Pre-consultation work - the assurance and preparation needed to make a reconfiguration ready for public consultation.
- Statutory consultation coordination - delivered in partnership with our engagement partner Olovus, with Health Dynamics leading the programme.
- Implementation and mobilisation - leading the delivery of the reconfiguration once decisions are made.
- Programme assurance - independent assurance for boards and system leaders throughout.
How we work
We start with clinical leadership. A reconfiguration led by consultants without deep clinical partnership is a reconfiguration that will fail on implementation. We work hand in glove with clinical leaders throughout.
We treat the workforce and OD dimensions as first-class. Reconfiguration change is human change; ignore that and it does not land. We draw on our workforce practice as standard.
We are experienced with the statutory framework. Reconfigurations are heavily regulated. We know the framework and work with your legal, clinical and engagement teams to make sure the process withstands scrutiny - including the specific gate reviews required.
What you can expect from us
- A senior programme director with real reconfiguration experience - not a generic management consultant.
- A programme run with clinical, operational, workforce, engagement, finance and estates workstreams properly integrated.
- Statutory consultation done properly, in partnership with Olovus.
- Honesty about political and community risk, and how to manage it.
Typical engagements
- Strategic case and options appraisal for reconfiguration of a specialty service.
- Pre-consultation programme leadership for a major service change.
- Programme direction through statutory consultation and decision.
- Implementation leadership post-decision.
Working on a reconfiguration?
Whether you are at strategic case stage, pre-consultation, or implementation, we can shape the right engagement.