Prototype Adoption Tool - Bevan Commission

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Your Details:

Your Name

Your Company Name

Your Email Address

Adoption Tool Details:

Brief Description of Product/Process/Service (300 Words)

Rationale for adoption of the innovation

Brief Description of the Evidenced Impact of the Innovation on Patients/Staff (300 words)

The innovation has been previously adopted by:

The innovation has the relevant regulatory/quality/safety approvals (Medical Devices and Medications):

Readiness Level(s):

Innovation Adoption Readiness Level

Problem defined, with solution identified and pilot testing phase being designed

Pilot testing phase underway with early evidence of effectiveness being collected

Pilot testing phase complete with evidence of effectiveness currently being collated

Innovation proven effective in a single organisation and is now ready for wider adoption

Innovation proven effective in multiple operational settings and is now ready for scale

Service Adoption Readiness Level

No strategy for the adoption and resourcing of the innovation has been developed

An adoption and resourcing strategy is currently under development but has not yet been discussed with key organisational stakeholders

An adoption and resourcing strategy has been developed but has not yet been agreed with key stakeholders

A comprehensive strategy for adopting and resourcing the innovation has been agreed with key stakeholders in a single organisation

A comprehensive strategy for scaling and resourcing the innovation has been agreed with key stakeholders from multiple organisations

Regulation and Governance Readiness Level

Regulatory and governance approvals that are required have not yet been explored

Regulatory and governance approvals that are required have been identified but not acted upon

Work is underway to gain the required regulatory and governance approvals

All regulatory and governance approvals required for a single adopting organisation have been completed and signed off

All regulatory and governance approvals required for multiple adopting organisations have been completed and signed off

Financial Case:

Financial investment required (cost)

A significant amount of financial investment is required to support the adoption of the innovation (£10m plus)

A large amount of financial investment is required to support the adoption of the innovation (£1m plus)

A moderate amount of financial investment is required to support the adoption of the innovation (£100k plus)

Limited financial investment is required to support the adoption of the innovation (Under £100k)

No financial investment is required to support the spread of the innovation

Return on investment/Value for money (Finance/VBHC question)

The innovation demonstrates a negative return on financial investment

The innovation demonstrates a poor return on financial investment

The innovation demonstrates a somewhat positive return on financial investment

The innovation demonstrates positive return on financial investment

The innovation demonstrates a strong positive return on financial investment

Workforce investment required

Significant workforce investment (recruitment) is required to support the adoption of the innovation

A large amount of workforce investment (recruitment) is required to support the adoption of the innovation

A moderate amount of workforce investment (recruitment) is required to support the adoption of the innovation

Limited workforce investment (recruitment) is required to support the adoption of the innovation

No workforce investment (recruitment) is required to support the spread of the

Clinical Case:

Impact on patient outcomes (PROMS)

The innovation demonstrates very negative impact on patient outcomes

The innovation demonstrates a negative impact on patient outcomes

The innovation demonstrates no impact on patient outcomes

The innovation demonstrates positive impact on patient outcomes

The innovation demonstrates a very positive impact on patient outcomes

Patient reported experience (PREMS)

Users report a highly negative experience of the innovation

Users report a negative experience of the innovation

Users report a neutral experience of using the innovation

Users report a positive experience of using the innovation

Users report a very positive experience of using the innovation

Impact on services (backlog, waiting times, patient flow, bed days etc.)

The innovation demonstrates a very negative impact on service efficiency

The innovation demonstrates a negative impact on service efficiency

The innovation demonstrates no impact on service efficiency

The innovation demonstrates positive impact on service efficiency

The innovation demonstrates a very positive impact on service efficiency

Strategic Case:

Fit with organisational priorities

The innovation does not align with organisational priorities

The innovation weakly aligns with organisational priorities

The innovation aligns with organisational strategic priorities

The innovation strongly aligns with organisational strategic priorities

The innovation completely aligns with key organisational strategic priorities

Fit with national priorities

The innovation does not align with national priorities

The innovation weakly aligns with national priorities

The innovation aligns with national strategic priorities

The innovation strongly aligns with national strategic priorities

The innovation completely aligns with key national strategic priorities

Senior leadership commitment for adoption

There is no support from senior leaders in any organisations to adopt the innovation

There is limited support from senior leaders in the adopting organisation to adopt the innovation

There is moderate support from senior leaders in the adopting organisation to adopt the innovation

There is strong support from senior leaders in the adopting organisation to adopt and spread the innovation

There is unanimous support from senior leaders across multiple different organisations to adopt and spread the innovation

Organisational Case:

Transferability and adaptation capacity

The innovation is not able to be transferred or adapted to different contexts

It will be challenging to transfer and adapt the innovation to different contexts

It is feasible to transfer and adapt the innovation to different contexts although there will be challenges

The innovation should be easily transferable and adaptable to different settings/contexts

The innovation has proven ability to be transferred, adapted and implemented in different settings/contexts

Fit with existing infrastructure

The innovation does not fit with existing physical/digital infrastructure and significant investment would be required to ensure true fit

The innovation somewhat fits with existing physical/digital infrastructure, although high levels of investment would be required to ensure true fit

The innovation broadly fits with existing infrastructure, although a small amount of investment will be needed to ensure true fit

The innovation fits with existing infrastructure, and no further investment will be needed to ensure true fit

The innovation fits with existing infrastructure, and no further investment will be needed to ensure it can be spread across Wales

Capacity to implement

Staffing not in place/staff do not have the capacity to adopt and implement the innovation in the adopting organisation(s)

Staff have limited capacity to suppoort adoption and implemention of the innovation in the adopting organisation(s)

Staff have some degree of capacity to implement the innovation, although this is yet to be discussed with management

Staff have adequate capacity to adopt and spread the innovation in their organisation, although this has not been formally signed off

Staff have approproiate capacity to adopt and spread the innovation, which has been agreed and signed off with management

Workforce Case:

Staff reported experience

Staff report a highly negative experience of implementing the innovation

Staff report a negative experience of implementing the innovation

Staff report a neutral experience of implementing the innovation

Staff report a positive experience of implementing the innovation

Staff report a very positive experience of implementing the innovation

Staff support for adoption

Staff do not support the adoption of the innovation

There is limited staff support for the adoption of the innovation

There is some staff support for the adoption of the innovation

There is strong support from staff in the testing and adopting organisation

There is unanimous support from relevant staff across multiple different organisations to adopt and spread the innovation

Staff training requirements

Staff will require a significant amount of training to implement the innovation correctly

Staff will require high levels of training to implement the innovation correctly

Staff will require a degree of training to implement the innovation correctly

Staff require no training to implement the innovation correctly

No training is required for the innovation to be spread to different settings/contexts

Characteristics of the Innovation:

Relative advantage over exisiting practice

The innovation offers no advantage over existing practice

The innovation offers a small advantage over existing practice

The innovation offers a moderate advantage over existing practice

The innovation offers a strong advantage over existing practice

The innovation offers a significant advantage over existing practice

Scale of impact

The degree to which the innovation is expected to impact patients.

Time until realisation

The innovation will take longer than 18 months to implement in a new setting

The innovation will take between 12-18 months to implement in a new setting

The innovation will take between 6-12 months to implement in a new setting

The innovation will take between 3-6 months to implement in a new setting

The innovation will take between 0-3 months to implement in a new setting

Based on the original tool developed by Dr. Tom Howson PhD.