Spread of Value Management across settings

Boards initially chose 3 pilot teams to work with and test the Value Management approach as part of the collaborative.

Figure 3: Value Management pilot team settings

Three participating boards had successfully spread the Value Management approach by October 2022, achieving the aim of spreading the approach by March 2024. Boards that did not meet this aim due to challenges experienced with providing consistent coaching sessions to dynamic teams, accessing data and demonstrating impact focused their efforts on delivering sustained improvements within their original teams.

NHS boards engaged in board planning sessions, regularly reviewing progress against adoption attributes to determine their readiness for spread. Boards spread when they could demonstrate successfully testing, implementing and sustaining improvement ideas and/or use of the approach under a variety of conditions.

Spread was more advanced in those boards that focused their attention on mental health services adopting the Value Management Approach. Potential reasons for this identified by staff include: less reactive care work, greater staff continuity and more emphasis on a multidisciplinary approach compared to other specialties.

The range of settings in which Value Management was spread to and supported by the collaborative is outlined in the graphic below:

Figure 4: Number of Value Management teams in different settings in October 2022