Nov 25, 2020
RAND Europe conducted an independent evaluation of the Flow Coaching Academy programme. The programme aims to empower frontline staff to improve patient flow through the healthcare system. The evaluation looked at the effectiveness, impact and ability to scale of the programme. It found high levels of satisfaction with the training, evidence that the programme had positive human and technical impacts and that it was successfully scaled-up.
The Flow Coaching Academy (FCA) programme, is a Quality Improvement (QI) training programme aimed at empowering frontline staff to improve patient flow through the healthcare system. It is designed and delivered by a team based in Sheffield Teaching Hospitals NHS Foundation Trust and the programme is funded by the Health Foundation. RAND Europe conducted an independent evaluation of the programme looking at: 1) it's effectiveness to train FCA coaches (i.e. participating healthcare staff) to improve local capability; 2) the impact of the programme in improving patient outcomes; and 3) the potential of the programme to spread across the United Kingdom. The evaluation found that there were consistently high levels of satisfaction with the training by participants and reports of feeling prepared to be Flow coaches. There was also evidence that the programme had positive human and technical impacts linked to embedding Flow coaching techniques in daily practice. In terms of impact on patient outcomes, the evaluation found evidence in some cases that there is clear positive improvement in healthcare pathways resulting from Flow coaching. However, there were cases where evidence was positive but additional data was needed to be able to assert that impact was due to the programme. Finally, the evaluation found that the Central FCA team was successful in establishing new local FCAs. To sustain this growth and to ensure the quality of delivery of the programme in new sites it will be important to provide central direction while enabling a degree of local adaptation.
Methods and evaluation activities
Findings related to evaluation aim 1
Findings related to evaluation aim 2
Findings related to evaluation aim 3
Conclusions and recommendations
Theory of Change model