Evidence Submission: Evidence from evaluation of initiatives promoted by the NHS White Paper ‘Our Health, our care, our say’
The ‘Making the Most of Evaluation’ research group: Salisbury C, Stewart K, Purdy S, Thorp H, Cameron A, Lart R, Peckham S, Calnan M.
The NHS White Paper ‘Our health, our care, our say’ (2006) described a new strategic direction for health and social care in the community.1 The White Paper promoted a range of initiatives, supported by a programme of evaluation (see below). We were commissioned by the Department of Health to review these evaluations in order to summarise what had been learnt about the success of each specific initiative, to review the extent to which they were helping to further the policy goals of the White Paper, and to learn lessons about how to improve the use of evaluation within the policy process.
We sought to identify all evaluations in England of each initiative, reviewed protocols, reports and any publications, and interviewed principal investigators. Using guidelines provided by the Clinical Appraisal Skills Programme (CASP)2 we reviewed each evaluation and constructed structured summaries of the evidence that was available about each initiative. These evidence summaries are being made available via Lancet UK Policy Matters in order to inform policy makers and commissioners considering implementation of these and similar schemes. The general lessons about progress towards the goals of the White Paper, and about how the commissioning, conduct and use of evaluation can be improved, are being published elsewhere.3,4
Initiatives promoted by ‘Our health, our care, our say’
Care Closer to Home demonstration sites
New types of social care workers
Self-referral to physiotherapy
Evidence Submission by:
Professor Chris Salisbury, MD. Professor of Primary Health Care*
c.salisbury@bristol.ac.uk
Dr Kate Stewart, PhD. Research Fellow
kate.stewart@bristol.ac.uk
Dr Sarah Purdy, MD. Consultant Senior Lecturer
Sarah.Purdy@bristol.ac.uk
Ms Helen Thorp. MSc. Research Assistant
helen.thorp@bristol.ac.uk
Academic Unit of Primary Health Care, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS
Ms Ailsa Cameron, MSc. Senior Lecturer and Head.
A.Cameron@bristol.ac.uk
Dr Rachel Lart, PhD. Senior Lecturer.
R.Lart@bristol.ac.uk
Centre for Health and Social Care, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol BS8 1TZ
Mr Stephen Peckham, MSc. Reader in Health Policy.
Stephen.Peckham@lshtm.ac.uk
Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15 – 17 Tavistock Place, London, WC1H 9SH
Professor Michael Calnan, PhD. Professor of Medical Sociology
M.W.Calnan@kent.ac.uk
School of Social Policy, Sociology and Social Research, University of Kent, Cornwallis North East, Canterbury, Kent, CT2 7NF
*Address for correspondence
Correspondance to: Prof Chris Salisbury. c.salisbury@bristol.ac.uk. Tel 0117 3314530.
Disclaimer
These are independent reports commissioned and funded by the Policy Research Programme in the Department of Health, UK. The views expressed in these publications are those of the authors and not necessarily those of the Department of Health.
(1) Department of Health. Our health, our care, our say: a new direction for community services. London: The Stationery Office; 2006.
(2) Critical Appraisal Skills Programme Tools.http://www.phru.nhs.uk/pages/PHD/resources.htm
(3) Salisbury C, Stewart K, Purdy S, Thorp H, Cameron A, Lart R, Peckham S, Calnan M. Making the most of evaluation: a mixed methods study in the English NHS. Journal of Health Services Research & Policy 2011; 16(4): 218-225. Doi: 10.1258/jhsrp.2011.010137
(4) Salisbury C, Stewart K, Purdy S, Thorp H, Cameron A, Lart R, Peckham S, Calnan M. Lessons from evaluation of the NHS white paper ‘Our health, our care, our say’. British Journal of General Practice (in press)
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