“It’s a complex mesh”- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study

Harvard | Vancouver

Chantler, T, Lwembe, S, Saliba, V, Raj, T, Mays, N, Ramsay, M and Mounier-jack, S. 2016. “It’s a complex mesh”- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study. [Online]. BMC Health Services Research. Available from: 10.1186/s12913-016-1711-0

Export Citation

Sharing

Description

The English health system experienced a large-scale reorganisation in April 2013. A national tri-partite delivery framework involving the Department of Health, NHS England and Public Health England was agreed and a new local operational model applied. Evidence about how health system re-organisations affect constituent public health programmes is sparse and focused on low and middle income countries. We conducted an in-depth analysis of how the English immunisation programme adapted to the April 2013 health system reorganisation, and what facilitated or hindered the delivery of immunisation services in this context. A qualitative case study methodology involving interviews and observations at national and local level was applied. Three sites were selected to represent different localities, varying levels of immunisation coverage and a range of changes in governance. Study participants included 19 national decision-makers and 56 local implementers. Two rounds of interviews and observations (immunisation board/committee meetings) occurred between December 2014 and June 2015, and September and December 2015. Interviews were audio recorded and transcribed verbatim and written accounts of observed events compiled. Data was imported into NVIVO 10 and analysed thematically.

Published in a 3rd party system Date: 15 September 2016
Data capture method:
Mode of data capture
Interview: Face-to-face
Data Creators(s): Chantler, T, Lwembe, S, Saliba, V, Raj, T, Mays, N, Ramsay, M and Mounier-jack, S
LSHTM Faculty/Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Participating Institutions: London School of Hygiene & Tropical Medicine, Bristol City Council, Public Health England

Files

Study Instrument

Related resources

LSHTM Open Access publications:

Resources

Actions

Edit Item Edit Item (admin only)