In the ever-evolving landscape of healthcare, the need to reconfigure services arises as a response to complex challenges.
Our Approach
1
Every change is different
Whilst the broad process will be the same, the context for every clinical service change is different
AYLI has the ability to tailor what is needed because it can draw upon its national experience of delivering service change
2
Service change is becoming more challenging
With constrained budgets, workforce challenges and estates requiring significant investment (set against the changing Secretary of State powers) clinical service reconfiguration is becoming more challenging
AYLI has experience of minimising the development required often by being able to draw on its own methodologies or existing work within the NHS
3
Service change continues to evolve
The way in which the NHS deliver service change has significantly over the last ten years, with much greater reliance on using and upskilling existing staff
AYLI has changed the way in which it supports the NHS, with a much greater focus upon providing advice and guidance
"It’s a scary thing trying to get help, but Clove took a lot of that anxiety and fear out of the equation. I was able to get personalized recommendations on which provider from the team would best fit my needs."
— FEDERICO L., CLOVE CLIENT
Our FAQs
What are the benefits from seeking expertise early when developing service reconfiguration?
Whilst internal teams often very knowledgeable about public engagement and consultation, a significant level of thought is needed in developing these proposals prior to this stage. Seeking expertise and understanding can reduce the development time / cost and improve the way in consultation and engage can take place.
What are the most common issues with developing service reconfiguration proposals?
AYLI experience is that the process of developing a preferred option and how that is agreed and communicated is the area which generates the most difficulty. This reflects a tension of a single or a very limited number of options being viable but at the same time demonstrating that the system has retained an open mind.
There are changes to the powers of the Secretary of State for Health - how are they going to impact service reconfiguration?
Previously, service reconfiguration was undertaken in a constrained environment, whereby only tier 1 local authorities had the power to refer a proposal to the Secretary of State for Health. The new regulations (January 2024) have changed this, allow the potential for a referral (call-in request) by any organisations or individuals at any point in the process, including once a decision has been taken. The new power also allows the Secretary of State for Health to determine whether a change is substantial - this determination was previously agreed between the NHS Commissioner and the tier 1 local authority.
