New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
Let’s face the music and (not) dance
David Frith leads our strategy consultancy work with NHS and third sector organisations.
Why community alternatives to hospital admission don’t (typically) reduce total admission levels
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
Lessons from the Vanguard: Innovation and Evaluation
The problems facing health and care services are so well known as to be documented in the media most days.
Lessons from the Vanguard: Procurement
Evaluation of the Dudley New Care Models Programme
This is the final system-wide report from the evaluation.
Integrating health and care services - what works? It’s complicated…
Coinciding nicely with the NHS 70th Birthday celebrations and the parallel discussions of ‘where next and how to do it better’ for the NHS, last we
Do you like to integrate horizontally or vertically? NHS positions examined
Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems
What works for primary care led integration?
We recently shared highlights from our realist synthesis on primary care-led integrated models, at the Health Policy and Planning Network workshop. Take a look at our presentation for a flavour of our findings ahead of publication later in the summer.
Evaluation of the Patient Activation Measure (PAM) pilot
As a concept, patient ‘activation’ holds promise; evidence suggests an enhanced ability to self-manage long-term conditions (LTCs) and an associate
Evaluation of patient reported measures pilot
There is wide consensus that the NHS needs to generate and act upon more patient reported data on outcomes and experience.
Scenario planning – an antidote to the false certainties of forecasts and grand plans
The resurgence of uncertainty
Scenario planning – an antidote to the false certainties of forecasts and grand plans
The resurgence of uncertainty
Dudley MCP Scenario Analysis
Dudley is one of fourteen vanguard sites nationally developing the Multispecialty Community Provider (MCP) care model.
Want to have better access to general practice appointments?
Here’s how we can support practice staff to improve access.
Scoping study: the economics of caring
There is a clear moral case for supporting unpaid carers.
Dudley MCP Evaluation of New Schemes
To support the move to the MCP model of care, Dudley's Partnership Board instituted a series of new schemes.
Evaluation of the Dudley Multidisciplinary Teams (MDTs) Summary of Final Report
Multi-disciplinary Teams (MDTs) in primary care are a core component of Dudley's care model; they are also widely used elsewhere.
Evaluation of the 'new QOF' for Primary Care in Dudley
Evaluation of Dudley Outcomes for Health