This document sets out how, where necessary, the NHS can change through the leadership of clinicians and the support of patients and the communities in which they live. It makes five pledges, which PCTs should have regard to, demonstrating our commitment to delivering the most effective change possible:
- Change will always be to the benefit of patients. This means that they will improve the quality of care that patients receive – whether in terms of clinical outcomes, experience, or safety.
- Change will be clinically driven. We will ensure that change is to the benefit of patients by making sure that it is always led by clinicians and based on the best available clinical evidence.
- All change will be locally-led. Meeting the challenge of being a universal service means the NHS must meet the different needs of everyone. Universal is not the same as uniform. Different places have different and changing needs – and local needs are best met by local solutions.
- You will be involved. The local NHS will involve patients, carers, the public and other key partners. Those affected by proposed changes will have the chance to have their say and offer their contribution. NHS organisations will work openly and collaboratively.
- You will see the difference first. Existing services will not be withdrawn until new and better services are available to patients so they can see the difference.