Process and Systems: A systems approach to embedding group consultations in the NHS

Abstract

Group consultations are an important care option that is starting to gain traction in the USA and Australia. This review sum-marises the likely benefi ts accruing from a systems approach to implementing group consultations widely in the NHS and other socialised healthcare systems. Existing evidence is mapped to fi ve distinct systems approaches: (1) development; (2) different age groups; (3) patient-centred pathway of care; (4) NHS system changes; and (5) education. Implications are discussed for patients and staff, who both benefi t from group consultations once embedded; ranging from improved access and effi ciency to more enjoyable multidisciplinary team working, improved resource management, and maintained/better outcomes. Moreover, even patients who don't attend group consultations can benefi t from system effects of long-term implementation. Changing behaviour and health systems is challenging, but change requires systematic experimentation and documentation of evidence. We conclude that group consultations have unique potential for delivering system-wide benefi ts across the NHS.