From: The medium-term sustainability of organisational innovations in the national health service
 | Organisational innovation based on evidence-based model | Locally designed organisational innovation |
---|---|---|
Primary care-based organisational innovation | Case A Clinical speciality: cancer genetics Led by a nurse Commissioned by PCT | Case B General primary care genetics Led by a general practitioner Commissioned by PCT initially, funding currently halted |
Hospital-based organisational innovation | Case C (tertiary care) Clinical speciality: cancer genetics Led by a consultant clinical geneticist Commissioned by a consortium of PCTs | Case D (secondary care) Other clinical specialitya Jointly led by genetics and mainstream consultants Funded through integration into mainstream service |