Providing evidence to support the reconfiguration of acute hospital services

SPH provided public health support to a programme established to reconfigure acute hospital services. SPH analysed comparative population health outcomes to inform the case for change that was presented to CCGs, and completed a comprehensive review of the literature on the relationship between volume and outcome to identify where there was robust evidence to support the case for service reconfiguration. SPH also provided data and evidence to some of the Clinical Reference Groups that were established to consider future options for specific clinical services, and sourced and analysed detailed travel time information to inform decisions about service delivery options.

Case Studies

Health Needs Assessment for Children & Young People

SPH carried out a Health Needs Assessment for a local authority that was recommissioning its Healthy Child Programme (HCP). The purpose was to review whether existing provision and service configuration of the HCP was meeting the needs of children and young people) in the county, and to identify gaps and potential options for improvement. The Healthy Child Programme is a preventative programme which includes the Health Visiting and School Nursing Services, the Family Nurse Partnership (FNP) Programme and healthy start vouchers and vitamins, linking with childhood immunisation services, community paediatrics, speech and language, services for children with a learning disability and complex needs and child and adolescent mental health services (CAMHS), among others.  

 

The HNA was carried out jointly by NHS Solutions for Public Health and the local authority, with the epidemiological needs assessment and service description provided by the local authority. The report was compiled using a range of publicly available and locally collected epidemiological and service use data). In addition, SPH carried out a consultation of key corporate stakeholders as well as children and young people and their parents and carers. This included semi-structured interviews with key stakeholders in a range of organisations, a survey of a wider range of staff who work with children and young people and a survey of children and young people, their parents and cares which was distributed through the services.   

Testimonials