This guidance should be used by those considering, and involved in, service change to navigate a clear path from inception to implementation.

It supports 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.

It includes guidance to improve the alignment of service reconfiguration and capital business cases.

Further changes to this guidance may be required in due course to reflect the Health Bill and the integration of NHS England and the Department of Health and Social Care.