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

278 26 2729 2 9384 document 2729 File1-KeyInformant_InterviewGuide.pdf application/pdf f307d23f3a7197ef82865980ab864c23b2649ead4df2d63e0de434d020cf3555 SHA256 224420 2016-09-21 10:10:53 https://datacompass.lshtm.ac.uk/id/eprint/278/1/File1-KeyInformant_InterviewGuide.pdf 278 1 1 application/pdf Text en public cc_by

File1-KeyInformant_InterviewGuide.pdf

study_instrument indefinite National level key informants interview topic guide. This file provides the range of topics and questions that were covered in interviews with national participants 2730 2 9386 document 2730 File2-ServiceManagers_InterviewGuide.pdf application/pdf 80a6ed1e08816be59c8ea1e54f3eee06eece5521b21102d48c2291f66f9e0524 SHA256 340489 2016-09-21 10:10:56 https://datacompass.lshtm.ac.uk/id/eprint/278/2/File2-ServiceManagers_InterviewGuide.pdf 278 2 2 application/pdf Text en public cc_by

File2-ServiceManagers_InterviewGuide.pdf

study_instrument indefinite 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 2732 1 9393 document 2732 indexcodes.txt text/plain ce39338497beda5f1017d532263ac4e1d530b5bed0e6480449aaea9c8a6c79b7 SHA256 1157 2016-09-21 10:13:31 https://datacompass.lshtm.ac.uk/id/eprint/278/4/indexcodes.txt 278 4 4 text/plain other en public

indexcodes.txt

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isIndexCodesVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 indefinite Generate index codes conversion from Text to indexcodes 2733 1 9394 document 2733 indexcodes.txt text/plain 5a020d6f058fbdf7ead85c7283423154edd9a8fd04acab936f504fc55024f140 SHA256 1603 2016-09-21 10:13:32 https://datacompass.lshtm.ac.uk/id/eprint/278/5/indexcodes.txt 278 5 5 text/plain other en public

indexcodes.txt

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isIndexCodesVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 indefinite Generate index codes conversion from Text to indexcodes 2739 2 9400 document 2739 lightbox.jpg image/png 87994cedc14b2ea38d2377f37620a44838269f68bbb7efe0f6f1f303b336c08f SHA256 61845 2016-09-21 10:21:06 https://datacompass.lshtm.ac.uk/id/eprint/278/11/lightbox.jpg 278 11 11 image/png other en public

lightbox.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/islightboxThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 indefinite Thumbnails conversion from Text to thumbnail_lightbox 2740 2 9401 document 2740 preview.jpg image/png 7b2231b468bfbbdfa41eac56e6297bf3e5987a6213fe5ce7c1fd7a0624bdea92 SHA256 26882 2016-09-21 10:21:06 https://datacompass.lshtm.ac.uk/id/eprint/278/12/preview.jpg 278 12 12 image/png other en public

preview.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/ispreviewThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 indefinite Thumbnails conversion from Text to thumbnail_preview 2741 2 9402 document 2741 medium.jpg image/png cc029f5370ec4348131a7ea1bf5727ab481bff56f820001fd2b24a46026ef2d0 SHA256 10034 2016-09-21 10:21:07 https://datacompass.lshtm.ac.uk/id/eprint/278/13/medium.jpg 278 13 13 image/png other en public

medium.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/ismediumThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 indefinite Thumbnails conversion from Text to thumbnail_medium 2742 2 9403 document 2742 small.jpg image/png 82ac8bf13582e7e04af2f4467e4b112b98d2e5e16eb8b5288325c3dcfc39f272 SHA256 1498 2016-09-21 10:21:07 https://datacompass.lshtm.ac.uk/id/eprint/278/14/small.jpg 278 14 14 image/png other en public

small.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 http://eprints.org/relation/issmallThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2730 indefinite Thumbnails conversion from Text to thumbnail_small 2743 2 9404 document 2743 lightbox.jpg image/png 3315fc39864a651df05c030ed440e4d75ab544630ce06985a2a75d97e506d59a SHA256 65381 2016-09-21 10:21:07 https://datacompass.lshtm.ac.uk/id/eprint/278/15/lightbox.jpg 278 15 15 image/png other en public

