Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors.

Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and community systems. Our objective was to change practice in order to deliver a Hospital at Home programme (admission avoidance and early supported discharge) for frail older people across a regional commissioning area. The programme, undertaken within the Northern, Eastern & Western Devon Clinical Commissioning Group (CCG) sub-localities of Exeter (population 120,000) and Woodbury, Exmouth and Budleigh Salterton (towns with populations of around 10,000), involved reconfiguration of existing services rather than being a stand-alone intervention.This article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site.Publishe

A Critical Comparison of Two Creativity Methods for Fostering Participatory Innovation: Implications to Improve TRIZ

We present an empirical study in which we contrast two creativity methods, the lateral thinking method and the improvisational theatre method, to investigate their applicability for advancing participatory innovation. While both of the contrasted methods aim to increase creativity as a means of improving participative innovation, they differ in terms of their conceptualisations of creativity, goals and processes. We propose that these two methods could complement the weaknesses of the TRIZ method (theory of inventive problem solving), especially in cases in which diverse experts gather to innovate, solve problems and generate new knowledge for shared goals. We illustrate the utilisation of the methods by reporting two creative development workshops. The paper sheds light on methods for fostering creative participatory innovation and highlights the collective nature of co-creation in participatory innovation. In addition, the paper suggests how the studied participative co-creative methods could be useful in improving the TRIZ method.Post-print / Final draf