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Child Health General Practice Hubs: a service evaluation
Sarah Montgomery-Taylor1, Mando Watson1, Robert Klaber1
1Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.
Archives of Disease in Childhood
|December 25, 2015
Summary
Integrated child health systems, known as Child Health General Practitioner (GP) Hubs, significantly reduced hospital appointments and improved patient satisfaction. These hubs enhance primary and secondary care connections, benefiting children and families.
Area of Science:
- Pediatric healthcare delivery
- Integrated child health systems
- Primary and secondary care collaboration
Background:
- The
Purpose of the Study:
- To evaluate the impact of an integrated child health system.
- Assess the effectiveness of Child Health General Practitioner (GP) Hubs in improving healthcare delivery for children and young people.
Main Methods:
- Mixed methods service evaluation.
- Utilized hospital episode data, including outpatient, inpatient, and A&E activity.
- Incorporated patient-reported experience measures and professional feedback.
Main Results:
- Child Health GP Hubs reduced new patient hospital appointments by 39% and shifted 42% to GP practices.
- Observed a 19% decrease in sub-specialty referrals, 17% reduction in admissions, and 22% decrease in A&E attendances.
- Patients reported high satisfaction, preferring GP practice appointments and increased confidence; professionals noted improved knowledge and collaboration.
Conclusions:
- Child Health GP Hubs effectively connect secondary and primary care, leading to reduced secondary care utilization.
- These integrated systems achieve high patient satisfaction and provide valuable learning opportunities for healthcare professionals.
- The 'Connecting Care For Children (CC4C)' initiative demonstrates a successful model for enhancing child health services through primary care integration.
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