Evidence map›Paper›PMID 41734923›Full record

ArticleBMJ open2026

Identifying innovative models of urgent care in rural coastal areas in England: the Elevate study - a mixed-methods protocol.

Pete Lampard, Joy Adamson, Helen Anderson, Lisa Ballantine, Fiona Bell, Jonathan Richard Benger, Rebecca Louise Blakey, Phillip Dickinson, Steven Dykes, James Gaughan and 13 more

Abstract read
In one paragraph

Article in BMJ open, 2026. 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

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

1 citing paper in PubMed.

  1. Review
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

23 authors.

Pete LampardYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0003-3963-8602
Joy AdamsonYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0002-9860-0850
Helen AndersonYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0002-6945-0590
Lisa BallantineResearch and Innovation, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
Fiona BellYorkshire Ambulance Service NHS Trust, Wakefield, Wakefield, UK.ORCID http://orcid.org/0000-0003-4503-1903
Jonathan Richard BengerAcademic Department of Emergency Care, The University Hospitals NHS Foundation Trust, Bristol, UK.ORCID http://orcid.org/0000-0001-6131-0916
Rebecca Louise BlakeyAge UK Scarborough, Scarborough, UK.
Phillip DickinsonResearch and Innovation, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.ORCID http://orcid.org/0000-0002-3865-5163
Steven DykesEast Midlands Ambulance Service NHS Trust, Nottingham, UK.
James GaughanCentre for Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0002-8409-140X
Stuart Maitland-KnibbSchool of Medicine and Dentistry, University of Lancashire, Preston, UK.
Daniel MensahCentre for Evidence and Implementation Science, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-5023-7722
Zacharia Alice RansomeAge UK Scarborough, Scarborough, UK.
Gerry RichardsonCentre for Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0002-2360-4566
Rita SantosCentre of Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0001-7953-1960
Rebecca SheridanYork Trials Unit, Department of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0002-7715-1224
Peter SiveyCentre of Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0002-3703-615X
Ed SmithYork and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.ORCID http://orcid.org/0009-0001-7743-5550
Wei SongCentre for Health Economics, University of York, York, UK.
Martin SutcliffeYorkshire Ambulance Service NHS Trust, Wakefield, Wakefield, UK.ORCID http://orcid.org/0000-0003-2274-883X
Cameron Jack StockwellResearch and Innovation, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.ORCID http://orcid.org/0000-0003-0104-3734
Sarah VossFaculty of Health & Life Sciences, The University of the West of England, Bristol, UK.ORCID http://orcid.org/0000-0001-5044-5145
Arabella ScantleburyCentre for Evidence and Implementation Science, University of Birmingham, Birmingham, UK a.l.scantlebury@bham.ac.uk.ORCID http://orcid.org/0000-0003-3518-2740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUrgent and emergency care (UEC) systems in England face unprecedented pressures, with record accident and emergency attendances, persistent breaches of ambulance response targets and poorer outcomes for time-sensitive conditions. National UEC recovery plans have introduced multiple innovations-such as same-day emergency care, virtual wards and specialty hubs-to manage these pressures and improve patient flow. Rural coastal areas are particularly vulnerable to excessive demand due to higher levels of deprivation, older populations with complex health needs, seasonal surges that generate unpredictable demand and challenges in attracting and retaining staff. Following the Chief Medical Officer's 2021 Annual Report, funding research and developing bespoke solutions to manage UEC demand and address geographical disparities has been recognised as a national priority. The Elevate study responds to this priority by identifying and evaluating innovative models of UEC in rural coastal communities in England. METHODS AND ANALYSIS: The Elevate study is a 30-month, mixed-methods evaluation that comprises three interlinked work packages: (1) TRIAL REGISTRATION NUMBER: Research Registry (researchregistry11126).

Indexed as

Ambulatory CareEmergency Medical ServicesRural Health ServicesEnglandHumansResearch DesignState Medicineaccident & emergency medicineemergency service, hospitalfrail elderlyhealth policyhealth services accessibility

Identifiers

PMID41734923
PMCPMC12933752

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.