TY - STD TI - Stevens S. Five year forward view: NHS England; 2014. ID - ref1 ER - TY - JOUR AU - Moussavi, S. AU - Chatterji, S. AU - Verdes, E. AU - Tandon, A. AU - Patel, V. AU - Ustun, B. PY - 2007 DA - 2007// TI - Depression, chronic diseases, and decrements in health: results from the world health surveys JO - Lancet VL - 370 UR - https://doi.org/10.1016/S0140-6736(07)61415-9 DO - 10.1016/S0140-6736(07)61415-9 ID - Moussavi2007 ER - TY - STD TI - World Health Organisation. The global burden of disease: 2004 update. Geneva; 2009. ID - ref3 ER - TY - JOUR AU - Wagner, E. AU - Groves, T. PY - 2002 DA - 2002// TI - Care for chronic diseases JO - BMJ VL - 325 UR - https://doi.org/10.1136/bmj.325.7370.913 DO - 10.1136/bmj.325.7370.913 ID - Wagner2002 ER - TY - JOUR AU - Campbell, S. AU - Hann, M. AU - Hacker, J. AU - Burns, C. AU - Oliver, D. AU - Thapar, A. AU - Mead, N. AU - Gelb Safran, D. AU - Roland, M. PY - 2001 DA - 2001// TI - Identifying predictors of high quality care in English general practice: observational study JO - Br Med J VL - 323 UR - https://doi.org/10.1136/bmj.323.7316.784 DO - 10.1136/bmj.323.7316.784 ID - Campbell2001 ER - TY - STD TI - Coulter A: Trends in patients’ experience of the NHS. 2012. In .https://www.picker.org/wp-content/uploads/2014/10/Trends-in-patients-experience-of-the-NHS.pdf. Accessed 17 Sept 2012. UR - https://www.picker.org/wp-content/uploads/2014/10/Trends-in-patients-experience-of-the-NHS.pdf ID - ref6 ER - TY - JOUR AU - Rick, J. AU - Rowe, K. AU - Hann, M. AU - Sibbald, B. AU - Reeves, D. AU - Roland, M. AU - Bower, P. PY - 2012 DA - 2012// TI - The patient assessment of chronic illness care measure: acceptability, reliability and validity in United Kingdom patients with long-term conditions JO - BMC Health Serv Res VL - 12 UR - https://doi.org/10.1186/1472-6963-12-293 DO - 10.1186/1472-6963-12-293 ID - Rick2012 ER - TY - JOUR AU - Roland, M. AU - Abel, G. PY - 2012 DA - 2012// TI - Reducing emergency admissions: are we on the right track? JO - BMJ VL - 345 UR - https://doi.org/10.1136/bmj.e6017 DO - 10.1136/bmj.e6017 ID - Roland2012 ER - TY - JOUR AU - Kennedy, A. AU - Reeves, D. AU - Bower, P. AU - Lee, V. AU - Middleton, E. AU - Richardson, G. AU - Gardner, C. AU - Gately, C. AU - Rogers, A. PY - 2007 DA - 2007// TI - The effectiveness and cost effectiveness of a national lay led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial JO - J Epidemiol Community Health VL - 61 UR - https://doi.org/10.1136/jech.2006.053538 DO - 10.1136/jech.2006.053538 ID - Kennedy2007 ER - TY - JOUR AU - Reeves, D. AU - Hann, M. AU - Rick, J. AU - Rowe, K. AU - Small, N. AU - Burt, J. AU - Roland, M. AU - Protheroe, J. AU - Blakeman, T. AU - Richardson, G. PY - 2014 DA - 2014// TI - Care plans and care planning in the management of long-term conditions in the United Kingdom: a controlled prospective cohort study JO - Br J Gen Pract VL - 64 UR - https://doi.org/10.3399/bjgp14X681385 DO - 10.3399/bjgp14X681385 ID - Reeves2014 ER - TY - JOUR AU - Gravelle, H. AU - Dusheiko, M. AU - Sheaff, R. AU - Sargent, P. AU - Boaden, R. AU - Pickard, S. AU - Parker, S. AU - Roland, M. PY - 2007 DA - 2007// TI - Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data JO - BMJ VL - 334 UR - https://doi.org/10.1136/bmj.39020.413310.55 DO - 10.1136/bmj.39020.413310.55 ID - Gravelle2007 ER - TY - JOUR AU - Campbell, S. AU - Reeves, D. AU - Kontopantelis, E. AU - Middleton, E. AU - Sibbald, B. AU - Roland, M. PY - 2007 DA - 2007// TI - Quality of primary care in England with the introduction of pay for performance JO - N Engl J Med VL - 357 UR - https://doi.org/10.1056/NEJMsr065990 DO - 10.1056/NEJMsr065990 ID - Campbell2007 ER - TY - JOUR AU - Henderson, C. AU - Knapp, M. AU - Fernández, J. AU - Beecham, J. AU - Hirani, S. AU - Cartwright, M. AU - Rixon, L. AU - Beynon, M. AU - Rogers, A. AU - Bower, P. PY - 2013 DA - 2013// TI - Cost effectiveness of telehealth for patients with long term conditions (whole systems demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial JO - BMJ VL - 346 UR - https://doi.org/10.1136/bmj.f1035 