Yoga and Meditation: Strategic Commissioning for Neurology Patients

This report presents a strategic commissioning proposal for integrating yoga and meditation into the treatment of neurology patients. It highlights the benefits of these practices, including improved memory and cognitive function, and explores their potential to reduce healthcare costs. The report provides an overview of the current healthcare pathways, the objective of the service, and the varied services that are available to neurology patients. It also addresses stakeholder involvement, workforce and space implications, key actions and milestones, risk assessment, and financial implications. The report references supporting evidence, and concludes with a reflection on the effectiveness of yoga and meditation as a treatment approach. The NHS Greenwich priorities are also discussed in relation to the proposed service.

STRATEGIC
COMMISSIONING

TABLE OF CONTENTS
Description of proposal....................................................................................................................3
Benefits realization..........................................................................................................................3
Executive summary..........................................................................................................................3
Introduction and overview...............................................................................................................3
Varied services available to neurology patients...............................................................................5
Objective .........................................................................................................................................6
Impact of key priorities....................................................................................................................7
Stakeholder involvement.................................................................................................................8
Workforce implications...................................................................................................................9
Space implications...........................................................................................................................9
Key actions and milestones..............................................................................................................9
Risk assessment analysis................................................................................................................10
Financial implications....................................................................................................................10
Project reviews...............................................................................................................................11
Performance and management evaluation.....................................................................................12
Service criteria...............................................................................................................................12
Supporting evidence.......................................................................................................................12
Reflection.......................................................................................................................................13
REFERENCES..............................................................................................................................14

Description of proposal
Benefits realization
Benefits that one will realized by doing yoga and meditation are given below.
 Patient will not need to pay heavy amount of money to buy medicines. In UK Doctor fee
is very high and in situation when economic conditions are not good it is very difficult for
people to afford Doctor fee frequently. Medicines that neurology patient buy are also too
costly. By doing yoga one can cure from disease and may abstain from paying heavy
amount of bills.
 Continue consumption of medicines sometimes lead to increase in weight. By doing yoga
one can control his weight (Meyer and et.al., 2012).
 One can do meditation and by doing so he can increase its concentration power on
specific thing which will reduce memory loss. Hence, one will not need to take medicines
to prevent memory loss.
 Poor people will be able to afford treatment of yoga and meditation.
Executive summary
This report is prepared on yoga and meditation as a tool to give treatment to those that are
suffered from neurology diseases. In the report the reasons due to which yoga can be proved
effective in memory loss problem are discussed in detail. Practical application of yoga service as
business is done in the report. By using facts and figures it is identified that there is great demand
of yoga training sessions among the people. NHS website was also visited and it is identified that
is promoting yoga in UK. This prove that yoga and meditation exercise is very effective in
memory loss problem.
Introduction and overview
The main purpose of this document is to provide an information about the yoga and
meditation to treat neurology patients. Often it is observed that in the case when person which is
affected from disease that is related to the neurology doctors give treatment to the patient for
three years. This is minimum duration of treatment for which neurology patient is kept under
observation of doctor. Many times it has been seen that due to continue consumption of capsules
migraine comes in control but on other side problem of memory loss comes in existence. Many

