5/31/2023 0 Comments Wraparound synthesis![]() ![]() Specifically, the objectives of the synthesis are to:Īrticulate the underlying programme theories (what it is about each programme which will result in the desirable change/s) of the MCP model of care, by mapping the logic models of the 14 MCP demonstrator sites, alongside other key documentation, prioritising key theories for investigation Informing policymakers of the “active ingredients” for successful new models of care Supporting the required local evaluation of the MCP sitesĮnabling shared learning for the design and delivery of the MCPs in a timely way We believe this synthesis will support decision makers in a range of settings, by: The synthesis, based on realist principles, will develop a “blueprint” which articulates how and why MCP models work, to inform design of future iterations of the MCP model. The aim of this synthesis is to provide decision makers in health and social care with a practical evidence base relating to the multispecialty community provider (MCP) model of care. The MCP models of care therefore signal a growing shift towards greater community involvement and collaboration with the voluntary sector. The case for integrated care is reinforced by the need to develop whole-system working which includes greater patient and community involvement. ![]() This new model of care seeks to overcome the limitations in current models of care, often based around single condition-focused pathways, in contrast to patient-focused delivery which offers greater continuity of care in recognition of complex needs and multimorbidity. Our evidence synthesis focuses on multispecialty community providers (MCPs) the expectation is that MCPs will eventually become integrated providers of out-of-hospital care. Further waves, focusing on urgent and emergency care ( ) and acute care collaborations, followed later in the year ( ). įollowing a NHS England call to register interest in delivering new care models for three types of “Vanguards”: multispecialty community providers (MCPs), care homes and integrated primary and acute care systems in January 2015, the first wave of Vanguard sites were selected in March 2015. The combined aims of these new care models are to reduce the high level of avoidable admissions and offer improved quality, outcomes and patient satisfaction. NHS England’s Five Year Forward View formally introduced a strategy for new models of care driven by simultaneous pressures to contain costs, improve care and deliver services closer to home through integrated models. The Best Fit synthesis methodology will be combined with a synthesis following realist principles which are particularly suited to exploring what works, when, for whom and in what circumstances. Sources will include bibliographic databases including MEDLINE, PreMEDLINE, CINAHL, Embase, HMIC and Cochrane Library and grey literature sources. A systematic search will be conducted to identify research and practice-derived evidence to achieve a balance that captures the historical legacy of MCP models but focuses on contemporary evidence. The synthesis, an innovative combination of best fit framework synthesis and realist synthesis, will develop a “blueprint” which articulates how and why MCP models work, to inform design of future iterations of the MCP model. This new model of care seeks to overcome the limitations in current models of care, often based around single condition-focused pathways, in contrast to patient-focused delivery (Royal College of General Practitioners, The 2022 GP: compendium of evidence, 2012) which offers greater continuity of care in recognition of complex needs and multimorbidity. This synthesis focuses on a multispecialty community provider (MCP) model. NHS England’s Five Year Forward View (NHS England, Five Year Forward View, 2014) formally introduced a strategy for new models of care driven by simultaneous pressures to contain costs, improve care and deliver services closer to home through integrated models. ![]()
0 Comments
Leave a Reply. |