Project Name: Re-imagining Care Pathways Collaborative Working - Hampshire, Southampton and Isle of White

Project Summary:

The Reimagining Care Pathways collaborative working programme is a service offered by Novartis, which comprises a series of workshops, with the aim of:  

  • Providing pathway mapping support to the NHS (healthcare and service teams) to improve efficiency and service effectiveness to the benefit of patient care.  
  • Providing pathway mapping support the NHS (healthcare and service teams) to address the local challenges they face in the delivery of patient care.  

Healthcare and service team professionals may be required to respond to the ongoing demands for change coming from patients, policy makers, commissioners and new innovations. The programme is aligned to the NHS Long Term Plan, NHS Recovery Plans and the NHS Outpatient Transformation Programme all of which look at how services might be run more efficiently to ensure access  to more patients, at the right time and place, and deliver better patient outcomes.  

Planned Milestones:

Milestone 1 – Project kick-off 

Milestone 2 – Scoping Meeting 

Milestone 3 – Mapping of the pathway 

Milestone 4 – Workshop 

Milestone 5 – Workshop 2 

Milestone 6 – Feedback/Consultation 

Expected Benefits:

Improved understanding of the current service pathway, and associated efficiencies and inefficiencies. Potential to lead to solutions which could allow the NHS organisation to enhance both patient experience and outcomes.  

Novartis : 
Understanding of possible opportunities to partner with the NHS to enhance patient outcomes and experience.  

Better understanding of patients’, carers and customers’  

Needs, which may inform future service offerings, and synergies between needs of the customer and value of Novartis offerings.   

Start Date & Duration: December 2021 – 6 months 


Project Name: Re-imagining Care Pathways Collaborative Working - Hampshire, Southampton and Isle of White  

Completion Date: March 2022

Outcomes Summary:

A fully mapped end to end cardiology pathway detailing the patient journey within the ICP. Redesign of community cardiology services to form part of the service specification for future tendering.


Within this project, we brought together key stakeholders within the cardiology therapy area across the ICP. This included representation from commissioners, secondary care, community providers, GPs and voluntary groups. Through joint commitment, we produced an end to end pathway of the cardiology services within the locality, highlighting what is working well, but also the gaps within the current service. The pathway map enabled the group to see how a patient flows through cardiology services at the point of entry (GP) to discharge from secondary care.

As part of a working group, we facilitated the redesign of the community cardiology service to support the commissioners with future service specification creation ahead of a planned tender. This highlighted some key areas for discussion such as IT and shared data between providers, diagnostic wait times and uncertainty around patient complexities. There was also an inequality in service provision such as a lack of heart failure services in 50% of the locality.

The project also enabled us to identify areas for training and education that would help develop the community service and enabled the secondary care organisation to offer support for future GP development to enable more community based patient management.

Bringing the group together to discuss the pathway enabled the group to see the duplication and confusion for patients in regards to service offering, but also highlighted the need for better communication between organisations. The pathway map was crucial in detailing where these communication pathways could be improved.

It was evident through the project that community services were not presently prescribing treatment for their patients and this was due to IT issues which was highlighted as a workstream to be addressed. Looking at the service delivery currently opened discussion to how this could be widened and what areas of the service could be expanded to support secondary care wait times.

For the commissioners, this project provided much needed context and detail around what is happening on the ground in the cardiology space. It enabled them to understand some of the key areas of focus and support their future decision making in this space.


In conclusion, this project provided all stakeholders a detailed understanding of the patient journey as currently stands in their locality. The creation of a pathway across organisations highlighted clear gaps in service that need to be addressed, but gave real direction for the ICP in future service creation/expansion.