Case for Change1) Is there clarity about the need for change (e.g. key drivers, changing policy, workforce considerations, gaps in service, service improvement) 2) Has the impact of the change on service users, their carers and the public been assessed. 3) Are supporting local health needs assessments or health equity audits available 4) Do these include: a) Demographic considerations b) Changes in morbidity or incidence of a particular condition c) Health equality considerations d) Potential reductions in care needs (e.g. falling birth rates) e) Comparative performance
5) Has the evidence base supporting the change proposed been defined. This should cover both with national service improvement programmes (e.g. NSFs, modernisation agenda) and the development of clinical best practice, to enhance service quality or the patient experience. 6) Have the clinicians affected contributed to the development of the proposal 7) Is any aspect of the proposal contested by the clinicians affected Impact on Services Users 8) Will there be changes in access to services as a result of the changes proposed. 9) Can these be defined in terms of 10) Has the impact be on vulnerable people using these services now and in the future been assessed (as a minimum this should include an impact assessment in line with the Race (Amendment ) Act 2000). 11) Does the proposal extend the choice available to the population affected 12) Does the proposal improve the quality of care provided to service users Engagement and Involvement 13) Were key stakeholders involved in the development of the proposal 14) Is there information regarding the involvement of a) Service users, their carers or families b) Other service providers in the area affected c) The relevant Patient and Public Involvement Forums d) Staff affected e) Other interested parties (please define)
15) Is the proposal supported by the key stakeholders 16) Is there any aspect of the proposal that is contested by the stakeholders. If so what action has been taken to resolve this Options for change17) Were are range of options identified to deliver the intended change 18) Were the risks and benefits of the options assessed when developing the proposal 19) Have changes in technology, including new drugs been taken into account 20) Has the impact of the proposal on other service providers been evaluated 21) Has the impact on the wider community affected been evaluated (e.g. transport, housing, environment) 22) Have the workforce implications associated with the proposal been assessed 23) Have the financial implications of the change been assessed in terms of a) Capital b) Revenue c) Affordability d) Risks
24) Will the change contribute to the delivery of national/local targets |
