Health Pathways implementation in South Tyneside (phase one-second report)

Study topic
Evaluation of the first UK implementation of HealthPathways in South Tyneside, focusing on process, context, mechanisms, and emerging outcomes.

Study type
Realist evaluation using mixed methods (interviews, focus groups, observations, Google Analytics).

Key findings:

• HealthPathways was launched in South Tyneside in August 2016 with 50 initial pathways; by May 2017, 116 pathways were live and 57 in development.
• Usage increased steadily: 7,544 sessions and 37,186 page views over 9 months, with 252 users in May 2017.
• Localised pathways (e.g. COPD, heart failure, cancer referrals) were accessed more frequently than non-localised ones.
• GPs and nurses found HealthPathways useful for decision support, referrals, and patient education, especially when pathways were accurate, complete, and locally relevant.
• The system was perceived as user-friendly, but complex pathways and lack of integration with EMIS (clinical records system) were barriers to use.
• Feedback via the DOT system was valued when responses were timely and actionable.
• Strong leadership, strategic alignment, and relationships with Canterbury DHB and Streamliners were key enablers.
• Challenges included limited resources for pathway development, unclear timelines, and inconsistent engagement across primary and secondary care.
• Social care pathways were in development, marking a global first for HealthPathways.
• Recommendations included improving feedback loops, prioritising pathway completion, enhancing training and communication, and developing a sustainability plan.