Whole System Planning

Working with and across public and private sector stakeholders, we are able to plan and propose estate infrastructure solutions founded on local service requirements across a whole system or economy (e.g. Health Commissioners and Providers) or multiple systems (health and local authority). This planning involves:

  • Mapping services and premises portfolios including linkages and relationships – current/future patterns – both Public and Private
  • Identifying synergies and integration opportunities for improved operational and financial efficiencies
  • Bringing together organisations and stakeholders to consider and facilitate integrated solutions which provide better value. We have expertise in whole systems working across a range of sectors:
  • NHS (Commissioners, Providers)
  • Private Sector (Health)
  • Local Authority (Social Services, Children Services)

Here are a couple of examples of whole systems planning work we have recently undertaken:


Children’s Services Access Model

A Local Authority & NHS joint commission to develop an access model for children’s services to identify potential joint working and efficiency savings opportunities.

This focused on how children’s services could become more integrated and better aligned through streamlined working practice, a reduction in service duplication and some estate rationalisation.
The work was structured into 3 key stages:


  1. Review of national and local strategies; and compilation of service access options
  2. Review of services and estate to develop model and to identify synergies
  3. Completion of the ‘Access Model’, showing the baseline position for the delivery of Children and Young People’s services across the area


Each stage was planned to inform and build upon the previously completed review. We facilitated a workshop at the end of each stage to inform and develop the next part of the process going forward.

The resultant access model supports the users in:

  • Horizontal service pathway and integration
  • Commissioning decisions
  • Rationalisation planning
  • Infrastructure response
  • Support tool for social marketing
  • The development of the model has also aided in:
  • The development of local working relationships between key stakeholders
  • Collaborative approaches to planning and strategy
  • The visualisation of
  • service delivery
  • resource locations utilised to deliver services
  • where the “overlap” exists
  • seeing the potential that exists within the system for service integration and estate rationalisation


Local Health Economy Service Needs Assessment
A Primary Care Trust required an assessment of the local health needs for a deprived area. The aim was to make a case for change in order to highlight the need to:

  • provide accessible, high quality health services for the area
  • tackle health inequalities and poor health
  • increase awareness of health issues and take-up of health services by hard to reach groups
  • improve the efficiency of health care provision by reducing costs whilst improving services


Following the analysis of all the information, we were able to table a robust and tangible case for change for the provision of a new health facility in a highly deprived area.

Dowload further information here:

Whole System Planning Product Sheet
Whole System Planning.pdf
Adobe Acrobat document [1.8 MB]