UK-wide evaluation of spread and scale-up of video consulting |
Accounts of 59 senior-level, national stakeholders involved in digital health and video consulting (17 in England, 12 in Wales, 7 in Scotland, 5 in N. Ireland, and 18 with UK focus), including: |
Social and political context, including rapid onset and evolution of COVID-19 pandemic |
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• 21 civil servants/policymakers |
Policy and regulatory drivers, system-level and infrastructure blocks and changes over time |
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• 15 professional groups |
Logics by which spread and scale up of video consulting have been planned and put into practice |
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• 12 business and industry |
Reflections on longer term planning and the role of video consulting across settings |
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• 8 senior executives |
Extent of set up, uptake and spread, timeframes, geographical distribution and patient demographics; and any changes over time |
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• 3 patient representatives |
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20 documents, outlining policy and guidance on digital health and video consulting across the four nations |
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Quantitative data and reports on activity |
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Staff and patient experiences of video consulting |
Responses from UK-wide survey of NHS staff (n=809) about adoption and use of video consulting, with 52% of responses from NHS staff in England, 35% from Scotland, 8% from Wales and 5% from NI. |
Sense-making about the design, delivery, experience and spread of video consulting services in the context of COVID-19, including national and inter-organizational networks, policy directives and regulation |
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Accounts from 40 (clinical and non-clinical) staff across the four UK nations, including: |
Acceptability/popularity of video consulting services |
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• 11 in Northern Ireland |
Required/available human, social and financial resources |
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• 9 in Wales |
Changes needed to underlying infrastructures (technical, organizational, workflows) |
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• 10 in England |
Professional, ethical and moral questions about video consulting and rapid service change |
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• 10 in Scotland |
Learning shared across sites and networks |
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Plus follow up interviews with 20 of these (5 in each country) |
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15 interviews with primary care staff from 8 GP practices in England involved in group video consulting |
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Accounts of 15 patients receiving individual or group consultations (or having declined the option) |
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Two focus groups with a total of 15 patients/public about engagement with, and experiences of, video consulting |
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