Specialty based transformation

Our Specialty Based Transformation (SBT) activity has involved working with frontline teams from pilot sites across the country. Wave 1 sites investigated gastroenterology and musculoskeletal (MSK) and orthopaedic services and Wave 2 sites explored diabetes, dermatology and ophthalmology interventions.

A process of rapid testing was used to explore innovative approaches and interventions over a 100 day period aimed at reducing referrals and improving patient experience. The handbook for each specialty draws on learning from these pilots and incorporates other examples of good practice.

Transforming Elective Care Handbooks

The programme has produced its second wave of three handbooks.  They explore new referral and outpatient processes for elective diabetes, dermatology and ophthalmology services.

They draw on practical interventions developed and tested at various sites that took part in the programme’s early work.

Wave two handbooks

Wave one handbooks

Each handbook is intended to provide practical, evidence-based advice on tested interventions to ensure people access care that is:

  • high quality
  • timely
  • appropriate
  • person-centred
  • equitable

The handbooks provide a list of initiatives and actions that will support commissioners, GPs and provider organisations as they consider how effectively they are working to ensure patients are referred appropriately.

They will support local activity to manage the increasing demand for elective care services by:

  • Encouraging collaboration with providers and other partner organisations
  • Providing examples of new approaches to referrals and outpatients to reduce unnecessary appointments
  • Sharing the learning from initial sites
  • Providing case studies and links to further information, help and advice.

If you would like to find out more about the 100 day testing process, please contact England.electivecare@nhs.net.

NHS RightCare will work with local providers and commissioners to support implementation of the innovations set out in the handbooks at a local level as appropriate.