Primary care: national monitoring and evaluation strategy

Footnotes

1. “The Future of Primary Care: a view from the professions” (2017) - https://www.rcn.org.uk/about-us/policy-briefings/sco-pol-future-of-primary-care-1-sept

2. https://www.gov.scot/Resource/0047/00470219.pdf

3. http://nationalperformance.gov.scot/

4. http://www.gov.scot/Topics/Health/Services/Primary-Care

5. http://www.gov.scot/Publications/2016/12/4275 

6. Based on the Institute for Healthcare Improvement’s Triple Aim Framework - http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx 

7. The Scottish Government (2018) “The National Health and Social Care Workforce Plan Part 3 - improving workforce planning for primary care in Scotland” - http://www.gov.scot/Publications/2018/04/3662 

8. British Medical Association and Scottish Government (2017), “The 2018 GMS Contract in Scotland” - http://www.gov.scot/Resource/0052/00527530.pdf

9. “Memorandum of Understanding between Scottish Government, British Medical Association, Integration Authorities and NHS Boards” - http://www.gov.scot/Resource/0052/00527517.pdf

10. The Scottish Government (2017) “Improving Together: A National Framework for Quality and GP Clusters in Scotland” - http://www.gov.scot/Publications/2017/01/7911

11. Scottish Government (2017) “Transforming Nursing, Midwifery and Health Professionals Roles -The district nursing role in integrated community nursing teams” - http://www.gov.scot/Publications/2017/12/6658

12. https://www.gov.scot/publications/ministerial-strategic-group-health-community-care-review-progress-integration-health-social-care-final-report/ 

13. https://www.gov.scot/Topics/Health/Policy/2020-Vision

14. https://www.gov.scot/Publications/2016/02/8699

15. https://www.gov.scot/Publications/2018/04/6385

16. The Scottish Government (2018) “Scotland’s Digital Health & Care Strategy: enabling, connecting and empowering” - /publications/scotlands-digital-health-care-strategy-enabling-connecting-empowering/documents/00534657.pdf?inline=true 

17. Our approach was informed by close collaboration between the Evaluation Team at Health Scotland and the Scottish Government, and by dialogue with the Primary Care Evidence Collaborative (see Annex 3).

18. References to NHS Health Scotland and ISD should be taken as accommodating their inclusion in the new body Public Health Scotland which will be established in 2019.

19. Also on the Primary Care section of the Scottish Government website - http://www.gov.scot/Topics/Health/Services/Primary-Care/PrimaryCare-Outcomes-Framework 

20. “The Magenta Book” and “The Green Book” provide guidance for Government and are a useful resource for a wider audience (Annex 5 for references).

21. https://ihub.scot/

22. http://www.scottishhealthcouncil.org/home.aspx

23. For example, the evaluation of Primary Care Transformation Fund projects by the Scottish School of Primary Care consists of a number of case studies of tests of change, learning from which will be synthesised in a final evaluation report in 2019.

24. This activity was led by Health Scotland and the Scottish School of Primary Care.

25. Also available on the Primary Care section of the Scottish Government website - http://www.gov.scot/Topics/Health/Services/Primary-Care/PrimaryCare-Outcomes-Framework The Framework was co-produced by the Primary Care Evidence Collaborative with input from the Scottish Government’s Primary Care Division, Healthcare Improvement Scotland, the Health and Social Care Alliance Scotland (the ALLIANCE), and the Person-Centred Stakeholder Group. 

26. Guthrie, B, et al (2017) “Developing middle-ground research to support primary care transformation”, in the “British Journal of General Practice” 67 (664): 498-499.

27. http://www.gov.scot/Topics/Statistics/Browse/Health/GPPatientExperienceSurvey 

28. Scottish Government (2018) “The National Health and Social Care Workforce Plan Part 3 - improving workforce planning for primary care in Scotland” - http://www.gov.scot/Publications/2018/04/3662 

29. Martin LA, Nelson EC, Lloyd RC, Nolan TW (2007) “Whole System Measures”. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement.

30. Annex 4 includes examples of methods and associated evidence sources and there are many good and comprehensive guides to evaluation methods (a small selection are listed in Annex 5).

31. These have been developed from an initial set devised by the Primary Care Evidence Collaborative. 

32. Full details of these services are contained in the MOU and the 2018 GMS Contract: “Memorandum of Understanding between Scottish Government, British Medical Association, Integration Authorities and NHS Boards” - http://www.gov.scot/Resource/0052/00527517.pdf;
British Medical Association and Scottish Government (2017) “The 2018 GMS Contract in Scotland” - http://www.gov.scot/Resource/0052/00527530.pdf

33. Some of this work may be evaluated by others (e.g. at a Health and Social Care Partnership level).

34. How to undertake an EA is described in a 2015 paper by What Works Scotland: “Evaluability Assessment: a systematic approach to deciding whether and how to evaluate programmes and policies” - http://whatworksscotland.ac.uk/publications/evaluability-assessment-a-systematic-approach-to-deciding-whether-and-how-to-evaluate-programmes-and-policies/