Evidence generation plan
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5 Implementation considerations
Developers should work with providers and central NHS England teams to begin evidence generation. Planning for a period for the set-up of the technology is advised. The following considerations around implementing the evidence generation process have been identified through working with system partners:
Technology developers should provide training for staff in using the technology, where support is required. The training and implementation period should be before the data collection period and sufficient to account for potential learning effects.
Focus should be on patients who are referred to the technology as part of the clinical pathway rather than self-referring.
The evidence generation process is most likely to succeed with dedicated research staff to reduce the burden on NHS staff.
Sites should be carefully selected to, where appropriate, maximise data collection and ensure services representative of those in the NHS are included.
Evidence generation should be overseen by a steering group including researchers, commissioners, practitioners and representatives with lived experience on lower back pain.
Careful planning of approaches to information governance is vital.
The following barriers for implementing the evidence generation process have been identified through working with system partners:
the availability of research funds for data collection, analysis, and reporting, as well as NHS funding to cover the costs of implementing the technology in clinical practice
lack of expertise and staff to collect data
burden on clinical staff; the need to have training before implementation, data collection and follow up
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