Improving access to the Hepatitis C clinic : GRIP

Introduction:

This Getting Research into Practice (GRiP) project was undertaken to transform knowledge from a doctoral study (reasons for non-attendance with a hepatitis C outreach clinic [Poll et al, 2016]) into potential solutions to improve engagement with similar hepatitis C clinics.  

 The project team recognised the importance of collaboration with service users and stakeholders using the principles of coproduction (Heaton et al, 2015).  Thus, the team were keen to ensure that service users and stakeholders: 

(a) played a critical part in identifying barriers and solutions to engagement with the clinic; 

(b) perceived the project to be a priority with a clear goal(s); 

(c) had/developed a keen interest in learning via collaboration; and 

(d) found the experience of working together to implement research evidence to be uniquely positive. 

 The initial project comprised of two half-day workshops with service users and stakeholders.  These were followed by a third workshop and  a celebration event at the end.  The workshops were planned using the ‘double diamond’ design process of four consecutive stages based on work by the UK Design Council (2016) (see Figure 1).  The ‘double diamond’ conveys the process of divergent (opening up) and convergent (focussing in) thinking.

Thus, the first workshop started with the ‘discover’ stage and an exploration of the challenges or barriers faced by service users.  The second ‘define’ stage involved an interpretation and alignment of the service user challenges with the objectives/purpose of the clinic and was undertaken via the second workshop.  The third ‘develop’ stage comprised of designing and testing potential solutions which took place within and after workshop three.  The final quarter of the double diamond corresponds to the ‘deliver’ stage where the resulting solutions are finalised and launched.  The celebration event at the end  of the project marked the beginning of this Deliver phase.    

Outputs:

The coproduction sessions surfaced a range of themes, and a range of interventions to prototype and test.  These are listed below:

We have included the two videos produced to demonstrate the service innovations.  

The 'Scare story' posters are available, branded for use in Sheffield Here and unbranded for use in other Trusts Here

The 'Scare stories' are also available as double sided postcards and are available to down load here.

Please contact ray.poll@sth.nhs.uk if you would like to access any of the patient information resources.  Full details are available in the Final Report.

Theme

 

Interventions

to-do

Incentives:

Rewards

 

Money or gift for attending

Tea coffee, sandwich, cash,

 

Test

 

Enablers

 

Bus pass/ taxi to allow attendance, mobile phones to engage with service

 

 

Test

Service changes

 

 

Take the service to the users

The Hep. C Bus, mobile clinic

Change name (not infectious)

Visualize

Information

Peer support

Buddy system

Paid volunteers

 

Visualize

 

Visual communication

Scare stories, posters

Discussion prompt cards

Information packs

Test

Environment

 

Fitzwilliam Centre EBCD

 

 

Propose

Clinic in a Van


Buddy System



References:

Heaton J, Day J, and Britten N. (2015) Inside the “Black Box” of a Knowledge Translation Program in Applied Health Research. Qualitative Health Research Vol. 25(11) 1477-1491.

 Design Council. (2016) A Study of the Design Process. [online]

http://www.designcouncil.org.uk/sites/default/files/asset/document/ElevenLessons_Design_Council%20(2).pdf

 NIHR. (2016) Better Services By Design.

http://www.bsbd.org.uk/cards/personas/

 Pawson, R, and Tilley, N. (1997) Realistic Evaluation. Sage, London.

 Poll, R, Allmark, P, and Tod, A. (2016) Reasons for missed appointments with a hepatitis C outreach clinic: a qualitative study.  International Journal of Drug Policy (In Press) http://www.ijdp.org/article/S0955-3959(16)30017-2/pdf