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Case Studies
Improving allocative value decision-making in the stroke pathway (STAR tool)
The Mid and South Essex stroke stewardship group wanted to better understand which of the interventions they delivered were high value and which were low value to inform decision-making on use of resources and investment.
Arden & GEM’s Healthcare Solutions team provided training and support to enable the group to use the Socio-Technical Allocation of Resources (STAR) process in value based decision-making. As a result, the MSE stroke stewardship group has the insight needed to improve the allocation of their existing resources and improve outcomes for their patients. SPH were part of the project team, conducting a librarian review of economic evidence relating to cost-effectiveness of the stroke interventions to feed into the first workshop. This comprised a review of existing economic cost-effectiveness assessments (ideally by NICE as these are recognised as the guiding authority within the NHS). Where an economic assessment had not been undertaken then this was noted for further consideration.
More detail here
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. This is a preventative programme which includes Health Visiting and School Nursing Services, 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 SPH 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, 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
"The communication with the Project Team and Lead over the duration of the project was excellent; all timelines were adhered to and communication was very clear and precise. The quality of the completed work was of a high professional standard."
Public Health Practitioner (Advanced), Buckinghamshire Council
"Can I thank you for the fantastic, thorough and very informative work that you and the team at SPH have undertaken to produce this report and the associated database."
Cancer Programme Policy Lead and Deputy Head, Reducing Premature Mortality, NHSE
"Very pleased with the quality of the report we received. The subject matter we asked SPH to investigate was complex with a lot of data to collect and analyse. Yet the report was comprehensive and clear and I felt confident in sharing it with our stakeholders."
An Evaluation Customer
"Thank you to SPH staff for providing such a succinct and informative summary of the outcomes from their recent evaluation."
Commissioning Manager, Brighton and Hove CCG
"The interpretations within this review are very balanced and based on a meticulous analysis of the evidence base. The comments
in relation to the transferability of the current evidence base to the local situation are particularly impressive."
A CCG customer in northern England
"Wanted to thank you and the whole SPH team for the support and leadership on key elements of the [client] programme."
Project Manager, Arden & GEM Commissioning Support Unit
"Thank you so much for all of your hard work and support in developing these really helpful and informative reports in relation to the second phase of this evaluation. It has been a pleasure working with you and I look forward to communicating the outputs to our colleagues across the country."
Maternity Safety & Prevention Manager, NHS England