Introduction Children and young people (CYP) in the
UK have poor health outcomes, and there is increasing
emergency department and hospital outpatient use. To
address these problems in Lambeth and Southwark (two
boroughs of London, UK), the local Clinical Commissioning
Groups, Local Authorities and Healthcare Providers formed
The Children and Young People’s Health Partnership
(CYPHP), a clinical-academic programme for improving
child health. The Partnership has developed the CYPHP
Evelina London model, an integrated healthcare model that
aims to deliver effective, coordinated care in primary and
community settings and promote better self-management
to over approximately 90 000 CYP in Lambeth and
Southwark. This protocol is for the process evaluation of
this model of care.
Methods and analysis Alongside an impact evaluation,
an in-depth, mixed-methods process evaluation will
be used to understand the barriers and facilitators to
implementing the model of care. The data collected
mapped onto a logic model of how CYPHP is expected
to improve child health outcomes. Data collection and
analysis include qualitative interviews and focus groups
with stakeholders, a policy review and a quantitative
analysis of routine clinical and administrative data and
questionnaire data. Information relating to the context of
the trial that may affect implementation and/or outcomes
of the CYPHP model of care will be documented.
Ethics and dissemination The study has been reviewed
by NHS REC Cornwall & Plymouth (17/SW/0275). The
findings of this process evaluation will guide the scaling up
and implementation of the CYPHP Evelina London Model
of Care across the UK. Findings will be disseminated
through publications and conferences, and implementation
manuals and guidance for others working to improve child
health through strengthening health systems.
Trial registration number NCT03461848