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Research project: Nottingham Emergency Care/On Demand Services Project - Dormant - Dormant

Currently Active: 

Nottingham Health Authority commissioned research and analysis support for a 'whole system review' of local emergency care and on demand services. The project is designed to inform health care decision making about the strategic development of local services, in the context of rapidly rising demand.


Main question(s)

The research explored how the emergency/on demand system is configured and the organisational systems and processes that support it; the characteristics of demand, demand management and patient flows through the system; how community preferences account for current use of the system, and how they might inform its development.


Methods included a review of routine activity data for services comprising the emergency care / on demand system, detailed system dynamics modelling, and a study of patient preferences using a discrete choice experiment approach, in the form of a questionnaire survey.

Main outcomes

  • Production of a conceptual map of the emergency care / on demand system.
  • Construction of a system dynamics model populated with demographic data and routine activity data.
  • Model simulations to test 'what-if' scenarios, proposed by the Nottingham Project Steering committee.
  • Establishing patient preferences and experiences of the emergency care / on demand system.
  • Analysis and review of routine activity data for the main patient entry points of the system (NHS
  • Direct, Nottingham Emergency Medical Services, Walk-in Centre, GP in-hours/out-of-hours, A&E and '999' services). A report of the findings was submitted May 2002. 

Project team

Karen Gerard, Val Lattimer 

Project funder

Nottingham Health Authority

Related research groups

Health Work and Systems
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