G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR2062
来源IDRR-2062-NHS
Transforming Urgent and Emergency Care and the Vanguard Initiative: Learning from Evaluation of the Southern Cluster
Sonja Marjanovic; Bryn Garrod; Talitha Dubow; Emma Pitchforth; Catherine A. Lichten; Julian Elston; Emma Harte; Jon Sussex; Miaoqing Yang; Fahd Malik; et al.
发表日期2017
出版年2017
页码287
语种英语
结论

Delivery on overarching aims

The three Southern Cluster UEC vanguards have each been pursuing ambitious goals to transform the UEC landscape in their regions and provide more efficient and effective services. Despite a reduction in originally anticipated resources for vanguard activity, progress has been made across core activities.

  • Clinical hubs are operational across the sites.
  • Direct booking capacity into primary care is progressing more with out-of-hours than with in-hours services.
  • Gradual but variable progress has been made towards joint planning and governance of UEC services.
  • Efforts to ensure seamless data sharing between UEC providers, and an interoperable IT infrastructure, are progressing somewhat slower than originally hoped.

Other areas of progress relate to site-specific developments.

Drivers of progress

  • Vanguard funding and status had a positive catalytic role in pump-priming activities and assisting the pace of transformation efforts; it provided 'permission' and a 'space to innovate' in approaches to improvement.
  • Committed leadership across professions and organisational levels and practical mechanisms to support joint working and interaction have helped support the vanguard vision and nurture increased trust between some providers.
  • Despite examples of effective public engagement informing the design of the Southern Cluster UEC vanguards and supporting awareness raising about service options, the sites recognise a need for greater attention to this space in future efforts.
  • Ensuring a critical mass of diverse health and care professionals supporting NHS 111 and the clinical hub remains a challenge.
  • Data infrastructure and interoperability challenges will need to be addressed for longer-term impact at scale.
摘要
  • Establish new incentives, skills and accountabilities in the health and care workforce
  • Coordinate more closely between local and national efforts
  • Nurture and further strengthen collaboration between stakeholders and across professional groups, including with the public
  • Consider how vanguard activities can support an end-to-end UEC pathway, securing a whole that is more than the sum of its parts
  • Improve availability of cost and outcome data to facilitate a robust business case for future scalability and sustainability
  • Reinvigorate efforts to secure physical and relational resources for an interoperable data infrastructure
  • Strengthen evaluation and learning capacity
主题Health Care Delivery Approaches ; Health Care Program Evaluation ; Health Information Technology Interoperability ; Mental Health and Illness ; Primary Care ; United Kingdom
URLhttps://www.rand.org/pubs/research_reports/RR2062.html
来源智库RAND Corporation (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108589
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Sonja Marjanovic,Bryn Garrod,Talitha Dubow,et al. Transforming Urgent and Emergency Care and the Vanguard Initiative: Learning from Evaluation of the Southern Cluster. 2017.
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