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An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data. / Kymberley Thorne

Swansea University Author: Kymberley Thorne

Abstract

Aim: To independently evaluate the NHS Modernisation Agency’s “Modernising Endoscopy Services” (MES) project using routinely collected, service-related endoscopy data.Methods: A random selection of 10 sites who had participated in the MES project (called MES sites) were compared to a random selectio...

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Published: 2008
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa43103
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first_indexed 2018-08-02T18:56:17Z
last_indexed 2019-10-21T16:49:02Z
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spelling 2018-08-29T15:41:13.6613857 v2 43103 2018-08-02 An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data. 386f46f3520dbb4863282f716f4042c3 NULL Kymberley Thorne Kymberley Thorne true true 2018-08-02 Aim: To independently evaluate the NHS Modernisation Agency’s “Modernising Endoscopy Services” (MES) project using routinely collected, service-related endoscopy data.Methods: A random selection of 10 sites who had participated in the MES project (called MES sites) were compared to a random selection of 10 sites who were unsuccessful applicants for the MES project but had indicated their intention to redesign independently (called Non-MES sites). Data on Referral numbers, Number of patients waiting, Number of lost appointment slotsand Activity werecollected from all 20 sites for eight specific time periods ranging from January 2003 to April 2006 to evaluate the endoscopy services of MES and Non-MES sites and to compare both site types at specific points in time using various statistical tests. Activitydata were validated where appropriate using an equivalent HES dataset. Details of innovations introduced were collected to explore possible trends.Results: Data were not routinely collected by endoscopy units. NHS Trust datasets were subsequently included to ensure a full dataset for analysis. The accuracy of the Activitydata was successfully validated. There were relatively few statistically significant results to report. Consequently, this study found that the MES project did not significantly improve the endoscopy services of the MES sites over time. It also found that there was no significant difference between the MES sites and the Non-MES sites in the improvement of their endoscopy services over time and that the Non-MES sites appeared to implement changes that led to improvements to their services, although they were not statistically significant.Conclusions: Data was not routinely collected by most NHS endoscopy units participating in this study. Based on the data analysed, the MES project did not appear to have significantly improved NHS endoscopy services over and above what could have been achieved independently with only the intention to redesign E-Thesis Endoscopy 31 12 2008 2008-12-31 COLLEGE NANME Swansea University Medical School COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-29T15:41:13.6613857 2018-08-02T16:24:31.2878080 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Kymberley Thorne NULL 1 0043103-02082018162546.pdf 10821495.pdf 2018-08-02T16:25:46.8570000 Output 17277078 application/pdf E-Thesis true 2018-08-02T16:25:46.8570000 false
title An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
spellingShingle An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
Kymberley Thorne
title_short An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
title_full An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
title_fullStr An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
title_full_unstemmed An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
title_sort An independent evaluation of the NHS Modernisation Agency's 'Modernising Endoscopy Services' project using routinely collected, service-related endoscopy data.
author_id_str_mv 386f46f3520dbb4863282f716f4042c3
author_id_fullname_str_mv 386f46f3520dbb4863282f716f4042c3_***_Kymberley Thorne
author Kymberley Thorne
author2 Kymberley Thorne
format E-Thesis
publishDate 2008
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Aim: To independently evaluate the NHS Modernisation Agency’s “Modernising Endoscopy Services” (MES) project using routinely collected, service-related endoscopy data.Methods: A random selection of 10 sites who had participated in the MES project (called MES sites) were compared to a random selection of 10 sites who were unsuccessful applicants for the MES project but had indicated their intention to redesign independently (called Non-MES sites). Data on Referral numbers, Number of patients waiting, Number of lost appointment slotsand Activity werecollected from all 20 sites for eight specific time periods ranging from January 2003 to April 2006 to evaluate the endoscopy services of MES and Non-MES sites and to compare both site types at specific points in time using various statistical tests. Activitydata were validated where appropriate using an equivalent HES dataset. Details of innovations introduced were collected to explore possible trends.Results: Data were not routinely collected by endoscopy units. NHS Trust datasets were subsequently included to ensure a full dataset for analysis. The accuracy of the Activitydata was successfully validated. There were relatively few statistically significant results to report. Consequently, this study found that the MES project did not significantly improve the endoscopy services of the MES sites over time. It also found that there was no significant difference between the MES sites and the Non-MES sites in the improvement of their endoscopy services over time and that the Non-MES sites appeared to implement changes that led to improvements to their services, although they were not statistically significant.Conclusions: Data was not routinely collected by most NHS endoscopy units participating in this study. Based on the data analysed, the MES project did not appear to have significantly improved NHS endoscopy services over and above what could have been achieved independently with only the intention to redesign
published_date 2008-12-31T03:54:15Z
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score 11.013148

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