Scale and spread of innovation in health and social care: Insights from the evaluation of the New Care Model/Vanguard programme in England.

Julie MacInnesJenny BillingsAnna ColemanRasa MikelyteSarah CrokePauline AllenKath Checkland

Published in: Journal of health services research & policy (2023)

This programme is an example of the 'scale and spread paradox', in which localism was a key factor influencing the successful implementation of the Vanguards but ultimately limited their scale and spread.

Keyphrases

healthcare
quality improvement
palliative care
mental health
study protocol
public health
randomized controlled trial
health information
chronic pain