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Table 1 Characteristics of case-study sites

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

  1. aTo preserve anonymity, the clinical speciality of this site is not disclosed (since it was one of only a few). It is a lower-profile clinical area than cancer.
  2. PCT = primary care trust.