Our understanding of what works, and the demographic needs of a constantly changing population, means that the best care pathway of a few years ago is now inefficient and in need of change.
At any one time, there may be 30% waste that could be taken out of any care pathway, whether it's for
Our understanding of what can be done, how, is constantly improving. We've new methods, new medicine, new equipment, which gives people their lives back, keeps them alive whereas formerly they would not survive, and gives mobility.
I've been involved in a whole lot of pathway redesign, and I enclose some case studies
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John Thorp's book "the information paradox" is probably the foundation on which future benefits realisation has been based. Although it is based around IT projects (notoriously, with a 70% "failure" rate), there is much that can be applied to all environments.
The Demos report "measuring social value: the gap between policy and practice" asks a very important question 'is there a standard method of measuring SROI?'.
The answer is: that depends.
When planning a new project, or evaluating whether an existing service has been successful, financial success is often the only thing that gets counted.