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STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol

Rabeea'h Aslam Orcid Logo, Helen Snooks Orcid Logo, Alison Porter Orcid Logo, Ashra Khanom Orcid Logo, Robert Cole, Adrian Edwards Orcid Logo, Bethan Edwards, Bridie Evans Orcid Logo, Theresa Foster, Rachael Fothergill Orcid Logo, Penny Gripper, Ann John Orcid Logo, Robin Petterson, Andy Rosser, Anna Tee, Berni Sewell Orcid Logo, Heather Hughes, Ceri Phillips, Nigel Rees Orcid Logo, Jason Scott Orcid Logo, Alan Watkins Orcid Logo

BMJ Open, Volume: 12, Issue: 3, Start page: e053123

Swansea University Authors: Rabeea'h Aslam Orcid Logo, Helen Snooks Orcid Logo, Alison Porter Orcid Logo, Ashra Khanom Orcid Logo, Bethan Edwards, Bridie Evans Orcid Logo, Ann John Orcid Logo, Berni Sewell Orcid Logo, Ceri Phillips, Nigel Rees Orcid Logo, Alan Watkins Orcid Logo

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DOI (Published version): 10.1136/bmjopen-2021-053123

Abstract

Introduction UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60479
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There is little evidence about how to address the needs of this patient group.Aim To evaluate effectiveness, safety and efficiency of case management approaches to the care of people who frequently call the emergency ambulance service, and gain an understanding of barriers and facilitators to implementation.Objectives (1) Develop an understanding of predicted mechanisms of change to underpin evaluation. (2) Describe epidemiology of sustained high users of 999 services. (3) Evaluate case management approaches to the care of people who call the 999 ambulance service frequently in terms of: (i) Further emergency contacts (999, emergency department, emergency admissions to hospital) (ii) Effects on other services (iii) Adverse events (deaths, injuries, serious medical emergencies and police arrests) (iv) Costs of intervention and care (v) Patient experience of care. (4) Identify challenges and opportunities associated with using case management models, including features associated with success, and develop theories about how case management works in this population.Methods and analysis We will conduct a multisite mixed-methods evaluation of case management for people who use ambulance services frequently by using anonymised linked routine data outcomes in a &#x2018;natural experiment&#x2019; cohort design, in four regional ambulance services. We will conduct interviews and focus groups with service users, commissioners and emergency and non-acute care providers. The planned start and end dates of the study are 1 April 2019 and 1 September 2022, respectivelyEthics and dissemination The study received approval from the UK Health Research Authority (Confidentiality Advisory Group reference number: 19/CAG/0195; research ethics committee reference number: 19/WA/0216).</abstract><type>Journal Article</type><journal>BMJ Open</journal><volume>12</volume><journalNumber>3</journalNumber><paginationStart>e053123</paginationStart><paginationEnd/><publisher>BMJ</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2044-6055</issnPrint><issnElectronic>2044-6055</issnElectronic><keywords/><publishedDay>29</publishedDay><publishedMonth>3</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-03-29</publishedDate><doi>10.1136/bmjopen-2021-053123</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>This project is funded by the National Institute for Health Research (NIHR) Health Services &amp; Delivery Research (HS&amp;DR) Programme (reference 18/03/02).</funders><projectreference/><lastEdited>2022-09-02T10:30:54.2505559</lastEdited><Created>2022-07-13T12:04:25.4952346</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Rabeea'h</firstname><surname>Aslam</surname><orcid>0000-0002-0916-9641</orcid><order>1</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>2</order></author><author><firstname>Alison</firstname><surname>Porter</surname><orcid>0000-0002-3408-7007</orcid><order>3</order></author><author><firstname>Ashra</firstname><surname>Khanom</surname><orcid>0000-0002-5735-6601</orcid><order>4</order></author><author><firstname>Robert</firstname><surname>Cole</surname><order>5</order></author><author><firstname>Adrian</firstname><surname>Edwards</surname><orcid>0000-0002-6228-4446</orcid><order>6</order></author><author><firstname>Bethan</firstname><surname>Edwards</surname><orcid/><order>7</order></author><author><firstname>Bridie</firstname><surname>Evans</surname><orcid>0000-0003-0293-0888</orcid><order>8</order></author><author><firstname>Theresa</firstname><surname>Foster</surname><order>9</order></author><author><firstname>Rachael</firstname><surname>Fothergill</surname><orcid>0000-0003-1341-6200</orcid><order>10</order></author><author><firstname>Penny</firstname><surname>Gripper</surname><order>11</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>12</order></author><author><firstname>Robin</firstname><surname>Petterson</surname><order>13</order></author><author><firstname>Andy</firstname><surname>Rosser</surname><order>14</order></author><author><firstname>Anna</firstname><surname>Tee</surname><order>15</order></author><author><firstname>Berni</firstname><surname>Sewell</surname><orcid>0000-0001-5471-922X</orcid><order>16</order></author><author><firstname>Heather</firstname><surname>Hughes</surname><order>17</order></author><author><firstname>Ceri</firstname><surname>Phillips</surname><order>18</order></author><author><firstname>Nigel</firstname><surname>Rees</surname><orcid>0000-0001-8799-5335</orcid><order>19</order></author><author><firstname>Jason</firstname><surname>Scott</surname><orcid>0000-0001-7031-2171</orcid><order>20</order></author><author><firstname>Alan</firstname><surname>Watkins</surname><orcid>0000-0003-3804-1943</orcid><order>21</order></author></authors><documents><document><filename>60479__24811__6715644eb10e40319c177cf39937329b.pdf</filename><originalFilename>60479_VoR.pdf</originalFilename><uploaded>2022-08-02T15:10:30.7623164</uploaded><type>Output</type><contentLength>2059325</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2022-09-02T10:30:54.2505559 v2 60479 2022-07-13 STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol 59fdd275cfdafa2f251eb5264a31cc7e 0000-0002-0916-9641 Rabeea'h Aslam Rabeea'h Aslam true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false fcc861ec479a79f7fb9befb13192238b 0000-0002-3408-7007 Alison Porter Alison Porter true false 1f0f14742e3a36e8fd6d29f59374a009 0000-0002-5735-6601 Ashra Khanom Ashra Khanom true false a74bdc047771101ee14a5444a8114eee Bethan Edwards Bethan Edwards true false 6098eddc58e31ac2f3e070cb839faa6a 0000-0003-0293-0888 Bridie Evans Bridie Evans true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false f6a4af2cfa4275d2a8ebba292fa14421 0000-0001-5471-922X Berni Sewell Berni Sewell true false 932c7a406ab4b6e4a881d422ca03c289 Ceri Phillips Ceri Phillips true false 8c440a0df599a0b6eef3927ebd515b72 0000-0001-8799-5335 Nigel Rees Nigel Rees true true 81fc05c9333d9df41b041157437bcc2f 0000-0003-3804-1943 Alan Watkins Alan Watkins true false 2022-07-13 HDAT Introduction UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs of this patient group.Aim To evaluate effectiveness, safety and efficiency of case management approaches to the care of people who frequently call the emergency ambulance service, and gain an understanding of barriers and facilitators to implementation.Objectives (1) Develop an understanding of predicted mechanisms of change to underpin evaluation. (2) Describe epidemiology of sustained high users of 999 services. (3) Evaluate case management approaches to the care of people who call the 999 ambulance service frequently in terms of: (i) Further emergency contacts (999, emergency department, emergency admissions to hospital) (ii) Effects on other services (iii) Adverse events (deaths, injuries, serious medical emergencies and police arrests) (iv) Costs of intervention and care (v) Patient experience of care. (4) Identify challenges and opportunities associated with using case management models, including features associated with success, and develop theories about how case management works in this population.Methods and analysis We will conduct a multisite mixed-methods evaluation of case management for people who use ambulance services frequently by using anonymised linked routine data outcomes in a ‘natural experiment’ cohort design, in four regional ambulance services. We will conduct interviews and focus groups with service users, commissioners and emergency and non-acute care providers. The planned start and end dates of the study are 1 April 2019 and 1 September 2022, respectivelyEthics and dissemination The study received approval from the UK Health Research Authority (Confidentiality Advisory Group reference number: 19/CAG/0195; research ethics committee reference number: 19/WA/0216). Journal Article BMJ Open 12 3 e053123 BMJ 2044-6055 2044-6055 29 3 2022 2022-03-29 10.1136/bmjopen-2021-053123 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University SU Library paid the OA fee (TA Institutional Deal) This project is funded by the National Institute for Health Research (NIHR) Health Services & Delivery Research (HS&DR) Programme (reference 18/03/02). 