Here we describe an integrated model for scheduled care (the ‘cluster clinic’). Following a pilot in April 2018, cluster clinics were established across Aberdeen City from April 2019 but not the area surrounding Aberdeen (ie, Aberdeenshire). There were 2360 referrals in 2017/2018 (pre-cluster clinic), and 2615 in 2019/2020 (post-Aberdeen City cluster clinics). The proportions of referrals from City practices seen pre-cluster and post-cluster were 72% and 56%, respectively, and from Shire practices the corresponding proportions were 70% and 65%. The cluster clinic received positive feedback from parents and referring clinicians and was not associated with increased ‘missed diagnoses’ compared with business as usual clinic. The cluster clinic model is a realistic and effective method to deliver integrated scheduled care for children.
- child health services
- healthcare economics and organisations
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Contributors SWT and AC made substantial contributions to the concept and design of the work. The remaining authors each made substantial contributions to the analysis of data. All authors approved the submitted version of the manuscript. SWT drafted the first version of the manuscript and is accountable for all aspects of the work.
Funding This work was supported by funding from the Scottish Government.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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