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: https://doi.org/10.1186/s12913-016-1711-0
Chantler, T, Lwembe, S, Saliba, V, Raj, T, Mays, N, Ramsay, M and Mounier-jack, S. “It’s a complex mesh”- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study [Internet]. BMC Health Services Research; 2016. Available from: https://doi.org/10.1186/s12913-016-1711-0
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. [Data Collection]. BMC Health Services Research. https://doi.org/10.1186/s12913-016-1711-0
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.
Data capture method | Interview: Face-to-face |
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Date (Date published in a 3rd party system) | 15 September 2016 |
Language(s) of written materials | English |
Data Creators | Chantler, T, Lwembe, S, Saliba, V, Raj, T, Mays, N, Ramsay, M and Mounier-jack, S |
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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 Public Health, Environments and Society |
Participating Institutions | London School of Hygiene & Tropical Medicine, London, United Kingdom, Bristol City Council, Bristol, United Kingdom, Public Health England |
Date Deposited | 21 Sep 2016 10:12 |
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Last Modified | 15 Feb 2022 17:18 |
Publisher | BMC Health Services Research |
Downloads
Study Instrument
Filename: File1-KeyInformant_InterviewGuide.pdf
Description: National level key informants interview topic guide. This file provides the range of topics and questions that were covered in interviews with national participants
Content type: Textual content
File size: 224kB
Mime-Type: application/pdf
Filename: File2-ServiceManagers_InterviewGuide.pdf
Description: Immunisation service managers and partners interview topic guid. This file provides the range of topics and questions that were covered in interviews with people involved in commissioning, managing or assuring the immunisation programme at local level
Content type: Textual content
File size: 340kB
Mime-Type: application/pdf
Filename: File3-ServiceProvider_InterviewGuide.pdf
Description: Immunisation service providers interview topic guide. This file provides the range of topics and questions covered in interviews with health professionals involved in delivering immunisations in primary care and as part of community care organisa
Content type: Textual content
File size: 322kB
Mime-Type: application/pdf