From programme theory to logic models for Multispecialty Community Providers: A realist evidence synthesis
This study will address the problem of producing evidence-based logic models to inform the formation and early operation of Multispecialty Community Providers (MCPs) - patient-centred networks which aim to improve the coordination of hospital with family doctors’ care and social services. There are 14 of these MCP new care model ‘Vanguard’ sites in England.
To inform the early operation of MCPs, we will:
- Articulate, as fully and coherently as possible, NHS policy-makers' assumptions as to what policy outcomes MCPs will produce, and by what means.
- Compare these assumptions with a synthesis of the relevant evidence about organisations, or parts of organisations, which are equivalent to MCPs; in particular, about which mechanisms these organisations use, what policy outcomes they produce (or not), and under what conditions.
- Formulate, in light of the comparison at stage 2, revised logic models for MCPs which will elaborate, qualify or revise the policy-makers' initial assumptions.
The research will critically appraise and bring together international evidence about how MCP-like organisations and networks work. It will thereby inform decision-making about MCPs and about the problem of how to achieve more integrated care, a problem of national importance in the UK.
Anticipated outputs and impacts
Through our stakeholder meetings and outputs we shall engage with:
- Multispecialty community provider practitioners: these will include GPs, community nurses, community health service professionals, hospital specialists and mental health and social care practitioners, e.g. through bespoke briefing documents disseminated through professional networks, email lists and social media.
- Patient groups and voluntary sector partners: these will include those patient groups already part of the NHS five-year forward plan and those voluntary sector groups linked in delivering MCP, e.g. using short summary pieces, infographics, and web-based video where appropriate.
- Commissioners and policy decision makers, whom we expect will be responsive to local and regional contexts. Hence a key aim of the project is to explicate how those contexts bear upon the mechanisms that make up MCPs.