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Evalua&ng New Models of Care Stewart Mercer Director of the Sco/sh School of Primary care Professor of Primary care Research University of Glasgpw Sco/sh School of Primary Care

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Page 1: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Evalua&ngNewModelsofCare

StewartMercerDirectoroftheSco/shSchoolofPrimarycare

ProfessorofPrimarycareResearch

UniversityofGlasgpw

Sco/shSchoolofPrimaryCare

Page 2: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

“Myvisionputsprimaryandcommunitycareattheheartofthe

healthcaresystem,withhighlyskilledmul&disciplinaryteamsdeliveringcarebothinandoutofhours,andawiderangeofservicesthataretailoredtoeachlocalarea.Thatcarewilltakeplaceinlocalityclusters,andourprimarycareprofessionalswillbeinvolvedinthestrategicplanningofourhealthservices.Thepeoplewhoneedhealthcarewillbemoreempoweredandinformedthanever,andwilltakecontroloftheirownhealth.Theywillbeabletodirectlyaccesstherightprofessionalcareattheright&me,andremainatornearhomewhereverpossible.”ShonaRobison,Sco/shParliament,15December2015

TransformingPrimaryCare

“Wewilltransformprimarycare,deliveringanewCommunityHealthServicewithanewGPcontract,increasedGPnumbersandnewmulL-disciplinarycommunityhubs.”SNPManifesto,May2016

Page 3: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Sco%sh School of Primary Care Evalua5on of Primary Care Transforma5on •  ThePrimaryCareTransformaLonFund(PCTF)has£20milliondesignatedtonewmodelsofcareinprimarycare,whichispartofa£60millionfundcoveringaddiLonalaspectsofcaresuchasmentalhealth,communitypharmacy,andout-of-hourscare

•  TheSco/shSchoolofprimaryCare(SSPC)hasbeenawardedfundingtohelpevaluatethesenewmodelsofprimarycare

Page 4: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

New Models of Primary Care

•  Somepreviouslyfundedmodelsongoing(e.g.,LinksWorkerproject,GovanSHIP,EdinburghHeadroom)

•  >60newbidsforPCTF/PCMHfundedfor1-2years• AddiLonalacLvityincommunitypharmacy,unscheduledcare,communityhubs,linkworkerroll-out,etc

Page 5: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research
Page 6: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

performan

ce

&menow 20202017

transi&on

“oldworld”

“newworld”

Transforming primary care

Fromaprescrip&vecontracttoanenablingcontract

Page 7: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

SummaLve

Slide from Sanjeev Sridharam with permission

Developmental

Formative

7

Page 8: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Features of complex interven5ons Slide from Sanjeev Sridharam with permission

8

COMPLEXINTERVENTIONSARE:

DYNAMIC:IntervenLonchangesoverLme(bothin

responsetochangingcontextandlearnings

overLme)

CONTEXTHeterogeneity(thesameintervenLonwilllookverydifferentinverydifferentcontexts)

MULTIPLEINTERACTINGCOMPONENTS:(HavethepotenLalofchangingtheoverall

intervenLonoverLme)

Page 9: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Phase1:ProgrammeTheoryandExpectaLonsofImpact

Phase2:Impacts,Learning,SpreadandSustainability

Page 10: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Phase 1: Interven5on Theory and Expecta5ons of Impact: Thekeyques*onsinclude:•  WhatistheplannedintervenLon/projectandhowdoesthisbuildonpreviouswork?

•  WhatarethekeycomponentsoftheintervenLon/project?•  AretheselikelytochangeoverthelifeoftheintervenLon?•  Whataretheexpectedimpactsintheshort,medium,andlong-term?

•  Howdothestakeholdersthinktheseimpactsaregoingtobeachieved?

•  Whatistheevidencetosupportthis?•  WhoarethekeystakeholdersintermsoffuturesustainabilityandspreadandwhatevaluaLoninformaLondotheyrequire?

Page 11: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research
Page 12: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Phase 2: Impacts, Learning, Spread and Sustainability Thekeyques*onsinclude:• Whatimpact(s)hastheintervenLon/project/programmehad,inrelaLontotheexpectedimpacts?

•  HastheintervenLon,andtheexpectedimpactschangedoverLme?

•  HavetherebeenanyunintendednegaLveconsequences?• Whatisthekeylearningthatneedstobeshared?• WhichintervenLonsseemworthscalingupandspreading?•  Howeasilycanthesebeimplemented?•  Howsustainablearetheselikelytobeinthelong-term?

Page 13: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Na5onal and Local

•  Thena&onalevaluaLonwillincludetheSco/shGovernmentsowntheoriesofchangeandexpectaLonsofimpactandownindicatorsofimpact

•  DetailedevidenceofImpact,learning,spreadandsustainabilitywillbemainlygatheredthroughalimitednumberofselectedlocalcasestudies(‘deepdives’)carriedoutbySSPCindifferentHealthBoards

•  Complementedwiththeavailabledataandevidencefromtheothersitesnotselectedfordetailedcasestudy.Inthisway,anintegratedanddetailedsharingoflearningwillbeproducedwhichwillbeofna&onalaswellaslocalrelevance.

Page 14: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

SSPC structure

SSPCCoreTeam

AberdeenUniversity

DundeeUniversity

EdinburghUniversityGlasgow

University

SLrlingUniversity

Page 15: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

The SSPC ‘Collaboratory’: ‘Pulling Together in partnership’ on the evalua5on effort

SSPCiskeentoworkcollaboraLvelywithotherkeyorganisaLons(e.g.,onavailablenaLonalperformancedataonpaLentsaLsfacLonand‘bigdata’suchasunplannedhospitaladmissions),workinginpartnershipwithotherkeystakeholders.

Page 16: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

SSPC

HealthandSocialCare

Policy

InnovaLonPartners

NHSandSocialCareServices

AllianceofHealth

andSocialCare

EducaLonand

TrainingBodies

TheSpecialNHS

Boards

InternaLonalCollaboraLon

Page 17: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

performan

ce

&menow 20202017

transi&on

“oldworld”

“newworld”

Transforming primary care

Withrealis&clong-termevalua&on

Page 18: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research
Page 19: Evalua&ng New Models of Care - University of Glasgow · Evalua&ng New Models of Care Stewart Mercer Director of the Scosh School of Primary care Professor of Primary care Research

Thankyou


Evalua 3.pdf

Final Evalua on

Evalua 8.pdf

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