Table 1.
Setting | Population in catchment area | Implementation date (2020) | Main outcomes of interest (identified by each site) | Mechanism | |
---|---|---|---|---|---|
1. | Secondary care (ED) (pre-hospital) | 600,000 | Started 23 March | Reattendance ED Admission 30 day mortality Patient satisfaction |
Telephone/Paper-based |
2. | Primary care (pre-hospital) | 17,500 | Started 6 April | O2 saturation Use of antibiotics Admission hospital ICU admission 30 day mortality |
Telephone/Paper-based |
3. | Secondary care (ED) (pre-hospital) | 570,000 | Implementation (started 14 May) | Ventilation Mortality Reattendance to ED Admission ICU admission 999 call |
Telephone/Paper-based |
4. | Secondary care (pre-hospital and early discharge from the hospital) | 500,000 | 2 April | Re-admission rate Patient experience |
Telephone/Paper-based |
5. | Secondary care (ED) (pre-hospital and early discharge from the hospital) | 500,000 | 14 March | Readmission ICU admission Mortality |
App (Medopad) and telephone/paper-based |
6. | Secondary care (early discharge from the hospital model) | 500,000 | 19 March | Mortality Re-attendance Avoid unnecessary admissions |
Telephone/Paper-based |
7. | Secondary care (early discharge from the hospital model), planning pre-hospital model | 700,000 | Early implementation (started 8 June only for secondary care) Primary care to start early July. | Unplanned admissions Mortality Protected hospital capacity |
App (My M Health) and telephone/paper-based |
8. | Primary care model (pre-hospital model) | 2,000,000 | Mid-April | Admission ICU admission Mortality |
App and telephone/paper-based |