The MEASURE study 1.0

  • Research type

    Research Study

  • Full title

    Mixed Methods Evaluation of the high-volume low-complexity surgical hub programme

  • IRAS ID

    326816

  • Contact name

    Joy Adamson

  • Contact email

    Joy.adamson@york.ac.uk

  • Sponsor organisation

    University of York

  • Duration of Study in the UK

    3 years, 11 months, 30 days

  • Research summary

    NHS waiting lists for routine surgeries such as hip replacements are longer than ever.
    The UK government is investing £1.5 billion in “High-Volume, Low-Complexity” (HVLC) surgical hubs to reduce waiting lists for routine, non-emergency operations. The MEASURE project, by the University of York, investigates whether this initiative offers value for money.
    What will we find out?
    1. What HVLC hubs already exist or are currently being set up in England.
    2. How (quickly) the hubs are set up, what they do, how they work, and lessons that can be learned.
    3. What the hubs mean for patients and carers.
    4. What the hubs mean for its staff.
    5. Whether the hubs have any unintended negative effects on the local NHS Trust and their workforce as a whole.

    How will we do it?
    We will review documents from NHS hospitals and services and interview key policy and decision-makers for the HVLC hubs initiative.

    Statistical analysis will compare NHS data on what happens in areas with and areas without hubs. We will do this every year during the project to look at levels of service, number of patients treated, waiting times and whether all patients benefit equally from hubs.

    Researchers will visit up to nine hubs to watch and speak to patients and staff who work at the hub. This will help us find what works well, what needs improving, and how improvements can be made.

    Health economics will help us find out which hubs are most and least productive. We will look at factors such as people’s medical conditions, survival rates and waiting times in relation to resources such as equipment, facilities and number of staff.

    We will look at the way hubs are staffed and how that affects their wider NHS Trust.

    Throughout the project, staff and patient representatives will advise the research team.

  • REC name

    East Midlands - Nottingham 2 Research Ethics Committee

  • REC reference

    23/EM/0231

  • Date of REC Opinion

    16 Oct 2023

  • REC opinion

    Favourable Opinion