Acute Speciality Sustainability Review: East of England


Acute Speciality Sustainability Review

East of England


Attain was commissioned by three acute Trusts to carry out a sustainability review of Cardiology, Urology and Radiology services.

As part of this, we:

  • Reviewed the clinical, operational and financial sustainability issues impacting those specialties
  • Worked with clinical, operational and executive teams to develop of a new model of care

Addressed the pressures and offered a sustainable system-wide solution for the service

What we did

We provided the following support:

  • Applied the Acute Services Review framework to each specialty from a clinical, analytical, workforce, commercial and contractual perspective and prepared a roadmap for implementation
  • Developed a case for change outlining the clinical, financial and commercial issues
  • Identified local, regional and national priorities and best practice
  • Reviewed clinical pathways, evaluated trust and system level performance, capacity & demand and issues and risks
  • Facilitated workshops and patient focus groups

Our impact

Our results included;

  • We presented business cases and implementation roadmaps to three boards, for each specialty outlining the current state findings, case for change, new clinical models, and associated financial, workforce, commercial and contractual models
  • Received broad and deep commitment from clinicians to fully implement proposals
  • Developed new system-focussed clinical models of care
  • Achieved high levels of clinical and operational engagement

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