Supporting the transformational programme of change to primary care and community services in Wales

Organisation/institution: Swansea Centre of Health Economics (SCHE) at Swansea University

Key contact: Dr Liv Kosnes, SCHE, Swansea University,

What was the question that we could help with?

We support NHS organisations with mixed-methods evaluation through to economic modelling to inform service planning and delivery. Dr Liv Kosnes and Rhys Pockett developed and delivered Evaluation and Logic Model Workshops to a variety of Public Health Wales teams and were commended for their bespoke nature and capacity building agenda and the quality assured and tested teaching and learning methods.

The workshops aimed to:

  • provide attendees with tools that support them to plan and evaluate their services and programmes,
  • further important understanding of what evaluation is (and what it is not) and
  • identify what methods can be used to deliver robust evidence for use by decision-makers and health professionals within local, real-world contexts.

What did we do?

Dr Liv Kosnes and Rhys Pockett worked with the Primary Care Hub to develop learning resources for five workshops, delivered across Wales. Primary care staff learned to use logic models and to identify indicators for measurement to frame programme development and facilitate a comprehensive evaluation, along with confidence and capacity to articulate clear evaluation aims, objectives and good evaluation design. The workshops were supplemented with one-on-one clinics for workshop participants to provide additional support and advice on the development and evaluation of specific projects.

What is the expected impact?

The workshops received excellent feedback, suggesting the short-term outcomes of increased awareness, understanding, better planning, increased capacity, and self-efficacy to undertake evaluations were met. Longer-term outcomes will be captured in a follow-up of attendees. The work supports the recommendations made in the Pacesetter programme’s critical appraisal and a wider range of guidance and policy documents in Wales, such as ‘the Quadruple Aim’, ‘Prosperity for All’ (specifically, delivering quality health and care services fit for the future; equipping everyone with the right skills for a changing world), ‘A Healthier Wales’ and the parliamentary review of health and social care in Wales.

One of our Health and Care Economics Cymru objectives is to develop capability and capacity within the speciality of health economics. This last year, I particularly enjoyed collaborating with the Primary and Community Care Development and Innovation Hub on these workshops across Wales. We introduced applied health economic thinking and frameworks to research and evaluation to foster individual and organisational abilities to use evaluation to improve results” Dr Liv Kosnes.