Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation
Objectives The 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...
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| Format: | Article |
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e027680.full |
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| author | Mark Gabbay Lucy Frith Lauren Hepworth Victoria Lowers Frank Joseph Elizabeth Davies |
| author_facet | Mark Gabbay Lucy Frith Lauren Hepworth Victoria Lowers Frank Joseph Elizabeth Davies |
| author_sort | Mark Gabbay |
| collection | DOAJ |
| description | Objectives The 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.Setting Secondary care. The FHP consisted of eight clinician-led healthcare improvement hospital development sites with two phases.Participants Development 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/methods We 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.Results The 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.Conclusion This 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. |
| format | Article |
| id | doaj-art-a8fd996cde1741d28ae523292bbf20a0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a8fd996cde1741d28ae523292bbf20a02024-11-23T10:20:11ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2018-027680Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluationMark Gabbay0Lucy Frith1Lauren Hepworth2Victoria Lowers3Frank Joseph4Elizabeth Davies5Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UKCentre for Social Ethics & Policy, The University of Manchester, Manchester, UK1 Institute of Population Health, University of Liverpool, Liverpool, UK1 Institute of Population Health, University of Liverpool, Liverpool, UK2 Diabetes, Endocrinology & Internal Medicine, Countess of Chester Hospital, Chester, UK3 Royal College of Physicians, London, UKObjectives The 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.Setting Secondary care. The FHP consisted of eight clinician-led healthcare improvement hospital development sites with two phases.Participants Development 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/methods We 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.Results The 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.Conclusion This 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.https://bmjopen.bmj.com/content/9/9/e027680.full |
| spellingShingle | Mark Gabbay Lucy Frith Lauren Hepworth Victoria Lowers Frank Joseph Elizabeth Davies Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation BMJ Open |
| title | Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation |
| title_full | Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation |
| title_fullStr | Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation |
| title_full_unstemmed | Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation |
| title_short | Role of public involvement in the Royal College of Physicians’ Future Hospitals healthcare improvement programme: an evaluation |
| title_sort | role of public involvement in the royal college of physicians future hospitals healthcare improvement programme an evaluation |
| url | https://bmjopen.bmj.com/content/9/9/e027680.full |
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