Research and analysis

Multi site single service: improving outcomes, reconfiguring services

This systematic review is the first to describe the evidence base for MSSS models of care and highlight the current limitations of available research.


Establishing the evidence base for ‘multiple site single service’ (MSSS) models of care: systematic review

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‘Multiple site single service’ (MSSS) models of care describe a method of delivering care across more than one clinical site or location, often across a regional geography, through a single clinical service or team.

Models of care which deliver a single clinical service over multiple hospital sites, theoretically offer the potential to maintain geographical access to services whilst providing care, finance and workforce outcomes. There is currently no systematic overview of the evidence in relation to these models of care.

It also sets out a universal framework to categorise different MSSS models which may be employed in the reorganisation of secondary care services, and a suggested set of outcome measures to guide planning, implementation and evaluation of future clinical service reconfigurations to better understand the population impact of service change.

Published 4 November 2019