As the effects of any qualified provider (AQP) take shape, there may be a diversification of service providers.

This would include greater private sector involvement in the delivery of care (a trend that has already been observed). Third sector organisations may also become involved, which may involve providing specialist, small-scale or local-care delivery. This is also linked to increasing patient expectations, as patients will have greater awareness of the providers available and a greater choice in the services they use.

Proposed workforce impact

• SLTs may have to develop more commercial and competitive skills. The skill set needed to operate in the commercial world may be different from that desired by the profession, as a consequence causing tensions between the employers and the professional body.
• It may be harder to plan for supply with a diversified range of providers.
• Undergraduate and postgraduate courses may need to include regarding developing commercial skills to help ensure employment and be more prepared for possible independent practice.

Sources or references

• http://www.nuffieldtrust.org.uk/our-work/projects/understanding-competition-choice-nhs
• https://www.supply2health.nhs.uk/AQPResourceCentre/Pages/AQPHome.aspx

Additional research questions

• Have other professions undergone this change, and if so, what has the impact been?
• Will services that include the provision of speech and language therapy be attractive for private providers to bid for?

Some of the information in this section is provided by stakeholders and expert groups, and does not necessarily represent the views of the CfWI.