INR Service | Undernutrition Service |
Leadership | |
Senior staff member—intensive support from trust management, technology provider and Neurolinguistic Therapist. | Regular staff member—limited support from trust management and technology provider. |
Development time | |
Extended duration—long lead in time for design, development, and staff engagement. | Limited duration—tight deadlines for completion, resulting in short lead in time for staff development/engagement and pathway redesign. |
Staff/service team engagement | |
Continuous—wider team involved in service design, development and implementation. | Limited—wider team involved in training for new service but not design and development. |
Alignment to prevailing service pathway | |
Close alignment—the new pathway mirrored the existing one. | Not aligned—the new pathway was significantly different from the existing one. |
IT and Technical support during implementation | |
On site, in-person support from technology provider during implementation phase; technology provider quick to respond to requests for changes. | Off site, remote support from technology provider; technology provider slow to respond to requests for changes. |
Relative advantages | |
Staff perceived relative advantages to themselves from better functioning clinics and to patients from convenience and improved time within therapeutic range. | Staff did not perceive relative advantages; Health Call perceived as generating new work. |
Decision to adopt | |
Financially comparable to existing service but with relative advantages—better functioning clinics and time within therapeutic range. | Financially comparable to existing service but additional costs for software licenses which could not be offset at service level by savings from reduced ONS and improved time within therapeutic range. |