Our understanding of what works, and the demographic needs of a constantly changing population, means that the best care pathway of a few years ago is now inefficient and in need of change.
At any one time, there may be 30% waste that could be taken out of any care pathway, whether it's for
acute (hospital) care
care at home
children and families
proactive care and public health
Our understanding of what can be done, how, is constantly improving. We've new methods, new medicine, new equipment, which gives people their lives back, keeps them alive whereas formerly they would not survive, and gives mobility.
I've been involved in a whole lot of pathway redesign, and I enclose some case studies