Researchers assessed changes in hospital utilisation following implementation of case management interventions in two boroughs of south London, in comparison to similar populations elsewhere. They found that the additional investment made through the programme cost more than it saved, possibly through the identification of unmet need.
Cambridge Centre for Health Services Research (CCHSR)
The Cambridge Centre for Health Services Research (CCHSR) runs a dynamic programme of collaborative research between RAND Europe and the University of Cambridge, with the aim to inform policy on health services. With members from a variety of backgrounds, including medicine, psychology, statistics, health economics, sociology and public policy, a key strength of the collaboration is its diversity of skills and disciplines.
Particular focuses of CCHSR’s research have included patient experience in primary care, socio-economic variation in cancer outcomes and their link to the quality of health services, the economics of direct access to community based physiotherapy, and alternatives to face-to-face consultations in primary care.
Alongside its research outputs, CCHSR also runs a series of annual lectures discussing topical subjects and questions around health services.
Since its inception in 2009, CCHSR has produced a number of high-quality, externally funded research and evaluation studies concerning the organisation and delivery of healthcare. These have included:
- An evaluation of a 'Telephone First' Approach to Demand Management for General Practice, which found that while many patient problems can be dealt with on the phone, there is no evidence that this approach would on average be cost-saving.
- A series of studies on the NHS Health Check programme, including an assessment of its delivery and impact in the first eight years, as well as a Cardiovascular Disease Risk Assessment in the European Union.
- A review of the findings from an online Living with Breathlessness study, which explored the question of how patients' and carers' needs change along the trajectory of advanced chronic obstructive pulmonary disease.
CCHSR has produced a variety of research, analysis and advice to help inform health organisations and policy. Its work has been cited in a number of articles and papers relating to the area, including in Public Health England’s NHS Health Check stock take and action plan. Some specific impacts include:
- The findings from a series of NHS Health Check projects conducted in 2017 have informed a number of recommendations in a report produced by the Expert Scientific and Clinical Advisory Panel for NHS Health Checks.
- A study on the impact of issuing longer vs shorter duration prescriptions has been used in several papers, including the National Institute for Health Research.