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National evaluation of NHS genetics service investments: emerging issues from the cancer genetics pilots

Martin, Graham P.; Finn, Rachael; Currie, Graeme

Authors

Graham P. Martin graham.martin@nottingham.ac.uk

Rachael Finn

Graeme Currie



Abstract

In seeking to fulfil the ambition of the 2003 genetics white paper, Our Inheritance, Our Future, to ‘mainstream’ genetic knowledge and practices, the Department of Health provided start-up funding for pilot services in various clinical areas, including seven cancer genetics projects. To help to understand the challenges encountered by such an attempt at reconfiguring the organization and delivery of services in this field, a programme-level evaluation of the genetics projects was commissioned to consider the organizational issues faced. Using a qualitative approach, this research has involved comparative case-study work in 11 of the pilot sites, including four of the seven cancer genetics pilots. In this paper, the researchers present early findings from their work, focusing in particular on the cancer genetics pilots. They consider some of the factors that have influenced how the pilots have sought to address pre-existing sector, organizational and professional boundaries to these new ways of working. The article examines the relationship between these factors and the extent to which pilots have succeeded in setting up boundary-spanning services, dealing with human-resource issues and creating sustainable, ‘mainstreamed’ provision which attracts ongoing funding in a volatile NHS commissioning environment where funding priorities do not always favour preventive, risk-assessment services.

Journal Article Type Article
Publication Date Jun 1, 2007
Journal Familial Cancer
Print ISSN 1389-9600
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 6
Issue 2
APA6 Citation Martin, G. P., Finn, R., & Currie, G. (2007). National evaluation of NHS genetics service investments: emerging issues from the cancer genetics pilots. Familial Cancer, 6(2), doi:10.1007/s10689-007-9130-3
DOI https://doi.org/10.1007/s10689-007-9130-3
Publisher URL http://www.springerlink.com/content/d1684kx83356gp71/?p=3a289e2a32a64afabcd7c49fa7d524dc&pi=13
Related Public URLs http://www.nottingham.ac.uk/~lqzgpm
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information The original publication is available at www.springerlink.com

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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