Evidence map›Paper›PMID 31515414›Full record

ArticleBMJ open2019

Role of public involvement in the Royal College of Physicians' Future Hospitals healthcare improvement programme: an evaluation.

Lucy Frith, Lauren Hepworth, Victoria Lowers, Frank Joseph, Elizabeth Davies, Mark Gabbay

Abstract readEvaluation Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lucy FrithInstitute of Population Health, University of Liverpool, Liverpool, UK l.j.frith@liverpool.ac.uk.ORCID 0000-0002-8506-0699
Lauren HepworthInstitute of Population Health, University of Liverpool, Liverpool, UK.ORCID 0000-0001-8542-9815
Victoria LowersInstitute of Population Health, University of Liverpool, Liverpool, UK.
Frank JosephDiabetes, Endocrinology & Internal Medicine, Countess of Chester Hospital, Chester, UK.
Elizabeth DaviesRoyal College of Physicians, London, UK.
Mark GabbayInstitute of Population Health, University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Royal College of Physician's (RCP) Future Hospital Programme (FHP) set out a blueprint for a radical new model of care that put patient experience centre stage. This paper reports on the results of an independent evaluation of the FHP and focuses on the role public patient involvement (PPI) played in these projects. The paper explores the perceptions and experiences of those involved in the FHP of how PPI was operationalised in this context, and develops an 'ex-post' programme theory of PPI in the FHP. We conclude by assessing the benefits and challenges of this work.

settingSecondary care. The FHP consisted of eight clinician-led healthcare improvement hospital development sites with two phases.

participantsDevelopment site clinical teams, patient representatives, the RCP's Patient and Carer Network, members of the FHP team, and fellows and members of the RCP. DESIGN/

methodsWe conducted an independent evaluation of the FHP using FHP documentation and data collected specifically for the evaluation: qualitative interviews, focus groups and a web-based survey.

resultsThe PPI initiatives set out to develop more patient-centred care and improve the patient experience. The mechanisms designed to meet these goals were (1) a programme of PPI in the development site's projects, (2) a better understanding of patient experience and (3) evaluation of patient experience.

conclusionThis evaluation of the FHP identifies some key elements that need to be considered when attempting to more closely integrate PPI and co-production in service re-design. The structure of FHP over two phases enabled learning from phase I to be incorporated into phase II. Having the PPI representatives closely involved, developing communities of practice, and the oversight and measuring activities acted as 'disciplinary structures' that contributed to embedding PPI in the FHP and kept the patient experience at the forefront of the improvement initiatives.

Indexed as

Focus GroupsHealth Services ResearchHospitalsHumansPatient-Centered CarePatient ParticipationProgram DevelopmentQualitative ResearchUnited Kingdomco-designco-productionFuture Hospital Programmehealthcare improvementPatient public involvementquality improvementtheoretical evaluation

Identifiers

PMID31515414
PMCPMC6747633

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.