The 5 North East Vanguards (Newcastle Gateshead Enhanced Health in Care Homes, Sunderland Multi-speciality Community Provider, Northumberland Primary and Acute Care, Northumbria Accountable Care Organisation and the Regional Urgent and Emergency Care Network) joined together to commission an evaluation in 2016/2017 of areas of our programmes that were relevant to us all. The work covered the organisational context, use of technology, health economics analysis and also enablers and barriers to the implementation of the changes with ‘middle managers’.
For Newcastle Gateshead there were some clear learning and outcomes that we’ve considered in our work moving forward. As an example the initial consideration of the health economic information told us that the programme showed variable results in Newcastle and Gateshead with respect to some of the key outcome measures e.g. A&E attendance showing a saving whilst an increase and activity and hence cost was demonstrated for Gateshead. However this was a short term snap shot in time, which has led to the health economic model being expanded to cover a longer time period before and after a number of programme changes and to consider seasonal changes.
The evaluations highlighted that for change there is 8 receptive factors that need to be considered and will help the programme wide approach Pettigrew, A. Ferlie, E, McKee, L., (1992), Shaping Strategic Change. London: Sage. In addition implementations of change requires leadership, relationship building and time for success, all aspects are being worked on in the CCG and with our partners to ensure that awareness is raised and appropriate steps taken to continue building positive relationships at all levels of health and care services.