The Children and Young People’s Health Partnership Evelina London Model of Care: process evaluation protocol

Abstract

IntroductionChildren and young people (CYP) in the UK have poor health outcomes, and there is increasing emergency department and hospital outpatient use. To address these problems in Lambeth and Southwark (two boroughs of London, UK), the local Clinical Commissioning Groups, Local Authorities and Healthcare Providers formed The Children and Young People’s Health Partnership (CYPHP), a clinical-academic programme for improving child health. The Partnership has developed the CYPHP Evelina London model, an integrated healthcare model that aims to deliver effective, coordinated care in primary and community settings and promote better self-management to over approximately 90 000 CYP in Lambeth and Southwark. This protocol is for the process evaluation of this model of care.Methods and analysisAlongside an impact evaluation, an in-depth, mixed-methods process evaluation will be used to understand the barriers and facilitators to implementing the model of care. The data collected mapped onto a logic model of how CYPHP is expected to improve child health outcomes. Data collection and analysis include qualitative interviews and focus groups with stakeholders, a policy review and a quantitative analysis of routine clinical and administrative data and questionnaire data. Information relating to the context of the trial that may affect implementation and/or outcomes of the CYPHP model of care will be documented.Ethics and disseminationThe study has been reviewed by NHS REC Cornwall & Plymouth (17/SW/0275). The findings of this process evaluation will guide the scaling up and implementation of the CYPHP Evelina London Model of Care across the UK. Findings will be disseminated through publications and conferences, and implementation manuals and guidance for others working to improve child health through strengthening health systems.Trial registration numberNCT03461848

Young people’s advisory groups in health research: scoping review and mapping of practices

“…31,32,33 For the six studies where authors did not respond, we assumed a YPAG was used based on information provided in the paper. [34][35][36][37][38][39] The final number of 21 studies comprises 5% of all 420 studies. (Figure 2).…”

Integrated health Services for Children: a qualitative study of family perspectives

“…All clinical information regarding services delivered by CYPHP is held on shared electronic health records. Further details of the service can be found in recent publications [ 20 , 21 ].…”

“…This study aimed to identify the essential components of integrated care from the perspectives of children and families, in an ethnically and economically diverse setting in south London, UK. It drew on data from the implementation an integrated care programme: The Children & Young People’s Health Partnership (CYPHP)’s Evelina London model [ 20 , 21 ]. Here, we do not aim to evaluate the service, but rather use family perspectives from an early trial phase to identify the key components of integrated care they attributed as essential for acceptability, appropriateness and effectiveness to inform future roll-out of this and other integrated care services for children.…”

Back to the future? Lessons from the history of integrated child health services in England

“…49,50 A planned process evaluation to accompany one of these studies may also offer valuable insights for future interventions about the practical implementation of integrated care for CYP. 51 The fifth lesson is that effective integration depends on strong relationships and trust between professional groups. 15,46 For example, case studies of integration of community children's nurses with urgent care found that success was predicated on trust between professionals.…”