- Save the Children launch website designed with CORU's help
- Attempts at surgical removal are of no benefit to asbestos cancer sufferers finds trial led by CORU's Tom Treasure
- CORU's work shows effects of selective citation on surgical practice
- Pandemic flu countermeasure work published in Vaccine
- Editorial praises CORU's simple risk stratification model
- Tom Treasure's talk is ranked among top three presentations
- The Ekjut trial in India is selected as Trial of the Year!
- Christos Vasilakis gives keynote lecture at Young OR 17 conference
- CORU informs national policy on pandemic flu
- CORU work examines the foundations of triage
- Christina Pagel gives invited talk at RCM conference
- Martin Utley gives invited talk at the MASHNET workshop
- Making sense of statistics
- UCL helps engineer to heal his own heart
- Christina Pagel has paper published in The Lancet
- Martin Utley promoted to professor
- Professor Tom Treasure attends NICE International conference
- Citation for Steve Gallivan
- NCEPOD report highlights concerns over chemotherapy
- CORU 25 year celebration
- Marfan aortic aneurysm: Golesworthy wins Healthcare Award
- CORU projections of skilled birth attendance rates in world's poorest regions published
- CORU's Skilled Birth Attendance paper is a BMC Highly Accessed paper!
- CORU's visual outcome monitoring tool (VLAD) goes global!
- Number of people living with cancer set to increase significantly
- CORU article highlights challenges in implementing modelling toolkits
- Health financing website receives positive feedback!
- Is surgery to remove secondary cancer always a good thing?
- Sonya Crowe awarded Improvement Science Fellowship by the Health Foundation!
- CORU work helps child heart teams get clearer picture of their results
- CORU's work with the Department of Health's health protection team continues
- UCL Partners successful in bid to host a new £9 million CLAHRC!
- Funding bid to understand complications following children's heart surgery successful!
- We're recruiting - make a difference to health care with CORU!
- Editorial published in Heart discussing the benefits and risks of monitoring mortality
CORU article highlights challenges in implementing modelling toolkits
22 October 2012
CORU’s work on the NIHR funded project
“Developing evidence based and acceptable stepped care systems in mental health
care: an operational research project” has highlighted some of
the challenges in implementing modelling software and distributing it
effectively to healthcare managers. Our work on this has just been published in the Journal of Operational Research.
As part of a multidisciplinary team, CORU developed a modelling toolkit accompanied by a comprehensive manual to assist managers and service leaders for introducing stepped care systems to local mental health services in the UK. The toolkit was used in, and calibrated for, four pilot sites that were in the process of introducing their own implementations of stepped care system design.
Two analytical models were developed and coded as part of the toolkit to provide insights concerning workload, patient throughput, and changes in waiting times and waiting list size. An interface was built to allow users to specify their own stepped care system and input their own estimates of service demands and capacities at different steps.
The toolkit and an accompanying manual were distributed across various additional NHS primary care sites in England and the use of the toolkit was investigated using qualitative methods. As was intended in the overall design of the entire study, these additional sites received very little support apart from the manual and an installation CD-ROM with the tool.
The qualitative data revealed a number of factors that were involved in limiting the use of the tool and manual including change and the pace and timing of change (such as the almost concurrent implementation of a relevant new national programme), technical and personal factors. The non-pilot sites by and large missed out on the learning opportunity arising from the modelling process itself and insights that could be generated through better use of the toolkit.
The article concludes that additional training, technical support and perhaps some consultancy work would most likely need to be made available to new users to increase chances of frequent and effective use of the toolkit. Despite the challenges and limitations, the use of modelling to inform the design of new service configurations is an important step in the right direction.