times even medicines are given but problem of memory loss does not comes in control
(Velikonja and et.al., 2010). In such a situation yoga and meditation prove very effective in
preventing further memory loss of patient. So the question arises that how yoga is emerging as
effective method of treatment relative to medicines. Yoga is a sort of exercise which generate
energy in human body. That energy is used by body to generate gray matter in the brain. When
gray matter accumulate to certain level in the human brain memory retention power enhanced
and memory loss problem comes in control (Sherman and et.al., 2011). This is proved in various
experiments that were conducted by scientists in different time period. Hence, with passage of
time more and more people are practicing yoga exercises to eliminate disease.
Current pathway
Currently, also there are many yoga centers in the UK but there main focus is on teaching
yoga to the people with the objective to keep people healthy (Ross and Thomas, 2010). Less
number of people are doing yoga if compare them with entire population. On other hand, people
does not know that what benefits they are receiving by doing specific type of yoga. Hence, they
are doing those sort of yoga positions which they does not require to do. This reflects that there
is a gap in terms of lack of knowledge among the people in relation to yoga positions that they
must practice to remain healthy.
Improved pathway
In our service package special emphasis will be given on the neurology patients.
Currently, it has been observed that doctors are using medicines to treat patients which is proving
costly and less beneficial for neurology patients in terms of memory loss problem. In our service
package we will teach yoga and meditation exercises which are relevant for neurology patients.
Under yoga breath inhale and exhale exercise will be teach to the patients (Somerstein, 2010).
Mediation classes will be organized separately and under this patients will be instructed to focus
on there breaths and control on there emotions. By doing this there concentration power will be
increased.
Why yoga and meditation will prove effective for neurology patients Yoga- In order to understand benefits of yoga for the neurology patients it is important to
understand the reasons due to which yoga and meditation will prove effective for
neurology patients. Memory loss disease comes in existence when patient brain cells
death happen at fast rate and birth of new brain cells occur at slow pace. This happens

when blood circulation does not happen properly in body specially in the brain
(Hassanpour-Dehkordi and Jivad, 2014). Central nervous system lies in brain and when
blood does not approach in proper quantity in brain then existing brain cells died
gradually and birth rate of same become slow. Due to this reason memory retention
power reduced in neurology patient and he start forgetting activities or things related to
them that he perform in single day. Those people who have slightly memory loss problem
but are not suffered from Alzheimer practicing yoga prevent further cognitive decline.
There is a transition period if memory loss continue one can suffered from mentioned
disease (Friedman, J., 2015). By using practicing progress in memory loss can be stopped
and one can prevent himself from suffering from mentioned disease.
 Meditation- Meditation is another technique that will used for the treatment of neurology
patient. Under meditation one need to focus on his breathe and during this time period
brain of human being start thinking about many things like education and career etc. The
main target of one doing a meditation is to not pay any attention to such kind of notions
that are coming in his brain and to focus consistently on breath inhale and exhale rate
which is naturally decreasing with increase in duration of meditation (Smolinsky, 2014).
In pilot study conducted by Wake Forest neurologist of Rebecca Erwin Wells identified
that those who practice mindfulness meditation have less chances of cognitive
impairment. This research also reveals that if mediators will be compared with non
mediators then it will be identified that in former type of people there is great
connectivity in neurons in the default mode network (Friedman, J., 2015). It is a part of
brain which is related to thinking about past and future.
The entire result of this hard work will be that when patient will perform his day to day
work he will be able to pay due attention on his work rather then on other surrounding
environment activities. This will increase memory retention power of neurology patient and in
these ways yoga and meditation will prove effective for neurology patient.
Demographic or NHS Greenwich loint Strategic Needs Assessment (JSNA) priorities for
2013-2018 about healthy Lifestyles and choices
Greenwich loint Strategic Needs Assessment (JSNA) is accessed to collect entire
information about the population that resides in the mentioned borough of London. The need
assessment make available detail facts and figures about healthcare needs of people living in

Greenwich citizen. By visiting relevant site information about the environmental factors which
affects peoples health is also collected (http://www.royalgreenwich.gov.uk). The main priority of
NHS Greenwich is to improve healthcare services in the mentioned borough of London.
Reduction in the health inequalities is other main priority of the NHS Greenwich. In this regard it
ensures that equal services will be provided to the people without doing any discrimination on
the basis colour or religion. NHS Greenwich is promoting self management among the people of
borough. In this regard its priority is to teach people about the way that they can adopt to keep
themselves healthy (Greenwich CCG commissioning plan 2015/16, 2016). The main priority of
is to make sure that services will be provided to the people on time and on right place. This will
ensure safety of patient life when condition is critical. NHS Greenwich is giving due importance
to the competition that it wants to give to other branches of NHS in terms of service quality. By
doing so it wants to make its service much better then other branches of NHS.
Varied services available to neurology patients
Services Cost Current price charged
in the market
Way in which service
will be delivered
Yoga £ 100 monthly £ 140 monthly 5 hrs training will be
conducted and under
this 10 batches will be
trained. This means
that half hour of yoga
will be allotted for
each batch. In each
batch there will be 30
people. During this
half hour session 10-15
minutes yoga session
will be conducted. In
remaining time period
motivation speech will
be given to the

