NHS CONNECTING FOR HEALTH EVALUATION PROGRAMME An evaluation of the adoption of the NHS Care Record in secondary care APPLICATION FORM - VERSION 2 CONTENTS

OF RESEARCH. No more than 200 words covering the following topics: aims of project; research subject group; sample size, type and location; methods of working. Aims: We aim to conduct a: • Formative evaluation of the national implementation of the National Health Service’s Care Record Service (NHS CRS) in secondary care and to use the findings to inform the continued roll-out of the NHS CRS • Summative evaluation of the impact of the NHS CRS on the quality, safety and efficiency of healthcare delivery. Research subject group: Participants will consist of key stakeholders and organisations involved in and/or affected by the introduction of the new electronic healthcare record; these include patients and carers, ‘frontline’ healthcare staff, administrative staff, IT support staff and management teams. Sample size: Up to five hospitals in each of the three NHS CRS implementation clusters. Type and location: Hospitals across England. Methods: A theoretically informed multi-faceted quantitative and qualitative evaluation using the principles of a stepped wedge design to sample hospitals, and integration of realistic evaluation and Cornford et al’s evaluation framework to assess the effects of introduction of the NHS CRS. Six complementary work packages will be pursued: i. Implementation, deployment and organisational learning ii. Attitudes, expectations and experiences of patient, professional and managerial stakeholders iii. Organisational consequences of implementation iv. Assessment of costs of NHS CRS implementation v. Assessing error, safety and quality of care vi. Organisational consequences and implications for future IT deployments and evaluations.