Article Text

Download PDFPDF

Complex programme evaluation of a ‘new care model’ vanguard: a shared commitment to quality improvement in an integrated health and care context
  1. Sally Fowler Davis1,2,
  2. Sebastian Hinde3,
  3. Steven Ariss4
  1. 1College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK
  2. 2CCA Care Group, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  3. 3Centre for Health Economics, York University, Heslington, UK
  4. 4ScHARR, University of Sheffield, Sheffield, UK
  1. Correspondence to Dr Sally Fowler Davis; s.fowler-davis{at}


NHS vanguards, under-pressure to perform, required better contracting and data management arrangements with evaluation teams, to ensure that integrated service outcomes could be reported effectively. This communication reflects the experience of evaluating an NHS vanguard and suggests how academic teams can improve capacity for complex programme evaluation of rapid improvements in integrated services. This should be based on a shared commitment to data collection and management. Also, robust knowledge exchange processes can enable systems change and sustainability. The identifying features of the particular site have been withheld.

  • evaluation
  • NHS vanguard
  • healthcare
  • integrated care

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

Statistics from


  • Twitter @SallyFD11, @ariss_s

  • Contributors SFD drafted the communication with contributions from SH and SA on the content which was based on vanguard evaluation experience. All authors contributed to the final version and approved the submission.

  • Funding The evaluation research was funded by NHS England via the NHS vanguard site (details of site withheld) and the evaluation report was published separately in conjunction with the NHS vanguard programme. This communication reflects on some of the findings from this work.

  • Disclaimer The views expressed are those of the author(s), and not necessarily those of the NIHR or the Department of Health and Social Care.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The evaluation was approved by the university ethics committee

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.