Scoping studies have been used across a range of disciplines for wide variety purposes. However, their value is increasingly limited by lack definition and clarity purpose. The UK's Service Delivery Organisation Research Programme (SDO) has extensive experience commissioning using such studies; twenty four now completed.This review article objectives; to describe the nature scoping that commissioned SDO Programme; consider impact uses made provide definitions different elements may...

There is an increasing awareness that policies do not succeed or fail on their own merits. Within complex messy systems, it unclear how best to ensure effective policy design and implementation. However, rather than just let drift into full even partial failure, governments are now beginning take interest in ways which the process – especially implementation phase can be strengthened supported. This article contributes debate three ways: by unpicking key factors behind failure; exploring...

Background Patient and public involvement (PPI) is a prerequisite for many funding bodies NHS research ethics approval. PPI in defined as carried out with or by the rather than to, about them. While benefits of have been widely discussed, there lack evidence on impact outcomes research. Objectives To determine types funded research, describe key processes, analyse contextual temporal dynamics explore experience all those involved. Mechanisms contributing to routine incorporation process were...

Abstract Background The health workforce is a key component of any system and the present crisis offers unique opportunity to better understand its specific contribution resilience. literature acknowledges importance workforce, but there little systematic knowledge about how matters across different countries. Aims We aim analyse adaptive, absorptive transformative capacities during first wave COVID‐19 pandemic in Europe (January‐May/June 2020), assess systems prerequisites influence these...

Abstract The UK National Health Service is introducing policies offering patients a choice of the hospital where they would like to be treated. ‘Patient choice’ form part wider debate about access health care and interaction between providers (including information, provision, performance reputation) knowledge, resources willingness travel). As ‘choice’ might not necessarily ‘local’ provider, such policy developments are predicated on an assumption that some will willing travel further. This...

While previous research has suggested that there is an association between fluoride ingestion and the incidence of hypothyroidism, few population level studies have been undertaken. In England, approximately 10% live in areas with community fluoridation schemes hypothyroidism prevalence can be assessed from general practice data. This observational study examines levels water supplies prevalence.We used a cross-sectional design using secondary data to develop binary logistic regression...

Abstract This paper is concerned with the language of policy documents in field health care, and how ‘readings’ such might be validated context a narrative analysis. The substantive focus on comparative study UK ( N = 20) as produced by various assemblies, governments executives England, Scotland, Wales Northern Ireland during period 2000–09. Following identification some key characteristics structure authors indicate text-mining strategies allied features semantic network analysis can used...

One of the key goals current reforms in English National Health Service (NHS) under and Social Care Act, 2012, is to increase accountability those responsible for commissioning care patients (clinical groups (CCGs)), while at same time allowing them a greater autonomy. This study was set out explore CCG's developing relationships.We carried detailed case studies eight CCGs, using interviews, observation documentary analysis their multiple accountabilities.We interviewed 91 people, including...

Abstract Background The Quality and Outcomes Framework (QOF) is an incentive scheme for general practice, which was introduced across the UK in 2004. one of biggest pay performance (P4P) world, worth £691 million 2016/17. We now know that P4P good at driving some kinds improvement but not others. In areas, it also generated moral controversy, turn created conflicts interest providers. aimed to undertake a meta-synthesis 18 qualitative studies QOF identify themes on impact individual...

The history of specialised commissioning in England over the last 40 years has identified several issues that NHS attempted, on many occasions, to address. This article aims place most recent reforms within their wider historical context; issued following Health and Care Act 2022 are just one more approach organising services. Previous will be examined, up substantial changes introduced by Social 2012. In 2012, services was areas centralised England, but old problems continued adverse...

Pay for performance (P4P) schemes have become increasingly popular innovations in primary care and generated questions about their effect on improving quality of care.To provide a brief outline the international evidence relationship between P4P improvement.We conducted literature search using relevant databases reference lists retrieved articles which discussed schemes, Quality Outcomes Framework (QOF). These included two recent systematic reviews schemes.Evidence is limited. What we can...

Abstract The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this in field constitutes a interdisciplinary gap knowledge. This themed issue explores relationships between and strengthening, multidimensional way, high-income low–middle-income countries. introduction unpacks dynamic interrelationships bringing together common distinct elements from both fields summarizing possible them. analysis shows...

Using data from the Department of Health funded study ‘Making most policy evaluations’, this paper explores views those working within process about role evidence. It highlights a tension between formative and summative uses research, which appeared to be exacerbated by lack clarity surrounding objectives that leads had for research. Additionally, reveal an uncertainty status ‘pathfinder’, ‘demonstration’ ‘pilot’ sites process.

Abstract For older people with multiple chronic co‐morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information‐sharing difficulties arising from differences between patients’ oral narratives and medical sense‐making; whether a modified form of ‘narrative medicine’ might mitigate them. systematically compared 66 general practice own their health problems contents clinical records. Data were collected in England during 2012–13. Patients’...

The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed operation public health system, moving responsibility for commissioning delivery services from National Service to locally elected councils a new national agency. This paper explores ways which have altered commissioning.We conducted multi-methods research over 33 months, incorporating surveys Directors Public local council members at two time-points, in-depth case...

This paper reports the findings of a scoping review on organisation and delivery health improvement activities in general practice primary healthcare team. The project was designed to examine who delivers these interventions, where they are located, what approaches developed practices how individual team organise such public contribute improvement. Our focus promotion prevention aimed identify current extent knowledge about wider Many research studies reviewed had some details type, process,...

Background An ageing population, the increasing specialisation of clinical services and diverse health-care provider ownership make co-ordination continuity complex care increasingly problematic. The way in which provision health is co-ordinated produces – or fails to produce six forms (cross-sectional, longitudinal, flexible, access, informational relational). Care accomplished by a combination activities patients themselves; organisations; networks co-ordinating separate overall...

Background For the last few years, English general practices — which are, traditionally, small have been encouraged to serve larger populations of registered patients by merging or collaborating with each other. Meanwhile, patient surveys suggested that continuity care and access are worsening. Aim To explore whether increasing size practice population working collaboratively linked changes in care. Design setting This observational study used data on experience, size, collaborative working....

To research involvement of healthcare staff in the UK and identify practical organisational policy solutions to improve boost capacity existing workforce conduct research.A mixed-method study presenting three work packages here: secondary analysis levels activity, funding, academic outputs among organisations United Kingdom; 39 Research Development lead funder interviews; an online survey 11 across UK, with 1,016 responses from included for analysis; 51 interviews different roles six...