neurology patients.
Meditation £ 100 monthly 5 hrs training session
will be organized for
six batches. Half hour
will be given to each
batch for doing
meditation. This half
hour time period will
be divided in to two
periods. Gap will be
given in these time
periods about of 5
minutes. As it is not
possible for any one to
do meditation for half
hour consistently.
Trainers for yoga and
meditation
4 There will be four
trainers for yoga and
meditation. Each
person will give
training for both yoga
and meditation.
Objective
The main objective of choosing this service is to tap an opportunity that exist in the
market. It is well known fact which is that in neurology one face a problem of memory loss
(Hayes, M. and Chase, S., 2010).
 The main objective of this research study is to identify the way in which new service
which is yoga and meditation will be provided to the people in order to eliminate there
memory loss problem.

 The second main objective of this research study is to identify the risks that are
associated with commencing this new service. It is very important to identify threat that
are related to new service. It is is very important to address these issues because if same
will not be done then business under which new service proposed to be provided to the
patients will not achieve success as required (Roland, 2014).
 The third main objective of this research is to check viability of the proposed business
services. It is possible that firm wants to provide new service to the customers but it is too
costly. Due to this reason less people may prefer to take firm service.
Thus, it can be said that these are three objectives under which entire research work will go in
specific direction and will help in measuring viability of the proposed service in real business
world. If proposed service is viable then it will be quickly adopted by the people. In other words,
it can be said that if new proposed service will be available to customers at cheaper rate then
there will be high demand for the yoga and meditation service among the people.
Impact of key priorities
The top priorities of the yoga and meditation service are given below.
 To provide proper guidance for performing each and every step of yoga services.
 To provide detail information about balance diet and when to eat food items in relation to
yoga.
 To increase awareness about use of yoga among the people.
 To provide information about the changes that comes internally in the body due to
practice of yoga exercises (Ebnezar, 2011).
 To create a perception among the people that yoga exercises are better then use of
medicines in terms of cost of treatment.
Thee will be positive impact of priorities on the business firms. The first priority of
service is to give guidance in systematic way in relation to practice of yoga exercises to the
people. By doing this people will be assured that treatment is given to them is systematic way
and will prove effective for them. As per rules, individual must not consume any food item
before doing yoga. In the training session information about precautions that needs to be taken in
relation to yoga and consumption of food items will be provided. Thus, will increase impact of
yoga on people memory power and yoga service will become popular among the people.
Campaigns will be organized to educate people about yoga and meditation and this will help in

increasing customer base for the firm. Information about the scientific impact of yoga on body
will also be provided to the people (Hayes and Chase, 2010). This will help people in
understanding the extent to which it is very important for them to do yoga exercises to remain
healthy and fit every time. In campaigning attempt will be made to create a perception that yoga
is cost effective then medicines in relation to memory loss problem. All these priorities will help
firm in increasing its business and adding new clients to same at rapid pace.
Stakeholder involvement
In order to promote word of mouth marketing firm which is Yoga Neurology therapy
center will involve stakeholders in its business actively. The way in which stakeholders will
contribute to firm growth is given below.
Key stakeholders
Key stakeholders are those whose support is inevitable for operating an organization..
Key stakeholders of the firm are managers and these are important stakeholders of the business
because they manage day to day business activities of an organization. Manager of Yoga
Neurology therapy center will use social media and through same platform they will spread
information about the firm services. People will be able to ask there queries and by answering
them managers will convert them in potential customers.
Primary stakeholders
Primary stakeholders are those directly affects the firm business activities. Trainers are
one of the most important primary stakeholders of the firm. Trainers are those people that will
provide training to the clients. Trainers will be made responsible to carry out general discussion
in relation to yoga among the people when they are in leisure. This will enhance knowledge base
of clients (SPLETE, 2010). These clients where required will suggest others to join yoga classes
of the firm. This will enhance profitability of the firm.
Secondary stakeholders
These are those stakeholders that helps firm in executing business strategy at workplace.
Local communities are the most important secondary stakeholder of the firm. Yoga Neurology
therapy center will increase its communication with local communities. By doing this firm will
approach to large number of people in short duration. This will also help firm in increasing its
customer base rapidly. Customers are assumed to be another most important stakeholder of the
firm. Yoga services will be provided in the Greenwich borough of London and people residing in

