Level | Interviews | Observations | Documentary analysis | |||
Potential interviewees | Number of participants | |||||
Round 1 | Round 2 | Total | ||||
Group Operating Model | Head of a group programme, Director of Partnership and Transactions, members of local boards in hospital units | 6 | 3 | 9 | Relevant Board meetings and Hospital Group Board meetings, local boards in hospital units | Meeting agendas and minutes, materials produced for stakeholder engagement, redesigned pathway documents or guidelines, materials or reports describing the group model, annual reviews |
CWG (Women’s and Children’s Care and Medicine and Urgent Care) | CWG lead, Divisional Medical, Nursing, and Operations Directors per CWG | 6 | 2 | 8 | CWG implementation meetings, CWG development workshops | |
One pathway within each CWG: induction of labour (Women and Children’s Care CWG) and heart failure (Medicine and Urgent Care CWG) | Pathway teams: one per CWG. Pathway Lead, Clinicians involved in pathway redesign (representations from across all sites in the hospital group model), relevant Clinical Support Services, Analytics | 10 (5 per pathway) | 4 (2 per pathway) | 14 | Pathway design meetings; Stakeholder engagement events. Shadowing of pathway leads | |
Clinical and managerial staff members from organisations joining the group (whose work will be impacted by the new pathways) | 10 (5 per pathway) | 6 (3 per pathway) | 16 | – | ||
GCS (pharmacy) | GCS lead, GCS project managers, pharmacy consolidation lead, pharmacy service leads | 6 | 3 | 9 | Relevant group business unit meetings | |
CSS (Finance) | CSS lead, CSS project manager for Finance consolidation, Executive teams at local sites, service leads at local sites | 6 | 3 | 9 | Relevant group business unit meetings | |
Leadership and Workforce Development | Leadership development lead, QI lead, staff members in charge of delivering leadership and QI training | 6 | 3 | 9 | Leadership training and other relevant events and meetings | |
Wider context | Commissioners, representatives from NHSE and NHSI, patient representatives | 4 | 2 | 6 | – | |
Total | 54 | 26 | 80 | Up to 80 hours | >100 documents |
CSS, Corporate Support Services; CWG, Clinical Working Groups; GCS, Group Clinical Services; NHSE, National Health Service England; NHSI, National Health Service Improvement.