As well as current performance data, future changes will also give rise to a number of needs, which may involve additional training and development. The following are worth considering:

• Local requirements for new commissioned services
• Clinical governance demands
• Changes in local competition or in the needs of customers and patients
• New product or service launches
• Legislative or standards changes.

There are, of course, many more of these. Through your own continuing professional development and by keeping up-to-date with new ideas and trends you should have a sound appreciation of how impending changes to the profession and in local healthcare delivery will influence your business plans.