Implementation Champions and Leadership

How it works

Risks & contraindications

Evidence quality

Highlighted claims

• GP engagement was a critical prerequisite for implementation, with practice-level adoption described as essentially impossible without an enthusiastic GP. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• The initial pace of implementation uptake was driven more by the skill and dedication of implementation leads and champions than by the design quality of the pathway or training attendance. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• The reach of individual champions was geographically and socially limited, making sole reliance on champions an unstable, patchy implementation approach. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• Consistent involvement of senior clinical figures was particularly valuable for bridging hierarchical structures, building cross-team connections, and advocating for resource release. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• Training was not delivered at all in two of four sites, and attendance at training did not guarantee that participants subsequently delivered the pathway. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness