Research and analysis

Exploring international acute care models

Monitor has looked at international acute service line models to help inform the current thinking on potential new models of care in the NHS.

Documents

Exploring international acute care models

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Summary of Monitor's online debate

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Annex 1: introduction, scope and approach

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Annex 2: country overviews

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Annex 3: review of service lines - critical care

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Annex 4: review of service lines - stroke

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Annex 5: review of service lines - accident & emergency

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Annex 6: review of service lines - paediatrics

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Annex 7: review of service lines - emergency surgery

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Annex 8: review of service lines: maternity

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Annex 9: review of service lines: acute medicine

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Annex 10: review of service lines - details of networks and standards

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Annex 11: case studies - GP posts in the Netherlands

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Annex 12: case studies - maternity services in Stockholm county, Sweden

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Annex 13: case studies - maternity services in France

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Annex 14: case studies - electronic intensive care units (eICU) in the USA

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Annex 15: case studies - paediatric care and the electronic child health network (eCHN) in Ontario

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Annex 16: case studies - emergency pathway at Capio St Goran hospital

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Details

NHS providers and commissioners in some local health economies need to re-think the way care is delivered across local systems. The NHS ‘Five Year Forward View’ recommends that the NHS seeks to learn from examples of the best models of UK and international care.

Monitor’s report on smaller acute providers concluded that smaller acute NHS providers in particular are likely to need to adopt new models of care. This research was launched in response to that report.

Research focus

The research identified 3 individual service models in use abroad that could offer benefits if used more widely by the NHS. These are:

  • ‘risk tiers’ for maternity and paediatric services
  • use of technology, particularly to deliver care remotely
  • out-of-hours care delivered by GPs

Next steps: sharing local experience across the healthcare sector

The research findings are not intended to form recommendations, but it is hoped they will help inform and stimulate wider debate.

Monitor would like to hear from NHS providers and commissioners who are implementing these models of care in the NHS, and to make their insights available so the sector as a whole can better understand the potential benefits and what can be done to remove any barriers to their wider use.

If you have any further comments please email jointhedebate@monitor.gov.uk.

Published 4 December 2014
Last updated 11 March 2015 + show all updates
  1. Updated page with a summary of findings from Monitor's online debate.
  2. First published.