Process and systems: a systems approach to embedding group consultations in the NHS
Journal
Future Healthcare Journal
Subject
Management Science and Operations
Publishing details
Authors / Editors
Jones T;Darzi A;Egger G;Ickovics J;Noffsinger E;Ramdas K;Stevens J;Sumego M;Birrell F
Biographies
Publication Year
2019
Abstract
Group consultations are an important care option that is starting to gain traction in the USA and Australia. This review summarises the likely benefits accruing from a systems approach to implementing group consultations widely in the NHS and other socialised healthcare systems. Existing evidence is mapped to five distinct systems approaches: (1) development; (2) different age groups; (3) patient-centred pathway of care; (4) NHS system changes; and (5) education. Implications are discussed for patients and staff, who both benefit from group consultations once embedded; ranging from improved access and efficiency to more enjoyable multidisciplinary team working, improved resource management, and maintained/better outcomes. Moreover, even patients who don't attend group consultations can benefit from system effects of long-term implementation. Changing behaviour and health systems is challenging, but change requires systematic experimentation and documentation of evidence. We conclude that group consultations have unique potential for delivering system-wide benefits across the NHS.
Keywords
Group consultation; Shared medical appointment; Group clinic
Available on ECCH
No
