Some of the factors driving the change in health and social care include; the rising service demand and treatment costs, need for continuing improvement in service delivery and the state of public finance [18]. For example, the cost of medicines is growing by over £600 million per year in the UK [18].
The coalition government has outlined their vision including the need for deficit reduction and spending review [7]. In order to achieve up to £20 billion efficiency gains by 2015, fundamental changes in the whole health system would be required [19]. Approaches such as reduction in the overall number of staff employed in the NHS and the workforce for Quality, Innovation, Productivity and Prevention (QIPP) program which supports NHS staff to have
The coalition government has outlined their vision including the need for deficit reduction and spending review [7]. In order to achieve up to £20 billion efficiency gains by 2015, fundamental changes in the whole health system would be required [19]. Approaches such as reduction in the overall number of staff employed in the NHS and the workforce for Quality, Innovation, Productivity and Prevention (QIPP) program which supports NHS staff to have