Evidence base for models of rural primary care

What is the published evidence base for models of rural primary care (or components of models), nationally or internationally?
Healthcare Improvement Scotland May 2019

• A review the literature on models of rural primary care which could be applied in areas of Scotland. In particular multi-disciplinary team working in rural primary care.

Criteria for evaluating transferability of public health interventions

Criteria for evaluating transferability of health interventions: A systematic review and thematic synthesis.
Implementation Science. 2018;13(1):88

• This systematic review aims to develop model for the assessment of transferability of public health interventions through identification and systematization of influencing criteria, including facilitators and barriers. 
• Synthesis resulted in two related models: the conceptual PIET-T model explains the underlying mechanism of transferability of health interventions and the PIET-T process model provides practical guidance for a transferability assessment.

Predictive risk stratification model (PRISM)

Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC).
Health Serv Deliv Res 2018;6(1)

• Evaluation of the effects of introducing Predictive RIsk Stratification Model (PRISM) into 32 general practices in south Wales. 
• Across 230,099 participants, PRISM implementation led to increased emergency admissions to hospital, ED attendances, GP event-days, outpatient visitsand time spent in hospital. PRISM implementation cost £0.12 per patient per year and costs of health-care use per patient were higher in the intervention phase.

See also
Snooks H, Bailey-Jones K, Burge-Jones D, et al
Effects and costs of implementing predictive risk stratification in primary care: a randomised stepped wedge trial
BMJ Qual Saf Published Online First: 05 November 2018. doi: 10.1136/bmjqs-2018-007976

Abstract

Whole Systems Partnership

Whole Systems Partnership

• WSP provides support for partnership development and system redesign in health and social care. “Our aim is to help you develop new insights and deliver improvement by supporting strategic reviews and the implementation of major redesign programmes using modelling and simulation as a key tool, whilst bringing a distinctive approach to building and strengthening relationships to support adoption and sustainability.” 
• Completed projects list here.

Collaboration with other CCGs

Model agreement for collaborative commissioning
NHS Commissioning Board. 29 Jan 2013

• A framework to support CCGs with their development of collaborative commissioning arrangements with other CCGs. 
• A set of FAQs is also available 
• The model should be read in conjunction with ‘A framework for collaborative commissioning between clinical commissioning groups’
• An updated data table has also been published which shows the relationship between each CCG and its providers based on acute, maternity and ambulance data. (Data taken from Hospital Episode Statistics and relate to 2010/11 admission episodes with specialised services, maternity, well babies and mental health excluded.)