Allotments, health and community
A project that evaluates the contribution of allotment gardening to health and wellbeing of local communities.
Commensality for social inclusion
Recently completed research supported by Sociology of Health and Illness Foundation (SHI), examining ‘commensality’ (eating together) as a tool for health, well-being, social inclusion and community resilience.
The Patient Safety Collaborative Evaluation Study (The PiSCES Study)
The Government's response to the Francis Report (which investigated care safety problems at the Mid-Staffordshire NHS hospital) included establishing 15 Patient Safety Collaboratives (PSC) across England during 2015-2020. This study, funded by the Department of Health Policy Research Programme, is evaluating the progress of the PSCs in the first three years to determine what difference they are making and how their impact can be maximised in the remainder of the programme.
From Programme Theory to Logic Models for Multispecialty Community Providers: A Realist Evidence Synthesis
The number of people with long-term (chronic) illnesses, often more than one at once, is rising. Because health and social care budgets are tight, the NHS has to find ways to give lower cost but still high-quality care for people with those illnesses. For these purposes, ‘multispecialty community providers’ (MCPs) have been proposed as a new model of care bringing together health services and social care services to provide care closer to people’s homes and, when they safely can, keep people out of hospitals. Funded by the National Institute for Health Research, this study synthesises the existing evidence about similar projects across the OECD countries, to establish what factors are critical to the success or failure of MCP-like innovations
Diverse providers: Behaviour in response to commissioners, patients and innovations
NHS-funded services are provided by an increasingly diversely-owned organisations: corporate, ‘not-for-profit’, proprietary, cooperative, professional partnerships, NHS trusts, social enterprises. This study, funded by the Department of Health and Social Care Policy Research Programme, examined the effects of diverse provider ownership on patient experience, innovation and health policy implementation (e.g. cost reduction, service ‘integration’). We found that non-NHS providers were tending to become more often corporate and financialised. Regulations and quality standards encouraged convergent behaviour among differently-owned providers. Differently-owned providers had divergent top-level organisational structures but similar coordination structures at workplace level. Innovation was largely policy led. Technical innovation tended to emerge from NHS trusts, service delivery innovations from providers of all ownerships. Providers with private patients differentiated services for them from services for NHS patients. Patients found the ambience of secondary care in non-NHS providers – and in CHS services, irrespective of ownership – very different to that in NHS acute trusts. The difference reflected case-mix not ownership.