Multi-Trust Urgent and Emergency Care Facility Business Case
Context
Akeso defined a new clinical model and developed both an Outline Business Case and Full Business Case for a £29 million new capital build Urgent and Emergency Care (UEC) Centre. This work involved comprehensive clinical engagement, clinical modelling analytics, and full commercial and procurement support.
Methodology
Over the course of three months, Akeso provided healthcare planning support to develop and design a new community-based outpatients’ model of care and service, known as Health on the High Street.
Clinical Insight and Variation
Akeso gathered insight through extensive clinical and operational engagement. This included workshops, presentations, and drop-in clinics to understand the day-to-day clinical pressures and barriers to consistent care delivery. A detailed clinical activity and performance analytics assessment was also carried out, mapping every patient encounter and episode across multiple variables.
Modelling and Simulation
Using this rich dataset, Akeso identified key variations, bottlenecks, and underperforming areas. All patient activity was simulated based on a redesigned clinical model, allowing the team to validate the new approach in terms of performance, efficiency, and alignment with national clinical best practices.
Business Case Development
A compelling business case was created in line with the Green Book Methodology and NHSE/I criteria. This incorporated a new capital development plan for a modern UEC facility, underpinned by robust clinical data and an optimised care model, enabling future-proofed service delivery.
Additionally, Akeso supported with tailored service transition planning, covering pharmacy provision, sterile services, and consumables to ensure continuity of care and operational efficiency as services relocate to the new facility.
Impact
Akeso developed two approved business cases, including the completed clinical engagement, healthcare planning, demand modelling, intervention planning, and design work, all supported by the organisation’s clinical teams. In total, the Health on the High Street project was forecast to deliver over £3.1m in annual benefits, including:
Additional capital funding secured following business case approval
Forecast reduction in length of stay through the redesigned clinical model
Increase in facility footprint to meet growing service demands
Increase in service utilisation from 77% to 90%
Akeso developed two approved business cases, including the completed clinical engagement, healthcare planning, demand modelling, intervention planning, and design work, all supported by the organisation’s clinical teams. In total, the Health on the High Street project was forecast to deliver over £3.1m in annual benefits, including:
Contact Our Experts
Chris Robson
Managing Partner
chris.robson@akeso.co.uk