Relevance and flexibility are key: exploring healthcare managers’ views and experiences of a de-adoption programme in the English National Health Service
This study is, to our knowledge, the first investigation of how devolved healthcare policymakers respond to national de-adoption recommendations. Our study highlights that local implementation of national de-adoption policies is not necessarily straightforward, by virtue of the fact that de-adoption concerns entrenched interventions for which devolved policies may already exist. It is therefore critical that national de-adoption initiatives provide guidance around how devolved policymakers should reconcile national recommendations with local policies and processes.
Authors
- M. J. Bell (ORCID: https://orcid.org/0000-0002-3957-2685)
- Angus McNair (ORCID: https://orcid.org/0000-0002-2601-9258)
- Tim Jones (ORCID: https://orcid.org/0000-0002-1199-8668)
- Amanda Owen‐Smith (ORCID: https://orcid.org/0000-0003-1188-2371)
- Carmel Conefrey (ORCID: https://orcid.org/0009-0005-4384-6369)
- Victoria Tucker (ORCID: https://orcid.org/0000-0002-2842-7837)
- Iestyn Williams (ORCID: https://orcid.org/0000-0002-9462-9488)
- Christopher R Burton (ORCID: https://orcid.org/0000-0003-1159-1494)
- Josie Morley
- Ellen Rule
- Jenny Donovan (ORCID: https://orcid.org/0000-0002-6488-5472)
- Nicola Farrar (ORCID: https://orcid.org/0000-0002-9473-5678)
- Jane M. Blazeby (ORCID: https://orcid.org/0000-0002-3354-3330)
- Andy Gibson (ORCID: https://orcid.org/0000-0002-9524-984X)
- Joel Glynn (ORCID: https://orcid.org/0000-0002-3790-9205)
- William Hollingworth (ORCID: https://orcid.org/0000-0002-0840-6254)
- Leila Rooshenas (ORCID: https://orcid.org/0000-0002-6166-6055)
- Gail Thornton
Institutions
- University of Gloucestershire (GB)
- Canterbury Christ Church University (GB)
- North Bristol NHS Trust (GB)
- University Hospitals Bristol NHS Foundation Trust (GB)
- Southmead Hospital (GB)
- University of Bristol (GB)
- NIHR Bristol Biomedical Research Centre (GB)
- Bristol Clinical Commissioning Group (GB)
- University Hospitals Bristol and Weston NHS Foundation Trust (GB)
- University of Birmingham (GB)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-04-24
- DOI
- https://doi.org/10.1186/s12913-025-12700-1
- Citations
- 1
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 2.82
Funders
- National Institute for Health and Care Research
- Health and Social Care Delivery Research
- National Institute for Health Research Applied Research Collaboration West