Service redesign

Service redesign can achieve enhanced efficiency and quality to patients, support expansion into new clinical areas along with optimising productivity and opportunities for staff.

If you are looking to redesign any elements of your physiotherapy service this page highlights some valuable resources within the CSP website and links to documents within wider healthcare organisations to facilitate the process of service redesign.

There are a number of resources available on this website and from other organisations, listed with links below.

CSP online resources 

Integrated Musculoskeletal Services

• A guide setting out the key components of a modern integrated MSK service signposting members to resources, examples of good practice and further guidance

Stakeholder engagement briefing

• A summary document written by The Access Partnership to provide a definition of stakeholders and stakeholder engagement, highlight the benefits of effective engagement and pose further considerations

Pathway improvement discussion tool

• A tool written by The Access Partnership to stimulate discussion within your service as part of your approach to improving service delivery, particularly in relation to the development of patient pathways

Waiting time, Workload and Caseload surveys:

• A survey of NHS Physiotherapy waiting times, workforce and caseloads in the UK 2010-2011 
• A survey of NHS physiotherapy waiting times and musculoskeletal workload and caseload in England 2009-10 

Marketing and Promoting your service

• A comprehensive resource and range of tools to facilitate understanding your audience and building key communication messages to effectively promote your service

Physiotherapy Works

• Evidence-based briefings to help make the case for physiotherapy when meeting GPs and commissioners and discussing changes to your service

Self-referral QIPP endorsed pathway

• Demonstrating the case for self referral to physiotherapy, speeding up access to treatment or intervention and reducing the costs associated with GP appointments and diagnostic imaging

Outcome Measures and Patient Reported Outcome Measures

• Guidance on tools to develop the evidence for service redesign need and success

Using patient feedback in service redesign

• Physiotherapy UK 2012 presentation by Dr Lisa Roberts. An example of how patient feedback was used to drive changes in service delivery in a musculoskeletal outpatient department

The contribution of physiotherapy management and leadership in healthcare

• This resource aims to support physiotherapy managers and leaders to demonstrate the added value that these leadership and management roles bring to the fast changing NHS

Other online resources

The best of clinical pathway redesign (NHS Improvement, July 2011)

• Examples of practical service improvements implemented on clinical pathways within cancer, diagnostics, heart, lung and stroke care

Quality and Service Improvement Tools - Role Design (NHS Institute of Innovation and Improvement)

• A workforce improvement tool which can help you improve patient services, tackle staff shortages and increase job satisfaction through the development of new and amended roles

AHP QIPP Toolkits

• These toolkits cover pathways within cancer, diabetes, musculoskeletal, stroke and oral nutritional support. They are designed to demonstrate how optimum use of AHPs improves patient care and saves the NHS money

Managing Clinical effectiveness: Service Redesign (NHS Scotland)

• Highlights principles within service redesign, planning a service redesign and further links

Using Change Concepts for Improvement (NHS Health Improvement)

• Generic change concepts to facilitate improvement processes