Evidence map›Paper›PMID 35123500›Full record

ArticleHealth research policy and systems2022

The Peterborough Exemplar: a protocol to evaluate the impact and implementation of a new patient-centred, system-wide community mental healthcare model in England.

Lida Efstathopoulou, Grace Jagger, Jules Mackenzie, Kathryn Faulkner, Trish Barker-Barrett, Rory Cameron, Adam P Wagner, Jesus Perez

Abstract read
In one paragraph

Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

8 authors.

Lida EfstathopoulouNIHR Applied Research Collaboration-East of England (ARC EoE), Douglas House, 18 Trumpington Road, Cambridge, CB2 8AH, United Kingdom. lida.efstathopoulou@cpft.nhs.uk.ORCID http://orcid.org/0000-0003-0889-3803
Grace JaggerCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, United Kingdom.
Jules MackenzieCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, United Kingdom.
Kathryn FaulknerCambridgeshire County Council and Peterborough City Council, Scott House, 5 George Street, Huntingdon, PE29 3AD, United Kingdom.
Trish Barker-BarrettCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, Cambridge, CB21 5EF, United Kingdom.
Rory CameronNIHR Applied Research Collaboration-East of England (ARC EoE), Douglas House, 18 Trumpington Road, Cambridge, CB2 8AH, United Kingdom.
Adam P WagnerNIHR Applied Research Collaboration-East of England (ARC EoE), Douglas House, 18 Trumpington Road, Cambridge, CB2 8AH, United Kingdom.
Jesus PerezNIHR Applied Research Collaboration-East of England (ARC EoE), Douglas House, 18 Trumpington Road, Cambridge, CB2 8AH, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity mental healthcare has significantly grown since de-institutionalization. Despite progress, service fragmentation and gaps in service provision remain key barriers to effective community care in England. Recent mental healthcare policies highlighted the need to transform service provision by developing patient-centred, joined-up community mental healthcare. In response to policy guidance, a system-wide community mental healthcare model was developed in Peterborough (England). The "Peterborough Exemplar" is based on two main pillars: (1) the creation of knowledge exchange pathways to strengthen interorganizational relationships, and (2) the development of new, accessible community services addressing existing service gaps. This paper presents the protocol developed to evaluate the Peterborough Exemplar.

methodsA quasi-experimental design with an intervention group and a nonequivalent comparator group has been developed to compare service provision provided in Peterborough pre- and post-intervention with services provided in Fenland, a neighbouring area where service users access usual care. Two evaluation methods will be employed to compare service provision between the two groups: (1) outcome measures completed by service users and carers will be analysed to assess quality of life and service satisfaction, and (2) service activity data will be analysed to assess service usage. In addition, qualitative interviews will be conducted with staff members of participating organizations to explore the implementation of the Exemplar in Peterborough and evaluate knowledge exchange processes among local service providers. A matched control approach will be used to compare outcome measures between the two areas. Descriptive and inferential statistics, including chi-square tests, will be used to analyse service activity data and examine differences between the two areas. A thematic analysis will be adopted to analyse qualitative data. DISCUSSION: Outcomes of the evaluation will contribute to understanding the contribution of the Peterborough Exemplar on mental health service provision locally. Evaluation findings and intermediate reporting will be shared with organizations involved in the implementation of the Peterborough Exemplar and with local decision-makers to inform the Exemplar delivery. As the Peterborough Exemplar is an Early Implementer (EI) site funded by NHS England, findings will be shared with policy-makers to inform national policy on community mental healthcare and integrated care.

Indexed as

Mental Health ServicesQuality of LifeCaregiversCommunity Health ServicesHumansOrganizationsAdult mental health servicesCommunity mental healthcare modelService evaluation

Identifiers

PMID35123500
PMCPMC8817469

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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.