We use the Institute of Healthcare Improvement’s quadruple aim as our outcome framework

On this page

  1. Better Quality of Care
  2. Better Population Health
  3. Reducing the per capita cost of health care
  4. Better Staff Experience


1. Better Quality of Care:

Improving the patient experience of care: Parents and families tell us they want to be seen and supported by their trusted family doctor. Our Child health hubs were designed to allow patients to see a specialist whilst maintaining the GP at the centre of their care.

Improving public and patient involvement: Through our co-designed and co-produced projects, we have seen great improvement in the involvement and the engagement of local families

Ben Holden Clinical Research Fellow, Imperial College "We work better in partnership with patients, letting them tell us what is wrong with them, rather than us telling them"

Our junior doctors also tell us that spending time with parents and exploring their ideas, concerns and expectations is an invaluable experience for them.

Examples of our co-produced local projects include:

2. Better Population Health

Our collaborative work with local champions improves the health of our local children as well as young people and their families.

We foster relationships between community organisations and primary care, providing the opportunity to share local resources and knowledge.

We support our Child Health GP hubs to take a population health approach using our segmentation model and the whole systems integrated care dashboard.

Find out more about our child segmentation model

3. Reducing the per capita cost of health care

Our whole-population, preventative healthcare approach – led by citizens, champions and community healthcare practitioners – supports families with children and young people in better understanding their health and how to access appropriate care.

In this way, we support people in staying healthy and reduce the need for expensive secondary and tertiary healthcare services.

In one Child Health GP hub, this has meant:

  • 39% of new patient hospital appointments were avoided
  • A further 42% of appointments were shifted from hospital to GP practice
  • There was also a decrease: 19% in subspeciality referrals, 17% in admissions and 22% in A&E attenders

Child health general practice hubs: a service evaluation. Montgomery-Taylor, S., Watson, M., & Klaber, R. Archives of disease in childhood, 101(4), 333-337 201

4. Better Staff Experience

For us the most important thing is building relationships. The CC4C model has helped us to build really strong relationships across primary and secondary care.

These improved relationships and communication pathways enable us to share best practice and mean that patients receive the best care, at the right time, in the right place.

Instead of booking a hospital appointment, GPs have someone to call for advice or talk through a child’s care with the wider team at a multidisciplinary team meeting.

We empower healthcare professionals with cross-boundary connections and the tools to better manage their patients. This not only improves their autonomy and sense of belonging, but also supports their health and wellbeing.

Mark Dumbrill, Family Therapist Hammersmith and Fulham"It makes my job more enjoyable"