Here is where we share what we've done, what we are doing, and what we're planning next.
It's that time of year again where we meet our Project Steering Group for our annual meeting. This group is one of several project groups that work to ensure this project succeeds.
The 10 members of the project steering group are policy makers, and clinicians and academics in acute medicine, emergency medicine, same day emergency care, and social care. The group’s role is to scrutinise the research team’s progress toward the project goals.
The steering group and research team meet three times over the course of the project, and the research team submit half-yearly reports between meetings. We're a little over one year in so this year's meeting is an important check-in.
With the amount of work involved in the case studies for work-package 3, we're quite glad that there isn't much more coming up on the horizon.
Our third work package is getting underway. You might have noticed our main landing page has changed in preparation!
In the package of work, we are going beyond an aggregated, national level investigation of SDECs' performance and of how they work. We have recruiting 8 SDECs that we will visit and observe to gain a one-to-one understanding of the experience of service users and staff.
Fortunately, we have had enough expressions of interest from a diversity of SDECs so we are now in the process of sorting agreements; crossing the Ts and dotting the lower-case Js.
Even if your SDEC is not involved in the case studies, you can take a look at the participant information sheet that is available on our main landing page.
Our first work package was all about clarifying our understanding of SDEC: what they are, where they are, what they achieve, and how they do it.
We are submitting two academic reports describing our work. The first investigated the published definitions and descriptions of SDEC to ask do we really know what SDECs are? (work package 1a). The second described how we rigorously developed a classification system for SDECs, and we wrote about the what insights it revealed to us (work package 1b).
The academic review and publication process takes time but we will keep you informed of any progress.
We are soon to publish our work about developing a system for describing and relating same-day emergency care (SDEC) implementations, i.e. an SDEC classification system. But what makes a good-quality classification system, and how will it help us reduce avoidable admission?
You can read our explainer on our new blog. We will follow up with a blog presenting our classification system, shortly.
After some administrative delay, we now have access to the data we need for our statistical analyses.
We will provide the first national evaluation of SDEC services in NHS England. Work-package 2a is a study describing trends in health outcomes, both over time and between hospitals. Work-package 2b is cost-consequential study that will describe the policy-level effect of SDEC services on policy outcomes and NHS costs.
Together, both studies will inform our first major report on the impact of SDEC service.
We spent the summer surveying type-1 emergency departments in NHS England, asking about their SDEC services.
Promoting the survey involved calling the +350 relevant hospitals in England to find out if they had an SDEC to report on. We are grateful to the kind and patient staff around the country who took the time to complete our online survey.
We are now busy processing the responses to find a meaningful and helpful way to classify SDEC services.
In time with the beginning of our third work package, we'll be welcoming two new qualitative researchers to the team.
Both researchers will support Professor Fiona Sampson with observations of SDEC services around the country, and interviews with patients and staff.
You will be able to find out more about both new researchers on our 'Who we are' page, soon.
National survey is up and running
We have begun our national survey of type-1 emergency departments in NHS England. The purpose of the survey it to inform a taxonomy of the ways that SDEC services are setup and delivered.
Please, let us know if you can represent your type-1 emergency department in this national survey. Contact Ciarán McInerney at ciaran.mcinerney@sheffield.ac.uk.
We had a productive and insightful meeting with the Sheffield Emergency Care Forum (SECF) Patient and Public Involvement (PPI) group, which generated valuable discussion around Same Day Emergency Care services (SDEC).
A key question during the meeting was whether SDECs are making access to urgent and emergency care more complex for patients when navigating emergency and urgent care.
In our communications workshop, we developed a clear plan to engage our key audiences effectively throughout the project. This helped us refine our messaging, shape our website and launch our project bulletin. By taking a strategic approach, we ensure our research reaches the right people in meaningful ways.
We hosted our first workshop with patients and members of the public to describe the kinds of people best suited to SDEC services. We also met with members of the Deep End Research Alliance (DERA) to collaborate on a project about urgent care hubs.
Key themes were 'life context', 'Need to find out more', and 'Waiting for tests and test results'. Read more about the workshop.
We published the protocol for our literature review of SDEC services on ORDA, the University of Sheffield's Online Research Data Archive.
We hosted our first workshop with representatives of healthcare and social-care services to identify who SDEC services might work well for and why.
We welcome Ciarán McInerney, PhD, to the team as our project manager. His previous roles included managing the Digital Innovation Theme in the NIHR Yorkshire & Humber Patient Safety Translational Research Centre.
Ciarán is also a research fellow with experience in heath-service research, electronic healthcare records, and performance analysis.
We met with 11 representatives from the NHS, Royal Colleges, the government, and academia. Our steering group are experts in urgent and emergency medicine, social care, civil service, data analysis, and public policy.
The group helped with our national survey of acute hospital trusts, and helped recruitment to our patient-and-public groups.
One of our first task is to compare the definitions, descriptions, and actual use of SDEC services.
We want to clarify and summarise what SDEC services are in the eyes of those who have already used and studied them.