| Reach |
Per cent and representativeness of individuals receiving the CYPHP Evelina London Model of Care, of total eligible service users |
How many CYP participated in or were exposed to the CYPHP programme? What proportion of those targeted were reached? Are those who are most at risk reached by the CYPHP Evelina London Model of Care? Were those reached representative of the overall population? What were the barriers to recruitment/retention? To what extent were stakeholders engaged with and aware of the CYPHP model?
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# of CYP accessing CYPHP services/# eligible for targeted CYPHP services and method of recruitment; data on CYP characteristics within CYPHP (eg, age, condition, location and socioeconomic breakdown) [R1]
Comparison of demographic and health profiles of CYP participating in CYPHP vs CYP eligible vs population of Lambeth and Southwark [R2]
Interviews with CYPHP managers, service providers and commissioners (eg, barriers to recruitment/retention) [R3]
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| Effectiveness |
Impact of CYPHP Evelina London Model of Care on trial outcomes (reported elsewhere) [E1, E2]; fidelity of delivery |
What are the conditions and mechanisms that lead to trial outcomes? What explains variation in trial outcomes across sites? What are stakeholder’s perceptions of factors contributing to effectiveness (or ineffectiveness) of trial outcomes? Are there any unintended consequences?
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# of care plans; adherence to clinical guidelines; time from review to clinical assessment; time from review to clinical assessment; rates of CYP discharge [E2]
Interviews/focus groups with CYP, commissioners and service (eg, key components to ensure behavioural change) [E4, E5]
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| Adoption |
Proportion and representativeness of settings, commissioners and providers willing to adopt (or commission) the CYPHP Evelina London Model of Care |
What proportion of targeted GP practices adopted CYPHP? Are there differences between GP practices and service providers that do or do not adopt CYPHP? What affects stakeholder participation? To what extent are intended stakeholders adopting and complying with the CYPHP programme?
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# of GP practices adopting targeted CYPHP services/# of GP practices targeted for CYPHP; data on GP characteristics within CYPHP (eg, location, staff numbers, patient numbers) [A2]
Review of implementation records/logs, NoMAD surveys completed by service providers to guide interviews with high adopters and low adopters. [A1, A3]
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| Implementation |
The extent to which the CYPHP Evelina London Model of Care is delivered as planned |
What CYPHP services are delivered to CYP and service providers? To what extent is the CYPHP model being delivered as planned? Who completed the CYPHP intervention work and how this work is done? What is the overall satisfaction with CYPHP services and the willingness to implement/commission CYPHP services again? What activities are needed to implement and maintain the CYPHP programme? What is the acceptability, feasibility and affordability of the programme?
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# of CYPHP intervention services provided (eg, number of clinics, training sessions, support packs distributed) [I1]
# of CYP completing baseline and follow-up health checks in the appropriate time frames; interviews with service providers (eg, implementation processes); NoMAD surveys completed by service providers [I2]
Interviews with service providers, CYP and commissioners (eg, satisfaction with service) and service feedback and satisfaction surveys [I3]
Data on activities as they occur and compare to activities detailed in the logic model. Discrepancies and potential reasons for these will be noted [I4]
Interviews with service providers and commissioners (eg, implementation processes) and economic analysis on cost of implementing the CYPHP Evelina London Model of Care programme (detailed elsewhere8) [I5]
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| Maintenance |
Sustainability of the CYPHP Evelina London Model of Care at individual, setting and geographical/administrative levels |
What are service managers and commissioner intentions to continue integrated care services for CYP, and what are the barriers to maintaining this way of working? How have aspects of the model been incorporated into usual care and/or incorporation of integrated care for CYP into future business planning?
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Interviews with service providers and commissioners (eg, intentions to continue CYPHP and other integrated care services) [M1]
Review of policies and business plans [M2]
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| Context |
Healthcare context throughout the CYPHP Evelina London Model of Care implementation period |
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