Process and systems: a systems approach to embedding group consultations in the NHS

Jones, T, Darzi, A, Egger, G, Ickovics, J, Noffsinger, E, Ramdas, K, Stevens, J, Sumego, M and Birrell, F (2019) Process and systems: a systems approach to embedding group consultations in the NHS. Future Healthcare Journal, 6 (1). pp. 8-16. ISSN 2055-3323


Group consultations are an important care option that is ­starting to gain traction in the USA and Australia. This review summarises the likely benefits accruing from a systems approach to implementing group consultations widely in the NHS and other socialised healthcare systems. Existing evidence is mapped to five distinct systems approaches: (1) development; (2) different age groups; (3) patient-centred pathway of care; (4) NHS system changes; and (5) education. Implications are discussed for patients and staff, who both benefit from group consultations once embedded; ranging from improved access and efficiency to more enjoyable multidisciplinary team working, improved resource management, and maintained/better outcomes. Moreover, even patients who don't attend group consultations can benefit from system effects of long-term implementation. Changing behaviour and health systems is challenging, but change requires systematic experimentation and documentation of evidence. We conclude that group consultations have unique potential for delivering system-wide benefits across the NHS.

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Item Type: Article
Subject Areas: Management Science and Operations
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Author contributions
The manuscript was drafted by Tania Jones and Fraser Birrell, with critical review by all authors, who agreed the final version and are jointly accountable for its contents.

Date Deposited: 19 Feb 2019 16:26
Last Modified: 18 Jul 2024 01:45

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