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Hard evidence that patient benefits outweigh costs is a great place to start as CCGs negotiate the complex legal hurdles to radical NHS change.

innovation_and_efficiency.jpgAlmost no one disputes that the NHS needs to transform in order to meet the challenges of the next few years – whether those are financial, demographic or technological.

But when that transformation means changes to services, the issue often becomes more controversial.

“If people are not taking those big steps towards reconfiguration we are going to face huge challenges next year,” says King’s Fund policy manager Beccy Ashton. “The worst are the ones which involve multiple providers but those are the ones which are likely to deliver the biggest transformation.”

Reconfiguring services and organisations is fraught with difficulties. A key one will be getting acceptance of the need for change and the solution from stakeholders. And clinical commissioning groups and trusts looking to reconfigure face a complex legal framework.

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