DO - 10.1136/bmj.f1035 ID - Henderson2013 ER - TY - JOUR AU - Baxter, S. AU - Johnson, M. AU - Chambers, D. AU - Sutton, A. AU - Goyder, E. AU - Booth, A. PY - 2018 DA - 2018// TI - Understanding new models of integrated care in developed countries: a systematic review JO - Health Serv Del Res VL - 6 ID - Baxter2018 ER - TY - JOUR AU - Snooks, H. AU - Bailey-Jones, K. AU - Burge-Jones, D. AU - Dale, J. AU - Davies, J. AU - Evans, B. AU - Farr, A. AU - Fitzsimmons, D. AU - Harrison, J. AU - Heaven, M. PY - 2018 DA - 2018// TI - Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC) JO - Health Serv Deliv Res VL - 6 UR - https://doi.org/10.3310/hsdr06010 DO - 10.3310/hsdr06010 ID - Snooks2018 ER - TY - JOUR AU - Stokes, J. AU - Panagioti, M. AU - Alam, R. AU - Checkland, K. AU - Cheraghi-Sohi, S. AU - Bower, P. PY - 2015 DA - 2015// TI - Effectiveness of case management for ‘at risk’ patients in primary care: a systematic review and meta-analysis JO - PLoS One VL - 10 UR - https://doi.org/10.1371/journal.pone.0132340 DO - 10.1371/journal.pone.0132340 ID - Stokes2015 ER - TY - STD TI - Bate P: Context is everything. 2014. https://www.health.org.uk/sites/default/files/PerspectivesOnContextBateContextIsEverything.pdf. Accessed 7 Feb 2017. UR - https://www.health.org.uk/sites/default/files/PerspectivesOnContextBateContextIsEverything.pdf ID - ref17 ER - TY - STD TI - Øvretveit J. How does context affect quality improvement? 2014. https://www.health.org.uk/sites/default/files/PerspectivesOnContextOvretveitHowDoesContextAffectQualityImprovement.pdf. Accessed 11 Sept 2014. UR - https://www.health.org.uk/sites/default/files/PerspectivesOnContextOvretveitHowDoesContextAffectQualityImprovement.pdf ID - ref18 ER - TY - JOUR AU - Kennedy, A. AU - Rogers, A. AU - Bower, P. PY - 2007 DA - 2007// TI - Support for self care for patients with chronic disease JO - BMJ VL - 335 UR - https://doi.org/10.1136/bmj.39372.540903.94 DO - 10.1136/bmj.39372.540903.94 ID - Kennedy2007 ER - TY - STD TI - NHS Test Beds programme https://www.england.nhs.uk/ourwork/innovation/test-beds/. Accessed 2 Oct 2018. UR - https://www.england.nhs.uk/ourwork/innovation/test-beds/ ID - ref20 ER - TY - STD TI - Ivers N, Jamtvedt G, Flottorp S, Young JM, Odgaard-Jensen J, French SD, O’Brien MA, Johansen M, Grimshaw J, Oxman AD. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012:6. ID - ref21 ER - TY - JOUR AU - Alagoz, E. AU - Chih, M. -. Y. AU - Hitchcock, M. AU - Brown, R. AU - Quanbeck, A. PY - 2018 DA - 2018// TI - The use of external change agents to promote quality improvement and organizational change in healthcare organizations: a systematic review JO - BMC Health Serv Res VL - 18 UR - https://doi.org/10.1186/s12913-018-2856-9 DO - 10.1186/s12913-018-2856-9 ID - Alagoz2018 ER - TY - JOUR AU - Irwin, R. AU - Stokes, T. AU - Marshall, T. PY - 2015 DA - 2015// TI - Practice-level quality improvement interventions in primary care: a review of systematic reviews JO - Prim Health Care Res Dev VL - 16 UR - https://doi.org/10.1017/S1463423615000274 DO - 10.1017/S1463423615000274 ID - Irwin2015 ER - TY - JOUR AU - Härter, M. AU - Dirmaier, J. AU - Dwinger, S. AU - Kriston, L. AU - Herbarth, L. AU - Siegmund-Schultze, E. AU - Bermejo, I. AU - Matschinger, H. AU - Heider, D. AU - König, H. -. H. PY - 2016 DA - 2016// TI - Effectiveness of telephone-based health coaching for patients with chronic conditions: a randomised controlled trial JO - PLoS One VL - 11 UR - https://doi.org/10.1371/journal.pone.0161269 DO - 10.1371/journal.pone.0161269 ID - Härter2016 ER - TY - JOUR AU - McLean, S. AU - Protti, D. AU - Sheikh, A. PY - 2011 DA - 2011// TI - Telehealthcare for long term conditions JO - BMJ VL - 342 UR - https://doi.org/10.1136/bmj.d120 DO - 10.1136/bmj.d120 ID - McLean2011 ER - TY - STD TI - McLean S, Nurmatov U, Liu JLY, Pagliari C, Car J, Sheikh A. Telehealthcare for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2011;7. ID - ref26 ER - TY - JOUR AU - Hirani, S. P. AU - Beynon, M. AU - Cartwright, M. AU - Rixon, L. AU - Doll, H. AU - Henderson, C. AU - Bardsley, M. AU - Steventon, A. AU - Knapp, M. AU - Rogers, A. PY - 2014 DA - 2014// TI - The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: the whole systems demonstrator cluster randomised trial JO - Age Ageing VL - 43 UR - https://doi.org/10.1093/ageing/aft185 DO - 10.1093/ageing/aft185 ID - Hirani2014 ER - TY - JOUR AU - Steventon, A. AU - Bardsley, M. AU - Billings, J. AU - Dixon, J. AU - Doll, H. AU - Hirani, S. AU - Cartwright, M. AU - Rixon, L. AU - Knapp, M. AU - Henderson, C. PY - 2012 DA - 2012// TI - Effect of telehealth on use of secondary care and mortality: findings from the whole system demonstrator cluster randomised trial JO - BMJ VL - 344 UR - https://doi.org/10.1136/bmj.e3874 DO - 10.1136/bmj.e3874 ID - Steventon2012 ER - TY - STD TI - Jonk Y, Lawson K, O'Connor H, Riise K, Eisenberg D, Bryan D, Kreitzer M. How effective is health coaching in reducing health services expenditures? Med Care. 2015;53(2). ID - ref29 ER - TY - JOUR AU - Kivelä, K. AU - Elo, S. AU - Kyngäs, H. AU - Kääriäinen, M. PY - 2014 DA - 2014// TI - The effects of health coaching on adult patients with chronic diseases: a systematic review JO - Patient Educ Couns VL - 97 UR - https://doi.org/10.1016/j.pec.2014.07.026 DO - 10.1016/j.pec.2014.07.026 ID - Kivelä2014 ER - TY - STD TI - Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. SQUIRE 2.0 (standards for QUality improvement reporting excellence): revised publication guidelines from a detailed consensus process. BMJ Qual Saf. 2015. ID - ref31 ER - TY - STD TI - Hibbard J, Gilburt H. Supporting people to manage their health: an introduction to patient activation. London; 2014. ID - ref32 ER - TY - JOUR AU - Craig, P. AU - Cooper, C. AU - Gunnell, D. AU - Haw, S. AU - Lawson, K. AU - Macintyre, S. AU - Ogilvie, D. AU - Petticrew, M. AU - Reeves, B. AU - Sutton, M. PY - 2012 DA - 2012// TI - Using natural experiments to evaluate population health interventions: new Medical Research Council guidance JO - J Epidemiol Community Health VL - 66 UR - https://doi.org/10.1136/jech-2011-200375 DO - 10.1136/jech-2011-200375 ID - Craig2012 ER - TY - STD TI - NHS England: Greater Manchester Health and Social Care Partnership. In.https://www.england.nhs.uk/integratedcare/stps/view-stps/greater-manchester-health-and-social-care-partnership/ (accessed 13 Sept 2018); 2018. UR - https://www.england.nhs.uk/integratedcare/stps/view-stps/greater-manchester-health-and-social-care-partnership/ ID - ref34 ER - TY - JOUR AU - Robinson, D. AU - Schulz, E. AU - Brown, P. AU - Price, C. PY - 1997 DA - 1997// TI - Updating the read codes: user-interactive maintenance of a dynamic clinical vocabulary JO - J Am Med Inform Assoc VL - 4 UR - https://doi.org/10.1136/jamia.1997.0040465 DO - 10.1136/jamia.1997.0040465 ID - Robinson1997 ER - TY - STD TI - Bower P, Reeves.D., Sutton M, Lovell K, Bakemore A, Hann M, Howells H, Meacock R, Munford L, Panagioti M et al: Comprehensive longitudinal assessment of Salford integrated care (CLASSIC): a mixed methods study of the implementation and effectiveness of a new model of care for long-term conditions. Health Serv Deliv Res 2018. ID - ref36 ER - TY - STD TI - Loudon K, Treweek S, Sullivan F, Donnan P, Thorpe KE, Zwarenstein M. The PRECIS-2 tool: designing trials that are fit for purpose. BMJ. 2015;350. ID - ref37 ER - TY - STD TI - Smith SM, Wallace E, O'Dowd T, Fortin M. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2016;3. ID - ref38 ER - TY - JOUR AU - Salisbury, C. AU - Man, M. -. S. AU - Bower, P. AU - Guthrie, B. AU - Chaplin, K. AU - Gaunt, D. M. AU - Brookes, S. AU - Fitzpatrick, B. AU - Gardner, C. AU - Hollinghurst, S. PY - 2018 DA - 2018// TI - Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach JO - Lancet VL - 392 UR - https://doi.org/10.1016/S0140-6736(18)31308-4 DO - 10.1016/S0140-6736(18)31308-4 ID - Salisbury2018 ER - TY - STD TI - NHS: The NHS long term plan (https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf accessed 16 Jan 2019). London: NHS England; 2019. UR - https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf ID - ref40 ER -