Using Geographical Information Systems (GIS) to inform service redesign

What were the objectives? As part of a major service review, Somerset CCG wished to confirm the clinical benefits they would achieve by centralising stroke services at Taunton Hospital and closing the service at Yeovil Hospital. They tasked our GIS team to complete a systematic analysis of how the proposed changes would impact the whole population of Somerset, a large county measuring 1,330 square miles and 70 miles across

What did we deliver?

• We applied our sophisticated GIS mapping and analytics methodology to provide critical evidence that directly improved service provision for stroke patients.

• We completed a comprehensive travel time analysis covering emergency vehicles and private and public transport options, to identify the implications of change.

• The study confirmed that the clinical benefits of closing Yeovil would be far less significant than had previously been anticipated – in fact, the increased travel times would have a critical impact on the speed of treatment for many stroke patients.

• The critical evidence we produced informed the planning process and led to Somerset CCG deciding to retain both stroke services, substantially altering the direction of the review.

How did we add value to the customer? Our GIS team delivered a strongly evidence‐based analysis for Somerset CCG, which indicated the best clinical outcomes achievable within the available resources and led to better decision-making for a critical service.

By using sophisticated Visography TRACC tools, the team was able to present stakeholders with complex data on travel times and other key criteria in a readily comprehensible way. The methodology and techniques we used can easily be replicated in other geographical areas, and we now apply them to a wide range of service reviews and commissioning decisions
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