this area will be targeted population of the firm. Some of the people that have good network and
communication skills as well as influencing power will be picked up by the firm from clients.
These selected people will be paid by the firm when they will create new customers for Yoga
Neurology therapy center. This will also help firm in increasing its customer base.
This model of stakeholder influence and interest is high then close relationship must be
maintained with yoga practitioners. On other hand influence and interest of stakeholder which is
Illustration 2: Stakeholder analysis image
(Source: SPLETE, 2010)
Yoga practitioners
Patients Advertisers
Influence
Interest
Illustration 1: Stakeholders of the firm

patient is low then stakeholder must be keep informed about firm decisions related to change in
schedule or new services that will commenced for them by the firm. If influence is low but
interest is high then stakeholder which are advertisers of the firm. These are trainees of firm but
doing advertisement for same and receive amount for doing word of mouth marketing for the
firm. They must be keep informed and two way communication must be maintained with him.
Workforce implications
Service will be provided by the trainers and they will be four in number in the firm. All
trainers will be specialist with long years of experience. Total three hours of training session will
be conducted which will be divided in to 6 sessions. This means that each session will be of half
an hour and in that time period training will be provided to the people regarding yoga and
meditation (Guner and Inanici, 2015). These trainers will give there services in different time
period in a single time. When trainers will be free in these three hours then have to go at
suggestion room where people can ask them questions related to yoga and will get guidance from
them. In this way training will be provided to the people and workforce will be utilized fully. In
this way entire service will be provided to the people at a Yoga Neurology therapy center.
Space implications
There will be enough space in the yoga center and under this one large hole will be
constructed in which there will be capacity of 50 people. Means that in single time period 50
people can be given training by the trainer. Apart from this there will be adjoined room nearby to
hole where people can seek suggestions from the experts. It can be said that there will be
sufficient space in the Yoga Neurology therapy center
Key actions and milestones
Millstone Delivery day
Complete preparation of business plan 22/06/16
Sending a proposal to NHS regional head for
jointly conducting free yoga training sessions
24/06/16
Receipt of answer from NHS 26/06/16
Organizing yoga training camp 30/06/16

CCG will easily give its approval to the firm to jointly organize training session with it.
From side of NHS, CCG in collaboration with firm will organize training camp. CCG are NHS
organizations that are established under Health and social care act 2013. The main benefit that
firm will receive by organizing training camp is that more and more people will come to know
about its training center. Hence, it will be able to increase its customer base rapidly.
Risk assessment analysis
In every business there are many risks that firm have to face. In yoga and meditation
service also there are some risks to which business firm can be exposed. One of the main risk is
that doctors may gave greed to the people by taking medicines they will be fine at fast rate the
yoga and meditation. Yoga is after all exercise which is done by human being. If it will not be
done in right way then patient have to wait for good results (Dhikav and et.al., 2010). Doctors
can take advantage of this limitation and can convince people to rely on medicines then yoga. It
has been seen that most of the people wants to see instant impact of any medicine they take.
Hence, they can be convince by the statement of Doctor. If this will happen then it is possible
that less number of people like to perform yoga exercise. This service is given by the other
organization in the UK but such kind of practice is at its initial stage. Hence, negative word of
mouth marketing by doctors may create problem for the firm. Risk analysis matrix is given
below.
Risk Probability Impact
1 Improvement in
patient mental health
at slow rate.
Moderate High
2 Lack of proper
guidance from yoga
practitioners.
Low High
3 Opening of new yoga
centers.
Moderate High
4 Resignation of top
manager from his post
Low Low