Today @scotgovhealth published an Independent Evaluation by @trishgreenhalgh into the use of the #NearMe in Scotland
bit.ly/2QxTXXv (Summary)
bit.ly/2OROTgf (Full)
It made14 recommendations which are summarised in this thread.
bit.ly/2QxTXXv (Summary)
bit.ly/2OROTgf (Full)
It made14 recommendations which are summarised in this thread.
Recc 1/14: For each clinical specialty, produce national guidance offering ‘rules of thumb’ for what is generally safe for video consultations.
Significant progress has been made in developing guidance across different specialties.
Significant progress has been made in developing guidance across different specialties.
Recc 2/14: Basic training, support, and multiple try-out opportunities for staff and patients.
There has been a broad expansion of patient and staff resources, mechanisms for training, and multiple try-out opportunities.
There has been a broad expansion of patient and staff resources, mechanisms for training, and multiple try-out opportunities.
Recc 3/14: Develop and disseminate system-level analysis of the growing evidence about significant financial savings from Near Me
The pandemic has meant a significant shift for the financial case for Near Me - part of business as usual for the foreseeable future.
The pandemic has meant a significant shift for the financial case for Near Me - part of business as usual for the foreseeable future.
Recc 4/14: Identify and address clinical and care governance issues beyond the pandemic
During the pandemic, there has been a strong incentive to use Near Me as it is perceived as better than face-to-face alternatives due to infection control measures.
During the pandemic, there has been a strong incentive to use Near Me as it is perceived as better than face-to-face alternatives due to infection control measures.
Recc 5/14: Working with professional networks, disseminate stories of up-and-running services across GP, hospital, and other community specialities.
There was a strong positive narrative around the technology-supported change communicated by respected leaders #NearMe
There was a strong positive narrative around the technology-supported change communicated by respected leaders #NearMe
Recc 6/14: Communicate the “gaining a service” narrative
In the previous evaluation, some staff in remote community hospitals were concerned that the introduction of video clinics meant ‘losing’ a consultant-led service.
In the previous evaluation, some staff in remote community hospitals were concerned that the introduction of video clinics meant ‘losing’ a consultant-led service.
Recc 7/14: Support local champions
The pandemic saw the importance of organisational learning through local clinical ‘champions’ (who extol the benefits of innovation to others, including at the board level where decisions are made).
The pandemic saw the importance of organisational learning through local clinical ‘champions’ (who extol the benefits of innovation to others, including at the board level where decisions are made).
Recc 8/14: Provide set-up support for ready-to-roll sites, paying careful attention to routines, IT support and material infrastructure
The pandemic has seen a significant increase in the resource and support to accelerate clinic set-up and the development of a QI framework.
The pandemic has seen a significant increase in the resource and support to accelerate clinic set-up and the development of a QI framework.
Recc 9/14: Maintaining a QI Collaborative to maximise inter-site learning.
Recent events reveal the importance of the work undertaken prior to the pandemic, which helped the establishment of a system-level, QI approach to ensuring ongoing adaptation and resilience.
Recent events reveal the importance of the work undertaken prior to the pandemic, which helped the establishment of a system-level, QI approach to ensuring ongoing adaptation and resilience.
Recc 10/14: Strengthening the national Near Me branding.
Efforts in late 2019 to get a single, patient-focused national brand (“Near Me”) accepted likely contributed to the success of rapid scale-up, providing a consistent and familiar message to patients and staff. #NearMe
Efforts in late 2019 to get a single, patient-focused national brand (“Near Me”) accepted likely contributed to the success of rapid scale-up, providing a consistent and familiar message to patients and staff. #NearMe
Recc 11/14: Review and address digital inequalities
Review service use and develop digitally-enabled care pathways to increase inclusion.
Review service use and develop digitally-enabled care pathways to increase inclusion.
Recc 12/14: Engage and support GP services
Pursue a dedicated stream of work to cultivate a community of practice across GP settings for collective sense-making, peer learning, and investment in the co-evolution of Near Me service models.
Pursue a dedicated stream of work to cultivate a community of practice across GP settings for collective sense-making, peer learning, and investment in the co-evolution of Near Me service models.
Recc 13/14: Support set-up in Care Homes
Targeted support should be provided to care home organisations and their residents.
Targeted support should be provided to care home organisations and their residents.
Rec 14/14: Monitor the impact of remote consulting on the welfare of the health and care workforce
Continually review the impact of remote consulting on the welfare of the health and care workforce, including their professional identity, mental health, and training; #NearMe
Continually review the impact of remote consulting on the welfare of the health and care workforce, including their professional identity, mental health, and training; #NearMe
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