South East Clinical Senates

Independent, clinical and strategic advice for health systems in the south east

Establishing the evidence base for ‘Multiple Site Single Service’ (MSSS) models of care – Systematic Review

Clinical service reconfiguration is complex and driven by multiple factors, including clinical quality, finance, workforce and inequalities in access. Models of care which deliver a single clinical service over multiple hospital sites, theoretically offer the potential to maintain geographical access to services whilst delivering care, finance and workforce outcomes. This systematic review is the first to describe the evidence base for multiple site, single service (MSSS) models of care and highlights the current limitations of available research. A suggested set of outcome measures is proposed to guide planning, implementation and evaluation of future clinical service reconfigurations.

Clinical Senate

East Midlands

Status:

Complete

Date:

Nov-19

Types of Work:

Advice

Theme

Service Optimisation

Policy / Documentation

yes

Specialised Commissioning

No

STP / ACS Development Plans

No

Urgent & Emergency Care

No

Multiple Clinical Services

yes

Children & Maternity

No

Cardiac

No

Stroke & Vascular

No

Mental Health

No

Respiratory

No

MSK

No

ENT

No

Community Services/ Hubs

No

Diagnostics / Hubs

No

Primary Care

No

Public Health

yes

Care Planning

No

Communications

No

Workforce

No

Link to web page or report

http://emsenate.nhs.uk/work-programmes/proactive-reports