This guidance is designed to be used by those considering, and involved in, substantial service change to navigate a clear path from inception to implementation. It will support commissioners and providers to consider how to take forward their proposals, including effective public involvement, enabling them to reach robust decisions on change in the best interests of their patients.

The Project Appraisal Unit (PAU) The NHS England Project Appraisal Unit is a small specialist central team within NHS England Strategic Finance comprising of experienced capital investment and estates professionals who will be available to provide support to officers of NHS England at local Director of Commissioning Operations (DCO) offices, Sustainability and Transformation Partnerships, Regional Team, […]

Leading change A general practice nurse (GPN) at Brigstock Medical Practice addressed unwarranted variation in the management of Type 2 diabetes through introducing a group consultation model at the surgery. This new approach has led to better outcomes for patients, better experiences for patients and staff, and better use of resources locally. Where to look […]

The Department of Health has published an updated NHS Constitution following a consultation that sought views on a number of proposed changes. Important areas we have improved in the NHS Constitution include: patient involvement feedback duty of candour end of life care integrated care complaints patient information staff rights, responsibilities and commitments dignity, respect and compassion In […]