2022-09-02T10:30:54.2505559 2022-07-13T12:04:25.4952346 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Rabeea'h Aslam 0000-0002-0916-9641 1 Helen Snooks 0000-0003-0173-8843 2 Alison Porter 0000-0002-3408-7007 3 Ashra Khanom 0000-0002-5735-6601 4 Robert Cole 5 Adrian Edwards 0000-0002-6228-4446 6 Bethan Edwards 7 Bridie Evans 0000-0003-0293-0888 8 Theresa Foster 9 Rachael Fothergill 0000-0003-1341-6200 10 Penny Gripper 11 Ann John 0000-0002-5657-6995 12 Robin Petterson 13 Andy Rosser 14 Anna Tee 15 Berni Sewell 0000-0001-5471-922X 16 Heather Hughes 17 Ceri Phillips 18 Nigel Rees 0000-0001-8799-5335 19 Jason Scott 0000-0001-7031-2171 20 Alan Watkins 0000-0003-3804-1943 21 60479__24811__6715644eb10e40319c177cf39937329b.pdf 60479_VoR.pdf 2022-08-02T15:10:30.7623164 Output 2059325 application/pdf Version of Record true This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license true eng https://creativecommons.org/licenses/by/4.0/
title STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
spellingShingle STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
Rabeea'h Aslam
Helen Snooks
Alison Porter
Ashra Khanom
Bethan Edwards
Bridie Evans
Ann John
Berni Sewell
Ceri Phillips
Nigel Rees
Alan Watkins
title_short STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_full STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_fullStr STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_full_unstemmed STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_sort STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
author_id_str_mv 59fdd275cfdafa2f251eb5264a31cc7e
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author_id_fullname_str_mv 59fdd275cfdafa2f251eb5264a31cc7e_***_Rabeea'h Aslam
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
fcc861ec479a79f7fb9befb13192238b_***_Alison Porter
1f0f14742e3a36e8fd6d29f59374a009_***_Ashra Khanom
a74bdc047771101ee14a5444a8114eee_***_Bethan Edwards
6098eddc58e31ac2f3e070cb839faa6a_***_Bridie Evans
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
f6a4af2cfa4275d2a8ebba292fa14421_***_Berni Sewell
932c7a406ab4b6e4a881d422ca03c289_***_Ceri Phillips
8c440a0df599a0b6eef3927ebd515b72_***_Nigel Rees
81fc05c9333d9df41b041157437bcc2f_***_Alan Watkins
author Rabeea'h Aslam
Helen Snooks
Alison Porter
Ashra Khanom
Bethan Edwards
Bridie Evans
Ann John
Berni Sewell
Ceri Phillips
Nigel Rees
Alan Watkins
author2 Rabeea'h Aslam
Helen Snooks
Alison Porter
Ashra Khanom
Robert Cole
Adrian Edwards
Bethan Edwards
Bridie Evans
Theresa Foster
Rachael Fothergill
Penny Gripper
Ann John
Robin Petterson
Andy Rosser
Anna Tee
Berni Sewell
Heather Hughes
Ceri Phillips
Nigel Rees
Jason Scott
Alan Watkins
format Journal article
container_title BMJ Open
container_volume 12
container_issue 3
container_start_page e053123
publishDate 2022
institution Swansea University
issn 2044-6055
2044-6055
doi_str_mv 10.1136/bmjopen-2021-053123
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Introduction UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs of this patient group.Aim To evaluate effectiveness, safety and efficiency of case management approaches to the care of people who frequently call the emergency ambulance service, and gain an understanding of barriers and facilitators to implementation.Objectives (1) Develop an understanding of predicted mechanisms of change to underpin evaluation. (2) Describe epidemiology of sustained high users of 999 services. (3) Evaluate case management approaches to the care of people who call the 999 ambulance service frequently in terms of: (i) Further emergency contacts (999, emergency department, emergency admissions to hospital) (ii) Effects on other services (iii) Adverse events (deaths, injuries, serious medical emergencies and police arrests) (iv) Costs of intervention and care (v) Patient experience of care. (4) Identify challenges and opportunities associated with using case management models, including features associated with success, and develop theories about how case management works in this population.Methods and analysis We will conduct a multisite mixed-methods evaluation of case management for people who use ambulance services frequently by using anonymised linked routine data outcomes in a ‘natural experiment’ cohort design, in four regional ambulance services. We will conduct interviews and focus groups with service users, commissioners and emergency and non-acute care providers. The planned start and end dates of the study are 1 April 2019 and 1 September 2022, respectivelyEthics and dissemination The study received approval from the UK Health Research Authority (Confidentiality Advisory Group reference number: 19/CAG/0195; research ethics committee reference number: 19/WA/0216).
published_date 2022-03-29T04:18:37Z
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