É assim que começa o pensamento estratégico

Quando os clientes começam a escassear a organização reconhece que não os estava a ouvir e procura concentrar-se onde pode fazer a diferença.
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"Many hospitals have witnessed a sharp fall in income as a result of health care reforms, including the introduction of a Payment by Results system.
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Patients are now able to choose where they are treated, with many snubbing the traditional visit to their local hospital and opting for units with the best treatment records, facilities and, crucially, cleanliness and infection control."
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"Roger Taylor, director of Dr Foster, said: "Hospitals are facing the situation where they are looking round and suddenly the business, in terms of patients, may not be there. And if the business isn't there then neither is the money. Then they will start to have a problem.
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"Hospitals and units have always closed but it has always been done centrally. What you now have is people competing for patients.""
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E começam as opções, as especializações, os compromissos:
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"In response, the trust now plans to offer emergency care only at Barnet Hospital, with Chase Farm Hospital becoming the sole centre for routine surgical services.
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But the Dr Foster Hospital Guide report shows some hospitals have enjoyed dramatic increases in the number of operations they perform, attracting record levels of funding as a result."
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"The Royal Wolverhampton Hospitals NHS Trust saw activity increase by 17% between 2005 and 2007.
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The Moorfields Eye Hospital saw cataract surgery increase by 15 per cent between 2005 and 2007. However, the hospital now has only 11 beds at its main London site and has instead set up franchises in 11 other hospitals, using its brand to attract business."
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Trechos retirados de "NHS hospital units shunned by patients face closure"