HOME HAEMODIALYSIS A KEY TO AVOIDING HOSPITAL ADMISSIONS
Executive Summary
Summarise your entire proposal so the commissioners can see at a glance what you propose to do, and both the cost and patient benefits, but keep the bulk of the detail to the rest of the business case. (Tip: The executive summary is often written last)
Include:
An overarching statement outlining the aim of the project and summarising the business case.
Highlight key points to draw them to the attention of the decision-makers.
Bring together all the key areas for discussion and approval
Background and Current Position
Set the scene by giving a statistical and evidence-based assessment of the issue you are trying to combat, how it affects the national and local population, and how much it is currently costing the NHS.
Include:
Describe the relevant current service provisions.
Describe the need or gap in current or future service provision that you have identified.
Provide any other data that are relevant to your bid, e.g. waiting times, numbers of patients.
Proposal for Service
This is where you need to give an outline of your proposed service change.
Include:
Demographic Information
Numbers and the population targeted, e.g. bereaved parents, people approaching the end of life
Service User Perspectives/Voices
What do services users and other stakeholders say about this issue?
SMART Objectives
What are the intended outcomes and goals of the proposal?
What is the proposal trying to achieve?
What will success look like?
Assumptions
What assumptions are being made about, for example, cost savings?
Benefits and Risks
How will risks be mitigated
Drivers for New Service/Sustaining the Service
Here, you will need to demonstrate how your proposed service or service change will impact upon national and local objectives, the patient, the organisation within which it will operate.
Include:
Highlight the current gaps necessitating this new service or change.
Link your bid to national priorities (e.g. national service frameworks, NICE guidelines).
Link those national priorities to local priorities and the local situation.
Deliverable Outcome/Activity to Date
Include here, the estimated number of patients your proposed service is likely to cover, giving an idea of minimum and maximum numbers.
Mention the likely value of any free up resources and over what timescale
Include:
What similar or relevant services also available?
What alternative option(s) did you consider before settling on your final proposal?
How will you measure success?
What timescale are you planning to deliver this proposal over?
Patient and Carer Feedback
Including the patient voice both before, during and after service development is vital.
Include:
How can you hear the patient voice when designing your proposal?
Case studies
Charities
Surveys
How will you hear the patient voice after the proposal has been put in place?