lightbox.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/islightboxThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 indefinite Thumbnails conversion from Text to thumbnail_lightbox 2744 2 9405 document 2744 preview.jpg image/png 9bfa97f24aac2590a8a967f669faca8a1e8eb6bdcfe11a1b76aacac2c2c4e682 SHA256 26999 2016-09-21 10:21:08 https://datacompass.lshtm.ac.uk/id/eprint/278/16/preview.jpg 278 16 16 image/png other en public

preview.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/ispreviewThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 indefinite Thumbnails conversion from Text to thumbnail_preview 2745 2 9406 document 2745 medium.jpg image/png 94a0034071a76046a01aabfd0b94831892ca3da0eb7b5b43a2dc728268f0529c SHA256 11275 2016-09-21 10:21:08 https://datacompass.lshtm.ac.uk/id/eprint/278/17/medium.jpg 278 17 17 image/png other en public

medium.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/ismediumThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 indefinite Thumbnails conversion from Text to thumbnail_medium 2746 2 9407 document 2746 small.jpg image/png efa9cbc99ca548637e7a10200a987c390118ba13f79fb91b5d9c091cacf5734a SHA256 1491 2016-09-21 10:21:08 https://datacompass.lshtm.ac.uk/id/eprint/278/18/small.jpg 278 18 18 image/png other en public

small.jpg

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 http://eprints.org/relation/issmallThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/2729 indefinite Thumbnails conversion from Text to thumbnail_small 2747 2 9410 document 2747 File3-ServiceProvider_InterviewGuide.pdf application/pdf f947c0e65a63e6e37dbb56cf354b533d871c07d850b27539c3dcf5290b5c4366 SHA256 322927 2016-09-21 19:27:08 https://datacompass.lshtm.ac.uk/id/eprint/278/19/File3-ServiceProvider_InterviewGuide.pdf 278 19 19 application/pdf Text en public cc_by

File3-ServiceProvider_InterviewGuide.pdf

study_instrument indefinite 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 2748 2 9413 document 2748 lightbox.jpg image/png 16b59f1711eb6e16a71008fe7943dcc2db43926ee886b9c966534bfdb88adc84 SHA256 58731 2016-09-21 19:37:32 https://datacompass.lshtm.ac.uk/id/eprint/278/20/lightbox.jpg 278 20 20 image/png other en public

lightbox.jpg

preview.jpg

medium.jpg

small.jpg

indexcodes.txt

http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/2747 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/2747 http://eprints.org/relation/isIndexCodesVersionOf https://datacompass.lshtm.ac.uk/id/document/2747 indefinite Generate index codes conversion from Text to indexcodes archive 3 disk0/00/00/02/78 2016-09-21 10:12:26 2025-07-24 14:40:34 2016-09-21 10:12:26 data_collection show Chantler Tracey 0000-0001-7776-7339 TRUE 939fd1fbf9b2bbda9d78485dd28e966f Lwembe Saumu TRUE afcc99c8c621123a38fe48a6d32a0391 Saliba Vanessa TRUE bbc043e52ee60e6595690483a34c23bf Raj Thara FALSE Mays Nicholas 0000-0001-9808-8466 TRUE 1e9ee7bdb5db043a5c85b3286f1a50e5 Ramsay Mary 0000-0002-7156-7640 TRUE 728a0d8ffab06834b7ef3bc2dff661ad Mounier-jack Sandra 0000-0002-2801-379X TRUE c387f10e51557707d37af378c51d9a51 London School of Hygiene & Tropical Medicine, London, United Kingdom Bristol City Council, Bristol, United Kingdom Public Health England “It’s a complex mesh”- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study PHGH PHSR PHSE Delivery of health services Health reforms Immunisation Organisational change Public health Qualitative research 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. 2016-09-15 published Figshare Dataset London School of Hygiene & Tropical Medicine, London, United Kingdom Interview.FaceToFace public Dataset Quantitative en Collection record https://figshare.com/collections/_It_s_a_complex_mesh_-_how_large-scale_health_system_reorganisation_affected_the_delivery_of_the_immunisation_programme_in_England_a_qualitative_study/3601748 data File 1: National level key informants interview topic guide https://doi.org/10.6084/m9.figshare.c.3601748_D3.v1 dataresource File 2: Immunisation service managers and partners interview topic guide https://doi.org/10.6084/m9.figshare.c.3601748_D1.v1 data File 3: Immunisation service providers interview topic guide https://doi.org/10.6084/m9.figshare.c.3601748_D2.v1 data "It's a complex mesh"- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study. http://researchonline.lshtm.ac.uk/id/eprint/2901217 2016-09-15