Creating Sustainable Frameworks for Service Redesign at Practice Level in the NHS


The National Health Service (NHS) in England is pursuing a programme of transformation through innovation, aiming to ‘provide High Quality Care for All in an NHS fit for 21st century and beyond’. Practice Based Commissioning (PBC) is one key strategy, devolving responsibility for commissioning of health services from Primary Care Trusts (PCTs) to front-line clinicians in General Practice (GPs). Focusing on developments in the North West Strategic Health Authority (NW SHA), this paper discusses the means by which varying structures of PBC governance afford scope and support for sustainable innovation at practice level.
Preliminary results from a project with one large GP practice in NW SHA investigating the application of design methods to issues of patient engagement and the redesign of care pathways are discussed, as is the necessity of reinterpreting and adapting these tools to ensure that clinicians and practice managers can appropriate and apply them in daily practice.


HaCIRIC International Conference 2010 - Edinburgh Better healthcare through better infrastructure

Publication Date

22nd of September 2010


CarrCarr Valerie Carr Design for health and wellbeing, therapeutic environments, workplace design, post occupancy evaluation, community engagement, design for social innovation, codesign
SangiorgiSangiorgi Daniela Sangiorgi Service Design, Design for Public Services, Service Innovation
CooperCooper Rachel Cooper Design Management, Design Policy, Design Thinking, Urban Design, Urban Sustainability, Socially Responsible Design, Design Against Crime, Design & Manufacture
JungingerJunginger Sabine Junginger Design in the Organization, Design and Change, Design Management, Design Thinking, Human-Centered Product Development, Design Theory
BüscherBüscher Monika Büscher Sociology / Anthropology / Cultural studies of mobilities, Technology (futures), Video Ethnography and Design, Ethnomethodological studies